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ICU telemedicine programs bring essential critical care to community hospitals

Sound Physicians

With the absence of intensivists on the ground in these community hospitals, the question becomes how to treat these patients where and when they need care. Our tele-ICU program , which is part of our critical care specialty, has brought meaningful and much-needed intensive care to remote communities for the past five years.

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Using technology to reclaim our time

Today's Hospitalist

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. AI Implementation: key considerations Integrating new technology in a hospital requires careful planning and attention to detail. It is crucial to have seamless integration with the existing EHR system.

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Storycatching: Podcast with Heather Coats and Thor Ringler

GeriPal

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Bennett, C.R., Journal of Palliative Medicine , 23 (6), [link].

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Who should get Palliative Care? Kate Courtright

GeriPal

Palliative care, in contrast, saw explosive growth in US hospitals. We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. When should people get palliative care? What is a pragmatic trial ?

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality.

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Is it time for geriatricians to get on board with lecanemab? Jason Karlawish and Ken Covinsky

GeriPal

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Been in the hospital four times, vented, been told the story to her family, she won’t live. And then came back.

IT 105
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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. Participants were critically ill and intubated. What is sludge? What to make of that?