Reliability of a point-based VTE risk assessment tool in the hands of medical residents.

abstract：BACKGROUND:In the hospitalized patient, nephrotoxin exposure is one potentially modifiable risk factor for acute kidney injury (AKI). Clinical decision support based on nephrotoxin ordering was developed at our hospital to assist inpatient providers with the prevention or mitigation of nephrotoxin-related AKI. The init...

journal_title：Journal of hospital medicine

authors： Yonekawa KE,Zhou C,Haaland WL,Wright DR

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:Unplanned (unexpected) transfers to the intensive care unit (ICU) are typically preceded by physiologic instability. However, trends toward instability may be subtle and not accurately reflected by changes in vital signs. The shock index (SI) (heart rate/systolic blood pressure as an indicator of left ventri...

journal_title：Journal of hospital medicine

authors： Keller AS,Kirkland LL,Rajasekaran SY,Cha S,Rady MY,Huddleston JM

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Warfarin reduces stroke in patients with atrial fibrillation. However, its narrow therapeutic index and need for chronic monitoring are barriers to its optimal utilization in many patients. The recent introduction of 3 novel oral anticoagulants (NOACs), as alternatives to warfarin, may change the eligibility...

journal_title：Journal of hospital medicine

authors： Patel KK,Mehdirad AA,Lim MJ,Ferreira SW,Mikolajczak PC,Stolker JM

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Hospital care on weekends has been associated with reduced quality and poor clinical outcomes, suggesting that decreases in overall intensity of care may have important clinical effects. We describe a new measure of hospital intensity of care based on utilization of the electronic health record (EHR). METHO...

journal_title：Journal of hospital medicine

authors： Blecker S,Austrian JS,Shine D,Braithwaite RS,Radford MJ,Gourevitch MN

更新日期：2013-09-01 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:Obtaining blood cultures (BCs) for patients hospitalized with community-acquired-pneumonia (CAP) has been recommended by experts and used as a measure of quality of care. However, BCs are infrequently positive in these patients and their effect on clinical management has been questioned. PURPOSE:We performe...

journal_title：Journal of hospital medicine

authors： Afshar N,Tabas J,Afshar K,Silbergleit R

更新日期：2009-02-01 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: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：OBJECTIVE:There have been no recent studies describing the management and outcomes of patients with infective endocarditis (IE). PATIENTS AND METHODS:We conducted a retrospective cohort study of adult patients admitted to a tertiary medical center from 2007 to 2011 with a Duke criteria consistent discharge diagnosis o...

journal_title：Journal of hospital medicine

authors： Kashef MA,Friderici J,Hernandez-Montfort J,Atreya AR,Lindenauer P,Lagu T

更新日期：2017-06-01 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：OBJECTIVE:To develop a valid instrument to assess morale and explore the relationship between morale and intent to leave employment due to unhappiness. PATIENTS AND METHODS:An expert panel identified 46 drivers of hospitalist morale. In May 2009, responders of our single-site pilot survey rated each driver in terms of...

journal_title：Journal of hospital medicine

authors： Chandra S,Wright SM,Ghazarian S,Kargul GM,Howell EE

更新日期：2016-06-01 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：: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：: ...

journal_title：Journal of hospital medicine

authors： Holleck JL,Gunderson CG

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Patients with low-risk chest pain are frequently readmitted for evaluation of recurrent chest pain. It is unknown whether stress testing during the first admission for chest pain is a cost-effective means of reducing readmissions. METHODS:Using a hospital administrative database, we conducted a retrospectiv...

journal_title：Journal of hospital medicine

authors： Mallidi J,Penumetsa S,Friderici JL,Saab F,Rothberg MB

更新日期：2013-10-01 00:00:00

abstract：:Successful secondary prevention of cardiovascular disease relies on medication therapy; thus, minimizing nonadherence is a focus for improving patient outcomes. Receipt of discharge medication counseling has been associated with improved drug knowledge and adherence. We evaluated the prevalence and predictors of postd...

journal_title：Journal of hospital medicine

authors： Wooldridge K,Schnipper JL,Goggins K,Dittus RS,Kripalani S

更新日期：2016-01-01 00:00:00

abstract：OBJECTIVE:To determine the range and frequency of experiences, clinical and nonclinical roles, training, work expectations, and career plans of practicing pediatric hospitalists. DESIGN:Mail survey study of a national sample of 530 pediatric hospitalists of whom 67% (N = 338) were from teaching hospitals, 71% (N = 374...

journal_title：Journal of hospital medicine

authors： Freed GL,Dunham KM,Research Advisory Committee of the American Board of Pediatrics.

