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. Because of this, automated early detection systems based on data from modern electronic medical records have been developed. This article attempts to establish a conceptual framework for early detection, prevention, and mitigation of critical illness in hospitalized patients outside the ICU. Taking a step back from the now voluminous clinical and statistical literature on early warning systems, this article focuses on definitional issues (What is early detection? What does it aim to detect, and how?). Particular attention is given to how early detection systems interface with patients who are near the end of life. Also addressed are problems of how one quantifies benefit, which includes consideration of downsides such as potential harms of early detection. Journal of Hospital Medicine 2016;11:S5-S10. © 2016 Society of Hospital Medicine.
journal_name
J Hosp Medjournal_title
Journal of hospital medicineauthors
Escobar GJ,Dellinger RPdoi
10.1002/jhm.2653subject
Has Abstractpub_date
2016-11-01 00:00:00pages
S5-S10eissn
1553-5592issn
1553-5606journal_volume
11 Suppl 1pub_type
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
pub_type: 杂志文章,多中心研究
doi:10.1002/jhm.1904
更新日期:2012-04-01 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
pub_type: 杂志文章,评审
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更新日期:2016-08-01 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
pub_type: 杂志文章,评审
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更新日期:2016-06-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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abstract:BACKGROUND:In the Medicare population, measures of relative severity of illness (SOI) for hospitalized patents have been used in prospective payment models. Similar measures for pediatric populations have not been fully developed. OBJECTIVE:To develop hospitalization resource intensity scores for kids (H-RISK) using p...
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更新日期:2018-09-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,评审
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更新日期:2015-01-01 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
pub_type: 杂志文章,评审
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更新日期:2017-02-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
doi:10.1002/jhm.2225
更新日期:2014-09-01 00:00:00
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更新日期:2017-09-01 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
pub_type: 杂志文章,多中心研究
doi:10.1002/jhm.2197
更新日期:2014-08-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,随机对照试验
doi:10.1002/jhm.250
更新日期:2007-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
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更新日期:2009-10-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,meta分析,评审
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更新日期:2010-09-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,评审
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更新日期:2009-02-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
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更新日期:2016-09-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
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更新日期:2019-03-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
doi:10.1002/jhm.976
更新日期:2012-02-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章,评审
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更新日期:2015-08-01 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
pub_type: 杂志文章
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更新日期:2019-01-02 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
pub_type: 杂志文章
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更新日期:2020-01-01 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
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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journal_title:Journal of hospital medicine
pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00
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journal_title:Journal of hospital medicine
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更新日期:2012-11-01 00:00:00