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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
A hospitalist-driven intervention to improve appropriate use of telemetry can reduce length of stay and costs

Intervention Can Improve Appropriateness of Telemetry Use

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Hospitalist-driven intervention can reduce length of stay and decrease costs
Failed communication attempts are associated with readmission among Medicare beneficiaries with congestive heart failure

Failed Communication Associated With Readmission

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But, after adjustment for other variables, link not significant