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Positioning Hospitalists as Change AgentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. Marjorie Bessel doesn't shy away from making big changes. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: MARJORIE BESSEL Tags: Leaders: Dr. Marjorie Bessel Source Type: journals

Improve ‘Throughput' by Targeting BottlenecksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
TAMPA — Analyzing your hospital's “throughput” can reveal ways to decrease crowding, increase patient and employee satisfaction, and possibly improve your hospital's bottom line, Dr. Paul Hain said at a meeting on pediatric hospital medicine. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: JOYCE FRIEDEN Tags: Practice Trends Source Type: journals

Value-Based Purchasing Demo Maintains Quality ImprovementsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hospitals participating in the Hospital Quality Incentive Demonstration value-based purchasing project funded by the Centers for Medicare and Medicaid Services raised their overall quality by 17% over 4 years, the agency reported. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: BROOKE McMANUS Tags: Practice Trends Source Type: journals

Advocacy Group Offers Free Quality Tool for HospitalsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To help hospitals improve quality and reduce costs, the Institute for Healthcare Improvement has released a free online tool that allows hospitals to find best practices, assess performance, and design quality improvement plans. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: MARY ELLEN SCHNEIDER Tags: Practice Trends Source Type: journals

Some Hospitalists Wary of Bundling ProposalsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The concept of “bundling” of payments to physicians and hospitals has emerged as a potential element of health care reform, but some hospitalists are expressing concerns about the potential effects of untested bundling proposals. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: JOYCE FRIEDEN Tags: Practice Trends Source Type: journals

More Accountability Needed to Improve Patient SafetyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ROSEMONT, ILL. — Despite major patient safety strides during the past decade, health care providers need to create more accountability for medical errors and patient safety lapses in order to continue improving, according to Dr. Robert M. Wachter, professor and associate chairman of medicine at the University of California, San Francisco. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: SUSAN BIRK Tags: Practice Trends Source Type: journals

Process-Improvement Center to Share LessonsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ROSEMONT, ILL. — In an effort to help health care providers make lasting improvements in quality and safety, the Joint Commission has established the Center for Transforming Healthcare to disseminate data and lessons from leading health care organizations that have successfully implemented robust process-improvement methods developed by other industries. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: SUSAN BIRK Tags: Practice Trends Source Type: journals

Inpatients on Insulin Have Elevated Risk of FallingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
SAN DIEGO — Insulin was a surprise among the medications commonly associated with inpatient falls inta large single-center controlled study of 230 patients. “Previous community studies have found a connection between diabetes and falling. In our study, diabetes was not associated with falling, but use of insulin was. The question is whether insulin is a marker of more severe diabetes, or if these patients have low blood sugars or peripheral neuropathy that is increasing the risk of falling,.” said Caroline O'Neil, research coordinator in the infectious diseases division at Washington University, St. Louis. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: Doug Brunk Tags: Endocrinology Source Type: journals

Hyponatremia Common but Tricky to TreatEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
SAN FRANCISCO — Physicians may be lulled into a false sense of competence in managing hyponatremia simply because the disorder is so common in hospitalized patients. “Hyponatremia is difficult,” said Dr. Lewis S. Blevins, director of the Center for Pituitary Disorders and professor of medicine and neurosurgery at the university. “If you're not totally comfortable” managing hyponatremia, “get a consult.” (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: SHERRY BOSCHERT Tags: Endocrinology Source Type: journals

Surgery May Improve Intractable ConstipationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
FAJARDO, P.R. — Either transabdominal antegrade continence enema or intestinal diversion is an appropriate first-line surgical procedure in children with intractable constipation, according to results of a Massachusetts General Hospital study. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Pediatrics Source Type: journals

Developing a Culture of SafetyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. Amin is professor and chairman of the department of medicine and executive director of the hospitalist program at the University of California, Irvine. American medicine has made great strides in fighting disease and advancing health, but has often fallen shortwregarding patient safety. That's because we've lacked a culture of safety in medicine. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: ALPESH AMIN Tags: Adviser's Viewpoint Source Type: journals

Should health care workers be required to be immunized against influenza?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ms. Nutty is president of the Association for Professionals in Infection Control and Epidemiology. The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices currently recommends vaccination against both seasonal influenza and pandemic influenza A(H1N1) when vaccines become available. Because of their close proximity to sick people, health care workers are among the priority groups to receive both vaccines. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: CHRISTINE J. NUTTY, TINA GERARDI Tags: Point/Counterpoint Source Type: journals

