Acute Pain Management in Hospitalized Adult Patients with Opioid Dependence: A Narrative Review and Guide for Clinicians.

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：: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：: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:Approximately 83% of hospitalist groups around the country utilize advanced practice providers; however, the demand for hospitalists continues to exceed the supply, and this has led to increased utilization of advanced practice providers in hospital medicine. Advanced practice providers receive very limited ...

journal_title：Journal of hospital medicine

authors： Lackner C,Eid S,Panek T,Kisuule F

更新日期：2019-06-01 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：: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：: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: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：:Non-housestaff medicine services are growing rapidly in academic medical centers (AMCs), partly driven by efforts to comply with resident duty hour restrictions. Hospitalists have emerged as a solution to providing these services given their commitment to delivering efficient and high-quality care and the field's rapi...

journal_title：Journal of hospital medicine

authors： Sehgal NL,Shah HM,Parekh VI,Roy CL,Williams MV

更新日期：2008-05-01 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：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:Meta-analyses of randomized trials have found that antibiotics are effective in acute exacerbations of chronic obstructive pulmonary disease (AECOPD), but there is insufficient evidence to guide antibiotic selection. Current guidelines offer conflicting recommendations. OBJECTIVE:To compare the effectivenes...

journal_title：Journal of hospital medicine

authors： Rothberg MB,Pekow PS,Lahti M,Brody O,Skiest DJ,Lindenauer PK

更新日期：2010-05-01 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：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：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：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:More than half of the hospitalized older adults discharged to skilled nursing facilities (SNFs) have more than 3 geriatric syndromes. Pharmacotherapy may be contributing to geriatric syndromes in this population. OBJECTIVES:Develop a list of medications associated with geriatric syndromes and describe their...

journal_title：Journal of hospital medicine

authors： Saraf AA,Petersen AW,Simmons SF,Schnelle JF,Bell SP,Kripalani S,Myers AP,Mixon AS,Long EA,Jacobsen JM,Vasilevskis EE

更新日期：2016-10-01 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：:As the field of hospital medicine expands, internal medicine residency programs can play a role in preparing future hospitalists. To date, little is known of the prevalence and characteristics of hospitalist-focused resident rotations. We surveyed the largest 100 Internal Medicine Residency Programs to better understa...

journal_title：Journal of hospital medicine

authors： Ludwin S,Harrison JD,Ranji S,Sharpe BA,Kneeland P

更新日期：2018-09-01 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：:The Centers for Medicare and Medicaid Services awarded Hospital Medicine a Medicare specialty code, "C6", in 2016. We examined the early uptake of C6 code using the 2017 Medicare Part B utilization data. We also compared the actual C6 specialty code usage against estimated rates of overall hospitalist billing using th...

journal_title：Journal of hospital medicine

authors： Flansbaum B,Leykum L,Lapps J

更新日期：2020-02-01 00:00:00

abstract：:Outcomes for patients hospitalized on weekends are often worse for adults-the so-called "weekend effect." Less is known about the weekend effect for children. We examined 55,383 hospitalizations at a tertiary care children's hospital. We used logistic regression to examine the associations of weekend admission and wee...

journal_title：Journal of hospital medicine

authors： Auger KA,Davis MM

更新日期：2015-11-01 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：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：BACKGROUND:In the hospitalized patient, nephrotoxin exposure is one potentially modifiable risk factor for acute kidney injury (AKI). Clinical decision support based on nephrotoxin ordering was developed at our hospital to assist inpatient providers with the prevention or mitigation of nephrotoxin-related AKI. The init...

journal_title：Journal of hospital medicine

authors： Yonekawa KE,Zhou C,Haaland WL,Wright DR

更新日期：2019-08-01 00:00:00

abstract：OBJECTIVE: DESIGN: SETTING: PATIENTS: MEASUREMENTS: RESULTS: CONCLUSIONS: ...

journal_title：Journal of hospital medicine

authors： Kachman M,Carter K,Martin S

更新日期：2018-11-01 00:00:00

abstract：:Interstitial lung disease (ILD) is a diverse group of disorders typically with insidious onset. Diagnosis and management largely occur in the outpatient setting; however, ILD can present acutely necessitating hospitalization. Effective inpatient management requires the clinician to establish an accurate diagnosis and ...

journal_title：Journal of hospital medicine

authors： Farrand E,Shah R,Collard H

更新日期：2017-07-01 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: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：BACKGROUND:Recent studies in the outpatient setting have demonstrated high rates of opioid prescribing and overdose-related deaths. Prescribing practices in hospitalized patients are unexamined. OBJECTIVE:To investigate patterns and predictors of opioid utilization in nonsurgical admissions to US hospitals, variation ...

journal_title：Journal of hospital medicine

authors： Herzig SJ,Rothberg MB,Cheung M,Ngo LH,Marcantonio ER

更新日期：2014-02-01 00:00:00