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Hospitals are increasingly employing laborists who are always at the hospital to handle births and obstetrical and gynecological emergencies

Increasing Trend Toward Use of ‘Laborists’ in Hospitals

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Trend increasing as hospitals seek to improve patient safety and more doctors want to be salaried

July 2015 Briefing – Critical Care

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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for July 2015. This roundup includes the...
Physicians report that patient safety is often at risk during the emergency department admission handoff process due to ineffective communication. The findings were published online July 22 in the Journal of Hospital Medicine.

Docs Report Patient Safety Often at Risk in ER to Inpatient Handoff

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Both ER, inpatient physicians say patient safety is at risk during handoff
The 2008 Hospital-Acquired Conditions Initiative payment changes for pressure ulcers have had a minimal effect

2008 Initiative Had Minimal Impact on Pressure Ulcer Charges

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Hospital-Acquired Conditions Initiative cut payment in 0.003 percent of discharges
About one-third of survivors of sepsis or septic shock are readmitted within 30 days

One-Third of Septic Shock Survivors Readmitted

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Readmitted patients have higher chronic illness burden, prevalence of health care-linked sepsis
Patients age 70 or older are at greater risk of unanticipated hospital admission within 30 days of ambulatory surgery

Improved Care Transitions Needed Post Ambulatory Surgery

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Age independently associated with hospital admission
Insurance companies should consider reviewing coverage policies to include situations where primary care physicians provide important and cost-saving inpatient consulting

AAFP: Pay Primary Care Doctors for Inpatient Consulting

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Primary care physicians often provide important, cost-saving consulting, which should be covered
More infants are being treated in neonatal intensive care units at many U.S. hospitals

Neonatal Intensive Care May Be Overused

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Newborns admitted to NICUs bigger, less premature than in prior years
Many U.S. hospitals overestimate their ability to provide fast delivery of tissue plasminogen activator to stroke patients

Adherence to Stroke Guidelines Overestimated by Hospitals

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Study shows delivery of tissue plasminogen activator is often later than staff believes
The divide between outpatient and inpatient medicine seems to be growing

Care Transitions Increasingly Important for Outpatient Doctors

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Primary care physicians have important role in preventing transition gaps for hospitalized patients