Bacterial Coinfection a Factor In Fatal Pandemic H1N1 CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bacterial coinfections likely played a role in almost one-third of fatal cases of 2009 pandemic influenza A(H1N1) in the United States, based on data from 77 patients published online in the Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: HEIDI SPLETE Tags: Infectious Diseases Source Type: journals

Diagnostic Challenges Are Anticipated in Pandemic FluEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
VAIL, COLO. — Recent anecdotal reports suggest that the diagnosis of 2009 influenza A(H1N1) should not be ruled out by a negative upper respiratory tract specimen in a patient with pneumonia. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Infectious Diseases Source Type: journals

HEART Score Predicts Outcomes in Patients With Chest PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
BARCELONA — A new scoring system for categorizing patients who present with chest pain to the emergency department proved to be a strong discriminator of acute coronary syndrome and the risk of major adverse cardiac events within 6 weeks in a Dutch multicenter validation study. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Cardiovascular Medicine Source Type: journals

Don't Halt Beta-Blockers During Acute Heart FailureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
BARCELONA — The common practice of discontinuing beta-blocker therapy during hospitalization for an acute exacerbation of heart failure is counterproductive, according to a French randomized trial. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Cardiovascular Medicine Source Type: journals

Vital Signs: Medicare, Medicaid Stays Account for 60% of Hospital CostsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Tags: News Source Type: journals

Weight-Based Correction Improves Insulin Dosing: Compared with a sliding-scale method, the protocol improved glucose control in hyperglycemic inpatients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ATLANTA — Using a weight-based method for calculating insulin correction dosing resulted in superior blood glucose control, compared with a traditional sliding-scale method, in a pilot study of hyperglycemic inpatients at a 421-bed community hospital. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: MIRIAM E. TUCKER Tags: News Source Type: journals

Pediatric Hyponatremia Still a ThreatEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The infrequent but potentially lethal problem of hyponatremia in hospitalized children can be prevented with safety checks, reminders, and education throughout various hospital areas, according to patient safety experts. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: JEFF EVANS Tags: News Source Type: journals

Beta-Blockers Backed for Many Surgical Patients: European panel issues first guidelines.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
BARCELONA — Pre- and perioperative treatment with a beta-blocker is an important part of managing cardiac risk in selected patients undergoing noncardiac surgery, according to new guidelines from the European Society of Cardiology. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: MITCHEL L. ZOLER Tags: News Source Type: journals

Workers Should Get Both Flu VaccinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The spread of 2009 influenza A(H1N1) has focused new attention on the need to vaccinate health care workers against influenza. In addition to prompting calls for mandatory immunization of health care staff, the emerging pandemic has highlighted the risk ofahospitalized patients becoming infected with influenza during their stay. (Source: Hospitalist News)
Source: Hospitalist News - September 30, 2009 Category: Hospital Management Authors: MICHELE G. SULLIVAN Tags: News Source Type: journals

Closing the Gap Between Best and Actual PracticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. Gregory A. Maynard has spent most of his career working to improve patient care, not through new treatments, but by designing better care processes. As a pioneer in developing protocols for venous thromboembolism prevention and glycemic control, Dr. Maynard has ushered in significant patient safety improvements at the University of California at San Diego. And he has been just as active in helping to roll out these protocols and techniques beyond his institution to hospitalsbaround the country. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: Mary Ellen Schneider Tags: Leaders: Dr. Gregory A. Maynard Source Type: journals

Geriatric Clinical Pharmacist Can Improve CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Orlando — Consultation by a geriatric clinical pharmacist prompted medication changes for 50% of older cancer patients in a pilot study of a new clinical geriatric program set to launch at Memorial Sloan-Kettering Cancer Center, New York. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: DAMIAN McNAMARA Tags: Practice Trends Source Type: journals

Readmission May Affect 1 in 3 Elderly PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chicago — Nearly one-third of elderly general medicine patients were readmitted within 30 days in a retrospective analysis of 164 patients. Neither inpatient providers nor a standardized algorithm accurately predicted which patients would be readmitted, Dr. Nazima Allaudeen and her associates reported in a poster presentation at the annual meeting of the Society of Hospital Medicine. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: PATRICE WENDLING Tags: Practice Trends Source Type: journals

Minor Head Trauma CT Disputed in HemophiliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
New Orleans — The common practice of ordering a screening head CT scan in hemophiliac children with minor head trauma and a normal neurologic exam has a vanishingly low yield and may be counterproductive, a study suggests. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Pediatrics Source Type: journals

Many Dehydration Admissions Are PreventableEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A related video with Dr. Mittal is at www.youtube.com/HospitalistNews (search for 68324). Tampa, Fla. — Anywhere from 12% to 45% of hospital admissions of children for dehydration could be prevented, according to results from a study of 85 such admissions. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: JOYCE FRIEDEN Tags: Pediatrics Source Type: journals

