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Hospital Medicine
RECENT FEATURES

Assessing the Estimation of Blood Loss

In a study examining the accuracy of ED physicians estimating blood loss, estimates were more than 100% off from the actual amounts on average.

Personal Health Record Use in EDs: Willing, But Able?

Survey data suggest that the ED is a potential focal point for increased implementation of personal health records.

Hand Sanitizer Use & Breathalyzer Results

Researchers found that some common alcohol-based hand sanitizers may affect breathalyzer readings when used improperly.

OPINION ARTICLES

Emergency Medicine Info on the Web

The accuracy of web-based health information has improved, but standards are needed to hold publishers accountable.

The Impact of the Next Generation of Nursing

The Patient Protection and Affordable Care Act will mean the addition of as many as 35 million Americans with health insurance into a healthcare system already stretched to capacity with overcrowded EDs, shrinking resources, and a dramatic shortage of primary care physicians (PCPs).…

Strategies to Lower Death Risk After AMI

It’s important to adapt coordination and planning within each hospital based on its specific needs when caring for patients hospitalized with acute myocardial infarction.

BLOG

How to Operate on the Wrong Site

Be foggy whether a time-out was performed, fault your staff, and don't re-examine the patient on the day of surgery.

Why I Left Academic Medicine

The position of surgical chairman in a community teaching hospital is like that of a football referee. At any given time, half your constituency is not happy with you.

67% of Hospitals Face Readmission Penalties

The Centers for Medicare & Medicaid Services’ new policy that penalizes hospitals for excessive readmissions will have an unexpected consequence: Two-thirds of U.S. hospitals will receive penalties averaging $125,000, according to the Medicare Payment Advisory Commission (MedPAC). The commission has been discussing refining the hospital readmissions reduction program.…

NEWS BRIEFS

Early ED Readmissions After Acute Care Discharge

ED visits within 30 days appear to be common after discharge from acute care hospitals, according to an analysis of adults in the United States. Such visits accounted for nearly 40% of post-discharge hospital-based acute care visits. For every 1,000 discharges, there were 97.5 ED treat-and-release visits and 147.6 hospital readmissions within 30 days.…

Hospital Nursing & 30-Day Readmissions

Improvements in nurses’ work environments and staffing may help prevent readmissions for patients with heart failure, acute myocardial infarction, and pneumonia. A study found that each additional patient per nurse was associated with 7% to 9% higher odds of readmission. Good work environments were associated with 6% to 10% lower odds of readmission.…

Surgical-Site Antisepsis in Cesarean Deliveries

Rates of surgical site infection (SSI) appear to be similar between cesarean deliveries using chlorhexidine-alcohol and those using povidone-iodine. A retrospective cohort review found that the duration of cesarean delivery was the only significant predictor of SSI.

Abstract: Obstetrics & Gynecology, November 2012.…

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eMedia - Hospital Medicine
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