Improving appropriateness of acid-suppressive medication use via computerized clinical decision support.

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：BACKGROUND:Initiation of enteral feeding is an important part of the best practice model for critically ill patients. Although nasogastric feeding is appropriate for the majority of patients requiring short-term nutrition support, certain patients benefit greatly from postpyloric feeding. OBJECTIVE:To determine which ...

journal_title：Journal of hospital medicine

authors： Boyer N,McCarthy MS,Mount CA

更新日期：2014-01-01 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:Hip fractures typically occur in frail elderly patients. Preoperative specialty consults, in addition to hospitalist comanagement, are often requested for preoperative risk assessment. OBJECTIVE:Determine if preoperative specialty consults meaningfully influence management and outcomes in hip fracture patie...

journal_title：Journal of hospital medicine

authors： Bellas N,Stohler S,Staff I,Majk K,Lewis C,Davis S,Kumar M

更新日期：2020-01-01 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：BACKGROUND: OBJECTIVE: DESIGN, SETTING, PATIENTS: INTERVENTION: MEASUREMENTS: CONCLUSIONS: ...

journal_title：Journal of hospital medicine

authors： Nawas MT,Walker EJ,Richie MB,White AA,Hsu G

更新日期：2019-02-01 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：: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:No national policy requires health care providers to discuss with hospitalized patients whether the latter would want cardiopulmonary resuscitation (CPR) or mechanical ventilation (MV) in the event of cardiopulmonary failure. OBJECTIVE:To determine whether hospitalized patients are willing to discuss end-of...

journal_title：Journal of hospital medicine

authors： Nicolasora N,Pannala R,Mountantonakis S,Shanmugam B,DeGirolamo A,Amoateng-Adjepong Y,Manthous CA

更新日期：2006-05-01 00:00:00

abstract：:Esophageal variceal bleeding (EVB) is a frequent complication in cirrhotic patients resulting in considerable mortality and morbidity. The aim of this study was to investigate the occurrence, impact, and trends of EVB in hospitalized cirrhotic patients on a nationwide level in the United States. We interrogated data f...

journal_title：Journal of hospital medicine

authors： Pant C,Desai M,Deshpande A,Taylor R,Olyaee M,Gilroy R

更新日期：2015-07-01 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：: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:Experts and national regulatory bodies have deemed femoral vein catheterization (FVC) unsafe, and recommend avoiding it whenever possible. OBJECTIVE:To assess rates of catheter-related bloodstream infections (CRBI) and deep venous thrombosis (DVT) complicating FVC. DESIGN:Prospective observational cohort s...

journal_title：Journal of hospital medicine

authors： Casanegra AI,Brannan S,Dadu R,Ong P,Berner M,Spinning K,Hughes T,Marrinan G,Zinn K,Manthous C

更新日期：2011-01-01 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：IMPORTANCE:Although intensive care unit (ICU) adaptations to the coronavirus disease of 2019 (COVID-19) pandemic have received substantial attention , most patients hospitalized with COVID-19 have been in general medical units. OBJECTIVE:To characterize inpatient adaptations to care for non-ICU COVID-19 patients. DES...

journal_title：Journal of hospital medicine

authors： Auerbach A,O'Leary KJ,Greysen SR,Harrison JD,Kripalani S,Ruhnke GW,Vasilevskis EE,Maselli J,Fang MC,Herzig SJ,Lee T,HOMERuN COVID-19 Collaborative Group.

更新日期：2020-08-01 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：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：:Nephrogenic systemic fibrosis (NSF) has now been linked to gadolinium-based contrast (GBC) exposure in those with compromised kidney function, particularly those with end-stage renal disease (ESRD). When ESRD is present, symptoms can be quite devastating for the patient including severe pain and immobility and even de...

journal_title：Journal of hospital medicine

authors： Fine DM,Perazella MA

更新日期：2010-01-01 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：: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: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：: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：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: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: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：: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：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：: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：: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:Dexmedetomidine is a potentially useful sedative for hospitalized children, but there is little published data regarding its safety, dosage, or efficacy. OBJECTIVE:To report our experience with dexmedetomidine for the sedation of hospitalized children. DESIGN:Retrospective case series. SETTING:Pediatric I...

journal_title：Journal of hospital medicine

authors： Carroll CL,Krieger D,Campbell M,Fisher DG,Comeau LL,Zucker AR

更新日期：2008-03-01 00:00:00