September 2009


Lost in transition

Medication discrepancies between hospitals and skilled nursing facilities are common. Learn why and what you can do about it.

Treatment on the fly: Mobile units help hospitals boost surge capacity

Portable “MASH-like” hospital units are helping communities across the country improve their ability to respond to disasters and other events requiring extra capacity.

Q&A: Lowering hospital readmissions by improving care transitions

The Hospital to Home program targets changes by 2012.

Hospitalist Web site streamlines signouts, helps communication

At St. John’s Mercy Medical Center in St. Louis, Mo., a hospitalist-developed Web site makes it easy to identify and contact each patient’s attending physician.

Unmasking the patient's hidden agenda

A patient’s reply of “so-so” regarding her depression leads a doctor to dig deeper.

A devotion to patients that springs from gratitude

For Suren Pathman, MD, doctoring is all about service.

Letter from the Editor

Studies have shown that critically ill patients who are given “sedation vacations” consisting of spontaneous awakening trials (SATs) and spontaneous breathing trials spend less time on the ventilator and less time in the ICU overall. But many hospitals don’t follow written policy on performing SATs, and a large proportion don’t use SATs in the majority of their patients.

A tick's tale

People have always been fascinated by medical comedies, medical dramas and medical reality shows. One of the most interesting of the current crop has to be “House, M.D.”—not because it is the most believable, but because it is by far the most inaccurate.

Too much information

A medical student recounts her experience as a patient.

Accurate coding for transfer to post-discharge facilities

Accurate ICD-9-CM codes for diagnoses and procedures performed during a hospital stay will only partially determine payment. Discharge status codes must be given equal attention.

MKSAP: Sedation and ventilation

The following cases and commentary, which address sedation and ventilation, are excerpted from ACP’s Medical Knowledge Self-Assessment Program (MKSAP14).

Propofol, ventilators, infusion sets recalled

Propofol, ventilators, infusion sets recalled

Journal watch: recent studies of note

Recent studies about pressure stocking use after stroke, hospital-acquired pneumonia, and other topics

In the News

Guidelines on catheter-related infections, and more.