Search results for "critical care"
Nudging physicians not to test
A high-value care project reduced unnecessary testing without adding a single click.
https://acphospitalist.acponline.org/archives/2023/10/18/nudging-physicians-not-to-test.htm
18 Oct 2023
Trend-based EHR early warning score may help predict inpatient deterioration
Researchers used 43 variables and trends to develop a logistic model and deterioration index that helped predict patient deterioration one hour or more before an adverse event.
https://acphospitalist.acponline.org/weekly/archives/2021/05/12/3.htm
12 May 2021
Look over your hedges
Hedging, or using words in conversation that make meaning fuzzier, is unavoidable, but the resulting misunderstandings with patients and families can be reduced, experts say.
https://acphospitalist.acponline.org/archives/2023/08/23/look-over-your-hedges.htm
23 Aug 2023
ICU bundles do not appear to improve delirium but may help other outcomes
A meta-analysis found an association between bundled interventions in the ICU and improvements in coma duration, length of stay, and 28-day mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2020/12/23/3.htm
23 Dec 2020
Hospitalists work to find their way in the ICU
The majority of hospitalists report that they treat ICU patients, and many feel insufficiently trained and supported.
https://acphospitalist.acponline.org/archives/2018/05/hospitalists-find-their-way-in-the-icu.htm
15 May 2018
Support protocol for ICU patients after extubation didn't reduce reintubation rates
The trial compared a respiratory therapist-driven protocol that provided noninvasive ventilation or high-flow nasal cannula to patients after extubation to usual care and found no significant differences.
https://acphospitalist.acponline.org/weekly/archives/2021/04/14/4.htm
14 Apr 2021
Review looks at optimal dosing for rapid reversal of vitamin K antagonists
A fixed-dose regimen of four-factor prothrombin complex concentrate was associated with lower mortality and fewer thromboembolic events compared with a variable-dose regimen, the systematic review and meta-analysis of anticoagulant reversal found.
https://acphospitalist.acponline.org/archives/2024/02/21/review-looks-at-optimal-dosing-for-rapid-reversal-of-vitamin-k-antagonists.htm
21 Feb 2024
Routine blood cultures at ICU admission may help increase detection of bloodstream infections
A before-after study in the Netherlands found that obtaining a single set of blood cultures at ICU admission in all patients increased detection of bloodstream infections as well as the proportion of patients with contaminated blood cultures without increasing vancomycin use.
https://acphospitalist.acponline.org/weekly/archives/2020/11/18/4.htm
18 Nov 2020
August 30, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/08/30/
Drug shortages drag on
Almost all hospital pharmacists reported facing drug shortages in a recent survey, but there are some available solutions, one expert says.
https://acphospitalist.acponline.org/archives/2023/10/04/free/drug-shortages-drag-on.htm
4 Oct 2023