Association Between Radiologic Incidental Findings and Resource Utilization in Patients Admitted With Chest Pain in an Urban Medical Center.

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：:Current hospital readmission measures are part of the Centers for Medicare & Medicaid Services Five-Star Quality Rating System but are inadequate for reporting hospital quality. We review potential biases in the readmission measures and offer policy recommendations to address these biases. Hospital readmission rates a...

journal_title：Journal of hospital medicine

authors： Pronovost PJ,Brotman DJ,Hoyer EH,Deutschendorf A

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE:To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: SETTING/PATIENTS:Cross-sectiona...

journal_title：Journal of hospital medicine

authors： Alexandrou E,Ray-Barruel G,Carr PJ,Frost SA,Inwood S,Higgins N,Lin F,Alberto L,Mermel L,Rickard CM,OMG Study Group.

更新日期：2018-05-30 00:00:00

abstract：BACKGROUND/OBJECTIVE:Pediatric patients hospitalized with bacterial infections often receive intravenous (IV) antibiotics. Early transition to enteral antibiotics can reduce hospital duration, cost, and complications. We aimed to identify opportunities to transition from IV to enteral antibiotics, describe variation of...

journal_title：Journal of hospital medicine

authors： Cotter JM,Hall M,Girdwood ST,Stephens JR,Markham JL,Gay JC,Shah SS

更新日期：2021-02-01 00:00:00

abstract：:Many children's hospitals are actively working to reduce readmissions to improve care and avoid financial penalties. We sought to determine if pediatric readmission rates have changed over time. We used data from 66 hospitals in the Inpatient Essentials Database including index hospitalizations from January, 2010 thro...

journal_title：Journal of hospital medicine

authors： Auger KA,Harris JM,Gay JC,Teufel R,McClead RE,Neuman MI,Agrawal R,Simon HK,Peltz A,Tejedor-Sojo J,Morse RB,Del Beccaro MA,Fieldston E,Shah SS

更新日期：2019-10-01 00:00:00

abstract：:Increasing numbers of serious hospital/healthcare- or community-acquired infections are caused by resistant (often multi-drug resistant) bacterial pathogens. Because delayed or ineffective initial therapy can have severe negative consequences, patients at risk for these types of infections typically receive initial em...

journal_title：Journal of hospital medicine

authors： Kaye KS

更新日期：2012-01-01 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: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...

journal_title：Journal of hospital medicine

authors： Richardson T,Rodean J,Harris M,Berry J,Gay JC,Hall M

更新日期：2018-09-01 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：: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：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

abstract：BACKGROUND:Approaches of trainees to diagnosis in teaching hospitals are poorly understood. Identifying cognitive and system-based barriers and facilitators to diagnosis may improve diagnosis in these settings. METHODS:We conducted a focused ethnography of trainees at 2 academic medical centers to understand the barri...

journal_title：Journal of hospital medicine

authors： Chopra V,Harrod M,Winter S,Forman J,Quinn M,Krein S,Fowler KE,Singh H,Saint S

更新日期：2018-10-01 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:Interhospital transfer is an understudied area within transitions of care. The process by which hospitals accept and transfer patients is not well described. National trends and best practices are unclear. OBJECTIVE:To describe the demographics of large transfer centers, to identify common handoff practices...

journal_title：Journal of hospital medicine

authors： Herrigel DJ,Carroll M,Fanning C,Steinberg MB,Parikh A,Usher M

更新日期：2016-06-01 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: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：: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：IMPORTANCE:There is an increasing trend toward designing hospitals with patient-centered features like reduced noise, improved natural light, visitor friendly facilities, well-decorated rooms, and hotel-like amenities. It has also been suggested that because patients cannot reliably distinguish positive experiences wit...

journal_title：Journal of hospital medicine

authors： Siddiqui ZK,Zuccarelli R,Durkin N,Wu AW,Brotman DJ

更新日期：2015-03-01 00:00:00

abstract：:Acute decompensated heart failure (ADHF) is one of the most common conditions managed by hospitalists. Here we review the most recent evidence applicable to hospitalists for the diagnosis, risk stratification, and management of patients presenting with ADHF. By following a structured approach based on the patient's sy...

journal_title：Journal of hospital medicine

authors： Kransdorf EP,Kittleson MM

更新日期：2012-05-01 00:00:00

abstract：OBJECTIVES:Guidelines recommend pharmacologic prophylaxis for hospitalized medical patients at increased risk of thromboembolism. Despite recommendations, multiple studies demonstrate underutilization. Factors contributing to underutilization include uncertainty that prophylaxis reduces clinically relevant events, as w...

journal_title：Journal of hospital medicine

authors： Bump GM,Dandu M,Kaufman SR,Shojania KG,Flanders SA

更新日期：2009-05-01 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: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：: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：BACKGROUND:The affordability of prescription medications continues to be a major public health issue in the United States. Estimates of cost-related medication underuse come largely from surveys of ambulatory patients. Hospitalized patients may be vulnerable to cost-related underuse and its consequences, but have been ...

journal_title：Journal of hospital medicine

authors： Choudhry NK,Saya UY,Shrank WH,Greenberg JO,Melia C,Bilodeau A,Kadehjian EK,Dolan ML,Dudley JC,Kachalia A

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:Patients with suspected thiamine deficiency should receive treatment with parenteral thiamine to achieve the high serum thiamine levels necessary to reverse the effects of deficiency and to circumvent problems with absorption common in the medically ill. OBJECTIVE:To quantify rates of parenteral administrat...

journal_title：Journal of hospital medicine

authors： Day GS,Ladak S,Curley K,Farb NA,Masiowski P,Pringsheim T,Ritchie M,Cheung A,Jansen S,Methot L,Neville HL,Bates D,Lowe D,Fernandes N,Ferland A,Martin del Campo C

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Obese patients are thought to be at higher risk of postoperative medical complications. We determined whether body mass index (BMI) is associated with postoperative in-hospital noncardiac complications following urgent hip fracture repair. METHODS:We conducted a population-based study of Olmsted County, Min...

journal_title：Journal of hospital medicine

authors： Batsis JA,Huddleston JM,Melton LJ 3rd,Huddleston PM,Larson DR,Gullerud RE,McMahon MM

更新日期：2009-10-01 00:00:00

abstract：BACKGROUND:A lack of cost-conscious medication use is a major contributor to excessive healthcare expenditures in the inpatient setting. Expensive medicines are often utilized when there are comparable alternatives available at a lower cost. Increasing prescriber awareness of medication cost at the time of ordering may...

journal_title：Journal of hospital medicine

authors： Conway S,Brotman D,Pinto B,Merola D,Feldman L,Miller R,Shermock K

更新日期：2017-08-01 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: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：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