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: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：: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：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：: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:Increasing use of testing among hospitalized patients has resulted in an increase in radiologic incidental findings (IFs), which challenge the provision of high-value care in the hospital setting. OBJECTIVE:To understand impact of radiologic incidental findings on resource utilization in patients hospitaliz...

journal_title：Journal of hospital medicine

authors： Gundareddy VP,Maruthur NM,Chibungu A,Bollampally P,Landis R,Eid SM

更新日期：2017-05-01 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: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: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：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：:Depression among hospitalized patients is often unrecognized, undiagnosed, and therefore untreated. Little is known about the feasibility of screening for depression during hospitalization, or whether depression is associated with poorer outcomes, longer hospital stays, and higher readmission rates. We searched PubMed...

journal_title：Journal of hospital medicine

authors： IsHak WW,Collison K,Danovitch I,Shek L,Kharazi P,Kim T,Jaffer KY,Naghdechi L,Lopez E,Nuckols T

更新日期：2017-02-01 00:00:00

abstract：:Physicians are notorious for poor hand hygiene (HH) compliance. We wondered if lower performance by physicians compared with other health professionals might reflect differences in the Hawthorne effect. We introduced covert HH observers to see if performance differences between physicians and nurses decreased and to g...

journal_title：Journal of hospital medicine

authors： Kovacs-Litman A,Wong K,Shojania KG,Callery S,Vearncombe M,Leis JA

更新日期：2016-12-01 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: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：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 growth of hospital medicine has led to new challenges, and recent graduates may feel unprepared to meet the expanding clinical duties expected of hospitalists. At our institution, we created a resident-inspired hospitalist curriculum to address the training needs for the next generation of hospitalists. Our progra...

journal_title：Journal of hospital medicine

authors： Kumar A,Smeraglio A,Witteles R,Harman S,Nallamshetty S,Rogers A,Harrington R,Ahuja N

更新日期：2016-09-01 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：BACKGROUND:There are 250,000 cases of central line-associated blood stream infections in the United States annually, some of which may be prevented by the removal of lines that are no longer needed. OBJECTIVE:To test the performance of criteria to identify an idle line as a guideline to facilitate its removal. METHOD...

journal_title：Journal of hospital medicine

authors： Kara A,Johnson CS,Murray M,Dillon J,Hui SL

更新日期：2016-07-01 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: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:Readmission to a different hospital than the original discharge hospital may result in breakdowns in continuity of care. In different-hospital readmissions (DHRs), continuity can be maintained when hospitals are connected through health information exchange (HIE) systems. OBJECTIVE:To examine whether length...

journal_title：Journal of hospital medicine

authors： Flaks-Manov N,Shadmi E,Hoshen M,Balicer RD

更新日期：2016-06-01 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：: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：: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：: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：:Value-based payment systems have been widely implemented in healthcare in an effort to improve the quality of care. However, these programs have not broadly improved quality, and some evidence suggests that they may increase inequities in care. No Child Left Behind is a parallel effort in education to address uneven a...

journal_title：Journal of hospital medicine

authors： Maurer KA,Ryan AM

更新日期：2016-01-01 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：: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: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：OBJECTIVE:Mortality in hospitalized human immunodeficiency virus (HIV)-infected patients is not well described. We sought to characterize in-hospital deaths among HIV-infected patients in the antiretroviral (ART) era and identify factors associated with mortality. METHODS:We reviewed the medical records of hospitalize...

journal_title：Journal of hospital medicine

authors： Cowell A,Shenoi SV,Kyriakides TC,Friedland G,Barakat LA

更新日期：2015-09-01 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：: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：: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：:Esophageal variceal bleeding (EVB) is a frequent complication in cirrhotic patients resulting in considerable mortality and morbidity. The aim of this study was to investigate the occurrence, impact, and trends of EVB in hospitalized cirrhotic patients on a nationwide level in the United States. We interrogated data f...

journal_title：Journal of hospital medicine

authors： Pant C,Desai M,Deshpande A,Taylor R,Olyaee M,Gilroy R

更新日期：2015-07-01 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：: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：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: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：IMPORTANCE:There is an increasing trend toward designing hospitals with patient-centered features like reduced noise, improved natural light, visitor friendly facilities, well-decorated rooms, and hotel-like amenities. It has also been suggested that because patients cannot reliably distinguish positive experiences wit...

journal_title：Journal of hospital medicine

authors： Siddiqui ZK,Zuccarelli R,Durkin N,Wu AW,Brotman DJ

更新日期：2015-03-01 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