Search results for "electronic medical record"
Measuring hospitalist busyness
Busy hospitalists list fewer differential diagnoses. A researcher ponders the implications for diagnostic error.
https://acphospitalist.acponline.org/archives/2023/12/06/measuring-hospitalist-busyness.htm
6 Dec 2023
Inpatient oral penicillin challenge more likely in certain low-risk patients
An inpatient penicillin allergy program showed that patients were more likely to proceed from assessment to oral challenge if they had a low-risk phenotype, had an indication for beta-lactam antibiotic therapy, and were medically stable.
https://acphospitalist.acponline.org/archives/2023/03/29/inpatient-oral-penicillin-challenge-more-likely-in-certain-low-risk-patients.htm
29 Mar 2023
Stewardship program improved perioperative opioid prescribing
A project in a safety-net health system reduced use of hydrocodone-acetaminophen for surgical patients and increased prescribing of acetaminophen, ibuprofen, and oxycodone to them without increasing overall opioid use or returns to the ED.
https://acphospitalist.acponline.org/archives/2022/12/21/stewardship-program-improved-perioperative-opioid-prescribing.htm
21 Dec 2022
Alert decreased coagulation test orders during lab tube shortage, single-center study finds
A best practice advisory delivered through the electronic medical record during a national shortage of laboratory tubes was associated with an immediate decrease in orders for prothrombin time, international normalized ratio, and partial thromboplastin time.
https://acphospitalist.acponline.org/archives/2022/07/27/free/alert-decreased-coagulation-test-orders-during-lab-tube-shortage-single-center-study-finds.htm
27 Jul 2022
Rounding with laptops may make residents more efficient, small study finds
Residents on one internal medicine team who were given a novel workflow and a mobile laptop for three months were significantly more likely to place progress notes during rounding hours and sign discharge summaries within 24 hours of discharge than comparison control teams.
https://acphospitalist.acponline.org/archives/2022/05/18/rounding-with-laptops-may-make-residents-more-efficient.htm
18 May 2022
Low-value preop screening frequently led to additional low-value care, study finds
Chest X-rays and EKGs of low-risk patients before low- or intermediate-risk surgery were followed by high rates of repeat tests, follow-up imaging, and follow-up visits, according to a retrospective analysis of Veterans Health Administration data.
https://acphospitalist.acponline.org/archives/2022/04/27/low-value-preop-screening-frequently-led-to-additional-low-value-care.htm
27 Apr 2022
An app for delirium
An app, which is now available for free download, enabled nursing assistants, nurses, and hospitalists to screen elderly inpatients for delirium in about a minute.
https://acphospitalist.acponline.org/archives/2022/03/30/an-app-for-delirium.htm
30 Mar 2022
Team up to treat opioid addiction
Hospitalists can improve care even without the expertise of an addiction medicine consult service.
https://acphospitalist.acponline.org/archives/2021/09/team-up-to-treat-opioid-addiction.htm
15 Sep 2021
The inpatient vs. observation dilemma
A bundle of interventions decreased use of observation status.
https://acphospitalist.acponline.org/archives/2021/09/success-story-inpatient-versus-observation.htm
15 Sep 2021
Consulting POCUS to increase efficiency
This tool holds potential to speed care for patients requiring subspecialists' attention.
https://acphospitalist.acponline.org/archives/2021/09/consulting-pocus-to-increase-efficiency.htm
15 Sep 2021