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 understand the natural history and treatment responsiveness of each ILD subtype. We propose a general framework for approaching the evaluation of hospitalized patients with ILD, and provide focused guidance on key inpatient diagnostic and management decisions.
journal_name
J Hosp Medjournal_title
Journal of hospital medicineauthors
Farrand E,Shah R,Collard Hdoi
10.12788/jhm.2774subject
Has Abstractpub_date
2017-07-01 00:00:00pages
580-584issue
7eissn
1553-5592issn
1553-5606journal_volume
12pub_type
杂志文章,评审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
pub_type： 杂志文章
doi：10.1002/jhm.527
更新日期：2009-10-01 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
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
pub_type： 杂志文章
doi：10.12788/jhm.3175
更新日期：2019-03-20 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
pub_type： 杂志文章,评审
doi：10.1002/jhm.1933
更新日期：2012-04-01 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
pub_type： 杂志文章
doi：10.12788/jhm.3196
更新日期：2019-08-01 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
pub_type： 杂志文章
doi：10.1002/jhm.2081
更新日期：2013-10-01 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
pub_type： 杂志文章
doi：10.1002/jhm.2303
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:The National Acute Medicine Programme (NAMP) was established to address the unsatisfactory management of acutely ill medical patients in Ireland. It aimed to improve quality of care and patient safety, streamline access to healthcare, and reduce cost through efficiency gains. METHOD:A model of care was deve...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.2443
更新日期：2015-12-01 00:00:00
abstract：OBJECTIVE: DESIGN: SETTING: PATIENTS: MEASUREMENTS: RESULTS: CONCLUSIONS: ...
journal_title：Journal of hospital medicine
pub_type： 评论,信件
doi：10.12788/jhm.2992
更新日期：2018-11-01 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
pub_type： 杂志文章
doi：10.1002/jhm.2236
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:Attending rounds at academic medical centers are often disconnected from patients and team members who are not physicians. Regionalization of care teams may facilitate bedside rounding and more frequent interactions among doctors, nurses, and patients. OBJECTIVE:We used time-motion analysis to investigate h...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2696
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:Predicting death risk in patients with diverse conditions is difficult. The Hospitalized-patient One-year Mortality Risk (HOMR) score accurately determines death risk in adults admitted to hospital using health administrative data unavailable to clinicians and most researchers. OBJECTIVE:Determine if HOMR i...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2713
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Although interdisciplinary hospital quality improvement (QI) teams are both prevalent and associated with success of (QI) efforts, little is known about the behaviors of successful interdisciplinary QI teams. OBJECTIVE:We examined the specific behaviors of interdisciplinary QI teams in hospitals that succes...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.927
更新日期：2011-11-01 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
pub_type： 杂志文章
doi：10.1002/jhm.311
更新日期：2008-05-01 00:00:00
abstract：:Women continue to be underrepresented as speakers at national conferences, and research has shown similar trends in hospital medicine. The Society of Hospital Medicine (SHM) Annual Meeting has historically had an open call peer review process for workshop speakers and, in 2019, expanded the process for didactic speake...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.3401
更新日期：2020-04-01 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
pub_type： 杂志文章
doi：10.12788/jhm.2779
更新日期：2017-08-01 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
pub_type： 杂志文章
doi：10.1002/jhm.2426
更新日期：2015-11-01 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
pub_type： 杂志文章
doi：10.1002/jhm.2360
更新日期：2015-07-01 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
pub_type： 杂志文章
doi：10.12788/jhm.2948
更新日期：2018-09-01 00:00:00
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
pub_type： 杂志文章
doi：10.1002/jhm.797
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:Multidisciplinary rounds (MDR) facilitate timely communication amongst the care team and with patients. We used Lean techniques to redesign MDR on the teaching general medicine service. OBJECTIVE:To examine if our Lean-based new model of MDR was associated with change in the primary outcome of length of sta...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2908
更新日期：2018-07-01 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
pub_type： 杂志文章
doi：10.1002/jhm.696
更新日期：2011-01-01 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
pub_type： 杂志文章
doi：10.1002/jhm.2375
更新日期：2015-09-01 00:00:00
abstract：:Clozapine was approved by the US Food and Drug Administration in 1989 for the management of treatment-resistant schizophrenia, and has since proven to reduce symptom burden and suicide risk, increase quality of life, and reduce substance use in individuals with psychotic disorders. Nevertheless, clozapine's psychiatri...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.1002/jhm.2345
更新日期：2015-08-01 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
pub_type： 杂志文章,meta分析
doi：10.1002/jhm.450
更新日期：2009-05-01 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
pub_type： 杂志文章
doi：10.1002/jhm.2096
更新日期：2013-12-01 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
pub_type： 杂志文章
doi：10.12788/jhm.2722
更新日期：2017-05-01 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
doi：10.12788/jhm.3095
更新日期：2019-01-02 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
pub_type： 杂志文章,评审
doi：10.1002/jhm.983
更新日期：2012-01-01 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
pub_type： 杂志文章
doi：10.12788/jhm.3190
更新日期：2019-03-01 00:00:00
