The use of smartphones for clinical communication on internal medicine wards.

abstract：:We examined whether placing a painting in the line of vision of a hospitalized patient improves patient outcomes and satisfaction and whether having patients choose their paintings offers greater benefit. From 2014 to 2016, we enrolled 186 inpatients with cancer diagnoses from Pennsylvania State University Cancer Inst...

journal_title：Journal of hospital medicine

authors： George DR,Boer C,Hammer J,Hopkins M,King T,Green MJ

更新日期：2018-08-01 00:00:00

abstract：:Pain management is a core competency of hospital medicine, and effective acute pain management should be a goal for all hospital medicine providers. The prevalence of opioid use in the United States, both therapeutic and non-medical in origin, has dramatically increased over the past decade. Although nonopioid medicat...

journal_title：Journal of hospital medicine

authors： Raub JN,Vettese TE

更新日期：2017-05-01 00:00:00

abstract：:Depression among hospitalized patients is often unrecognized, undiagnosed, and therefore untreated. Little is known about the feasibility of screening for depression during hospitalization, or whether depression is associated with poorer outcomes, longer hospital stays, and higher readmission rates. We searched PubMed...

journal_title：Journal of hospital medicine

authors： IsHak WW,Collison K,Danovitch I,Shek L,Kharazi P,Kim T,Jaffer KY,Naghdechi L,Lopez E,Nuckols T

更新日期：2017-02-01 00:00:00

abstract：OBJECTIVE:We examined the impact of an aspart insulin protocol for treatment of hyperglycemia in the emergency department (ED) coupled with rapid initiation of a detemir-aspart insulin protocol for patients admitted to the hospital. RESEARCH DESIGN AND METHODS:ED patients with type 2 diabetes mellitus and a blood gluc...

journal_title：Journal of hospital medicine

authors： Bernard JB,Munoz C,Harper J,Muriello M,Rico E,Baldwin D

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:Angiotensin-converting enzyme inhibitors (ACE-Is) are a widely used class of cardiovascular medication. However, limited data exist on the risks of postoperative nonresumption of an ACE-I. OBJECTIVE:To evaluate the factors and 30-day mortality risks associated with the postoperative nonresumption of an ACE-...

journal_title：Journal of hospital medicine

authors： Mudumbai SC,Takemoto S,Cason BA,Au S,Upadhyay A,Wallace AW

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:High-flow nasal cannula (HFNC) is increasingly used to treat children hospitalized with bronchiolitis; however, the best practices for feeding during HFNC and the impact of feeding on time to discharge and adverse events are unknown. The study objective was to assess whether feeding exposure during HFNC was ...

journal_title：Journal of hospital medicine

authors： Shadman KA,Kelly MM,Edmonson MB,Sklansky DJ,Nackers K,Allen A,Barreda CB,Thurber AS,Coller RJ

更新日期：2019-09-18 00:00:00

abstract：BACKGROUND:Multidisciplinary rounds (MDR) facilitate timely communication amongst the care team and with patients. We used Lean techniques to redesign MDR on the teaching general medicine service. OBJECTIVE:To examine if our Lean-based new model of MDR was associated with change in the primary outcome of length of sta...

journal_title：Journal of hospital medicine

authors： Kane M,Rohatgi N,Heidenreich P,Thakur A,Winget M,Shum K,Hereford J,Shieh L,Lew T,Horn J,Chi J,Weinacker A,Seay-Morrison T,Ahuja N

更新日期：2018-07-01 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:Best practice alerts (BPAs) provide clinical decision support (CDS) at the point of care to reduce unnecessary blood product transfusions, yet substantial transfusions continue outside of recommended guidelines. OBJECTIVE:To understand why providers order blood transfusions outside of recommended guidelines...

journal_title：Journal of hospital medicine

authors： Chen JH,Fang DZ,Tim Goodnough L,Evans KH,Lee Porter M,Shieh L

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Little is known about the state of research in academic hospital medicine (HM) despite the substantial growth of this specialty. METHODS:We used the Society of Hospital Medicine (SHM) membership database to identify research programs and their leadership. In addition, the members of the SHM Research Committ...

journal_title：Journal of hospital medicine

authors： Chopra V,Burden M,Jones CD,Mueller S,Gupta V,Ahuja N,Sigmund A,Eid SM,Society of Hospital Medicine Research Committee.

