Canadian Hospitalist aggregator http://canadianhospitalist.ca/aggregator/categories/2 Canadian Hospitalist - aggregated feeds in category SHM News en The Hospitalist e-wire: Medicare Rule May Needlessly Extend Hospital Stay http://www.the-hospitalist.org/article/medicare-rule-may-needlessly-extend-hospital-stay/ (Reuters Health) &#8211; A decades old Medicare rule requiring a three-day hospital stay before patients can transfer to skilled nursing facilities may needlessly prolong hospitalizations, a study suggests. Researchers compared the average time patients were hospitalized between 2006 and 2010 in privately administered Medicare Advantage health plans that either stuck to this rule or allowed... <a class="moretag" href="http://www.the-hospitalist.org/article/medicare-rule-may-needlessly-extend-hospital-stay/">[Read More]</a> Wed, 19 Aug 2015 06:20:01 -0700 The Hospitalist e-wire: Better Catheter-Directed Thrombolysis Outcomes at Higher-Volume Institutions http://www.the-hospitalist.org/article/better-catheter-directed-thrombolysis-outcomes-at-higher-volume-institutions/ NEW YORK (Reuters Health) &#8211; In-hospital mortality and bleeding rates after catheter-directed thrombolysis (CDT) of lower extremity proximal deep vein thrombosis are lower in institutions that perform more procedures than in those with fewer procedures, according to a new study. &#8220;As utilization of CDT continues to increase, we propose that institutions follow a standardized CDT... <a class="moretag" href="http://www.the-hospitalist.org/article/better-catheter-directed-thrombolysis-outcomes-at-higher-volume-institutions/">[Read More]</a> Tue, 18 Aug 2015 06:10:08 -0700 The Hospitalist e-wire: Inflammation Contributes to Effect of Diabetes on Brain http://www.the-hospitalist.org/article/inflammation-contributes-to-effect-of-diabetes-on-brain/ NEW YORK (Reuters Health) &#8211; Inflammation may contribute to impaired cerebral vasoregulation in type 2 diabetes, research suggests. In a two-year study, participants with type 2 diabetes experienced diminished regional and global vasoreactivity in the brain, as well as a decline in cognitive function and the ability to perform daily tasks. Higher blood levels of... <a class="moretag" href="http://www.the-hospitalist.org/article/inflammation-contributes-to-effect-of-diabetes-on-brain/">[Read More]</a> Mon, 17 Aug 2015 06:00:06 -0700 The Hospitalist e-wire: Triple Therapy May Increase Major Bleeding in Older Patients with Acute MI, AF http://www.the-hospitalist.org/article/triple-therapy-may-increase-major-bleeding-in-older-patients-with-acute-mi-af/ NEW YORK (Reuters Health) &#8211; Compared with dual antiplatelet therapy (DAPT), triple therapy increases the risk of major bleeding without altering the rates of myocardial infarction (MI), stroke, or death in older patients with acute MI and atrial fibrillation (AF), according to a registry study. &#8220;These data suggest that the risk-benefit ratio of triple therapy... <a class="moretag" href="http://www.the-hospitalist.org/article/triple-therapy-may-increase-major-bleeding-in-older-patients-with-acute-mi-af/">[Read More]</a> Fri, 14 Aug 2015 05:45:41 -0700 The Hospitalist e-wire: LISTEN NOW: Tales from the Research, Innovations, and Clinical Vignette (RIV) Poster Competition http://www.the-hospitalist.org/article/listen-now-tales-from-the-research-innovations-and-clinical-vignette-riv-poster-competition/ Hospitalists who presented RIV posters at HM15 talk about their projects. Dr. Brian Poustinchian worked on a bedside rounding study at Midwestern University in Illinois, and Dr. Jennifer Pascoe worked on a poster about patients leaving the hospital against medical advice, focusing on a case of her own at the University of Rochester. Thu, 13 Aug 2015 08:23:16 -0700 The Hospitalist e-wire: Similar Early Outcomes in nvAF Regardless of Anticoagulant Type http://www.the-hospitalist.org/article/11049/ NEW YORK (Reuters Health) &#8211; In the early months of anticoagulant treatment, patients with nonvalvular atrial fibrillation (nvAF) have similar rates of bleeding and arterial clots with dabigatran, rivaroxaban and vitamin K antagonists (VKA) like warfarin, researchers from France report. Large randomized trials have shown the newer non-VKA oral anticoagulants (NOAC) to have superior safety... <a class="moretag" href="http://www.the-hospitalist.org/article/11049/">[Read More]</a> Thu, 13 Aug 2015 05:30:31 -0700 The Hospitalist e-wire: China’s Healthcare Reform Drive Stuck in First Gear http://www.the-hospitalist.org/article/chinas-healthcare-reform-drive-stuck-in-first-gear/ SHANGHAI (Reuters) &#8211; Li Tiantian, a Chinese doctor turned tech entrepreneur, is a leading light of the country&#8217;s much-trumpeted healthcare reform drive. His medical networking platform DXY.com links two million doctors across China and has attracted funding from tech giants like Tencent. DXY is exactly what Beijing has said it&#8217;s looking to support after it... <a class="moretag" href="http://www.the-hospitalist.org/article/chinas-healthcare-reform-drive-stuck-in-first-gear/">[Read More]</a> Wed, 12 Aug 2015 05:26:01 -0700 The Hospitalist e-wire: Poor Inpatient Memory Can Undermine Teachable Moments http://www.the-hospitalist.org/article/poor-inpatient-memory-can-undermine-teachable-moments/ Memory loss is prevalent among adult hospitalized patients and can complicate hospitalists&#8217; job of teaching them about their conditions and home care, recent research suggests. But just what is behind patients’ memory impairment is not clear. In a recent study published in the Journal of Hospital Medicine, researchers assessed the memory and in-hospital sleep habits... <a class="moretag" href="http://www.the-hospitalist.org/article/poor-inpatient-memory-can-undermine-teachable-moments/">[Read More]</a> Tue, 11 Aug 2015 13:17:19 -0700 The Hospitalist e-wire: TeamHealth-IPC Deal Latest in Consolidation Trend http://www.the-hospitalist.org/article/teamhealth-ipc-deal-latest-in-consolidation-trend/ Two deals involving hospitalist management firms were announced in the past week, further consolidating the ranks of staffing companies in the specialty. In the bigger deal, TeamHealth Holdings, Inc., last week agreed to acquire IPC Healthcare Inc. of North Hollywood, Calif., for $1.6 billion. The deal announcement highlighted IPC&#8217;s stake in both hospital and post-acute... <a class="moretag" href="http://www.the-hospitalist.org/article/teamhealth-ipc-deal-latest-in-consolidation-trend/">[Read More]</a> Tue, 11 Aug 2015 13:03:10 -0700 The Hospitalist e-wire: Maintaining Board Certification Has High Hidden Cost http://www.the-hospitalist.org/article/maintaining-board-certification-has-high-hidden-cost/ NEW YORK (Reuters Health) &#8211; The American Board of Internal Medicine (ABIM) maintenance-of-certification (MOC) program could cost $5.7 billion in physicians&#8217; time and fees over the next decade, according to a new model study. &#8220;We estimate that physicians will spend 33 million hours over 10 years to fulfill MOC requirements,&#8221; Dr. Dhruv S. Kazi from... <a class="moretag" href="http://www.the-hospitalist.org/article/maintaining-board-certification-has-high-hidden-cost/">[Read More]</a> Tue, 11 Aug 2015 12:55:50 -0700