Value in Hospital Medicine

///Value in Hospital Medicine

A FIVE YEAR REVIEW OF SKIN INFECTIONS IN HEMATOPOIETIC STEM CELL TRANSPLANT PATIENTS

Background: Patients who have undergone hematopoietic stem cell transplantation (HSCT) are at a higher risk of infection compared to their healthy counterparts. This retrospective chart review aimed to elucidate the incidence and etiology of skin [...]

By | 2018-03-19T13:11:32+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on A FIVE YEAR REVIEW OF SKIN INFECTIONS IN HEMATOPOIETIC STEM CELL TRANSPLANT PATIENTS

CHOOSING WISELY? A COST CONSCIOUS APPROACH WHEN ORDERING IMAGING STUDIES FOR RAPID RESPONSE PATIENTS WITH ALTERED MENTAL STATUS

Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on CHOOSING WISELY? A COST CONSCIOUS APPROACH WHEN ORDERING IMAGING STUDIES FOR RAPID RESPONSE PATIENTS WITH ALTERED MENTAL STATUS

COSTS RELATED TO POTENTIAL OVERUSE OF RESPIRATORY VIRAL PANEL PCRS IN GENERAL MEDICINE PATIENTS

Background: Viral respiratory illnesses are common and treatment in most cases is largely supportive. Although extended testing, using PCR to identify specific viruses, is available, targeted treatments are limited to the influenza viruses. Hence, respiratory [...]

By | 2018-03-19T13:05:02+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on COSTS RELATED TO POTENTIAL OVERUSE OF RESPIRATORY VIRAL PANEL PCRS IN GENERAL MEDICINE PATIENTS

DESCRIBING VARIABILITY OF INPATIENT CONSULTATION PRACTICES ON GENERAL MEDICINE SERVICES: PATIENT, ADMISSION, AND PHYSICIAN-LEVEL FACTORS

Background: Appropriate use of consultation can improve mortality and decrease cost of care. However, inappropriate consultation may carry risks to patients. Little is known about the variability of inpatient consultation. We aim to describe patient-, [...]

By | 2018-03-19T13:03:19+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DESCRIBING VARIABILITY OF INPATIENT CONSULTATION PRACTICES ON GENERAL MEDICINE SERVICES: PATIENT, ADMISSION, AND PHYSICIAN-LEVEL FACTORS

DIFFERENCES IN HEALTHCARE OUTCOMES FOR PATIENTS WITH DELIRIUM BETWEEN TEACHING AND NONTEACHING HOSPITALS

Background: The American healthcare system is focused on promoting value; providing high quality care while paying close attention to associated costs. Studies have shown that admission to a teaching hospital is associated with better outcomes, [...]

By | 2018-03-19T13:23:54+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DIFFERENCES IN HEALTHCARE OUTCOMES FOR PATIENTS WITH DELIRIUM BETWEEN TEACHING AND NONTEACHING HOSPITALS

DON’T BLEED: A HIGH VALUE CARE INITIATIVE TO DECREASE DIAGNOSTIC PHLEBOTOMY

Background: High value healthcare has been increasingly emphasized during residency training. The Choosing Wisely campaign, an initiative of the American Board of Internal Medicine foundation and the Society of Hospital Medicine recommend against performing repetitive [...]

By | 2018-03-19T12:53:30+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DON’T BLEED: A HIGH VALUE CARE INITIATIVE TO DECREASE DIAGNOSTIC PHLEBOTOMY

ECONOMIC BURDEN OF OVERT HEPATIC ENCEPHALOPATHY AND PHARMACOECONOMIC IMPACT OF RIFAXIMIN

Background: Hepatic encephalopathy (HE) is a common neurological complication in patients with cirrhosis. In addition to numerous morbidity-related issues, HE is associated with substantial economic burden. Treatment includes lactulose or rifaximin, a nonsystemic antibiotic that [...]

By | 2018-03-19T12:52:34+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on ECONOMIC BURDEN OF OVERT HEPATIC ENCEPHALOPATHY AND PHARMACOECONOMIC IMPACT OF RIFAXIMIN

EFFECTS OF ELECTRONIC TELEMETRY ORDER CHANGES ON TELEMETRY USAGE AT AN ACADEMIC MEDICAL CENTER

Background: Cardiac telemetry monitoring in hospitalized patients is an often overused resource. In a chart review at our institution, 30% of inpatient days on general medicine services involved telemetry use outside of American Heart Association [...]

By | 2018-03-19T13:01:50+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on EFFECTS OF ELECTRONIC TELEMETRY ORDER CHANGES ON TELEMETRY USAGE AT AN ACADEMIC MEDICAL CENTER

Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Patterns of Use

Background: Serum magnesium is a commonly checked laboratory assay during hospital admissions. However, there is little evidence demonstrating benefit from ordering and repleting magnesium for most inpatients – including critically-ill patients. Methods: Laboratory and magnesium [...]

By | 2018-03-19T13:08:31+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Patterns of Use

Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Provider Attitudes

Background: Serum magnesium is a commonly checked laboratory assay. Unfortunately, there is little evidence demonstrating benefit from checking and repleting magnesium for the majority of inpatients – including those who are critically ill. Methods: An [...]

By | 2018-03-19T13:08:01+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Provider Attitudes

Low-value use of procalcitonin testing after introduction at an academic medical center

Background: Procalcitonin (PCT) is a biomarker that correlates with the presence of bacterial infection in certain clinical scenarios; it has increasingly accepted indications for antibiotic stewardship. Most sources suggest that antibiotics should be considered for [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on Low-value use of procalcitonin testing after introduction at an academic medical center

MARKED WHOLESALE PRICE VARIATIONS IN DISCHARGE PRESCRIPTION MEDICATIONS; THE NEED TO BE A SMART SHOPPER

Background: Prescription medications are a major driver of the cost of health care. High prescription prices have been associated with medication non-adherence, leading to frequent hospitalizations, readmission and uncontrolled multi-morbidities. At discharge, effort should be [...]

By | 2018-03-19T13:10:11+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on MARKED WHOLESALE PRICE VARIATIONS IN DISCHARGE PRESCRIPTION MEDICATIONS; THE NEED TO BE A SMART SHOPPER

MORTALITY OF HOSPITALIZED PATIENTS WITH CELLULITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Cellulitis is a common cause of hospitalization. In the United States there are approximately 650,000 hospitalizations for cellulitis yearly, accounting for 1% of all admissions and approximately $10 billion. Most patients when hospitalized are [...]

By | 2018-03-19T13:14:36+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on MORTALITY OF HOSPITALIZED PATIENTS WITH CELLULITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS

PHYSICIAN PERCEPTIONS OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ON HOSPITALIST TEAMS

Background: Physician Assistants (PAs) and Nurse Practitioners (NPs) play a growing role within hospital medicine groups. We studied physician perceptions of NPs and PAs in Hospital Medicine and identified factors that impact these perceptions.Methods: Data [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on PHYSICIAN PERCEPTIONS OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ON HOSPITALIST TEAMS

TEMPORAL TREND OF HOSPITALIZATION AND MORTALITY ASSOCIATED WITH LIFE-THREATENING COMPLICATION OF CIRRHOSIS

Background: The number of hospitalizations related to a primary diagnosis of cirrhosis has been declining since the mid-2000’s. However, the temporal trend of number of hospitalizations and inpatient mortality associated with secondary conditions of cirrhosis [...]

By | 2018-03-19T13:06:42+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on TEMPORAL TREND OF HOSPITALIZATION AND MORTALITY ASSOCIATED WITH LIFE-THREATENING COMPLICATION OF CIRRHOSIS