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News, opinions and meeting coverage in hospital-based medicine.

A photo of physicians on strike outside Ascension St. John Hospital in Detroit

Doctors Strike at Detroit Hospital After Unionizing Last Year

Emergency physicians, contracted through TeamHealth, have pointed to staffing, quality concerns

A computer rendering of gram-negative bacteria.

'Sluggish' Hospital Uptake of Newer Antibiotics for Gram-Negative Infections

Cost and clinical uncertainty may be behind low utilization

A photo of a female osteopathic physician working on her female patient.

The California Saga: Why Some DOs Fear Combined Medical Boards

Their main concern is that their scope of practice would be "trampled"

A photo of a female osteopathic physician working on her female patient.

Should DOs and MDs Have Separate Licensing Boards? They Still Do in 13 States

West Virginia effort hits late obstacle; some DOs fear bias under a combined board

A photo of Senator Gary Peters

Senator Scrutinizes Physician Staffing Firms and Their Private Equity Owners

Homeland Security Committee Chair asks for information on physician staffing and patient safety

FDA APPROVED Sepsis ImmunoScore over a photo of the application on an iPad.

AI Sepsis Diagnostic Tool Gets FDA Authorization

EHR-embedded software algorithm uses biomarkers, clinical data

Photo of an elderly woman signing discharge papers at a hospital exit area.

Starting Treatment at Discharge for Alcohol-Related Hospital Stays Shows Benefits

However, only 2% of hospitalized patients received a script

A photo of loved ones surrounding the bedside of a woman in hospice care.

Death Is Inevitable. Doctors Should Be Prepared to Manage It Appropriately.

End-of-life communication is a skill that must be practiced and honed

A photo of the vial and packaging of Vecuronium Bromide for injection.

RaDonda Vaught Says Some System Practices Contributed to Fatal Mistake

During patient safety webinar, she advised clinicians to "slow down" to avoid deadly mistakes

IMG Residency Map

More States Cut Training Requirements for Some International Medical Graduates

Alternative pathways to licensing for IMGs spreads beyond Tennessee

A photo of clopidogrel tablets in and outside of their blisterpack.

DAPT Maintains Early Neurologic Function in Mild-Moderate Stroke

Do benefits of clopidogrel-aspirin apply when going up a notch in stroke severity?

A scanning electron micrograph of methicillin-resistant Staphylococcus aureus surrounded by cellular debris

Staph Infections Appear to Be More Deadly for Women

Understanding reasons behind mortality gap is "of critical importance," study author says

An x-ray image of a patient's lungs with aspiration pneumonia

Study Backs Recommended Antibiotic Approach for Aspiration Pneumonia

Evidence of more side effects, lack of survival benefit with extended anaerobic coverage

A photo of Crozer-Chester Medical Center in Upland, PA

15 Residents in Limbo as Surgical Residency Program Loses Accreditation

Health system has filed an appeal, but residents eye an escape

A photo of a woman with a an intravenous line in her arm.

Midline Catheters Go Head-to-Head With PICCs for Bloodstream Infections

For dwell times of 15 days or less, midline catheters noninferior, single-center study finds

A computer rendering of Candida auris fungus

Candida Auris: What to Know About the Fungal Infection Spreading Across the U.S.

The multidrug-resistant organism colonizes skin, lingers on surfaces

A photo of Cedars-Sinai Medical Center in Los Angeles

Cedars-Sinai Anesthesiologists Unionize

Concerns about staffing, quality of care, and pay cuts push physicians to organize

A photo of a senior woman looking up her medications in a health insurance brochure.

Will All Seniors Eventually Have No Choice but Medicare Advantage?

MedPAC chair discusses need to fix MA's confusing limitations, upcoding, and rising costs

A photo of a billboard which reads: UB RESIDENT PHYSICIANS MAKE BELOW MINIMUM WAGE. BAD FOR PATIENTS, BAD FOR BUFFALO.

In Billboard Campaign, Physician Residents Say They're Exploited

Residents at University at Buffalo charge they're the lowest paid in the entire state

INVESTIGATIVE ROUNDUP over an image of two people looking at computer screens.

