In the News

Bundle compliance increased, mortality decreased under New York sepsis regulations

Under “Rory's Regulations,” use of the three-hour bundle for severe sepsis and septic shock increased from 53.4% to 64.7%, while six-hour bundle compliance increased from 23.9% to 30.8%.

High-sensitivity troponin identified more myocardial infarctions, didn't affect mortality

The study's authors expected the introduction of a high-sensitivity assay to improve outcomes, so the results raise questions about the appropriate diagnostic threshold for myocardial infarction.

Patients with interhospital stroke transfers had higher mortality, more severe disability than front-door patients

The differing characteristics of patients who are transferred should be accounted for in the quality measurements of receiving hospitals, the study authors suggested.

Higher electronic order volume may be associated with increased patient complexity

The analysis also found that 91.2% of patients had a discharge summary completed within 24 hours, but that patients were less likely to receive a timely summary if the treating team had a higher volume of orders the day before discharge.

September issue online and in the mail

This month's issue focuses on recent shortages of IV opioids and saline, door-to-diuretic time, and in-hospital cardiac arrest.

Put words in our mouth

ACP Hospitalist Weekly wants readers to create captions for our new cartoon and help choose the winner. Pen the winning caption and win a $50 gift certificate good toward any ACP product, program, or service.