Search results for "High-value care"
Most daily blood draws were collected during traditional sleep hours
At one U.S. teaching hospital, about 39% of blood draws for adult patients were collected between 4 and 6:59 a.m. from November 2016 through October 2019, although the timing shifted to slightly later during that period.
https://acphospitalist.acponline.org/archives/2023/01/25/free/most-daily-blood-draws-were-collected-during-traditional-sleep-hours.htm
25 Jan 2023
Procalcitonin algorithm reduced antibiotic use in patients with acute pancreatitis
A randomized trial assigned some patients to a treatment strategy of starting, stopping, or continuing antibiotics based on whether their procalcitonin test value was more or less than 1.0 ng/mL.
https://acphospitalist.acponline.org/archives/2022/07/27/procalcitonin-algorithm-reduced-antibiotic-use-in-patients-with-acute-pancreatitis.htm
27 Jul 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
Having more hospitalists linked to better care value
Hospitals that employed more hospitalists had better scores in the CMS Hospital Inpatient Value-Based Purchasing Program overall and in the Patient Experience and Efficiency domains, a cross-sectional study found.
https://acphospitalist.acponline.org/archives/2022/06/29/having-more-hospitalists-linked-to-better-care-value.htm
29 Jun 2022
Study finds no diagnostic benefit from head CT in common psychiatric presentations
In 369 patients in ED and inpatient settings, the diagnostic yield of head CT examinations was 0.00% for indications of suicidal ideation, homicidal ideation, hallucinations, delusions, paranoia, catatonia, and/or psychosis.
https://acphospitalist.acponline.org/archives/2022/06/29/study-finds-no-diagnostic-benefit-from-head-ct-in-common-psychiatric-presentations.htm
29 Jun 2022
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
Pinpointing patients for PT
Research has shown that physical therapy (PT) consults are often ordered unnecessarily, yet many patients who could benefit from an inpatient PT consult don't receive one. Experts offered their advice to hospitalists on optimizing use.
https://acphospitalist.acponline.org/archives/2022/01/26/pinpointing-patients-for-pt.htm
26 Jan 2022
Nearly 40% of inpatient physical therapy consults at one hospital may have been unnecessary
Of nearly 3,600 physical therapy consults requested on hospital medicine services at a large academic medical center, 38% were deemed potential overutilization based on patients' high mobility score at admission and discharge to home.
https://acphospitalist.acponline.org/weekly/archives/2021/08/25/2.htm
25 Aug 2021
Avoiding SNFs and antibiotics, expecting long-term effects and boosters in COVID-19
One study showed how a new committee reduced discharges to skilled nursing facilities (SNFs) while another indicated that empiric antibiotics aren't necessary for ventilated COVID-19 patients. Officials announced plans for vaccine boosters, and convalescent plasma failed an outpatient trial.
https://acphospitalist.acponline.org/weekly/archives/2021/08/25/1.htm
25 Aug 2021
High-value care, tele-ICUs, and more
Research summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2021/02/in-the-news.htm
15 Feb 2021