Postoperative Ileus Requires More Tests, Inflates CostsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hollywood, Fla. — Postoperative costs for patients who develop an ileus after colectomy are almost double those for patients without this complication, a retrospective study indicates. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: DAMIAN McNAMARA Tags: Gastroenterology Source Type: journals

Acute Abdomen May Be Symptom of C. difficileEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Estes Park, Colo. — One of the major diagnostic challenges in community-acquired Clostridium difficile–associated disease is that it can present without diarrhea or a history of recent antibiotic use—and with symptoms closely mimicking acute appendicitis. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Gastroenterology Source Type: journals

Treatment Options Differ in Initial, Recurrent C. difficileEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Estes Park, Colo. — The treatment success rate for metronidazole in C. difficile–associated disease has dropped off, compared with that of vancomycin, since the disease epidemiology changed around the year 2000, but the drugnretains a highly useful role for this infection. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Gastroenterology Source Type: journals

Study Identifies Risk Factors for Infection-Related ARDSEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
San Diego — Infection-related acute respiratory distress syndrome hadahigher mortality raan noninfection-related acuS, andis was influenced by specific clinical factors, infection sites, and pathogens in a large study. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: DOUG BRUNK Tags: News Source Type: journals

Vital Signs: Potentially Preventable Conditions With Highest Hospital CostsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Tags: News Source Type: journals

Hospitals Face Decisions on H1N1 Protective MeasuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As hospitalists prepare for a potential surge in cases of the novel (A)H1N1 influenza virus this fall, they must make decisions about protective measures based on limited evidence about the virus's transmission and severity. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: HEIDI SPLETE Tags: News Source Type: journals

Bundle Compliance Cuts ICU InfectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chicago — Bundles of interventions aimed at reducing ventilator-assisted pneumonia and central-line bloodstream infections in intensive care units significantly lowered infection rates only when all of the components were implemented correctly, according to a survey of 250 hospitals. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: SUSAN BIRK Tags: News Source Type: journals

Basic Infection Control Measures Backed for H1N1: Organizations question CDC guidance.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Using basic infection-control practices may be the best approach when caring for hospitalized patients with the novel influenza (A)H1N1 virus, in contrast to more stringent measures such as the use of respirators, according to a statement from the Society for Healthcare Epidemiology of America endorsed by the Infectious Diseases Society of America and the Association for Professionals in Infection Control and Epidemiology. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: HEIDI SPLETE Tags: News Source Type: journals

Family-Centered Rounds Have MeritEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The idea of “family-centered rounding” may sound like a daunting task: coordinating a dozen schedules and cramming 12 or more people into a small hospital room to meet with patients and their family members. (Source: Hospitalist News)
Source: Hospitalist News - August 31, 2009 Category: Hospital Management Authors: JOYCE FRIEDEN Tags: News Source Type: journals

Helping Hospitalist Medicine Find Its VoiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As the first editor-in-chief of the Journal of Hospital Medicine, Dr. Mark V. Williams has played a key role in documenting the history of this new field. In that role, he has watched hospital medicine grow and mature. The peer-reviewed journal, launched in January 2006, was once home to articles aimed at proving the value of adding hospitalists to an institution's roster. But now most articles focus on how to optimize care within the hospitalist model and how to more efficiently manage the hospital itself. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: Mary Ellen Schneider Tags: Practice Trends Source Type: journals

Hospitalists Have Room to Improve CommunicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CHICAGO — Hospitalists could do more to improve communication with their patients, a survey of 420 hospitalized patients suggests. The proportion of “excellent” ratings for 21 individual hospitalists evaluated using the Communication Assessment Tool (CAT) ranged from 38.5% to 73.5%, with an average of 58.8%, Darlene Ferranti and her associates reported in a poster at the annual meeting of the Society of Hospital Medicine. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: Patrice Wendling Tags: Practice Trends Source Type: journals

Rapid Response Team ‘Acts as a Safety Valve,’ Uncovers ProblemsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CHICAGO — The effect of rapid response teams on hard clinical outcomes remains unclear, but such teams do seem to have an important role at many hospitals, experts said at the annual meeting of the Society of Hospital Medicine. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: Patrice Wendling Tags: Practice Trends Source Type: journals

Initiative Improved Discharge DocumentationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CHICAGO — A multimodal, multidisciplinary quality improvement process substantially improved the overall quality of discharge documents across five acute care hospitals, according to a new study by Partners HealthCare of Boston. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: Patrice Wendling Tags: Practice Trends Source Type: journals

