Study: Many cardiac ICU patients also have non-cardiac conditions | Wrong-patient orders more prevalent in NICUs | Furosemide fails to prevent AKI progression in ICU patients
April 25, 2017
Critical Care SmartBrief
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Critical Care Update
Study: Many cardiac ICU patients also have non-cardiac conditions
A study found 16% of more than 1,000 patients admitted to a cardiac ICU over one year also had sepsis, while acute kidney failure and acute respiratory failure were each found in 30% of patients, researchers reported in the Journal of the American College of Cardiology. Data showed patients with lung or kidney failure had longer ICU lengths of stay, and lung or kidney failure or sepsis significantly increased the risk of hospital mortality.
Medscape (free registration) (4/24) 
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Wrong-patient orders more prevalent in NICUs
The rate of wrong-patient orders in NICUs was 117.2 per 100,000 orders, compared with 74.9 per 100,000 orders in non-NICU pediatric units, according to a study in Pediatrics. However, the findings, based on more than 4.3 million pediatric orders, showed that the ID reentry intervention and combined ID reentry and distinct naming interventions reduced NICU error frequency by 48.7% and 61.1% from baseline, respectively.
Physician's Briefing/HealthDay News (4/21) 
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Other News
CMS Open Payments: What You Need to Know
As part of CMS Open Payments, pharmaceutical and device manufacturers submitted data about their financial relationships with you - physicians and teaching hospitals. CMS encourages you to review that data before it is made available on a publicly accessible website. Learn more now!
Medicine in the News
MACRA expected to slow Medicare spending on physician, hospital services
A RAND study in Health Affairs found the Medicare Access and CHIP Reauthorization Act could save Medicare $35 billion to $106 billion in spending on physician services, and $32 billion to $250 billion through 2030 on hospital services. Researchers said the impact will depend on participation in the Advanced Alternative Payment Models.
Medscape (free registration) (4/20) 
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Top US health systems track data, seek ways to improve care
US hospital systems are tracking data and looking for ways to improve quality of care and patient outcomes, reduce readmissions, and save money, said Jean Chenoweth of Truven Health Analytics, which released this year's 15 Top Health Systems along with IBM Watson Health. She says the trend shows value-based reimbursements are taking hold.
Modern Healthcare (tiered subscription model) (4/22) 
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Trends and Technology
Study: Showing fees does not affect overall test orders
A study in JAMA Internal Medicine found showing Medicare allowable fees in electronic health records did not affect overall test-ordering behavior among clinicians, compared with a control group. There was a small but significant difference in tests ordered for ICU patients and associated fees, the study said.
Physician's Briefing/HealthDay News (4/24) 
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VA begins digitization of health data
The Department of Veterans Affairs has started converting older, inactive paper health records to EHRs in an effort to reduce the amount of office space used for the storage of physical patient health information and to reorganize claims processes. "It will give claims processors nationwide the ability to instantly access millions of inactive claim records when needed" by cutting delays due to digital conversion and paper record shipping, said VA Office of Business Process Integration Director Bradley Houston.
EHR Intelligence (4/24) 
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The secret to so many artists living so long is that every painting is a new adventure. So, you see, they're always looking ahead to something new and exciting. The secret is not to look back.
Norman Rockwell,
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