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Hospital-Based Medicine

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

ACEP over a photo of Boston Convention and Exhibition Center

Seeing Evil, but Still Not Speaking of It

ED workers quietly absorb verbal and physical violence, study finds

SIDM over a photo of a male and female physician discussing an MRI image.

Look at Patient Safety Through an Equity Lens, Expert Urges

Bias can play a role in various types of diagnostic errors

A stethoscope hangs on the fencepost of a barbed wire fence around a field with an out of focus church in the background.

So You Don't Want to Practice Rural Medicine

Many aren't aware of the unique opportunities for providers and much-needed care for patients

Surgeons perform transcatheter aortic valve replacement

Too Many TAVR Centers Are Clustered Around Well-to-Do Communities

More centers not the answer to geographic, socioeconomic disparities in access?

The 10 Most Haunted Hospitals in America

Former nursing home, TB hospital, and psychiatric facilities round out the list

A senior man checks his blood sugar with a glucometer

No Benefit to Intensifying Diabetes Meds at Hospital Discharge

Older adults discharged with intensified regimen had higher risk of severe hypoglycemia

A photo of Montana鈥檚 State Capitol building in Helena, MT.

Montana Officials Threaten Docs for Not Providing Ivermectin, Hospital Says

At least three high-ranking state officials have been implicated so far

CHEST over a computer rendering of the anatomy of the lungs.

Beware the Cotton Swab

Case report of brain infection traced to compulsive ear cleaning

A Black woman wearing a protective mask which reads: Patients First and holding a National Nurses United flag.

National Nurses Union Wants to Fight Back

Resolutions call for consistent PPE and staffing levels, better organization and Medicare for All

A young woman sits on the table in the examination room waiting for the doctor.

Focus on the Patient, Not Only the Disease

Building relationships and trust is everything

A young female physician wearing a red eye mask, white protective mask, and red cape in front of a city skyline

We Don't Have to Be 'Heroes'

We can help by doing our part

CHEST over a computer rendering of the anatomy of the lungs.

COVID in the ICU: Can Patients Be Too Obese for ECMO?

Florida hospital's experience goes against received wisdom

CHEST over a computer rendering of the anatomy of the lungs.

New Lefamulin Data Paint Rosy Picture

Lead investigator touts efficacy in milder pneumonia

Medical school graduates take the Hippocratic oath at a cloaking ceremony.

Which Residency Should You Choose?

Listen to my opinion, and then promptly ignore it

A female physician makes a call from her desk.

When the Family Wants to Speak to the Doctor

Of all the things you do during your busy day, this might make the most difference

Vials of blood and a syringe lay on a blood/serum general laboratory requisition form.

Reference Ranges: Lab Values for Normal Adults

Here are the standard reference ranges for some of the most common adult lab tests

The Emergency entrance to a hospital

Want to Reduce 'Frequent Flyers' at Your Hospital? Try This

Weekly meetings to discuss cases can help get patients out of the ED and into community care

A mature male physician shouting through a megaphone in front of a U.S. $5 and $10 dollar bills.

Virginia Docs Get Just $15 for Certain Medicaid ED Visits

Budget item determines 800 diagnoses, including asthma attacks, are "avoidable" emergency visits

Bottles of Precedex (dexmedetomidine) over a photo of an operating room.

Precedex in Abdominal Surgery May Speed Up GI Function Recovery

Intraoperative use of dexmedetomidine in older adults also led to shorter hospital stays

AAFP over a photo of a male physician making a protective gesture around a family icon.

Q&A: Sterling Ransone, Jr., President of the American Academy of Family Physicians

Better pay and fewer paperwork hassles for members are high priorities for AAFP's new president

Illustrated COVID-19 viruses over a photo of a man receiving CPR.

CPR on a COVID Patient: Not a Moment to Waste Looking for PPE

Updated AHA guidance says resuscitation should not be delayed by mask availability

A young male physician holds up his resume.

More Physicians Are Now Employees Rather Than Owners

Here's what's behind the continued decline of independent practice

A photo of a business man鈥檚 hand holding the controls to a marionette.

Can Physicians Maintain Autonomy in Today's Healthcare System?

In an increasingly corporatized medical system, there are many interpretations of independence

Three out of focus business men having a discussion in a conference room with charts on the table.

Is Private Equity a Dangerous Employer?

Firms' investments in healthcare continue to expand, at what cost?

A nurse and female gastroenterologist operating an endoscope during gastroscopic procedure of a male patient

Who Performs More Endoscopies During GI Training, Women or Men?

Survey finds lower total colonoscopies and EGDs completed by female GI fellows

ASA over a photo of the San Diego Convention Center

Hospital Policy Slashes IV Acetaminophen Use for Tonsillectomy

Standing orders for oral use led to better care, reduced cost, researchers said

ASA over a photo of the San Diego Convention Center

Spinal vs General Anesthesia in Hip Fracture Surgeries: It's a Draw

Neither type led to better outcomes at 60 days, study finds

ASA over a photo of the San Diego Convention Center

Anesthesiologists May Edge Out Nurses for Rapid Response Outside the ICU

Physician-led teams at Cleveland Clinic tied to declines in cardiac arrests, death

ASA over a photo of the San Diego Convention Center

COVID Conjures Up Mixed Feelings for Critical Care Anesthesiologists

Survey respondents cite burnout and stress, but also a sense of achievement

A close up of a job search website on a laptop screen.

The End of Job Security in Healthcare

We need to reverse several dangerous trends

A photo of Times Square, NY, next to a photo of Maria Ambrocio, RN

Nurse Killed in Times Square

Veteran oncology nurse was knocked over by fleeing burglar

A close up of water being poured over coffee in a red french press with two coffee cups in the background.

A Cup of Joe to Thwart Liver Fibrosis? How About Four

Study finds protective benefit with high consumption, though not for fatty liver disease

A deceased COVID-19 patient is wheeled to the morgue by a male healthcare worker wearing a protective mask.

We Lift Bodies Into the Morgue

The physical and emotional toll of the pandemic on providers often goes unseen

A photo of the sign outside of UCLA Medical Plaza next to a photo of Christopher Rake, MD

UCLA Anesthesiologist Escorted Out of Work for Being Unvaccinated

Christopher Rake, MD, says he's "willing to lose everything" to avoid COVID vaccine

Essential workers march in downtown Manhattan carrying signs which read: MORE NURSES = BETTER CARE.

Three Ways Leadership Can Get Nurses Back at the Bedside

Our healthcare heroes need support now more than ever

A nurse wearing a protective mask and cannabis patch sewn to her scrubs holds out a bottle of medical cannabis.

Nurses See New Career Opportunities in Medical Cannabis Space

Some cite burnout and frustration with traditional healthcare settings as factors

Two bags of blood platelets.

The Cost of Blood Platelets Is About to Surge

FDA's flawed new guidance for blood transfusion safety takes effect October 1

HTN over an illustration of a blood pressure monitor and other objects related to hypertension.

BP Care in Black Barbershops Successfully Taken Up in Nashville

Los Angeles protocol adapted to a different city amid the COVID pandemic

A close up of a female nurse鈥檚 blue rubber gloved hands preparing an infusion

Where's the Evidence Guiding Updated Titration Standards?

The regulations threaten the well-being of both patients and critical care nurses

An out of focus male physician, hand on his chin, thinking in front of his laptop.

'Privacy Exception' No Cure for Doctors' Open Notes Headaches

Provision is "unworkable," harms patients, and adds to clinical stress, doctors say

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