更新日期：2009-03-01 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：:Physiotherapy delivered in a group setting has been shown to be effective in a variety of populations. However, little is known about the attitudes of older adults toward participating in group physiotherapy. The objectives of this study were to explore older inpatients' perceptions and experiences of group physiother...

journal_title：Journal of hospital medicine

authors： Raymond MJ,Burge AT,Soh SE,Jeffs KJ,Winter A,Holland AE

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Previous local quality improvement focused on discharging patients with inhaled corticosteroids (ICS) "in-hand" decreased healthcare reutilization after hospitalization for an asthma exacerbation. However, as a result of these new processes, some patients admitted for an asthma exacerbation rec...

journal_title：Journal of hospital medicine

authors： Hoefgen ER,Jones Y,Courter J,Hare A,Garcia JAT,Simmons J

更新日期：2020-01-01 00:00:00

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：: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：:The growth of hospital medicine has led to new challenges, and recent graduates may feel unprepared to meet the expanding clinical duties expected of hospitalists. At our institution, we created a resident-inspired hospitalist curriculum to address the training needs for the next generation of hospitalists. Our progra...

journal_title：Journal of hospital medicine

authors： Kumar A,Smeraglio A,Witteles R,Harman S,Nallamshetty S,Rogers A,Harrington R,Ahuja N

更新日期：2016-09-01 00:00:00

abstract：BACKGROUND:Although interdisciplinary hospital quality improvement (QI) teams are both prevalent and associated with success of (QI) efforts, little is known about the behaviors of successful interdisciplinary QI teams. OBJECTIVE:We examined the specific behaviors of interdisciplinary QI teams in hospitals that succes...

journal_title：Journal of hospital medicine

authors： Santana C,Curry LA,Nembhard IM,Berg DN,Bradley EH

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:Superficial wound cultures are routinely used to guide therapy, despite a lack of clear supporting evidence. PURPOSE:To conduct a systematic review of the correlation between superficial wound cultures and the etiology of skin and soft tissue infections. DATA SOURCES:Medline, EMBASE, CINAHL, Scopus. STUDY...

journal_title：Journal of hospital medicine

authors： Chakraborti C,Le C,Yanofsky A

更新日期：2010-09-01 00:00:00

abstract：:Efforts to improve the patient experience are increasingly focusing on engaging patients and their "care partners" by using patient portals. The Acute Care Patient Portal Task Force was supported by the Gordon and Betty Moore Foundation to convene a national meeting of an interdisciplinary group of stakeholders, inclu...

journal_title：Journal of hospital medicine

authors： Dalal AK,Bates DW,Collins S

更新日期：2017-12-01 00:00:00

abstract：OBJECTIVE:To examine the relationship between pediatric obesity and inpatient length of stay (LOS), resource utilization, readmission rates, and total billed charges for in-hospital status asthmaticus. DESIGN/METHODS:We conducted a cross-sectional study of patients 5 to 17 years old hospitalized with status asthmaticu...

journal_title：Journal of hospital medicine

authors： Bettenhausen J,Puls H,Queen MA,Peacock C,Burrus S,Miller C,Daly A,Colvin JD

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Patient whiteboards can serve as a communication tool between hospital providers and as a mechanism to engage patients in their care, but little is known about their current use or best practices. METHODS:We surveyed bedside nurses, internal medicine housestaff, and hospitalists from the medical service at ...

journal_title：Journal of hospital medicine

authors： Sehgal NL,Green A,Vidyarthi AR,Blegen MA,Wachter RM

更新日期：2010-04-01 00:00:00

abstract：:One emerging policy solution for deterring low-value care is to financially penalize physicians who prescribe it. However, physicians' willingness to support such policies may depend on whether they perceive that benefits accrue to patients or to insurers and hospitals. We surveyed physicians practicing hospital medic...

journal_title：Journal of hospital medicine

authors： Liao JM,Navathe AS,Schapira MM,Weissman A,Mitra N,Asch DA

更新日期：2018-01-01 00:00:00

abstract：:Venous access is the foundation for safe and effective hospital-based care. Inpatient providers must have a deep knowledge of the different types of venous access devices (VADs), their relative indications, contraindications, and appropriateness. However, such knowledge is difficult to come by and usually only gleaned...

journal_title：Journal of hospital medicine

authors： Simonov M,Pittiruti M,Rickard CM,Chopra V

更新日期：2015-07-01 00:00:00