更新日期：2019-04-01 00:00:00

abstract：:Value-based payment systems have been widely implemented in healthcare in an effort to improve the quality of care. However, these programs have not broadly improved quality, and some evidence suggests that they may increase inequities in care. No Child Left Behind is a parallel effort in education to address uneven a...

journal_title：Journal of hospital medicine

authors： Maurer KA,Ryan AM

更新日期：2016-01-01 00:00:00

abstract：OBJECTIVE:Mortality in hospitalized human immunodeficiency virus (HIV)-infected patients is not well described. We sought to characterize in-hospital deaths among HIV-infected patients in the antiretroviral (ART) era and identify factors associated with mortality. METHODS:We reviewed the medical records of hospitalize...

journal_title：Journal of hospital medicine

authors： Cowell A,Shenoi SV,Kyriakides TC,Friedland G,Barakat LA

更新日期：2015-09-01 00:00:00

abstract：OBJECTIVE: DESIGN: SETTING: PATIENTS: MEASUREMENTS: RESULTS: CONCLUSIONS: ...

journal_title：Journal of hospital medicine

authors： Kachman M,Carter K,Martin S

更新日期：2018-11-01 00:00:00

abstract：OBJECTIVE:To explore why it is permissible for surgeons to "unilaterally withhold" surgery, whereas it is not commonplace (in the United States) to unilaterally withhold cardiopulmonary resuscitation (CPR) for clinical situations with similar degrees of uncertainty and prognosis. DATA SOURCES:The medical literature wa...

journal_title：Journal of hospital medicine

authors： Manthous CA,Ivy M

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:A lack of cost-conscious medication use is a major contributor to excessive healthcare expenditures in the inpatient setting. Expensive medicines are often utilized when there are comparable alternatives available at a lower cost. Increasing prescriber awareness of medication cost at the time of ordering may...

journal_title：Journal of hospital medicine

authors： Conway S,Brotman D,Pinto B,Merola D,Feldman L,Miller R,Shermock K

更新日期：2017-08-01 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: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：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:Meta-analyses of randomized trials have found that antibiotics are effective in acute exacerbations of chronic obstructive pulmonary disease (AECOPD), but there is insufficient evidence to guide antibiotic selection. Current guidelines offer conflicting recommendations. OBJECTIVE:To compare the effectivenes...

journal_title：Journal of hospital medicine

authors： Rothberg MB,Pekow PS,Lahti M,Brody O,Skiest DJ,Lindenauer PK

更新日期：2010-05-01 00:00:00

abstract：:Physicians are notorious for poor hand hygiene (HH) compliance. We wondered if lower performance by physicians compared with other health professionals might reflect differences in the Hawthorne effect. We introduced covert HH observers to see if performance differences between physicians and nurses decreased and to g...

journal_title：Journal of hospital medicine

authors： Kovacs-Litman A,Wong K,Shojania KG,Callery S,Vearncombe M,Leis JA

更新日期：2016-12-01 00:00:00

abstract：BACKGROUND/OBJECTIVE:Pediatric patients hospitalized with bacterial infections often receive intravenous (IV) antibiotics. Early transition to enteral antibiotics can reduce hospital duration, cost, and complications. We aimed to identify opportunities to transition from IV to enteral antibiotics, describe variation of...

