Hospital Medicine

Wide Disparity in Hospital Charges for Appendicitis. Why? | Medical Blog

With this post we introduce a new guest blogger column on The column is a forum for exploration of sometimes controversial healthcare issues as well as coverage of topics that directly relate to the day-to-day challenges of practicing medicine.

Discharging Patients After Elective PCI | Opinion Article

Research has shown that the risks associated with PCI are highest within the first 24 to 48 hours after the procedure. However, there are many potential benefits of same-day discharge of select patients.

A Quality Indicator Toolkit for Hospitals | News Brief

The AHRQ has release a toolkit to guide hospitals in the use of the agency’s Inpatient Quality Indicators and Patient Safety Indicators for improving care. The toolkit,

Procalcitonin & Antibiotic Decisions | Opinion Article

A novel approach for determining the need and optimal duration of antibiotic therapy is to use biomarkers, such as procalcitonin, of bacterial infections.

Assessing Medical Decision-Making Capacity | Feature

New research shows that incapacity to make medical decisions appears to be common and is often not recognized by physicians. Several instruments are available to assist physicians in assessing medical decision-making capacity.

Society of Critical Care Medicine’s 2012 Annual Congress | Conference Coverage

New research was presented at the 2012 Society of Critical Care Medicine’s Critical Care Congress from February 4-8 in Houston. The features below highlight just some of

Post-Acute Care for Medicare Beneficiaries | Feature

In 2013, Medicare penalties will be administered based on high readmission rates. A new report shows that hospitals struggled to lower readmission rates among Medicare patients between 2003 and 2009.

Sepsis Care Improved in the ED | Feature

Patients who present with sepsis are either admitted through the ED or directly to the hospital. Because of the time sensitivity of treating this condition, how patients are admitted can have a significant impact on outcomes.

A New Look at Leaving Without Being Seen in EDs | Feature

A new study suggests that various interventions can be targeted toward certain at-risk hospitals to improve access to emergency care in order to reduce rates of patients leaving the ED without being seen by physicians.

ED Crowding: The Impact on Child Asthma Care | Feature

New data show that ED crowding appears to be linked to decreased timeliness and effectiveness of care for children with acute asthma. Efforts to incentivize better preventive management for asthma in this patient population are needed.

Procalcitonin: A Biomarker for Early Sepsis Intervention | Opinion Article

Sepsis is a potentially fatal condition that strikes an estimated 750,000 people each year in the United States. Defined as the body’s reaction to infection (whether bacterial,

Dental Visits to the Emergency Room on the Rise | Medical Blog

While many of our skyrocketing healthcare costs are due to unnecessary emergencydepartment (ED) visits, a new report by the Pew Center has found that dental visits are contributing to

Addressing the Antibiotic Resistance Crisis | Opinion Article

Antibiotics have saved millions of lives and improved the outcomes for many patients, but the effectiveness of these agents is at risk. There have been many advances in the fight against infections, but the risk of antibiotic resistance is increasingly problematic.

The Need for Ensuring Medication Continuity | Feature

Patients discharged from the hospital have an elevated risk of discontinuing their long-term medications for chronic diseases, according to new study data. Systematic approaches to transitions are needed in healthcare to ensure medication continuity.

Internists Cite Wasteful Medical Screenings | Medical Blog

The overuse of some screening and diagnostic tests that fail to provide high-value, cost-conscious care plays an important role in the rising healthcare costs in the United

U.S. Docs Lag Behind Foreign Colleagues in Embracing Healthcare IT | Medical Blog

U.S. physicians are not nearly as sold on the benefits of healthcare IT as are their international counterparts, according to an Accenture survey of more than 3,700 doctors

Blood Conservation in Surgery | Feature

Updated clinical practice guidelines provide clinicians with important data on blood conservation and management of blood resources. Managing preoperative risk assessment is an important starting point.

Top 50 Cardiovascular Hospitals for 2012 | Medical Blog

Thomson Reuters has released its 13th annual report identifying the nation’s best providers of cardiovascular service. Selected from more than 1,000 hospitals, those chosen have better risk-adjusted

Hospital Volume & Mortality: Trends in High-Risk Surgery | Feature

Operative mortality with high-risk cancer and cardiovascular surgeries has dropped over the past decade. Increased market concentration and hospital volume appear to have contributed to this decline.

Top 10 States Having Hospitals With Palliative Care | Medical Blog

On average, our nation gets a “B” for hospital support care, according to a new report released by the Center to Advance Palliative Care. The report surveyed

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