Increasing Inpatient Consultation: Hospitalist Perceptions and Objective Findings. In Reference to: "Hospitalist Perspective of Interactions with Medicine Subspecialty Consult Services".

abstract：:Patients who deteriorate outside the intensive care unit (ICU) are known to have elevated mortality and morbidity. Rapid response teams (RRTs) were developed to address such deterioration. It has not been possible to establish that RRTs employing manual detection methods have definitively improved hospital outcomes. B...

journal_title：Journal of hospital medicine

authors： Escobar GJ,Dellinger RP

更新日期：2016-11-01 00:00:00

abstract：BACKGROUND:Patients and their relatives exposed to mental stress caused by hospitalization or illness might use violence against healthcare staff and interfere with quality healthcare. OBJECTIVE:The aim of this study was to investigate incidences of workplace violence and the attributes of healthcare staff who are at ...

journal_title：Journal of hospital medicine

authors： Fujita S,Ito S,Seto K,Kitazawa T,Matsumoto K,Hasegawa T

更新日期：2012-02-01 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:Mycoplasma pneumoniae is a common cause of community-acquired pneumonia in childhood. Few studies have addressed the association of antimicrobial treatment and outcomes. OBJECTIVE:To determine whether macrolide therapy is associated with improved outcomes among children hospitalized with M. pneumoniae pneum...

journal_title：Journal of hospital medicine

authors： Shah SS,Test M,Sheffler-Collins S,Weiss AK,Hall M

更新日期：2012-04-01 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 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

authors： O'Reilly O,Cianci F,Casey A,Croke E,Conroy C,Keown AM,Leane G,Kearns B,O'Neill S,Courtney G

更新日期：2015-12-01 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

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：: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

authors： Lundblad W,Azzam PN,Gopalan P,Ross CA

更新日期：2015-08-01 00:00:00

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：:Efforts to improve the patient experience are increasingly focusing on engaging patients and their "care partners" by using patient portals. The Acute Care Patient Portal Task Force was supported by the Gordon and Betty Moore Foundation to convene a national meeting of an interdisciplinary group of stakeholders, inclu...

journal_title：Journal of hospital medicine

authors： Dalal AK,Bates DW,Collins S

更新日期：2017-12-01 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

abstract：OBJECTIVE:To determine the range and frequency of experiences, clinical and nonclinical roles, training, work expectations, and career plans of practicing pediatric hospitalists. DESIGN:Mail survey study of a national sample of 530 pediatric hospitalists of whom 67% (N = 338) were from teaching hospitals, 71% (N = 374...

journal_title：Journal of hospital medicine

authors： Freed GL,Dunham KM,Research Advisory Committee of the American Board of Pediatrics.

更新日期：2009-03-01 00:00:00

abstract：OBJECTIVE:To examine the relationship between pediatric obesity and inpatient length of stay (LOS), resource utilization, readmission rates, and total billed charges for in-hospital status asthmaticus. DESIGN/METHODS:We conducted a cross-sectional study of patients 5 to 17 years old hospitalized with status asthmaticu...

journal_title：Journal of hospital medicine

authors： Bettenhausen J,Puls H,Queen MA,Peacock C,Burrus S,Miller C,Daly A,Colvin JD

更新日期：2015-03-01 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

authors： Nguyen OK,Tang N,Hillman JM,Gonzales R

更新日期：2013-12-01 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：: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: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: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：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

authors： Santana C,Curry LA,Nembhard IM,Berg DN,Bradley EH

更新日期：2011-11-01 00:00:00

abstract：OBJECTIVE:To examine the association of health literacy with the number and type of transitional care needs (TCN) among patients being discharged to home. DESIGN, SETTING, PARTICIPANTS:A cross-sectional analysis of patients admitted to an academic medical center. MEASUREMENTS:Nurses administered the Brief Health Lite...

journal_title：Journal of hospital medicine

authors： Boyle J,Speroff T,Worley K,Cao A,Goggins K,Dittus RS,Kripalani S

更新日期：2017-11-01 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

authors： Michtalik HJ,Carolan HT,Haut ER,Lau BD,Streiff MB,Finkelstein J,Pronovost PJ,Durkin N,Brotman DJ

更新日期：2015-03-01 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：: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：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：: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: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 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: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：:The objective of this study was to measure internal medicine resident engagement with an electronic medical record-based dashboard providing feedback on their use of routine laboratory tests relative to service averages. From January 2016 to June 2016, residents were e-mailed a snapshot of their personalized dashboard...

journal_title：Journal of hospital medicine

authors： Kurtzman G,Dine J,Epstein A,Gitelman Y,Leri D,Patel MS,Ryskina K

更新日期：2017-09-01 00:00:00