Primary Care/Hospitalist Topics
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Safety Protocol Can Prevent Self-Harm Incidents
Precautions include a focus on creating safe bathrooms, increasing the number of trained observers to monitor patients at risk, and managing access to belongings and clothing.
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Tailoring Opioid Prescriptions to Patients’ Perception of Pain
Customized approach led to better pain management and less waste after surgery.
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COVID-19 Affected U.S. Life Expectancy: How Bad Is It?
The pandemic dinged the average, but the latest data do not tell the whole story.
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U.K. Approves First COVID-19 Human Challenge Trial
Volunteers will be infected with virus so researchers can learn more about pathology, speed effective vaccine development.
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Obesity Connected to Up to Half of All U.S. Diabetes Cases
Recent analysis reveals strong connection between body weight and type 2 diabetes.
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Surrogates’ Authority Varies on Mental Health Treatment Decision-Making
Ethicists should be familiar with their respective jurisdictions’ statutes and case law, especially those whose health systems cross state borders.
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Frail Older Patients Receiving Higher-Intensity End-of-Life Care
There is an opportunity for targeted interventions for all older patients, especially frail older adults, undergoing emergency general surgery to establish better prognostic understanding and discuss advance care planning before hospital discharge.
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Prior Metformin Use in Patients with Diabetes Hospitalized for COVID-19
Investigators found metformin use before COVID-19 hospitalization for patients with diabetes was associated with a lower risk of death.
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Elderly Patients with Esophageal Cancers Might Tolerate Multimodal Therapy Well
Some clinicians shy away from complete therapy courses for these patients over concerns about frailty, quality of life.
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Insulin Pen Project Improves Patient Safety with EMR Modification
Staff at a Maryland hospital discovered a patient safety issue with insulin pens that was traced to the electronic medical record’s (EMR) inability to generate patient-specific labels efficiently. A root cause analysis revealed the process gaps, and staff developed a solution that ensures patients receive insulin doses only from their own pens.