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News, opinions and meeting coverage in hospital-based medicine.

HFSA over a computer rendering of the human heart.

Does Finerenone's Efficacy Diminish if Initiated Late in Heart Failure?

Benefit of the nonsteroidal MRA otherwise consistent across FINEARTS-HF

A photo of a young female doctor holding out her stethoscope.

In Emergency Medicine, Promotion to Chief Resident Least Likely for Women of Color

Black residents also less likely to be promoted than white residents

A photo of a female anesthesiologist at a computer in the operating room during surgery.

California Clarifies Role of CRNAs Amid Scope-of-Practice Clash

Letter says CRNAs can administer anesthesia that's ordered by a physician

A photo of a woman holding a tissue across from a therapist who is taking notes.

Inpatient CBT Reduces Suicide and Readmissions After Discharge

Can treatment be scaled for implementation in the real world?

A photo of a surgeon holding a scalpel in white rubber-gloved hands.

Surgeon Removed Liver Instead of Spleen, Family Says

Pathologist finds liver instead of splenic tissue

INVESTIGATIVE ROUNDUP over an image of two people looking at computer screens.

Gender Care Docs Threatened; Optum Takeover Regrets; Profiting Off Patients

This past week in healthcare investigations

Hospital worker disinfecting his hands.

In-Hospital Infections, Antimicrobial Resistance Declined Over 13 Years

In-tandem reductions at VA centers suggest antimicrobial stewardship works, researchers say

A photo composite of two functional MRI brain scans.

One in Four Brain Injury Patients Who Appear Unresponsive Respond Covertly

Functional MRI and EEG detect awareness in coma or vegetative states

A photo of a blister pack of cephalosporin capsules.

Common Antibiotics Linked With Serious Skin Reactions in Older Adults

Sulfonamides and cephalosporins the worst offenders, study finds

A photo of a woman holding a chest x-ray.

Pneumonia Diagnoses Largely Inaccurate?

To some extent, it's to be expected, researchers note

A photo of the Thomas F. Frist, Jr. College of Medicine at Belmont University in Nashville, Tennessee

Medical School Affiliated With HCA Healthcare Welcomes Its First Class

50 students at the Thomas F. Frist, Jr. College of Medicine received their white coats last week

A photo of people seated around a conference table.

Private Equity Strips and Devalues Successful Hospitals, Studies Show

Most acquired hospitals were doing well, but lost millions in assets after the takeover

A photo of masked people in line outside of Queens Hospital during the COVID pandemic.

Trust in Doctors Crashed During the COVID Pandemic -- And Remains Low

Putting financial motives over patient care was top reason for patient mistrust, survey found

A photo of a female physician putting on a face shield on over other protective gear.

PTSD Ran High Among Physicians During COVID-19 Pandemic

Female physicians, trainees more likely to develop the condition

A photo of a woman holding a glass of milk in front of dairy cows.

Are Doctors Missing Cases of H5N1 Bird Flu in People Who Drink Raw Milk?

What would the infection look like, and would doctors recognize it and test for it?

A computer rendering of bacteria in the blood.

Sepsis Alerts in Emergency Departments Linked to Lower Mortality

False positives, alarm fatigue complicate their use, experts say

A close up photo of a zebra looking through a fence.

These 'Zebra' Cases Were Cracked by People Other Than Doctors

Popular Reddit thread captures rare diagnoses made by patients, lab techs, first responders

A photo of a young male surgeon scrubbing in.

How Unionization Changed Surgery Residency Programs

Residents, program faculty, and staff discussed benefits and unintended consequences

A photo of physicians tending to a severe COVID patient in the ICU.

Don't Try ARBs for Severe COVID, Trial Indicates

Harms seen without any compensating survival benefit

A photo of a nurse tending to a COVID patient in the ICU.

The Hardest I've Cried

Notes from a physician fighting helplessness and misinformation

A photo of Skagit Valley Hospital in Mount Vernon, Washington

More Physicians at Washington Hospitals File to Unionize

The group was motivated by recent efforts of other physicians nearby

A photo of a male physician offering his stethoscope to anyone who will take it.

These Six 番茄社区 Have the Highest Rates of Burnout

Annual AMA survey shows declines for all specialties, but many still above 50%

A photo of administrators meeting in a conference room.

New Name for Familiar Phenomenon: 'Administrative Harm'

Increasing scrutiny on the lack of accountability, evaluation of administrators

A computer rendering of bacteria in the blood.

Extended-Infusion Antibiotics Tied to Reduced Mortality From Bloodstream Infections

Benefit limited to patients with severe illness or elevated minimum inhibitory concentrations

A photo of a nurse interacting with a hospitalized COVID patient while two other nurses tend to them.

Delirium During COVID Hospitalization Raises Disability, Cognitive Risks

At-risk older adults should be screened, referred early for rehabilitation, researcher urges

Nurse Shows Kids How to 'Stop the Bleed'

Born of a nurse mom's concern about gun violence, program teaches kids life-saving skills

A photo of the Louisiana state flag flying in the French Quarter of New Orleans.

Louisiana Limits Scope of Noncompetes for Physicians

New legal restrictions go into effect for all physician contracts starting in January

INVESTIGATIVE ROUNDUP over an image of two people looking at computer screens.

Surgeon Ousted for Speaking Up; Steward Corruption in Malta? Misleading Clinic Names

This past week in healthcare investigations

A photo of a man sitting in front of a computer monitor which is displaying the message: SYSTEM HACKED

U.S. Hospitals Prone to Cyberattacks Like the One at Ascension, Experts Say

Clinicians describe harrowing lapses

A photo of signage outside of Texas Children鈥檚 Hospital in Houston.

Texas Doc Accused of Illegally Accessing Child Health Records

Eithan Haim, MD, reportedly outed hospital for continuing gender-affirming care program

A photo composite of a mans finger giving a one-star review

CMS Star Ratings Unreliable for Surgical Quality?

Higher ratings tied to better surgical outcomes, but variability was high even within star groups

Health System Eliminates Noncompetes for Primary Care Physicians

Policy change follows new rules from state and federal players

A photo of Wynn Hospital in Utica, New York

Hospital Stops PAs From Performing Invasive Procedures

Move follows a pause of its open heart surgery program after immediate jeopardy citation

A photo of an operating room.

Surgeons, Trainees Experience Distress After Medical Errors

Female and racial minority trainees reported more negative emotions, self doubt

A photo of Mission Health hospital in Asheville, North Carolina.

Urologists Flee Mission Health

Specialists mark the latest departures following HCA takeover

An image of the PeaceHealth building in Bellingham, WA.

Washington State Hospitalists Set to Unionize

First physician union to earn joint-employer status

A photo of a nurse pushing a patient in a wheelchair down a hospital hallway

Hospital Patient Finally Discharged After More Than 3 Years

Many behavioral health patients don't need medical care, but no step-down facility will take them

ATS over a photo of the San Diego Convention Center

Acetaminophen Fails to Improve Mortality, Need for Organ Support in Sepsis

However, treated patients were less likely to develop ARDS, respiratory dysfunction

A photo of Christiana Hospital in Delaware.

Over 400 Physicians From Delaware's ChristianaCare Move to Unionize

"This is a movement that needs to happen in medicine," one physician said

A photo of a hand holding a vial of piperacillin-tazobactam for injection.

Antibiotic for Treating Sepsis Linked to Increased Mortality

"Physicians should think carefully" about using anti-anaerobic antibiotics in sepsis

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