journal_title：Journal of hospital medicine

authors： Cotter JM,Hall M,Girdwood ST,Stephens JR,Markham JL,Gay JC,Shah SS

更新日期：2021-02-01 00:00:00

abstract：BACKGROUND:Few studies have examined alternative structures for inpatient clerkships. OBJECTIVE:Compare 2 inpatient clerkship structures using multiple outcome variables. DESIGN:Prospective, randomized controlled trial. SETTING:Tertiary-care, freestanding children's hospital. SUBJECTS:All medical students enrolled ...

journal_title：Journal of hospital medicine

authors： Antommaria AH,Firth SD,Maloney CG

更新日期：2007-11-01 00:00:00

abstract：:Posttraumatic stress disorder (PTSD) is common in the United States, with a prevalence of nearly 8% in the general population and between 10% and 30% in veterans. Despite how common PTSD is, inpatient providers may not be familiar with its manifestations or feel comfortable taking care of patients who may exhibit symp...

journal_title：Journal of hospital medicine

authors： Fletcher KE,Steinbach S,Lewis F,Hendricks M,Kwan B

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:Nearly two-thirds of hospitals in the United States are served by hospitalist physicians. How hospitalist work patterns and job satisfaction vary across various practice models is unknown. METHODS:We administered the Hospitalist Worklife Survey to a randomized stratified sample of 3105 potential hospitalist...

journal_title：Journal of hospital medicine

authors： Hinami K,Whelan CT,Miller JA,Wolosin RJ,Wetterneck TB,Society of Hospital Medicine Career Satisfaction Task Force.

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND:Patients and their relatives exposed to mental stress caused by hospitalization or illness might use violence against healthcare staff and interfere with quality healthcare. OBJECTIVE:The aim of this study was to investigate incidences of workplace violence and the attributes of healthcare staff who are at ...

journal_title：Journal of hospital medicine

authors： Fujita S,Ito S,Seto K,Kitazawa T,Matsumoto K,Hasegawa T

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:Munchausen syndrome by proxy (MSBP), more formally known as factitious disorder imposed on another, is a form of abuse in which a caregiver deliberately produces or feigns illness in a person under his or her care so that the proxy will receive medical care that gratifies the caregiver. Although well documen...

journal_title：Journal of hospital medicine

authors： Burton MC,Warren MB,Lapid MI,Bostwick JM

更新日期：2015-01-01 00:00:00

abstract：:The objective of this study was to measure internal medicine resident engagement with an electronic medical record-based dashboard providing feedback on their use of routine laboratory tests relative to service averages. From January 2016 to June 2016, residents were e-mailed a snapshot of their personalized dashboard...

journal_title：Journal of hospital medicine

authors： Kurtzman G,Dine J,Epstein A,Gitelman Y,Leri D,Patel MS,Ryskina K

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:Although severity of illness indices such as pneumonia severity index (PSI) are good predictors of short-term mortality for community-acquired pneumonia (CAP) and healthcare-associated pneumonia (HCAP), other patient factors may have added prognostic value. OBJECTIVE:To identify patient factors beyond the P...

journal_title：Journal of hospital medicine

authors： Ding YY,Abisheganaden J,Chong WF,Heng BH,Lim TK

更新日期：2012-03-01 00:00:00

abstract：OBJECTIVES:Guidelines recommend pharmacologic prophylaxis for hospitalized medical patients at increased risk of thromboembolism. Despite recommendations, multiple studies demonstrate underutilization. Factors contributing to underutilization include uncertainty that prophylaxis reduces clinically relevant events, as w...

journal_title：Journal of hospital medicine

authors： Bump GM,Dandu M,Kaufman SR,Shojania KG,Flanders SA

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:Emergency department (ED) ward admissions subsequently transferred to the intensive care unit (ICU) within 24 hours have higher mortality than direct ICU admissions. DESIGN, SETTING, PATIENTS:Describe risk factors for unplanned ICU transfer within 24 hours of ward arrival from the ED. METHODS:Evaluation of...

journal_title：Journal of hospital medicine

authors： Delgado MK,Liu V,Pines JM,Kipnis P,Gardner MN,Escobar GJ

更新日期：2013-01-01 00:00:00