PulmCCM

FEBRUARY 5, 2024

In 18 severe sepsis patients in 3 years at one center who underwent PET scanning (apparently done ad hoc), 14 of the 18 had positive tests, and 11 were true positives, leading to surgery in 2 and pacemaker removal in 2 (and longer / new antibiotics in 2). CRP performed adequately, but less accurately than PCT.)

Best Practices 111

Best Practices Ultrasounds Infectious Diseases Sepsis 111

PulmCCM

MARCH 11, 2024

Ascension is a $27 billion, 140-hospital conglomerate operating in 19 states—the third largest system in the U.S The other new signal is in corporate health care operations: One of the largest U.S. I had never heard of this practice before. (To by some accounts (after HCA and the VA). This is not a hot research area.)

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention. At 6 to 8 mL/kg.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

EMDocs

OCTOBER 17, 2023

American Gastroenterological Association (2021) Best Practice Advice 1: Computed tomography should be considered to confirm the diagnosis of diverticulitis in patients without a prior imaging-confirmed diagnosis and to evaluate for potential complications in patients with severe presentations. References: Wilkins T, Embry K, George R.

Radiology 67

Radiology Radiology Operations Best Practices 67