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abstract：:Physical examination (PE) is a core clinical competency, and the internal medicine clerkship is a premiere venue for students to develop PE skills. However, clinical rotations often lack opportunities for real-time instruction. We sought to measure the frequency, content, and factors affecting PE instruction during th...

journal_title：Journal of hospital medicine

authors： Bergl PA,Taylor AC,Klumb J,Quirk K,Muntz MD,Fletcher KE

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Warfarin reduces stroke in patients with atrial fibrillation. However, its narrow therapeutic index and need for chronic monitoring are barriers to its optimal utilization in many patients. The recent introduction of 3 novel oral anticoagulants (NOACs), as alternatives to warfarin, may change the eligibility...

journal_title：Journal of hospital medicine

authors： Patel KK,Mehdirad AA,Lim MJ,Ferreira SW,Mikolajczak PC,Stolker JM

更新日期：2014-06-01 00:00:00

abstract：WHAT'S NEW:This is the first study of a pediatric hospitalist preoperative clinic. Pediatric hospitalists frequently make significant recommendations for patients with neuromuscular scoliosis prior to spinal surgery, especially those with medical complexity. Certain clinical criteria are statistically significantly ass...

journal_title：Journal of hospital medicine

authors： Rappaport DI,Cerra S,Hossain J,Sharif I,Pressel DM

更新日期：2013-12-01 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

authors： Auger KA,Davis MM

更新日期：2015-11-01 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: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：:Depressive symptoms during a medical hospitalization may be an overlooked prognostic factor for adverse events postdischarge. Our aim was to evaluate whether depressive symptoms predict 30-day readmission or death after medical hospitalization. We conducted a systematic review of studies that compared postdischarge ou...

journal_title：Journal of hospital medicine

authors： Pederson JL,Warkentin LM,Majumdar SR,McAlister FA

更新日期：2016-05-01 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

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：: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：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: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: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：OBJECTIVE:There have been no recent studies describing the management and outcomes of patients with infective endocarditis (IE). PATIENTS AND METHODS:We conducted a retrospective cohort study of adult patients admitted to a tertiary medical center from 2007 to 2011 with a Duke criteria consistent discharge diagnosis o...

journal_title：Journal of hospital medicine

authors： Kashef MA,Friderici J,Hernandez-Montfort J,Atreya AR,Lindenauer P,Lagu T

更新日期：2017-06-01 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

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：: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: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：: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：: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

abstract：BACKGROUND:Individual provider performance drives group metrics, and increasingly, individual providers are held accountable for these metrics. However, appropriate attribution can be challenging, particularly when multiple providers care for a single patient. OBJECTIVE:We sought to develop and operationalize individu...

journal_title：Journal of hospital medicine

authors： Herzke CA,Michtalik HJ,Durkin N,Finkelstein J,Deutschendorf A,Miller J,Leung C,Brotman DJ

更新日期：2018-07-01 00:00:00

abstract：:Physiotherapy delivered in a group setting has been shown to be effective in a variety of populations. However, little is known about the attitudes of older adults toward participating in group physiotherapy. The objectives of this study were to explore older inpatients' perceptions and experiences of group physiother...

journal_title：Journal of hospital medicine

authors： Raymond MJ,Burge AT,Soh SE,Jeffs KJ,Winter A,Holland AE

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:Although severity of illness indices such as pneumonia severity index (PSI) are good predictors of short-term mortality for community-acquired pneumonia (CAP) and healthcare-associated pneumonia (HCAP), other patient factors may have added prognostic value. OBJECTIVE:To identify patient factors beyond the P...

journal_title：Journal of hospital medicine

authors： Ding YY,Abisheganaden J,Chong WF,Heng BH,Lim TK

更新日期：2012-03-01 00:00:00

abstract：:Posttraumatic stress disorder (PTSD) is common in the United States, with a prevalence of nearly 8% in the general population and between 10% and 30% in veterans. Despite how common PTSD is, inpatient providers may not be familiar with its manifestations or feel comfortable taking care of patients who may exhibit symp...

journal_title：Journal of hospital medicine

authors： Fletcher KE,Steinbach S,Lewis F,Hendricks M,Kwan B

更新日期：2021-01-01 00:00:00

abstract：:We examined whether placing a painting in the line of vision of a hospitalized patient improves patient outcomes and satisfaction and whether having patients choose their paintings offers greater benefit. From 2014 to 2016, we enrolled 186 inpatients with cancer diagnoses from Pennsylvania State University Cancer Inst...

journal_title：Journal of hospital medicine

authors： George DR,Boer C,Hammer J,Hopkins M,King T,Green MJ

更新日期：2018-08-01 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: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：OBJECTIVE:To develop a valid instrument to assess morale and explore the relationship between morale and intent to leave employment due to unhappiness. PATIENTS AND METHODS:An expert panel identified 46 drivers of hospitalist morale. In May 2009, responders of our single-site pilot survey rated each driver in terms of...

journal_title：Journal of hospital medicine

authors： Chandra S,Wright SM,Ghazarian S,Kargul GM,Howell EE

更新日期：2016-06-01 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: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