Munchausen syndrome by adult proxy: a review of the literature.

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:Predicting death risk in patients with diverse conditions is difficult. The Hospitalized-patient One-year Mortality Risk (HOMR) score accurately determines death risk in adults admitted to hospital using health administrative data unavailable to clinicians and most researchers. OBJECTIVE:Determine if HOMR i...

journal_title：Journal of hospital medicine

authors： Casey G,Walraven CV

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:While patients with anorexia nervosa have a high mortality rate, more are living into adulthood. Patients with severe malnutrition secondary to anorexia nervosa often require hospitalization for medical stabilization prior to treatment in eating disorders programs. METHODS:We developed the ACUTE Center at D...

journal_title：Journal of hospital medicine

authors： Chu ES,Gaudiani JL,Mascolo M,Statland B,Sabel A,Carroll K,Mehler PS

更新日期：2012-04-01 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：: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：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: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: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：:Over the past 10 years, postdischarge clinics have been introduced in response to various health system pressures, including the focus on rehospitalizations and the challenges of primary care access. Often ignored in the discussion are questions of the effect of postdischarge physician visits on readmissions. In addit...

journal_title：Journal of hospital medicine

authors： Doctoroff L

更新日期：2017-06-01 00:00:00

abstract：:Non-housestaff medicine services are growing rapidly in academic medical centers (AMCs), partly driven by efforts to comply with resident duty hour restrictions. Hospitalists have emerged as a solution to providing these services given their commitment to delivering efficient and high-quality care and the field's rapi...

journal_title：Journal of hospital medicine

authors： Sehgal NL,Shah HM,Parekh VI,Roy CL,Williams MV

更新日期：2008-05-01 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:Outpatient parenteral antimicrobial therapy (OPAT) is a safe way to administer intravenous (IV) antimicrobial therapy to patients with the potential to decrease hospital length of stay (LOS). Often, homeless patients with complex infections, who could otherwise be treated as an outpatient, remain in the hosp...

journal_title：Journal of hospital medicine

authors： Beieler AM,Dellit TH,Chan JD,Dhanireddy S,Enzian LK,Stone TJ,Dwyer-O'Connor E,Lynch JB

更新日期：2016-08-01 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：:Improving early discharges may improve patient flow and increase hospital capacity. We conducted a national survey of academic medical centers addressing the prevalence, importance, and effectiveness of early-discharge initiatives. We assembled a list of hospitalist and general internal medicine leaders at 115 US-base...

journal_title：Journal of hospital medicine

authors： Patel H,Fang MC,Mourad M,Green A,Wachter RM,Murphy RD,Harrison JD

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Health care-associated infections and antimicrobial resistance threaten the safety of hospitalized patients. New prevention strategies are necessary to address these problems. In response, the Society of Hospital Medicine (SHM) in collaboration with the Centers for Disease Control and Prevention developed an...

journal_title：Journal of hospital medicine

authors： Bush-Knapp ME,Budnitz T,Lawton-Ciccarone RM,Sinkowitz-Cochran RL,Brinsley-Rainisch KJ,Dressler DD,Williams MV

更新日期：2007-07-01 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：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：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:Half of patients admitted to hospital for reasons unrelated to childbirth are age 65 years or older. Nonetheless, few hospital-based physicians have received training in geriatric medicine, and few geriatricians practice in the hospital. This paper describes the state of the science of hospital care for olde...

journal_title：Journal of hospital medicine

authors： Landefeld CS

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Little is known about management of hyperglycemia in inpatients. OBJECTIVE:To gain insight into caring for hospitalized patients with hyperglycemia. DESIGN:Retrospective analysis. SETTING:Teaching hospital. PATIENTS:Data on all patients discharged between January 1, 2001, and December 31, 2004 with a dia...

journal_title：Journal of hospital medicine

authors： Cook CB,Castro JC,Schmidt RE,Gauthier SM,Whitaker MD,Roust LR,Argueta R,Hull BP,Zimmerman RS

更新日期：2007-07-01 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:Hospital-acquired (HA) venous thromboembolism (VTE) is a common source of morbidity/mortality. Prophylactic measures are underutilized. Available risk assessment models/protocols are not prospectively validated. OBJECTIVES:Improve VTE prophylaxis, reduce HA VTE, and prospectively validate a VTE risk-assessm...

journal_title：Journal of hospital medicine

authors： Maynard GA,Morris TA,Jenkins IH,Stone S,Lee J,Renvall M,Fink E,Schoenhaus R

更新日期：2010-01-01 00:00:00

abstract：BACKGROUND:Individual provider performance drives group metrics, and increasingly, individual providers are held accountable for these metrics. However, appropriate attribution can be challenging, particularly when multiple providers care for a single patient. OBJECTIVE:We sought to develop and operationalize individu...

journal_title：Journal of hospital medicine

authors： Herzke CA,Michtalik HJ,Durkin N,Finkelstein J,Deutschendorf A,Miller J,Leung C,Brotman DJ

更新日期：2018-07-01 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：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：BACKGROUND:Increased recognition of ionizing radiation risks has placed an emphasis on the appropriate use of myocardial perfusion imaging (MPI). Hospitalists frequently order MPI in the evaluation of chest pain and are thus at the forefront of its inpatient utilization. METHODS:We collected baseline figures for a gro...

journal_title：Journal of hospital medicine

authors： Bohossian HB,Park AW,Holcroft C

更新日期：2015-03-01 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:Academic medical centers (AMCs) have a constrained resident work force. Many AMCs have increased the use of nonresident service hospitalists to manage continued growth in clinical volume. To optimize their time in the hospital, it is important to understand hospitalists' work flow. DESIGN:We performed a tim...

journal_title：Journal of hospital medicine

authors： Kim CS,Lovejoy W,Paulsen M,Chang R,Flanders SA

更新日期：2010-07-01 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：BACKGROUND:Mycoplasma pneumoniae is a common cause of community-acquired pneumonia in childhood. Few studies have addressed the association of antimicrobial treatment and outcomes. OBJECTIVE:To determine whether macrolide therapy is associated with improved outcomes among children hospitalized with M. pneumoniae pneum...

journal_title：Journal of hospital medicine

authors： Shah SS,Test M,Sheffler-Collins S,Weiss AK,Hall M

更新日期：2012-04-01 00:00:00