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ED sets the tune, but doesn't then sing the song. De-escalation is hard and we need to get it as right as possible from the beginning... But how? #EUSEM18

April Thompkins, PharmD, BCPPS PGY2 resident at Children's Wisconsin 🏥 presenting her work on how blood culture contamination drives vancomycin use. Is overuse of vancomycin for contaminated cultures a problem at your hospital?

📈 Chart of the Day: Blood culture tests are commonly overused in the pediatric ICU, a practice that leads to unnecessary antibiotic use. Charlotte Woods-Hill et al.'s project implementation reduced blood cultures by 33% & antibiotic use by 13%. Read more here: ldi.upenn.edu/our-work/resea…

Among older adults with advanced cancer, hospitalizations at the end-of-life increasingly involve high-intensity care with admission to intensive care units and use of life-sustaining treatments and noninvasive ventilation. #geriatrics #HAPC agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Usually, doctors can address patients' concerns and continue to provide care. But when communication can't be repaired, some hospitals follow formal policies for how to change inpatient clinicians bit.ly/patients-fire-…

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Why do clinicians use continuous pulse ox outside established guidelines in bronchiolitis? Congrats to Dr. Halley Ruppel and the EMO Study team on this publication on this challenge! Over 70% of instances had non-clinical reasons. Could this guide better strategy development?

There’s much we can improve on how patients sleep in the ICU. Many of our interventions trash their ability to get the rest they need. This paper tackles how light is just another piece of the puzzle. 🎩 tip to the authors. eddyjoemd.com/foamed/

My friends and I think a lot about what language to use with seriously ill patients and how it impacts healing. Sometimes we write about it for Mayo Clinic Proceedings ❤️‍🩹Leonard Berry Gillian Grafton Never-Words: What Not to Say to Patients With Serious Illness sciencedirect.com/science/articl…

Facilitação em Melhoria da Qualidade Hospitalar: Uma Reflexão sobre Papéis e Responsabilidades linkedin.com/pulse/facilita…

MUST SEE! youtu.be/GRcVNQ0FGxg?si…

Disrespect doesn’t just make people feel bad. It leads them to perform worse. Evidence from medical teams: Even a single insult decreases the quality of diagnoses and procedures. Rudeness disrupts focus and undermines collaboration. Civility is not optional. It’s vital.

Você com certeza já reproduziu uma prática por se espelhar em outro profissional — ou para os íntimos: orelhada. E algumas dessas são TÃO frequentes que nunca nem consideramos questionar. Por isso, hoje vamos falar de: — 8 coisas que fazemos por nenhuma razão na enfermaria. 🧶

“Hospital medicine is the fastest-growing medical specialty in the U.S., and it’s gaining popularity in other countries throughout the world.” 🌎 What are some key differences or similarities in hospital medicine practices across the globe? bit.ly/3XjvWU8

Updated ACC/AHA Performance Measures and Quality Metrics for Heart Failure Care jwatch.org/na57845/2024/0…

Less is more: fewer blood cultures! archinte.jamanetwork.com/article.aspx?a…

Unnecessary blood cultures risk false positives, #antibiotic overuse and excess costs. Researchers from our #humanfactors center and infectious diseases collaborate to overcome barriers and spread an intervention to reduce inappropriate cultures. academic.oup.com/jpids/advance-…