Bridging the gap between evidence and practice in acute decompensated heart failure management.

abstract：:Depressive symptoms during a medical hospitalization may be an overlooked prognostic factor for adverse events postdischarge. Our aim was to evaluate whether depressive symptoms predict 30-day readmission or death after medical hospitalization. We conducted a systematic review of studies that compared postdischarge ou...

journal_title：Journal of hospital medicine

authors： Pederson JL,Warkentin LM,Majumdar SR,McAlister FA

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:In the Medicare population, measures of relative severity of illness (SOI) for hospitalized patents have been used in prospective payment models. Similar measures for pediatric populations have not been fully developed. OBJECTIVE:To develop hospitalization resource intensity scores for kids (H-RISK) using p...

journal_title：Journal of hospital medicine

authors： Richardson T,Rodean J,Harris M,Berry J,Gay JC,Hall M

更新日期：2018-09-01 00:00:00

abstract：:Many children's hospitals are actively working to reduce readmissions to improve care and avoid financial penalties. We sought to determine if pediatric readmission rates have changed over time. We used data from 66 hospitals in the Inpatient Essentials Database including index hospitalizations from January, 2010 thro...

journal_title：Journal of hospital medicine

authors： Auger KA,Harris JM,Gay JC,Teufel R,McClead RE,Neuman MI,Agrawal R,Simon HK,Peltz A,Tejedor-Sojo J,Morse RB,Del Beccaro MA,Fieldston E,Shah SS

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:High hospital occupancy is a challenge for quality of care and access, while low levels of occupancy may be inefficient in terms of resource utilization. Variability from scheduling decisions may affect occupancy and be amenable to alteration. OBJECTIVE:Describe variability in admission, discharge, and occu...

journal_title：Journal of hospital medicine

authors： Fieldston ES,Ragavan M,Jayaraman B,Allebach K,Pati S,Metlay JP

更新日期：2011-02-01 00:00:00

abstract：:For generations, American hospitals have been considered recession-proof, but there is reason to believe the current economic crisis is an exception. Hospitals have shown declining financial margins and decreased admissions. The severe recession has adversely affected many hospitals' finances, creating a risk of closu...

journal_title：Journal of hospital medicine

authors： Sussman JB,Halasyamani LK,Davis MM

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Hospital medical groups use various staffing models that may systematically affect care continuity during the admission process. OBJECTIVE:To compare the effect of 2 hospitalist admission service models ("general" and "admitter-rounder") on patient disposition and length of stay. DESIGN:Retrospective obser...

journal_title：Journal of hospital medicine

authors： Smith GR Jr,Ma M,Hansen LO,Christensen N,O'Leary KJ

更新日期：2016-10-01 00:00:00

abstract：:Gallstone ileus is a rare etiology of small bowel obstruction, occurring typically in the elderly population. The delay in diagnosis often results in significant morbidity and mortality. Here, we describe a case of 67 year old woman who presented with non specific abdominal symptoms and on evaluation was found to have...

journal_title：Journal of hospital medicine

authors： Verma A,Moonat A,Lo A

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:Hospital leaders have had mixed success reducing readmissions Little is known about the readmitted patient's perspective. METHODS:A cross-sectional 36-item survey was administered to 1084 readmitted inpatients of The Hospital of the University of Pennsylvania (an urban academic medical center) and Penn Pres...

journal_title：Journal of hospital medicine

authors： Kangovi S,Grande D,Meehan P,Mitra N,Shannon R,Long JA

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:The Centers for Disease Control and Prevention recommends routinely offering HIV testing to inpatients at hospitals with an HIV seroprevalence rate of greater than 1% or an AIDS diagnosis rate of greater than 1.0 per 1000 discharges. This recommendation has not been widely adopted, perhaps because of one of ...

journal_title：Journal of hospital medicine

authors： Greenwald JL

更新日期：2006-03-01 00:00:00

abstract：BACKGROUND:The theory that posthospitalization stress might increase the risk of postdischarge complications has never been investigated. OBJECTIVE:To assess whether serum levels of stress biomarkers at discharge are associated with readmission and death after an acute-care hospitalization. DESIGN:We prospectively in...

journal_title：Journal of hospital medicine

authors： Aubert C,Folly A,Mancinetti M,Hayoz D,Donze J

更新日期：2017-07-01 00:00:00

abstract：:Every year, nearly 5 million adults with cancer are hospitalized. Limited evidence suggests that hospitalization of the cancer patient is associated with adverse morbidity and mortality. Hospitalization of the patient with advanced cancer allows for an intense examination of health status in the face of terminal illne...

