Category Archives: Other
This patient flow study found that as ICU “strain” increases (admissions, acuity, and census), patients are more likely to be transferred to the floor 6 hours earlier, and this increases the risk of ICU readmission by 1%; but there is … Continue reading
This large trial of nursing home residents found those at risk for pressure ulcer development did not develop ulcers at different rates based on Q2, Q3, or Q4 hour turning. Although this was a short term trial, and was in … Continue reading
This large cohort evaluated the difference between subjective (clinical impression) versus objective (4 opiate prescriptions from 4+ providers in 12 months) drug seeking behavior among ED patients. It found only fair agreement between the 2 criteria (kappa = 0.30), indicating … Continue reading
This small survey of patients who boarded in the ED or in an inpatient unit (in a hallway) found 85% preferred boarding in an inpatient unit versus in the ED (abstract).
This literature review found by using the Global Trigger Tool to estimate preventable death, there are somewhere between 210,000 and 400,000 cases a year in the US, which is 2-4 times the estimate from the IOM report (abstract).
This large Medicare cohort found the rate of 30 day readmits after selected major surgical procedures (CABG, lobectomy, AAA, colectomy, THA) was 13.1%. Higher volume, lower mortality, and higher compliance with quality process measures were all associated with lower readmission … Continue reading
This large Medicare cohort found those with higher continuity of care indices had significantly lower 30 day readmissions (abstract).
This time motion study at 2 Baltimore hospitals found interns spend 12% of their time in direct patient care, 64% in indirect patient care, and 15% in educational activities. Mean time spent admitting a patient was only 17 minutes, and … Continue reading
This derivation and validation cohort found the risk of death / need for renal replacement therapy was highest with older age, female gender, high initial creatinine/CK/P/Ca, and low initial Hco3. The risk was also highest for those whose rhabdo was … Continue reading