CMS Adds Readmission Data to Hospital Compare Web SiteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nearly 20% of Medicare patients who are admitted to the hospital after an acute myocardial infarction will be readmitted within 30 days, according to historical data released by the Centers for Medicare and Medicaid Services. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: Mary Ellen Schneider Tags: Practice Trends Source Type: journals

Surgical Comanagement: Look Before You LeapEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CHICAGO — Hospitalists are increasingly being asked to comanage patients with their surgical colleagues, but experts contend that this role should be carefully developed. Some hospitalists may start comanaging patients as a collegial enterprise or because they've received “an offer they can't refuse” from their hospital CEO or department chair, Dr. Jeffrey Glasheen, director of hospital medicine at the University of Colorado, Denver, said at the annual meeting of the Society of Hospital Medicine. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: PATRICE WENDLING Tags: Practice Trends Source Type: journals

Score Predicts Delayed Cardiac Events in Geriatric SyncopeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
NEW ORLEANS — A simple predictive tool may improve emergency department disposition decisions regarding asymptomatic elderly patients who present with syncope. The Syncope Risk Score defines a 10-fold gradient in the risk of delayed cardiac events among elderly ED patients with syncope, Dr. Benjamin Sun said at the annual meeting of the Society for Academic Emergency Medicine. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Neurology Source Type: journals

Stricter ECG Criteria Aid Assessment of SyncopeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
NEW ORLEANS — Tweaking the widely utilized San Francisco Syncope Rule by tightening up its ECG criteria boosts the test's sensitivity and specificity for emergency department prediction of 30-day cardiac events, according to Canadian researchers. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Neurology Source Type: journals

Diabetes Drives Up Stroke Treatment CostsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CHICAGO — Having diabetes significantly increases the cost of treating stroke, particularly for African Americans, new research suggests. An analysis of 18,847 stroke patients discharged from Tennessee hospitals in 2006 showed that 31% had diabetes. The stroke rate was 7% among diabetic patients vs. 4% for nondiabetic patients. The difference was statistically significant. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: PATRICE WENDLING Tags: Neurology Source Type: journals

Discharge Error Rate for Chest Pain: 1%–2% Seen as OKEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
NEW ORLEANS — What constitutes an acceptable rate of erroneous discharge of patients who present to the emergency department with chest pain? Somewhere between 1% and 5%, according to a survey of experienced emergency physicians at two prestigious Boston academic medical centers. A narrow majority of responding physicians drew the boundary of acceptability more tightly at 1%–2%, Dr. John Nagurney reported at the annual meeting of the Society for Academic Emergency Medicine. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: Bruce Jancin Tags: Cardiovascular Medicine Source Type: journals

Data Support Aggressive A-Fib ProtocolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
NEW ORLEANS — Treatment of acute-onset atrial fibrillation or flutter using the Ottawa Aggressive Protocol for rapid emergency department rhythm control yielded a 91% conversion rate in a large consecutive patient series. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: BRUCE JANCIN Tags: Cardiovascular Medicine Source Type: journals

FDA Approves Prasugrel as Antiplatelet AgentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Last month, the Food and Drug Administration approved the antiplatelet agent prasugrel to reduce the risk of clotting during percutaneous coronary intervention, with labeling that includes a boxed warning about the potential for significant and sometimes fatal bleeding associated with the drug. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: ELIZABETH MECHCATIE Tags: Cardiovascular Medicine Source Type: journals

Catheter Line Protocols Curb Infections in Pediatric ICUsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A project aimed at improving catheter line maintenance reduced the overall rate of catheter-associated bloodstream infections to 1.2 per 1,000 line-days at the critical care unit at Children's National Medical Center in Washington. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: DENISE NAPOLI Tags: Pediatrics Source Type: journals

Assessing Risk in Febrile ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DR. MARKS is director of pediatric hospitalist medicine at the Cleveland Clinic Children's Hospital. According to a recent study based on national data, emergency departments obtained blood cultures from only one-third of febrile children under 3 years of age and urine cultures from only 25% of such patients. (See “Initial Lab Tests Often Skipped for Febrile Children,” p. 1.) (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: MICHELLE MARKS Tags: Adviser's Viewpoint Source Type: journals

‘Surgical Apgar’ Score Can Predict Postop ComplicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
HOLLYWOOD, FLA. — A 10-point scale based on three intraoperative hemodynamic factors accurately predicts which patients undergoing colorectal resection are likely to experience complications after discharge, according to a study of nearly 800 patients. (Source: Hospitalist News)
Source: Hospitalist News - July 31, 2009 Category: Hospital Management Authors: DAMIAN MCNAMARA Tags: Perioperative Medicine Source Type: journals