Health information exchange systems and length of stay in readmissions to a different hospital.

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:Access to hand-carried ultrasound technology for noncardiologists has increased significantly, yet development and evaluation of training programs are limited. OBJECTIVE:We studied a focused program to teach hospitalists image acquisition of inferior vena cava (IVC) diameter and IVC collapsibility index wit...

journal_title：Journal of hospital medicine

authors： Martin LD,Ziegelstein RC,Howell EE,Martire C,Hellmann DB,Hirsch GA

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:A small proportion of patients accounts for a large proportion of hospitalizations. OBJECTIVE:To obtain patients' perspectives of factors associated with the onset and continuation of high hospital use. DESIGN:Qualitative research study where a research coordinator conducted one-on-one semi-structured inte...

journal_title：Journal of hospital medicine

authors： O'Leary KJ,Chapman MM,Foster S,O'Hara L,Henschen BL,Cameron KA

更新日期：2019-03-20 00:00:00

abstract：BACKGROUND:There are 250,000 cases of central line-associated blood stream infections in the United States annually, some of which may be prevented by the removal of lines that are no longer needed. OBJECTIVE:To test the performance of criteria to identify an idle line as a guideline to facilitate its removal. METHOD...

journal_title：Journal of hospital medicine

authors： Kara A,Johnson CS,Murray M,Dillon J,Hui SL

更新日期：2016-07-01 00:00:00

abstract：BACKGROUND:Sepsis, the most expensive cause of hospitalization in the United States, is associated with high morbidity and mortality. However, healthcare utilization patterns following sepsis are poorly understood. OBJECTIVE:To identify patient-level factors that contribute to postsepsis mortality and healthcare utili...

journal_title：Journal of hospital medicine

authors： Liu V,Lei X,Prescott HC,Kipnis P,Iwashyna TJ,Escobar GJ

更新日期：2014-08-01 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：:For more than 20 years, the Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program has been identifying and synthesizing evidence to inform evidence-based healthcare. Recognizing that many healthcare settings continue to face challenges in disseminating and implementing evidence...

journal_title：Journal of hospital medicine

authors： Borsky AE,Flores EJ,Berliner E,Chang C,Umscheid CA,Chang SM

更新日期：2019-05-01 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：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：: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：: ...

journal_title：Journal of hospital medicine

authors： Mao F,Greysen SR

更新日期：2018-12-01 00:00:00

abstract：:Hyponatremia is relatively common in patients admitted with pneumonia, and it is associated with higher disease severity. The precise mechanism is incompletely understood, but the syndrome of inappropriate antidiuretic hormone secretion is felt to play a significant role. Traditional options to manage hyponatremia in ...

journal_title：Journal of hospital medicine

authors： Edmonds ZV

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Efforts to curb healthcare spending have included interventions that target frequently hospitalized individuals. It is unclear the extent to which the most frequently hospitalized individuals also represent the costliest individuals. OBJECTIVE:To examine the relationship between 2 types of "high users" comm...

journal_title：Journal of hospital medicine

authors： Nguyen OK,Tang N,Hillman JM,Gonzales R

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Despite safe and cost-effective venous thromboembolism (VTE) prevention measures, VTE prophylaxis rates are often suboptimal. Healthcare reform efforts emphasize transparency through programs to report performance and payment incentives through pay-for-performance programs. OBJECTIVE:To sequentially examine...

journal_title：Journal of hospital medicine

authors： Michtalik HJ,Carolan HT,Haut ER,Lau BD,Streiff MB,Finkelstein J,Pronovost PJ,Durkin N,Brotman DJ

更新日期：2015-03-01 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

abstract：BACKGROUND:Communication between clinicians is hampered by the frequent difficulty in reaching the most responsible physician for a patient as well as the use of outdated methods such as numeric paging. The aim of this study was to evaluate the use of smartphones to improve communication on internal medicine wards. ME...

journal_title：Journal of hospital medicine

authors： Wu RC,Morra D,Quan S,Lai S,Zanjani S,Abrams H,Rossos PG

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:The economic burden of acute kidney injury (AKI) is not well understood. OBJECTIVE:To estimate the effects of AKI on hospitalization costs and length of stay (LOS). DESIGN:Using data from the 2012 National Inpatient Sample, we compared hospitalization costs and LOS with and without AKI. We used a generaliz...

journal_title：Journal of hospital medicine

authors： Silver SA,Long J,Zheng Y,Chertow GM

更新日期：2017-02-01 00:00:00

abstract：BACKGROUND:Serum folate levels are commonly ordered for multiple indications in the inpatient and emergency department settings. Since mandatory folic acid fortification in 1998, there has been a decreasing prevalence of folate deficiency in the United States. OBJECTIVE:Our objective was to determine the indications, ...

journal_title：Journal of hospital medicine

authors： Theisen-Toupal J,Horowitz GL,Breu AC

更新日期：2013-02-01 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：:Many hospitalists are routinely granted hospital privileges to perform invasive bedside procedures, but criteria for privileging are not well described. We conducted a survey of 21 hospitalist procedure experts from the Society of Hospital Medicine Point-of-Care Ultrasound Task Force to better understand current privi...

journal_title：Journal of hospital medicine

authors： Jensen TP,Soni NJ,Tierney DM,Lucas BP

更新日期：2017-10-01 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: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: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: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: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：: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：: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：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：OBJECTIVE:There is growing demand for safe and effective procedural sedation in pediatric facilities nationally. Currently, these needs are being met by a variety of providers and sedation techniques, including anesthesiologists, pediatric intensivists, emergency medicine physicians, and pediatric hospitalists. There i...

journal_title：Journal of hospital medicine

authors： Turmelle M,Moscoso LM,Hamlin KP,Daud YN,Carlson DW

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Problems experienced after hospital discharge can result in rehospitalizations and unscheduled urgent and emergent care. OBJECTIVE:To identify opportunities for improving discharge processes by examining calls to an advice line (AL). DESIGN:Prospective cohort. SETTING:A 500-bed, university-affiliated hosp...

journal_title：Journal of hospital medicine

authors： Stella SA,Allyn R,Keniston A,Johnston LB,Burden M,Bogdan GM,Savoie C,Albert RK

更新日期：2014-11-01 00:00:00