Hospital Privileging Practices for Bedside Procedures: A Survey of Hospitalist Experts.

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：BACKGROUND:Obtaining blood cultures (BCs) for patients hospitalized with community-acquired-pneumonia (CAP) has been recommended by experts and used as a measure of quality of care. However, BCs are infrequently positive in these patients and their effect on clinical management has been questioned. PURPOSE:We performe...

journal_title：Journal of hospital medicine

authors： Afshar N,Tabas J,Afshar K,Silbergleit R

更新日期：2009-02-01 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：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: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：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：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: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

authors： Hinami K,Whelan CT,Konetzka RT,Edelson DP,Casalino LP,Meltzer DO

更新日期：2010-11-01 00:00:00

abstract：:For generations, American hospitals have been considered recession-proof, but there is reason to believe the current economic crisis is an exception. Hospitals have shown declining financial margins and decreased admissions. The severe recession has adversely affected many hospitals' finances, creating a risk of closu...

journal_title：Journal of hospital medicine

authors： Sussman JB,Halasyamani LK,Davis MM

更新日期：2010-05-01 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: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：:Venous access is the foundation for safe and effective hospital-based care. Inpatient providers must have a deep knowledge of the different types of venous access devices (VADs), their relative indications, contraindications, and appropriateness. However, such knowledge is difficult to come by and usually only gleaned...

journal_title：Journal of hospital medicine

authors： Simonov M,Pittiruti M,Rickard CM,Chopra V

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Hospital medical groups use various staffing models that may systematically affect care continuity during the admission process. OBJECTIVE:To compare the effect of 2 hospitalist admission service models ("general" and "admitter-rounder") on patient disposition and length of stay. DESIGN:Retrospective obser...

journal_title：Journal of hospital medicine

authors： Smith GR Jr,Ma M,Hansen LO,Christensen N,O'Leary KJ

更新日期：2016-10-01 00:00:00

abstract：:Registry data indicate a gap between evidence-based guidelines and current management of patients with acute decompensated heart failure (ADHF). Bridging this gap is crucial given the frequency and cost of hospitalization for this disorder. Patients with ADHF require rapid assessment to determine appropriate treatment...

journal_title：Journal of hospital medicine

authors： Michota FA Jr,Amin A

更新日期：2008-11-01 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：: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：: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: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:The Centers for Disease Control and Prevention recommends routinely offering HIV testing to inpatients at hospitals with an HIV seroprevalence rate of greater than 1% or an AIDS diagnosis rate of greater than 1.0 per 1000 discharges. This recommendation has not been widely adopted, perhaps because of one of ...

journal_title：Journal of hospital medicine

authors： Greenwald JL

更新日期：2006-03-01 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：OBJECTIVE:We examined the impact of an aspart insulin protocol for treatment of hyperglycemia in the emergency department (ED) coupled with rapid initiation of a detemir-aspart insulin protocol for patients admitted to the hospital. RESEARCH DESIGN AND METHODS:ED patients with type 2 diabetes mellitus and a blood gluc...

journal_title：Journal of hospital medicine

authors： Bernard JB,Munoz C,Harper J,Muriello M,Rico E,Baldwin D

更新日期：2011-05-01 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：: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：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: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

authors： Gundareddy VP,Maruthur NM,Chibungu A,Bollampally P,Landis R,Eid SM

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:Angiotensin-converting enzyme inhibitors (ACE-Is) are a widely used class of cardiovascular medication. However, limited data exist on the risks of postoperative nonresumption of an ACE-I. OBJECTIVE:To evaluate the factors and 30-day mortality risks associated with the postoperative nonresumption of an ACE-...

journal_title：Journal of hospital medicine

authors： Mudumbai SC,Takemoto S,Cason BA,Au S,Upadhyay A,Wallace AW

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Emergency department (ED) ward admissions subsequently transferred to the intensive care unit (ICU) within 24 hours have higher mortality than direct ICU admissions. DESIGN, SETTING, PATIENTS:Describe risk factors for unplanned ICU transfer within 24 hours of ward arrival from the ED. METHODS:Evaluation of...

journal_title：Journal of hospital medicine

authors： Delgado MK,Liu V,Pines JM,Kipnis P,Gardner MN,Escobar GJ

更新日期：2013-01-01 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: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：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