News
Predictors of Sepsis, Septic Shock in Emergency Department Patients
July 6, 2015
Clinical question: Among patients presenting to the ED with sepsis, who will progress to septic shock within 48 hours of arrival? Background: This study describes patient characteristics present within four hours of ED arrival associated with developing septic shock between four and 48 hours afte
News
Individualized Patient Care Plans Impact Utilization, Costs
July 6, 2015
Clinical question: Does developing individualized care plans in the inpatient setting reduce unnecessary ED visits, hospital readmissions, and hospital costs for frequent users of hospital services? Background: High utilizers of healthcare services are recognized as medically and psychosocially c
News
Revised Guideline for Adult Bacterial Meningitis Improves Treatment, Outcome
July 6, 2015
Clinical question: Did revision of guidelines recommending computerized tomography (CT) scan before lumbar puncture (LP) reduce delayed treatment of acute bacterial meningitis (ABM)? Background: Guidelines were introduced in Sweden in 2004 identifying patients at risk for LP-induced brain herniat
News
Multifaceted Intervention to Decrease Frequency of Common Labs
July 6, 2015
Clinical question: Can a multifaceted intervention decrease the frequency of unnecessary labs? Background: Implementation of a multifaceted QI intervention within a large, community-based hospitalist group to decrease ordering of common labs. Study design: QI project. Setting: Large, commun
News
When Do Patient-Reported Outcome Measures Inform Readmission Risk?
July 6, 2015
Clinical question: Among patients discharged from the hospital, how do patient-reported outcome (PRO) measures change after discharge, and can they predict readmission or ED visit? Background: Variables to predict 30-day rehospitalizations of discharged general medical patients have been looked i
News
PRONE Score Can Track Medicolegal Complaints
July 6, 2015
Clinical question: Is there a standardized way to identify doctors at high risk of incurring repeated medicolegal events? Background: Medicolegal agencies react to episodes of substandard care rather than intervening to prevent them due to lack of robust prediction tools at the individual practit
News
Few U.S. Stroke Patients Get Clot-Busting Treatment
July 2, 2015
(Reuters Health) - Not all U.S. stroke patients eligible for thrombolytic therapy actually receive it - and the odds of getting this therapy may depend on where they live, a large study finds. Dr.
News
Novel Rapid Response Team Can Decrease Non-ICU Cardiopulmonary Arrests, Mortality
July 1, 2015
Clinical question: Can novel configured rapid response teams (RRTs) improve non-ICU cardiopulmonary arrest (CPA) and overall hospital mortality rate? Background: RRTs are primarily executed in hospital settings to avert non-ICU CPA through early detection and intervention.
News
Hospitalists Can Lead Health Information Technology Field
June 30, 2015
A reader shares why hospitalists should drive advances in clinical informatics field
![1]()
News
What Hospitalists Should Consider Before Becoming an Expert Witness
June 30, 2015
Editor’s note: First in a two-part series on hospitalists as expert witnesses. Recently, you have found yourself pondering whether you want to be an expert witness for the prosecution on behalf of one of your patients or for the defense on behalf of one of your fellow colleagues.
