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Background: As public and private stakeholders demand higher quality of care in the hospital setting, hospitalists play a critical role in leading performance improvement. As hospitalists seek ways to improve quality and lower costs, malnutrition [...]
Background: With nearly 12.3 million inpatient discharges per year attributed to geriatric patients, hospitalists need to be proficient in the practice of geriatric medicine. Our objective was to conduct a systematic literature review to identify [...]
Background: Although code status discussion does not routinely happen at hospitals in Japan, many people reportedly start to think of their end of life issue and would like to express it, according to questionnaire survey [...]
Background: Delirium is a prevalent and dangerous state of confusion that affects millions >65 years of age (1-3). Delirium is underdiagnosed and undertreated due to lack of effective screening methods (4, 5). Undetected delirium in [...]
Background: Patient care at the end of life is largely based on experience of provider and the care that is delivered may not be aligned with what was detailed by patient preference via prior [...]
Background: Triple negative breast cancer (TNBC) comprises of approximately 15% of the total breast cancers. There is limited data on treatment outcome of these patients in elderly population. We report our experience with elderly patients [...]
Background: The Charlson comorbidity index (CCI) has been one of the most commonly used and validated prognostication tools. In addition to being a valuable resource for health services researchers, the CCI is being used in [...]
Background: Earlier discharge time is an important satisfaction metric for patients, maximizes the utilization of hospital beds, and reduces waste and capacity issues in EDs /PACUs. Overall, early discharge represents high-value care and responsible stewardship [...]
Background: Interprofessional teamwork in healthcare organizations is crucial to the delivery of quality patient care. Efforts to improve teamwork on hospital medicine units commonly fail due to clinicians and other care team members (case managers [...]
Background: The American College of Graduate Medical Education requires resident involvement in patient safety and quality improvement (PS/QI) but it remains difficult to engage house officers (HOs) in meaningful and sustainable projects. In 2011, the [...]
Inpatient Intermittent Confusion and Hypoxia – Thinking out of the Box but From the Bottle Case Presentation: A 62-year old Caucasian female, a Psychiatrist, was brought by her friend for multiple falls and heavy alcohol [...]
Case Presentation: A 29 year old African American male presented with non-radiating, mid-sternal chest pain, which was relieved by sitting up. His vital signs and physical examination were unremarkable. His initial EKG showed J point elevation in [...]
Case Presentation: A 42 year old African American male with a recent diagnosis of Ulcerative Colitis (UC) presented with recurrent bloody diarrhea, abdominal pain, fevers, chills, weight loss and was admitted for management of a [...]
Case Presentation: A 42-year-old male with a history of T2DM, subacute bilateral LE weakness and paresthesia presented with UTI, urinary retention and anejaculation. One month prior to admission the patient was taken to the ED [...]
Case Presentation: A 64 year old male presented with a three day history of fever, hand soreness and rash. On the day of presentation, he had just returned from the Caribbean, however denied any history [...]