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Milestone ratings system reduced bias against some underrepresented residents

Switching from the Resident Annual Evaluation Summary to the Milestone ratings system reduced bias for some groups that are underrepresented in medicine. However, substantial bias continued for U.S.-born Black residents.
https://acphospitalist.acponline.org/archives/2024/01/03/milestone-ratings-system-reduced-bias-against-some-underrepresented-residents.htm
3 Jan 2024

Chair by the bedside improves patient satisfaction with hospitalists, trial finds

When a medical student moved a chair from the closet to the bedside, hospitalists were dramatically more likely to sit down while talking to a patient, with resulting benefits on satisfaction and communication, a small study found.
https://acphospitalist.acponline.org/archives/2024/01/03/chair-by-the-bedside-improves-patient-satisfaction-with-hospitalists-trial-finds.htm
3 Jan 2024

A better team, with the same outcomes

Why did only nurses see an improvement from a teamwork intervention at four hospitals? A hospitalist researcher offers his thoughts.
https://acphospitalist.acponline.org/archives/2023/12/20/a-better-team-with-the-same-outcomes.htm
20 Dec 2023

Resilience, work-life balance contribute to resident flourishing, survey finds

Peer support and camaraderie between residents and a clear shared mission of the residency program were associated with greater flourishing, according to a survey of internal medicine residents in three states.
https://acphospitalist.acponline.org/archives/2023/12/20/resilience-work-life-balance-contribute-to-resident-flourishing-survey-finds.htm
20 Dec 2023

Hospitals that steward antibiotics well share common factors

Hospitals where pharmacists reported feeling that they are respected by their hospitalist colleagues and considered valuable team members were less likely to overuse antibiotics, a small survey study of antibiotic stewardship programs found.
https://acphospitalist.acponline.org/archives/2023/12/20/hospitals-that-steward-antibiotics-well-share-common-factors.htm
20 Dec 2023

Infective endocarditis death rates on the rise in young adults

Death certificate data showed age-adjusted death rates remained stable over the past two decades for the general population but rose in residents of Kentucky, West Virginia, and Tennessee.
https://acphospitalist.acponline.org/archives/2023/12/20/infective-endocarditis-death-rates-on-the-rise-in-young-adults.htm
20 Dec 2023

About 10% of home hospitalizations for HF require escalation of care

Median length of home hospital stay more than doubled when patients who were hospitalized at home for acute decompensated heart failure (HF) required transfer to an ED or medical inpatient unit, a retrospective study found.
https://acphospitalist.acponline.org/archives/2023/12/13/about-10percent-of-home-hospitalizations-for-hf-require-escalation-of-care.htm
13 Dec 2023

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

Test-and-treat approach superior to outpatient referrals for patients hospitalized with HCV

Immediately testing and treating for hepatitis C virus (HCV) in the hospital increased treatment completion rates compared to referring to outpatient care, according to a recent Norwegian study in hospitalized patients who inject drugs.
https://acphospitalist.acponline.org/archives/2023/12/06/test-and-treat-approach-superior-to-outpatient-referrals-for-patients-hospitalized-with-hcv.htm
6 Dec 2023

Conservative airway strategy may improve outcomes in comatose patients with acute poisoning

Patients who were randomized to no intubation unless they met an emergency criterion did better on a composite end point of in-hospital death and length of ICU and hospital stay than those treated under routine practice, a French trial found.
https://acphospitalist.acponline.org/archives/2023/12/06/conservative-airway-strategy-may-improve-outcomes-in-comatose-patients-with-acute-poisoning.htm
6 Dec 2023

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