A Hospital Offers Frequent ER Patients An Out — Free Housing

Via Gary Johnson:

Glenn Baker is what hospitals call a superutilizer, coming into the ER again and again with multiple health issues made worse by homelessness. So a Chicago hospital decided to offer him a home.


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Articles for PD Rounds, 6/29/2016

Progress in the Fight Against Multidrug-Resistant Bacteria? A Review of U.S. Food and Drug Administration-Approved Antibiotics, 2010-2015.
Ann Intern Med. 2016 May 31. doi: 10.7326/M16-0291. [Epub ahead of print]
Deak D, Outterson K, Powers JH, Kesselheim AS.
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Prediction of rates of thromboembolic and major bleeding outcomes with dabigatran or warfarin among patients with atrial fibrillation: new initiator cohort study
BMJ 2016; 353 doi: http://dx.doi.org/10.1136/bmj.i2607 (Published 24 May 2016)
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An Observational Study of 2,248 Patients Presenting With Headache, Suggestive of Subarachnoid Hemorrhage, Who Received Lumbar Punctures Following Normal Computed Tomography of the Head.
Acad Emerg Med. 2015 Nov;22(11):1267-73. doi: 10.1111/acem.12811. Epub 2015 Oct 19.
Sayer D, Bloom B, Fernando K, Jones S, Benton S, Dev S, Deverapalli S, Harris T.
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Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011.
JAMA. 2016 May 3;315(17):1864-73. doi: 10.1001/jama.2016.4151.
Fleming-Dutra KE, Hersh AL, Shapiro DJ, Bartoces M, Enns EA, File TM Jr, Finkelstein JA, Gerber JS, Hyun DY, Linder JA, Lynfield R, Margolis DJ, May LS, Merenstein D, Metlay JP, Newland JG, Piccirillo JF, Roberts RM, Sanchez GV, Suda KJ, Thomas A, Woo TM, Zetts RM, Hicks LA.
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Long-term evidence for the effect of pay-for-performance in primary care on mortality in the UK: a population study.
Lancet. 2016 May 17. pii: S0140-6736(16)00276-2. doi: 10.1016/S0140-6736(16)00276-2. [Epub ahead of print]
Ryan AM, Krinsky S, Kontopantelis E, Doran T.
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An ER Kicks the Habit of Opioids for Pain (NYT via G. Johnson)

Instead of opioids, an ER in New Jersey now treats many pain patients with alternatives like laughing gas, trigger-point injections and even a therapy harp.


Rothman adds: Lewis Nelson, who gave an excellent Grand Rounds here on opioids in June of 2013, “The New Opium War: The Epidemiology of Prescription Opiod Misuse,” is mentioned. (Click the link for full video)

“St. Joe’s is on the leading edge,” said Dr. Lewis S. Nelson, a professor of emergency medicine at New York University School of Medicine, who sat on a panel that recommended recent opioid guidelines for the Centers for Disease Control and Prevention. “But that involved a commitment to changing their entire culture.”