Search results for "Quality Improvement"
Asymptomatic bacteriuria treatment averted due to fewer urine cultures, study finds
Michigan hospitals successfully reduced their use of antibiotics in asymptomatic patients with positive urine cultures, and the difference could be tied to less culturing, since use of antibiotics among asymptomatic patients who got cultures didn't change significantly.
https://acphospitalist.acponline.org/archives/2023/07/12/asymptomatic-bacteriuria-treatment-averted-due-to-fewer-urine-cultures-study-finds.htm
12 Jul 2023
Effort to increase prescribing of NSAIDs showed no effect in trial
Researchers discontinued a hard stop alert that had been added to the admission order set when they found that it didn't increase hospitalists' use of NSAIDs for multimodal pain management.
https://acphospitalist.acponline.org/archives/2023/07/05/effort-to-increase-prescribing-of-nsaids-showed-no-effect-in-trial.htm
5 Jul 2023
Intervening on interruptions
Hospitalists should take steps to mitigate the effects of interruptions on their work, researchers say.
https://acphospitalist.acponline.org/archives/2023/06/28/free/intervening-on-interruptions.htm
28 Jun 2023
Heart failure hospitalization increased prescribing of guideline-directed therapy
At admission, only 14.9% of patients with heart failure with reduced ejection fraction were on all indicated medications, and that rate increased to 32.8% at discharge, according to a new analysis of the Get With The Guidelines–Heart Failure Registry.
https://acphospitalist.acponline.org/archives/2023/06/21/heart-failure-hospitalization-increased-prescribing-of-guideline-directed-therapy.htm
21 Jun 2023
Checklist improved care consistency after in-hospital cardiac arrest
A pilot study found that performance of four critical tasks after return of spontaneous circulation, including performing an EKG within one hour, improved from 19.4% before implementation of a checklist to 51.1% afterward.
https://acphospitalist.acponline.org/archives/2023/06/21/checklist-improved-care-consistency-after-in-hospital-cardiac-arrest.htm
21 Jun 2023
Even the smallest steps can bring big changes
A physician offers tips on how hospitalists can make more use of pulmonary rehabilitation in patients with COPD.
https://acphospitalist.acponline.org/archives/2023/06/07/free/even-the-smallest-steps-can-bring-big-changes.htm
7 Jun 2023
Pearls on diabetes meds in periop care
Learn when to stop and start glucagon-like peptide-1 agonists, dipeptidyl peptidase-4 inhibitors, and sodium-glucose cotransporter-2 inhibitors.
https://acphospitalist.acponline.org/archives/2023/05/03/pearls-on-diabetes-meds-in-periop-care.htm
3 May 2023
Intervention in safety-net system failed to reduce overuse of VTE prophylaxis
An order set and best practice advisory in the electronic health record did not significantly affect use of prophylaxis against venous thromboembolism (VTE), but did provide some useful lessons, a study of 11 New York City hospitals found.
https://acphospitalist.acponline.org/archives/2023/04/19/intervention-in-safety-net-system-failed-to-reduce-overuse-of-vte-prophylaxis.htm
19 Apr 2023
Hospital medicine still has few programs with substantial research funding, training
While federal funding for hospitalist research and publication of the results increased from 2010 to 2019, most program leaders reported receiving less than $500,000 of funding and only 14% indicated they had a research fellowship or similar training program, a recent small survey found.
https://acphospitalist.acponline.org/archives/2023/04/12/hospital-medicine-still-has-few-programs-with-substantial-research-funding-training.htm
12 Apr 2023
Frailty screening intervention linked to reduced mortality in year after elective surgery
A best practice alert identified patients with frailty and prompted surgeons to document a frailty-informed shared decision-making process and/or refer for additional evaluation by a multidisciplinary presurgery clinic or a primary care physician.
https://acphospitalist.acponline.org/archives/2023/03/01/frailty-screening-intervention-linked-to-reduced-mortality-in-year-after-elective-surgery.htm
1 Mar 2023