Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Multicenter Study
Bedspacing and clinical outcomes in general internal medicine: A retrospective, multicenter cohort study.
Admitting hospitalized patients to off-service wards ("bedspacing") is common and may affect quality of care and patient outcomes. ⋯ Overall, bedspacing was associated with no significant difference in mortality, slightly shorter hospital length-of-stay, and fewer 30-day readmissions to GIM, although potential harms in high-risk patients remain uncertain. Given that hospital capacity issues are likely to persist, future research should aim to understand how bedspacing can be achieved safely at all hospitals, perhaps by strengthening the selection of low-risk patients.
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Practice Guideline
Clinical Guideline Highlights for the Hospitalist: 2020 American Society of Addiction Medicine Clinical Practice Guideline on Alcohol Withdrawal Management.
The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management RELEASE DATE: May 2020 PRIOR VERSION: 2004 American Society of Addiction Medicine guideline on management of alcohol withdrawal delirium DEVELOPER: American Society of Addiction Medicine FUNDING SOURCE: American Society of Addiction Medicine TARGET POPULATION: Adults hospitalized with alcohol withdrawal syndrome of any severity.
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Diagnostic codes can retrospectively identify samples of febrile infants, but sensitivity is low, resulting in many febrile infants eluding detection. To ensure study samples are representative, an improved approach is needed. ⋯ Findings suggest rule-based algorithms can accurately identify febrile infants with greater sensitivity while preserving specificity compared to diagnostic codes. If externally validated, rule-based algorithms may be important tools to create representative study samples, thereby improving generalizability of findings.