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

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: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：:Only 1 of 8 stroke patients is managed exclusively by a neurologist. Furthermore, many stroke patients harbor other vascular comorbidities and are also at risk for developing general medical complications that can lead to death following stroke. With the growing hospitalist system, it is quite clear that hospitalists ...

journal_title：Journal of hospital medicine

authors： Ovbiagele B,Sachdeva S

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVES:This study aimed to describe variation in imaging practices and examine the association between early imaging and outcomes in children hospitalized with cervical lymphadenitis. METHODS:This multicenter cross-sectional study included children between two months and 18 years hospitalized with cervical lymphad...

journal_title：Journal of hospital medicine

authors： Desai S,Shah SS,Hall M,Richardson TE,Thomson JE,Pediatric Research in Inpatient Settings (PRIS) Network.

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Nearly two-thirds of hospitals in the United States are served by hospitalist physicians. How hospitalist work patterns and job satisfaction vary across various practice models is unknown. METHODS:We administered the Hospitalist Worklife Survey to a randomized stratified sample of 3105 potential hospitalist...

journal_title：Journal of hospital medicine

authors： Hinami K,Whelan CT,Miller JA,Wolosin RJ,Wetterneck TB,Society of Hospital Medicine Career Satisfaction Task Force.

更新日期：2012-05-01 00:00:00

abstract：:Depressive symptoms during a medical hospitalization may be an overlooked prognostic factor for adverse events postdischarge. Our aim was to evaluate whether depressive symptoms predict 30-day readmission or death after medical hospitalization. We conducted a systematic review of studies that compared postdischarge ou...

journal_title：Journal of hospital medicine

authors： Pederson JL,Warkentin LM,Majumdar SR,McAlister FA

更新日期：2016-05-01 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:Patients with low-risk chest pain are frequently readmitted for evaluation of recurrent chest pain. It is unknown whether stress testing during the first admission for chest pain is a cost-effective means of reducing readmissions. METHODS:Using a hospital administrative database, we conducted a retrospectiv...

journal_title：Journal of hospital medicine

authors： Mallidi J,Penumetsa S,Friderici JL,Saab F,Rothberg MB

更新日期：2013-10-01 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：OBJECTIVE:There have been no recent studies describing the management and outcomes of patients with infective endocarditis (IE). PATIENTS AND METHODS:We conducted a retrospective cohort study of adult patients admitted to a tertiary medical center from 2007 to 2011 with a Duke criteria consistent discharge diagnosis o...

journal_title：Journal of hospital medicine

authors： Kashef MA,Friderici J,Hernandez-Montfort J,Atreya AR,Lindenauer P,Lagu T

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:High hospital occupancy is a challenge for quality of care and access, while low levels of occupancy may be inefficient in terms of resource utilization. Variability from scheduling decisions may affect occupancy and be amenable to alteration. OBJECTIVE:Describe variability in admission, discharge, and occu...

journal_title：Journal of hospital medicine

authors： Fieldston ES,Ragavan M,Jayaraman B,Allebach K,Pati S,Metlay JP

更新日期：2011-02-01 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:Cognitive errors in the course of clinical decision-making are prevalent in many cases of medical injury. We used information on verdict's judgment from closed claims files to determine the important cognitive factors associated with cases of medical injury. METHODS:Data were collected from claims closed be...

journal_title：Journal of hospital medicine

authors： Tokuda Y,Kishida N,Konishi R,Koizumi S

更新日期：2011-03-01 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: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: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: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：BACKGROUND:The recent intense attention to hospital readmissions and their implications for quality, safety, and reimbursement necessitates understanding specific subsets of readmitted patients. Frequently admitted patients, defined as patients who are admitted 5 or more times within 1 year, may have some distinguishin...

journal_title：Journal of hospital medicine

authors： Szekendi MK,Williams MV,Carrier D,Hensley L,Thomas S,Cerese J

更新日期：2015-09-01 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：: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：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：BACKGROUND:The "July phenomenon" refers to a purported worsening of outcomes in teaching-hospital patients with the arrival of new, inexperienced house-staff. Previous quantitative studies of new house-staff and increased mortality have been limited primarily by a focused patient population and the use of limited data ...

journal_title：Journal of hospital medicine

authors： van Walraven C,Jennings A,Wong J,Forster AJ

更新日期：2011-09-01 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：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：OBJECTIVE:To examine the association of health literacy with the number and type of transitional care needs (TCN) among patients being discharged to home. DESIGN, SETTING, PARTICIPANTS:A cross-sectional analysis of patients admitted to an academic medical center. MEASUREMENTS:Nurses administered the Brief Health Lite...

journal_title：Journal of hospital medicine

authors： Boyle J,Speroff T,Worley K,Cao A,Goggins K,Dittus RS,Kripalani S

更新日期：2017-11-01 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：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：:Posttraumatic stress disorder (PTSD) is common in the United States, with a prevalence of nearly 8% in the general population and between 10% and 30% in veterans. Despite how common PTSD is, inpatient providers may not be familiar with its manifestations or feel comfortable taking care of patients who may exhibit symp...

journal_title：Journal of hospital medicine

authors： Fletcher KE,Steinbach S,Lewis F,Hendricks M,Kwan B

更新日期：2021-01-01 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:Gender earnings disparities among physicians exist even after considering differences in specialty, part-time status, and practice type. Little is known about the role of job satisfaction priorities on earnings differences. OBJECTIVE:To examine gender differences in work characteristics and job satisfaction...

journal_title：Journal of hospital medicine

authors： Weaver AC,Wetterneck TB,Whelan CT,Hinami K

更新日期：2015-08-01 00:00:00