Study shows wide variation in NICU drug prescribing | I-PASS handoff reduces harm events in variety of hospitals | Mont. hospital expansion to include region's first NICU
April 17, 2018
Critical Care SmartBrief
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Critical Care Update
Study shows wide variation in NICU drug prescribing
NICU prescribing patterns for at-risk newborns vary widely in the Netherlands, especially for some off-label uses, according to a study in the British Journal of Clinical Pharmacology. Neonatologist Rashmin Savani of the University of Texas Southwestern Medical Center commented there also is wide variation in US NICUs and a broad consensus is needed to standardize medication use in neonates.
Medscape (free registration)/Reuters (4/16) 
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I-PASS handoff reduces harm events in variety of hospitals
Use of the I-PASS handoff technique was associated with fewer major and minor harm events in a study of 32 hospitals that varied in size, setting and patient populations, researchers reported at the Society of Hospital Medicine 2018 Annual Meeting. Earlier research showed the model was effective in reducing medical errors in pediatric hospitals.
Medscape (free registration) (4/11) 
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Other News
The Diagnostic Approach of Patients with Sepsis
Sepsis remains a leading cause of death in America, with over 258,000 deaths annually and over 160,000 of those occurring in hospitals. This educational webinar will focus on the importance of point-of-care and critical care testing in the identification, evaluation, and continued diagnostic support required for the management of patients with sepsis. Click for more information.
Medicine in the News
CBO: Medicare spending to reach $1.2T by 2028
The Congressional Budget Office estimates that Medicare spending will increase by 3% this year, a slower rate than in the past. From 2019 to 2028, it is projected to grow 7% each year to reach $1.2 trillion by 2028.
Becker's Hospital Review (4/10) 
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Overtreatment may skew selection of heart transplant patients
The process of determining which US patients receive a heart transplant may be unfair because in some areas patients are overtreated and appear to be sicker and better candidates than others on the wait list, researchers reported in the Journal of the American College of Cardiology. Centers with high rates of overtreatment were concentrated in the three largest US urban areas of New York City, Chicago and Los Angeles.
Medscape (free registration) (4/16) 
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Learn from leaders in health care innovation
Influence policy, improve processes, and lead innovation. Learn from University of Pennsylvania faculty renowned in health policy, behavioral economics, and operations management. Online program prepares you to transform health care. Final application deadline May 15.
Trends and Technology
Tenn. hospital unveils online platform for pediatric cancer researchers
St. Jude Cloud is an online data-sharing platform launched for pediatric cancer researchers by St. Jude Children's Research Hospital in Memphis, Tenn. Hospital officials expect to host 10,000 whole-genome sequences on the platform, which will allow researchers to access RNA sequencing, whole-exome sequencing and whole-genome sequencing data sets from more than 5,000 pediatric cancer patients and survivors.
Becker's Health IT & CIO Report (4/16) 
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Poll: Care quality measurement is top priority of many health IT execs
Forty percent of health IT leaders cited improving patient care quality measurement as their top business objective this year, but 40% also reported not feeling prepared for year two of the updated Medicare Access and CHIP Reauthorization Act rule, according to a Stoltenberg Consulting survey. The poll also showed that IT and EHR performance optimization were cited as the greatest challenges, and artificial intelligence is the biggest health IT industry topic this year.
Becker's Health IT & CIO Report (4/11) 
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True happiness consists not in the multitude of friends, but in the worth and choice.
Ben Jonson,
playwright and poet
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