Opportunities and Challenges for Improving the Patient Experience in the Acute and Postacute Care Setting Using Patient Portals: The Patient's Perspective.

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：:Improving early discharges may improve patient flow and increase hospital capacity. We conducted a national survey of academic medical centers addressing the prevalence, importance, and effectiveness of early-discharge initiatives. We assembled a list of hospitalist and general internal medicine leaders at 115 US-base...

journal_title：Journal of hospital medicine

authors： Patel H,Fang MC,Mourad M,Green A,Wachter RM,Murphy RD,Harrison JD

更新日期：2018-06-01 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：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

authors： Casey G,Walraven CV

更新日期：2017-04-01 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

authors： Kane M,Rohatgi N,Heidenreich P,Thakur A,Winget M,Shum K,Hereford J,Shieh L,Lew T,Horn J,Chi J,Weinacker A,Seay-Morrison T,Ahuja N

更新日期：2018-07-01 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: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：: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：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: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: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：:Over the past 10 years, postdischarge clinics have been introduced in response to various health system pressures, including the focus on rehospitalizations and the challenges of primary care access. Often ignored in the discussion are questions of the effect of postdischarge physician visits on readmissions. In addit...

journal_title：Journal of hospital medicine

authors： Doctoroff L

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:Knowing the number of discharges that will occur is important for administrators when hospital occupancy is close to or exceeds 100%. This information will facilitate decision making such as whether to bring in extra staff, cancel planned surgery, or implement measures to increase the number of discharges. W...

journal_title：Journal of hospital medicine

authors： van Walraven C,Forster AJ

更新日期：2018-03-01 00:00:00

abstract：:Dysphagia is associated with aspiration, pneumonia, and malnutrition, but remains challenging to identify at the bedside. A variety of exam protocols and maneuvers are commonly used, but the efficacy of these maneuvers is highly variable. We conducted a comprehensive search of 7 databases, including MEDLINE, Embase, a...

journal_title：Journal of hospital medicine

authors： O'Horo JC,Rogus-Pulia N,Garcia-Arguello L,Robbins J,Safdar N

更新日期：2015-04-01 00:00:00

abstract：:Dr. Pham, a practicing general internist and health policy researcher, recalls her experience, as a granddaughter, of how patients, families, and physicians are often complicit in foiling the good coordination of care. ...

journal_title：Journal of hospital medicine

authors： Pham HH

更新日期：2009-04-01 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：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：BACKGROUND:Half of patients admitted to hospital for reasons unrelated to childbirth are age 65 years or older. Nonetheless, few hospital-based physicians have received training in geriatric medicine, and few geriatricians practice in the hospital. This paper describes the state of the science of hospital care for olde...

journal_title：Journal of hospital medicine

authors： Landefeld CS

更新日期：2006-01-01 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:Little is known about the state of research in academic hospital medicine (HM) despite the substantial growth of this specialty. METHODS:We used the Society of Hospital Medicine (SHM) membership database to identify research programs and their leadership. In addition, the members of the SHM Research Committ...

journal_title：Journal of hospital medicine

authors： Chopra V,Burden M,Jones CD,Mueller S,Gupta V,Ahuja N,Sigmund A,Eid SM,Society of Hospital Medicine Research Committee.

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Venous thromboembolic events (VTE) are a significant cause of mortality in hospitalized medical and surgical patients. Despite recommendations and guidelines, current evidence demonstrates that VTE prophylaxis remains underutilized in at-risk patients. The process of providing VTE prophylaxis begins with ass...

journal_title：Journal of hospital medicine

authors： Beck MJ,Haidet P,Todoric K,Lehman E,Sciamanna C

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Computerized clinical knowledge mana-gement systems hold enormous potential for improving quality and efficiency. However, their impact on clinical practice is not well known. OBJECTIVE:To examine the impact of UpToDate on outcomes of care. DESIGN:Retrospective study. SETTING:National sample of US inpatie...

journal_title：Journal of hospital medicine

authors： Isaac T,Zheng J,Jha A

更新日期：2012-02-01 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：:The accountable care organization (ACO) concept is advocated as a promising value-based payment model that could successfully realign the current payment system to financially reward improvements in quality and efficiency. Focusing on the care of hospitalized patients and controlling a substantive portion of variable ...

journal_title：Journal of hospital medicine

authors： Li J,Williams MJ

更新日期：2018-04-01 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

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

更新日期：2008-05-01 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：: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

authors： Edmonds ZV

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND: OBJECTIVE: DESIGN, SETTING, PATIENTS: INTERVENTION: MEASUREMENTS: CONCLUSIONS: ...

journal_title：Journal of hospital medicine

authors： Nawas MT,Walker EJ,Richie MB,White AA,Hsu G

更新日期：2019-02-01 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：: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