journal_title：Journal of hospital medicine

authors： Koo DJ,Tonorezos ES,Kumar CB,Goring TN,Salvit C,Egan BC

更新日期：2016-04-01 00:00:00

abstract：BACKGROUND:Obese patients are thought to be at higher risk of postoperative medical complications. We determined whether body mass index (BMI) is associated with postoperative in-hospital noncardiac complications following urgent hip fracture repair. METHODS:We conducted a population-based study of Olmsted County, Min...

journal_title：Journal of hospital medicine

authors： Batsis JA,Huddleston JM,Melton LJ 3rd,Huddleston PM,Larson DR,Gullerud RE,McMahon MM

更新日期：2009-10-01 00:00:00

abstract：BACKGROUND:Hospitalized patients are frequently treated with opioids for pain control, and receipt of opioids at hospital discharge may increase the risk of future chronic opioid use. OBJECTIVE:To compare inpatient analgesic prescribing patterns and patients' perception of pain control in the United States and non-US ...

journal_title：Journal of hospital medicine

authors： Burden M,Keniston A,Wallace MA,Busse JW,Casademont J,Chadaga SR,Chandrasekaran S,Cicardi M,Cunningham JM,Filella D,Hoody D,Hilden D,Hsieh MJ,Lee YS,Melley DD,Munoa A,Perego F,Shu CC,Sohn CH,Spence J,Thurman L,To

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:The affordability of prescription medications continues to be a major public health issue in the United States. Estimates of cost-related medication underuse come largely from surveys of ambulatory patients. Hospitalized patients may be vulnerable to cost-related underuse and its consequences, but have been ...

journal_title：Journal of hospital medicine

authors： Choudhry NK,Saya UY,Shrank WH,Greenberg JO,Melia C,Bilodeau A,Kadehjian EK,Dolan ML,Dudley JC,Kachalia A

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:Asymptomatic blood pressure elevation is common in the inpatient setting. National guidelines recommend treating with oral agents to slowly decrease blood pressure; however, many clinicians use intravenous antihypertensive medications, which can lead to unpredictable changes in blood pressure. OBJECTIVE:To ...

journal_title：Journal of hospital medicine

authors： Pasik SD,Chiu S,Yang J,Sinfield C,Zubizarreta N,Ramkeesoon R,Cho HJ,Krouss M

更新日期：2019-03-01 00:00:00

abstract：:Patients who deteriorate outside the intensive care unit (ICU) are known to have elevated mortality and morbidity. Rapid response teams (RRTs) were developed to address such deterioration. It has not been possible to establish that RRTs employing manual detection methods have definitively improved hospital outcomes. B...

journal_title：Journal of hospital medicine

authors： Escobar GJ,Dellinger RP

更新日期：2016-11-01 00:00:00

abstract：BACKGROUND:Approaches of trainees to diagnosis in teaching hospitals are poorly understood. Identifying cognitive and system-based barriers and facilitators to diagnosis may improve diagnosis in these settings. METHODS:We conducted a focused ethnography of trainees at 2 academic medical centers to understand the barri...

journal_title：Journal of hospital medicine

authors： Chopra V,Harrod M,Winter S,Forman J,Quinn M,Krein S,Fowler KE,Singh H,Saint S

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:Patient safety indicators (PSI) were developed for hospitals to screen for healthcare-associated adverse events. PSIs are believed to be preventable and have become a part of major pay-for-performance programs. PSI-12 captures perioperative venous thromboembolism (VTE), which contributes to morbidity and mor...

journal_title：Journal of hospital medicine

authors： Held N,Jung B,Sommervold L,Singh S,Kreuziger LB

更新日期：2019-11-20 00:00:00

abstract：IMPORTANCE:There is an increasing trend toward designing hospitals with patient-centered features like reduced noise, improved natural light, visitor friendly facilities, well-decorated rooms, and hotel-like amenities. It has also been suggested that because patients cannot reliably distinguish positive experiences wit...

journal_title：Journal of hospital medicine

authors： Siddiqui ZK,Zuccarelli R,Durkin N,Wu AW,Brotman DJ

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Recent studies in the outpatient setting have demonstrated high rates of opioid prescribing and overdose-related deaths. Prescribing practices in hospitalized patients are unexamined. OBJECTIVE:To investigate patterns and predictors of opioid utilization in nonsurgical admissions to US hospitals, variation ...

