Experts emphasize scrupulous procedures for duodenoscopes, ERCP
Contaminated duodenoscopes have caused multiple outbreaks of multidrug-resistant infections with sometimes lethal consequences; until these instruments become easier to clean, personnel must strictly... (Source: Hospitalist News)
Source: Hospitalist News - July 13, 2016 Category: Hospital Management Source Type: research

Medicaid expansion linked to lower uninsured rates
The overall uninsured rate for nonelderly adults took a significant drop from 18.8% in 2013 to 14.4% in 2014, with rates by age lower and declines generally larger among states that expanded Medicaid... (Source: Hospitalist News)
Source: Hospitalist News - July 13, 2016 Category: Hospital Management Source Type: research

Continuing demand for internists drives up salaries
The average starting salary for general internists was up 14.5% in the last year, with growing physician shortages leading to increased demand, according to physician recruitment firm Merritt... (Source: Hospitalist News)
Source: Hospitalist News - July 13, 2016 Category: Hospital Management Source Type: research

Newer insulin glargine formula curbs nocturnal hypoglycemia
NEW ORLEANS – Insulin glargine 300 U/mL provided comparable glycemic control to that seen with insulin glargine 100 U/mL and consistently reduced the risk of nocturnal hypoglycemia in patients with... (Source: Hospitalist News)
Source: Hospitalist News - July 13, 2016 Category: Hospital Management Source Type: research

‘Clarion call’ to screen for, treat aldosteronism
The Endocrine Society’s updated Clinical Practice Guideline for managing primary aldosteronism is “a clarion call” for physicians to recognize the impact of this substantial public health problem and... (Source: Hospitalist News)
Source: Hospitalist News - July 13, 2016 Category: Hospital Management Source Type: research

New antibiotics targeting MDR pathogens are expensive, but not impressive
The U.S. Food and Drug Administration has approved a number of new antibiotics targeting multidrug-resistant bacteria in the past 5 years, but the new drugs have not led to a substantial improvement... (Source: Hospitalist News)
Source: Hospitalist News - July 13, 2016 Category: Hospital Management Source Type: research

Not enough evidence to support LAA closure by device or surgery for atrial fib
FROM CIRCULATION: CARDIOVASCULAR QUALITY OUTCOMES Insufficient evidence exists to routinely recommend surgical closure of the left atrial appendage, either surgically or with a LAA exclusion device,... (Source: Hospitalist News)
Source: Hospitalist News - July 12, 2016 Category: Hospital Management Source Type: research

How practice changes us
I have learned a few things in my almost half-century of hurtling through space with all of you on this fragile blue-green rock. My most recent enlightenment is that the universe has a way of... (Source: Hospitalist News)
Source: Hospitalist News - July 12, 2016 Category: Hospital Management Source Type: research

Retiring Baby Boomers leave fewer workers to pay for Medicare
The influx of aging Baby Boomers into the ranks of the retired will reduce the ratio of workers available to pay for each Medicare part A beneficiary by 40% from 2000 to 2030, according to the 2016... (Source: Hospitalist News)
Source: Hospitalist News - July 12, 2016 Category: Hospital Management Source Type: research

Statement warns of drugs causing or exacerbating heart failure
Many commonly used prescription drugs, many OTC agents, and also several complimentary or alternative medications, can either trigger heart failure or exacerbate the disease in patients with existing... (Source: Hospitalist News)
Source: Hospitalist News - July 11, 2016 Category: Hospital Management Source Type: research

Docs to CMS: MACRA is too complex and should be delayed
The proposed federal regulations to implement the MACRA health care reforms are too complex, too onerous on small and solo practices, lack opportunities for many to participate in alternative payment... (Source: Hospitalist News)
Source: Hospitalist News - July 9, 2016 Category: Hospital Management Source Type: research

Opioid overdose epidemic now felt in the ICU
SAN FRANCISCO – The opioid overdose crisis in the United States is now plainly evident in intensive care units (ICUs), finds a study of hospitals in 44 states conducted between 2009 and 2015. During... (Source: Hospitalist News)
Source: Hospitalist News - July 8, 2016 Category: Hospital Management Source Type: research

New risk score predicts PCI outcomes in octogenarians
PARIS – A fast and simple clinically based scoring system enables physicians to determine the chance of a successful outcome for octogenarians undergoing percutaneous coronary intervention, James... (Source: Hospitalist News)
Source: Hospitalist News - July 8, 2016 Category: Hospital Management Source Type: research

Hospital costs higher for patients discharged to postacute care
The average cost of U.S. hospital stays for injury or illness in patients discharged to postacute care is more than double that of visits with routine discharges, according to the Agency for... (Source: Hospitalist News)
Source: Hospitalist News - July 7, 2016 Category: Hospital Management Source Type: research

MPT64 rapid test may miss TB caused by <i>M. africanum</i> strain
Tuberculosis caused by Mycobacterium africanum West Africa 2 is significantly less likely to be detected by a MPT64 rapid antigen test than is M. tuberculosis, according to a research... (Source: Hospitalist News)
Source: Hospitalist News - July 7, 2016 Category: Hospital Management Source Type: research