Search results for "Readmissions"
Rapid uptitration of oral therapies after hospitalization was safe, effective across LVEF categories
A high-intensity care strategy after discharge was associated with a reduced risk of death and heart failure readmission at 180 days, regardless of left ventricular ejection fraction (LVEF), a prespecified analysis of a randomized trial found.
https://acphospitalist.acponline.org/archives/2023/05/31/rapid-uptitration-of-oral-therapies-after-hospitalization-was-safe-effective-across-lvef-categories.htm
31 May 2023
MD and DO hospitalists provide care of similar cost and quality
A retrospective study of hospitalized Medicare fee-for-service beneficiaries found no differences in 30-day mortality, readmissions, length of stay, or spending between those cared for by physicians with an allopathic versus an osteopathic degree.
https://acphospitalist.acponline.org/archives/2023/05/31/md-and-do-hospitalists-provide-care-of-similar-cost-and-quality.htm
31 May 2023
Replace diagnostic errors with excellence
Five strategies can help hospitalists achieve diagnostic excellence, a researcher says.
https://acphospitalist.acponline.org/archives/2023/05/24/free/replace-diagnostic-errors-with-excellence.htm
24 May 2023
Natriuresis good indicator of decongestion in acute decompensated HF, trial of acetazolamide shows
Patients with decompensated heart failure (HF) who were randomized to acetazolamide had higher urine sodium concentrations (UNa) than those on placebo, and every 10-mmol/L increase in UNa was associated with a lower risk of all-cause death or HF readmission, a prespecified analysis found.
https://acphospitalist.acponline.org/archives/2023/05/17/natriuresis-good-indicator-of-decongestion-in-acute-decompensated-hf-trial-of-acetazolamide-shows.htm
17 May 2023
Readmission project failed to reduce readmissions or mortality, Swiss study finds
An accompanying editorial by Robert M. Wachter, MD, MACP, offered thoughts on why several recent interventions haven't budged readmissions and where to go from here.
https://acphospitalist.acponline.org/archives/2023/05/10/readmission-project-failed-to-reduce-readmissions-or-mortality-swiss-study-finds.htm
10 May 2023
Procalcitonin algorithm reduced antibiotic use in COVID-19 inpatients
A Dutch intervention used procalcitonin levels in inpatients with COVID-19 to guide antibiotic use, with an algorithm discouraging prescriptions if levels were less than 0.25 ng/mL and recommending antibiotics for patients with levels above 0.5 ng/mL.
https://acphospitalist.acponline.org/archives/2023/05/03/free/procalcitonin-algorithm-reduced-antibiotic-use-in-covid-19-inpatients.htm
3 May 2023
New consult service dramatically increased use of medication for alcohol use disorder
A third of inpatients with alcohol use disorder who were seen by an addiction consult service during their stay received a new prescription for related medication, compared to less than 1% of similar patients hospitalized before the service launched.
https://acphospitalist.acponline.org/archives/2023/05/03/new-consult-service-dramatically-increased-use-of-medication-for-alcohol-use-disorder.htm
3 May 2023
Retain physicians with these 10 tools
A program leader offered strategies and processes to keep hospitalists on board and moving up.
https://acphospitalist.acponline.org/archives/2023/04/12/retain-physicians-with-these-10-tools.htm
12 Apr 2023
Hospital rankings change when Medicare Advantage patients included
When researchers included both Medicare fee-for-service and Medicare Advantage beneficiaries in calculations of CMS performance measures, between 21.6% and 30.2% of hospitals in the top-performing group for readmissions and mortality fell to a lower-performing group.
https://acphospitalist.acponline.org/archives/2023/03/29/hospital-rankings-change-when-medicare-advantage-patients-included.htm
29 Mar 2023
From hospital to overdose
Patients on long-term opioid therapy face increased risk of overdose after discharge. What can hospitalists do to help?
https://acphospitalist.acponline.org/archives/2023/03/15/from-hospital-to-overdose.htm
15 Mar 2023