journal_title：Journal of hospital medicine

authors： Herzig SJ,Rothberg MB,Cheung M,Ngo LH,Marcantonio ER

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Increasing use of testing among hospitalized patients has resulted in an increase in radiologic incidental findings (IFs), which challenge the provision of high-value care in the hospital setting. OBJECTIVE:To understand impact of radiologic incidental findings on resource utilization in patients hospitaliz...

journal_title：Journal of hospital medicine

authors： Gundareddy VP,Maruthur NM,Chibungu A,Bollampally P,Landis R,Eid SM

更新日期：2017-05-01 00:00:00

abstract：:The Centers for Medicare and Medicaid Services awarded Hospital Medicine a Medicare specialty code, "C6", in 2016. We examined the early uptake of C6 code using the 2017 Medicare Part B utilization data. We also compared the actual C6 specialty code usage against estimated rates of overall hospitalist billing using th...

journal_title：Journal of hospital medicine

authors： Flansbaum B,Leykum L,Lapps J

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:The recent intense attention to hospital readmissions and their implications for quality, safety, and reimbursement necessitates understanding specific subsets of readmitted patients. Frequently admitted patients, defined as patients who are admitted 5 or more times within 1 year, may have some distinguishin...

journal_title：Journal of hospital medicine

authors： Szekendi MK,Williams MV,Carrier D,Hensley L,Thomas S,Cerese J

更新日期：2015-09-01 00:00:00

abstract：:Interstitial lung disease (ILD) is a diverse group of disorders typically with insidious onset. Diagnosis and management largely occur in the outpatient setting; however, ILD can present acutely necessitating hospitalization. Effective inpatient management requires the clinician to establish an accurate diagnosis and ...

journal_title：Journal of hospital medicine

authors： Farrand E,Shah R,Collard H

更新日期：2017-07-01 00:00:00

abstract：:1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. We recommend that ultrasound guidance should be used to avoid attempting paracentesis in patients with an insufficient volume of intraperitoneal free fluid to drain. ...

journal_title：Journal of hospital medicine

authors： Cho J,Jensen TP,Reierson K,Mathews BK,Bhagra A,Franco-Sadud R,Grikis L,Mader M,Dancel R,Lucas BP,Society of Hospital Medicine Point-of-care Ultrasound Task Force.,Soni NJ

更新日期：2019-01-02 00:00:00

abstract：BACKGROUND:Computerized clinical knowledge mana-gement systems hold enormous potential for improving quality and efficiency. However, their impact on clinical practice is not well known. OBJECTIVE:To examine the impact of UpToDate on outcomes of care. DESIGN:Retrospective study. SETTING:National sample of US inpatie...

journal_title：Journal of hospital medicine

authors： Isaac T,Zheng J,Jha A

更新日期：2012-02-01 00:00:00

abstract：:Outcomes for patients hospitalized on weekends are often worse for adults-the so-called "weekend effect." Less is known about the weekend effect for children. We examined 55,383 hospitalizations at a tertiary care children's hospital. We used logistic regression to examine the associations of weekend admission and wee...

journal_title：Journal of hospital medicine

authors： Auger KA,Davis MM

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Readmission to a different hospital than the original discharge hospital may result in breakdowns in continuity of care. In different-hospital readmissions (DHRs), continuity can be maintained when hospitals are connected through health information exchange (HIE) systems. OBJECTIVE:To examine whether length...

journal_title：Journal of hospital medicine

authors： Flaks-Manov N,Shadmi E,Hoshen M,Balicer RD

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Care coordination is critical in settings characterized by high levels of uncertainty, time constraints, and interdependent work processes. The effects of provider characteristics on coordination in comanaged teams has never been examined. OBJECTIVE:To characterize individual providers based on their contri...

journal_title：Journal of hospital medicine

authors： Hinami K,Whelan CT,Konetzka RT,Edelson DP,Casalino LP,Meltzer DO

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:Interhospital transfer is an understudied area within transitions of care. The process by which hospitals accept and transfer patients is not well described. National trends and best practices are unclear. OBJECTIVE:To describe the demographics of large transfer centers, to identify common handoff practices...

journal_title：Journal of hospital medicine

authors： Herrigel DJ,Carroll M,Fanning C,Steinberg MB,Parikh A,Usher M

更新日期：2016-06-01 00:00:00