Antibiotic Errors Common in Community Hospitals

From MedPage Today:

More than one patient in three treated for a bloodstream infection in community hospitals got inappropriate antibiotic therapy, researchers reported.

In a multicenter retrospective cohort study, 38% of patients in a network of community hospitals were treated incorrectly, according to Deverick Anderson, MD, of Duke University, and colleagues.

The proportion varied across institutions, ranging from 22% to 71% with a median of 33%, they reported online in PLoS ONE.

The logistics behind Google Glass in the ER

From Kevin MD:

Over the past few months, Beth Israel Deaconess Medical Center (BIDMC) has been exploring the use of wearable computing.

In the emergency department we’ve been evaluating an early unit of Google Glass, a high tech pair of glasses that includes a video camera, video screen, speaker, microphone, touch pad, and motion sensor.

Beyond the technical challenges of bringing wearable computers to BIDMC, we had other concerns — protecting security, evaluating patient reaction, and ensuring clinician usability.

Here’s what we’ve learned thus far.

How American Hospitals Are Failing Mentally Ill Kids

From the Daily Beast:

Mental-health hospitalizations for kids are on the rise—up 24 percent from 2007 to 2010. For mood disorders like depression and bipolar disorder, the hospitalization rate has jumped 80 percent since 1997. While the need for urgent care continues to grow, the number of facilities throughout the country equipped to treat these children are steadily declining, at considerable costs to families. And even when urgent care is adequate, the reality of mental health is such that by the time most children end up in emergency rooms, the system has already failed them.

Lawmaker seeks to limit emergency room wait time advertising

From the Times Picayune:

Rep. David Heitmeier, D-New Orleans, has proposed a bill to prohibit hospitals that accept certain types of funding to treat Medicaid patients from advertising their emergency room wait times. The bill was discussed in the Senate Health and Welfare Committee Tuesday (March 18), and is scheduled to be voted upon next week.

The bill: The bill would prohibit hospitals who accept certain types of Medicaid funds from advertising using billboards, signs, light, paintings and a variety of other methods.  Heitmeier believes hospitals are encouraging people to use the emergency room for non-emergency needs through advertisements. People who end up going to a primary care doctor for treatment can spend as little as $60. An emergency room visit can cost $3,000, according to Heitmeier.