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SHM selected new Choosing Wisely recommendations with patient input

The latest advice from the Society of Hospital Medicine (SHM) on avoiding low-value care includes recommendations against waking patients at night for routine care and against routinely prescribing venous thromboembolism prophylaxis to all inpatients.
https://acphospitalist.acponline.org/archives/2022/06/15/free/shm-selected-new-choosing-wisely-recommendations-with-patient-input.htm
15 Jun 2022

Earplugs in ICU patients associated with decreased delirium risk

The systematic review included studies that observed earplugs as an isolated intervention, bundled the earplugs with eye shades, and looked at earplugs, eye shades, and additional sleep noise abatement strategies.
https://acphospitalist.acponline.org/weekly/archives/2016/03/02/2.htm
2 Mar 2016

Screen for apnea in patients with daytime sleepiness, guideline says

Doctors should assess the risk factors for and the symptoms of obstructive sleep apnea (OSA) in patients with unexplained daytime sleepiness, according to an ACP clinical practice guideline that appears in the Aug. 5 issue of Annals of Internal Medicine.
https://acphospitalist.acponline.org/weekly/archives/2014/08/06/4.htm
6 Aug 2014

10th Annual Top Hospitalists issue

Meet our 2017 Top Docs.
https://acphospitalist.acponline.org/archives/2017/11/10th-annual-top-hospitalists.htm
15 Nov 2017

Post-hospital syndrome

With no definitive method in place to keep patients from returning to the hospital, perhaps it's time to look at the problem in a new way.
https://acphospitalist.acponline.org/archives/2013/03/coverstory.htm
15 Mar 2013

Strange but true, a DNR tattoo

A critical care physician describes an unusual unconscious patient his team recently treated.
https://acphospitalist.acponline.org/archives/2018/03/qa-strange-but-true-a-dnr-tattoo.htm
15 Mar 2018

New guidelines on diagnosing, preventing and treating delirium

Hospitalists wanted for survey and program development
https://acphospitalist.acponline.org/weekly/archives/2010/08/04/3.htm
4 Aug 2010

Clinical decision support tool reduced nighttime vital checks but not delirium

The tool used real-time patient data and a trained prediction algorithm to notify the hospitalist if the patient had a high likelihood of nighttime vital sign measurements within reference ranges.
https://acphospitalist.acponline.org/archives/2022/01/12/clinical-decision-support-tool-reduced-nighttime-vital-checks-but-not-delirium.htm
12 Jan 2022

For delirium, manage environment as well as meds

Providing adequate lighting and reducing clutter are two examples.
https://acphospitalist.acponline.org/archives/2018/07/for-delirium-manage-environment-as-well-as-meds.htm
15 Jul 2018

Sussing out stimulants and other drugs

Learn the signs and symptoms of monoamine agonist abuse.
https://acphospitalist.acponline.org/archives/2020/06/sussing-out-stimulants-and-other-drugs.htm
15 Jun 2020

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