China's COVID Sequence Secret; Cancer Research Retractions; Med Board Reform Looms

This past week in healthcare investigations

A computer various rendering of bacteria in the bloodstream

Early Switch to Oral Antibiotics Safe in Uncomplicated, Gram-Negative Bacteremia?

Don't base treatment decisions solely on observational data, experts say

A scanning electron microscope image of Staphylococcus aureus bacteria

Switch to Oral Antibiotics Noninferior in Low-Risk Staph Bloodstream Infections

Identifying "low risk" infections is tricky, experts say

Hospitals Pay U.S. News to Promote Their Rankings

Amid rankings pushback, the question of payment for use of the company's logo has resurfaced

A photo of a senior woman sitting on her couch and talking on the phone.

Telehealth, Default Orders Show Promise in Palliative Care

Telecare improved quality of life for people with chronic illnesses

A photo of an intubated mature woman in the intensive care unit.

Diverting Acute HF Patients From Hospitalization: Case Builds for Short Stay Units

Rerouting low-risk patients from routine admission deemed safe in trial

A close up photo of a clarithromycin tablet lying on its blisterpack

Add-On Clarithromycin Pans Out in Community-Acquired Pneumonia Trial

Respiratory system severity scores, organ failure assessment scores improved, trial found

A photo of a female nurse tying on her face mask in the operating room.

NPs Have the Best Job in Healthcare

Being a PA is a close second, according to the U.S. News annual ranking

A photo of a young man wearing scrubs covering his eyes and mouth.

It Takes a Lot to Gross Out Healthcare Workers

Small study showed less "disgust" among care home workers compared with controls

A photo of an intubated woman in the intensive care unit

Diagnostic Errors Common in Hospital Deaths, ICU Transfers, Study Suggests

Mistakes were driven by patient assessment, testing, and often led to harm or death

A photo of nurses in protective gear tending to a patient in the covid ICU.

Inpatient COVID-19 Costs Substantially Outpaced Medical Inflation

Hospital costs to treat COVID-19 estimated at a staggering $70 billion

A computer rendering of bacteria in the bloodstream

Hospitals Often Failed to Switch From IV to Oral Antibiotics in Eligible Patients

Study shows only 43% of patients with gram-negative bloodstream infections were transitioned

A photo of sever raised rubber gloved fists.

A Seat at the Table: Physicians Have Been Unionizing in Droves

Efforts have been made by seasoned physicians, as well as residents and fellows

A photo of a senior male physician taking notes while holding an x-ray

Scripps Clinic Must Pay Almost $7M to Older Docs in Age Bias Case

California allows medical groups to force retirement at age 70, but it's against federal law

INVESTIGATIVE ROUNDUP over an image of two people looking at computer screens.

Youth Death Rallies Anti-Vaxers; Insurers Hire After Malpractice; Bad Doc Ignored?

This past week in healthcare investigations

A photo of three radiologists looking at a chest x-ray.

Explanations Don't Help Clinicians Spot Biased AI

Biased AI predictions tanked diagnostic accuracy, and model explanations didn't bring it back up

A photo of a surgeon pulling on a blue rubber gloves.

Ditch Sterile Gloves When Treating Wounds?

Meta-analysis suggests nonsterile ones may work just as well in certain settings

A photo of a woman wearing a hospital gown and looking out the window of her room.

Hospitals Say Some Medicare Advantage Plans Are Skirting CMS Rules

Groups lament stress to enrollees and billions in hospital losses from coverage delays, denials

A photo of Mission hospital in Asheville, North Carolina.

What's Going on at Mission Health?

Physicians pen letters, narrowly vote against bylaws that would have silenced them

A photo of President John Fitzgerald Kennedy鈥檚 limousine parked at the emergency entrance to Parkland Hospital in Dallas, Te

A Medical Student, a Dying JFK, and 鈥楧estiny鈥�: What a Young Doctor Saw 60 Years Ago

A look back at a conversation with one of the last surviving witnesses from Trauma Room One

A photo of a female nurse wearing a surgical mask and laying on her back on a couch with her eyes closed.

CDC Launches Initiative to Tackle Burnout in Healthcare

Not a "Band-Aid," but a systems approach, says NIOSH program director

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