Patient Safety Indicator-12 Rarely Identifies Problems with Quality of Care in Perioperative Venous Thromboembolism.

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：BACKGROUND:Access to hand-carried ultrasound technology for noncardiologists has increased significantly, yet development and evaluation of training programs are limited. OBJECTIVE:We studied a focused program to teach hospitalists image acquisition of inferior vena cava (IVC) diameter and IVC collapsibility index wit...

journal_title：Journal of hospital medicine

authors： Martin LD,Ziegelstein RC,Howell EE,Martire C,Hellmann DB,Hirsch GA

更新日期：2013-12-01 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：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：:Pain management is a core competency of hospital medicine, and effective acute pain management should be a goal for all hospital medicine providers. The prevalence of opioid use in the United States, both therapeutic and non-medical in origin, has dramatically increased over the past decade. Although nonopioid medicat...

journal_title：Journal of hospital medicine

authors： Raub JN,Vettese TE

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:Hospital leaders have had mixed success reducing readmissions Little is known about the readmitted patient's perspective. METHODS:A cross-sectional 36-item survey was administered to 1084 readmitted inpatients of The Hospital of the University of Pennsylvania (an urban academic medical center) and Penn Pres...

journal_title：Journal of hospital medicine

authors： Kangovi S,Grande D,Meehan P,Mitra N,Shannon R,Long JA

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Hospitalized patients are frequently treated with opioids for pain control, and receipt of opioids at hospital discharge may increase the risk of future chronic opioid use. OBJECTIVE:To compare inpatient analgesic prescribing patterns and patients' perception of pain control in the United States and non-US ...

journal_title：Journal of hospital medicine

authors： Burden M,Keniston A,Wallace MA,Busse JW,Casademont J,Chadaga SR,Chandrasekaran S,Cicardi M,Cunningham JM,Filella D,Hoody D,Hilden D,Hsieh MJ,Lee YS,Melley DD,Munoa A,Perego F,Shu CC,Sohn CH,Spence J,Thurman L,To

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:In the hospitalized patient, nephrotoxin exposure is one potentially modifiable risk factor for acute kidney injury (AKI). Clinical decision support based on nephrotoxin ordering was developed at our hospital to assist inpatient providers with the prevention or mitigation of nephrotoxin-related AKI. The init...

journal_title：Journal of hospital medicine

authors： Yonekawa KE,Zhou C,Haaland WL,Wright DR

更新日期：2019-08-01 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：: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 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: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: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:Hospitalized patients with diabetes have experienced a disproportionate reduction in mortality over the past decade. OBJECTIVE:To examine whether this differential decrease affected all patients with diabetes, and to identify explanatory factors. DESIGN:Serial, cross-sectional observational study. SETTING...

journal_title：Journal of hospital medicine

authors： Butala NM,Johnson BK,Dziura JD,Reynolds JS,Bozzo JE,Balcezak TJ,Inzucchi SE,Horwitz LI

更新日期：2015-04-01 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：BACKGROUND:Sepsis, the most expensive cause of hospitalization in the United States, is associated with high morbidity and mortality. However, healthcare utilization patterns following sepsis are poorly understood. OBJECTIVE:To identify patient-level factors that contribute to postsepsis mortality and healthcare utili...

journal_title：Journal of hospital medicine

authors： Liu V,Lei X,Prescott HC,Kipnis P,Iwashyna TJ,Escobar GJ

更新日期：2014-08-01 00:00:00

abstract：:Successful secondary prevention of cardiovascular disease relies on medication therapy; thus, minimizing nonadherence is a focus for improving patient outcomes. Receipt of discharge medication counseling has been associated with improved drug knowledge and adherence. We evaluated the prevalence and predictors of postd...

journal_title：Journal of hospital medicine

authors： Wooldridge K,Schnipper JL,Goggins K,Dittus RS,Kripalani S

更新日期：2016-01-01 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: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: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:Approximately 83% of hospitalist groups around the country utilize advanced practice providers; however, the demand for hospitalists continues to exceed the supply, and this has led to increased utilization of advanced practice providers in hospital medicine. Advanced practice providers receive very limited ...

journal_title：Journal of hospital medicine

authors： Lackner C,Eid S,Panek T,Kisuule F

更新日期：2019-06-01 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：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:The theory that posthospitalization stress might increase the risk of postdischarge complications has never been investigated. OBJECTIVE:To assess whether serum levels of stress biomarkers at discharge are associated with readmission and death after an acute-care hospitalization. DESIGN:We prospectively in...

journal_title：Journal of hospital medicine

authors： Aubert C,Folly A,Mancinetti M,Hayoz D,Donze J

更新日期：2017-07-01 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：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：: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：BACKGROUND:Gender earnings disparities among physicians exist even after considering differences in specialty, part-time status, and practice type. Little is known about the role of job satisfaction priorities on earnings differences. OBJECTIVE:To examine gender differences in work characteristics and job satisfaction...

journal_title：Journal of hospital medicine

authors： Weaver AC,Wetterneck TB,Whelan CT,Hinami K

更新日期：2015-08-01 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: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