Lean-Based Redesign of Multidisciplinary Rounds on General Medicine Service.

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: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: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：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: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:Superficial wound cultures are routinely used to guide therapy, despite a lack of clear supporting evidence. PURPOSE:To conduct a systematic review of the correlation between superficial wound cultures and the etiology of skin and soft tissue infections. DATA SOURCES:Medline, EMBASE, CINAHL, Scopus. STUDY...

journal_title：Journal of hospital medicine

authors： Chakraborti C,Le C,Yanofsky A

更新日期：2010-09-01 00:00:00

abstract：:Every year, nearly 5 million adults with cancer are hospitalized. Limited evidence suggests that hospitalization of the cancer patient is associated with adverse morbidity and mortality. Hospitalization of the patient with advanced cancer allows for an intense examination of health status in the face of terminal illne...

journal_title：Journal of hospital medicine

authors： Koo DJ,Tonorezos ES,Kumar CB,Goring TN,Salvit C,Egan BC

更新日期：2016-04-01 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：: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：: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：: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：: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: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：: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:Hospital care on weekends has been associated with reduced quality and poor clinical outcomes, suggesting that decreases in overall intensity of care may have important clinical effects. We describe a new measure of hospital intensity of care based on utilization of the electronic health record (EHR). METHO...

journal_title：Journal of hospital medicine

authors： Blecker S,Austrian JS,Shine D,Braithwaite RS,Radford MJ,Gourevitch MN

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:Academic medical centers (AMCs) have a constrained resident work force. Many AMCs have increased the use of nonresident service hospitalists to manage continued growth in clinical volume. To optimize their time in the hospital, it is important to understand hospitalists' work flow. DESIGN:We performed a tim...

journal_title：Journal of hospital medicine

authors： Kim CS,Lovejoy W,Paulsen M,Chang R,Flanders SA

更新日期：2010-07-01 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: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:Specialty hospitals are a subset of acute-care hospitals that provide a narrower set of services than general medical hospitals (GMHs), predominantly in areas such as cardiac disease and surgery. Although specialty hospitals also advertise high patient satisfaction, this has not been examined using national ...

journal_title：Journal of hospital medicine

authors： Siddiqui ZK,Wu AW,Kurbanova N,Qayyum R

更新日期：2014-09-01 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：: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：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

authors： Huang KT,Minahan J,Brita-Rossi P,Aylward P,Katz JT,Roy C,Schnipper JL,Boxer R

更新日期：2017-03-01 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: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:Increased recognition of ionizing radiation risks has placed an emphasis on the appropriate use of myocardial perfusion imaging (MPI). Hospitalists frequently order MPI in the evaluation of chest pain and are thus at the forefront of its inpatient utilization. METHODS:We collected baseline figures for a gro...

journal_title：Journal of hospital medicine

authors： Bohossian HB,Park AW,Holcroft C

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Dexmedetomidine is a potentially useful sedative for hospitalized children, but there is little published data regarding its safety, dosage, or efficacy. OBJECTIVE:To report our experience with dexmedetomidine for the sedation of hospitalized children. DESIGN:Retrospective case series. SETTING:Pediatric I...

journal_title：Journal of hospital medicine

authors： Carroll CL,Krieger D,Campbell M,Fisher DG,Comeau LL,Zucker AR

更新日期：2008-03-01 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:Hip fractures typically occur in frail elderly patients. Preoperative specialty consults, in addition to hospitalist comanagement, are often requested for preoperative risk assessment. OBJECTIVE:Determine if preoperative specialty consults meaningfully influence management and outcomes in hip fracture patie...

journal_title：Journal of hospital medicine

authors： Bellas N,Stohler S,Staff I,Majk K,Lewis C,Davis S,Kumar M

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Patient whiteboards can serve as a communication tool between hospital providers and as a mechanism to engage patients in their care, but little is known about their current use or best practices. METHODS:We surveyed bedside nurses, internal medicine housestaff, and hospitalists from the medical service at ...

journal_title：Journal of hospital medicine

authors： Sehgal NL,Green A,Vidyarthi AR,Blegen MA,Wachter RM

更新日期：2010-04-01 00:00:00