Incidence of Hypotension Associated With Two Different Vasopressin Discontinuation Strategies in the Recovery Phase of Septic Shock.

Safe and effective vasopressor withdrawal strategies during the recovery phase of septic shock lack consensus and are not addressed in clinical practice guidelines. The purpose of this study was to compare the incidence of clinically relevant hypotension associated with different vasopressin (AVP) discontinuation strategies. This was a single-center, retrospective, cohort study, conducted at a university medical center over a three-year period.

Pharmacists Providing Palliative Care Services: Demonstrating a Positive Return on Investment.

To establish a return on investment (ROI) for a pharmacist position on a hospital-based palliative care (PC) team. Utilizing a pharmacist to provide PC services is often overlooked as a solution to physician shortages. Integration of a pharmacist into PC teams yields a favorable ROI.

Expanding Palliative Medicine across Care Settings: One Health System Experience.

Background: The success of our hospital-based Palliative Care program stimulated requests to duplicate the program across the health system continuum of care.

Objective: To develop a model of care focused on a high-need, high-cost population that could be implemented across all care settings, including hospitals and patients' homes.

Methods: To fiscally support program expansion from hospital to home, we conducted a retrospective cost analysis for home-based Palliative Care (HBPC)-enrolled patients with continuous claims months before program enrollment through date of death.