HM2006 Abstract Number: 129

Liver Failure Secondary to Vitamin A Toxicity

Case Presentation: Vitamin A is a widely used supplement. However, it has underappreciated potential for serious toxicities, including liver failure. Discussion: 60 year old caucasian man presented with marked decline in functional status, refractory ascites [...]

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HM2006 Abstract Number: 128

Mesalamine Induced Pericardial Tamponade in Crohn's Disease

Case Presentation: 50‐year‐old white female with a past medical history significant for Crohn's disease was started on mesalamine two weeks earlier. She presented to her primary care physician with the chief complaint of chest pain. [...]

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HM2006 Abstract Number: 127

Emphysematous Pyelonephritis with an Unusual Causative Organism

Case Presentation: An 81year old man with renal cell carcinoma (RCC) underwent left renal artery embolization. 3 weeks after the procedure he presented with left sided back pain, hiccups and confusion. On exam T = 96.5° F, [...]

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HM2006 Abstract Number: 126

A Case of Acute Anemia and Fever

Case Presentation: A 73 year old male with history of indolent marginal cell lymphoma and splenectomy admitted to an outside hospital with generalized malaise and jaundice. History included DM, HTN, prior enterococcal endocarditis and streptococcal [...]

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HM2006 Abstract Number: 125

Sometime It's More than Pneumonia

Case Presentation: A 50‐year‐old African American woman presented with a 3‐week history of cough and worsening shortness of breath. Her past medical history included hypertension, depression, and smoking. The patient also claimed she had been [...]

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HM2006 Abstract Number: 124

A Case of Severe Diarrhea and Polyarticular Arthritis

Clostridium difficile is a well‐known cause of pseudomembranous colitis but is seldom thought of in the differential diagnosis of reactive arthritis. Here, we present a case to highlight this uncommon entity. Case Presentation: A 40 [...]

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HM2006 Abstract Number: 123

A Unique Case of Stroke Requiring Open Heart Surgery

Case Presentation: A 55‐year‐old female presented with slurred speech, weakness in her right arm and sudden loss of vision in her left eye, persisting for a few hours. Fundoscopic exam revealed branch retinal artery occlusion [...]

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HM2006 Abstract Number: 122

Don't “Drink” the Water

Case Presentation: A 55‐year old man with a history of diabetes type II and nasopharyngeal cancer on home intravenous antibiotic therapy presented with fever. He had been treated with chemotherapy and resection previously and one [...]

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HM2006 Abstract Number: 121

An Over‐the‐Counter Omission

Case Presentation: The patient is a 58 yo white female with no significant past medical history who presented with severe fatigue and was found to have acute renal failure and hemolytic anemia. Review of symptoms [...]

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HM2006 Abstract Number: 120

Burkitt's Lymphoma Presenting with Proptosis and Lactic Acidosis in an Older Adult

Case Presentation: A 63‐year‐old female with past medical history of meningioma was admitted with one‐week history of swelling, watering, painful movements and vision loss in right eye. She also had generalized weakness, 15 lb weight [...]

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HM2006 Abstract Number: 119

Wernicke's Encephalopathy: A Tragic Complication of Gastric Bypass

Background: Approximately 10 million Americans are morbidly obese with attendant serious health risks. Diet, exercise and pharmacologic treatments result in a 5‐10% body weight loss, however, difficulties in adherence with subsequent weight regain are problematic. [...]

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HM2006 Abstract Number: 118

A Hairy Case of Hypertension

Background: Hypertension and diabetes are common diseases in the adult population. Hypertension is found in about 40% of patients with newly diagnosed type 2 diabetes mellitus. Five to 10% of hypertension cases are secondary to [...]

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HM2006 Abstract Number: 117

Clopidogrel‐Induced Autoimmune Thrombocytopenic Purpura

Case Presentation: A 52‐year‐old woman presented to the emergency department (ED) with the chief complaint of scattered bruises and petechiae on both legs beginning 5 days prior to presentation, and a platelet count of 6, [...]

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HM2006 Abstract Number: 116

A Lung Mass with “Metastases”: Not Necessarily a Poor Prognosis

Case Presentation: A 53‐year‐old male with HIV presented with a two‐week history of dry cough, fever, and shortness of breath. His past medical history included disseminated Cryptococcus neoformans treated with fluconazole, a 20‐pack‐year smoking history, [...]

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HM2006 Abstract Number: 115

An Incidental But Not‐So‐Innocent Adrenaloma

Case Presentation: A 66 year‐old man presented for evaluation of severe back pain, fatigue and lower extremity weakness for one month. Further questioning elucidated a two month history of worsening dyspnea both with exertion and [...]

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HM2006 Abstract Number: 114

A Case of a Broken Heart: Transient Left Ventricular Apical Ballooning Syndromes

Case Presentation: A 63 year old female with a history of anxiety disorder presented with acute chest pain and shortness of breath. Physical examination revealed an anxious appearing woman with tachycardia and hypertension (180/95). An [...]

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HM2006 Abstract Number: 113

Under‐Diagnosed and Lethal: Transfusion Related Acute Lung Injury

Case Presentation: An 81 year‐old woman with atrial fibrillation presented with bleeding gums and was found to be coagulopathic due to coumadin therapy. Fresh frozen plasma (FFP) was ordered. She tolerated the first transfused unit [...]

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HM2006 Abstract Number: 112

Colonic Diverticulitis and Polycystic Kidney Disease: Common Diseases with an Atypical but Critical Relationship

Background: Polycystic kidney disease (PKD) is a common genetically linked renal disorder affecting one in 1000 people in the USA. Colonic Diverticular disease occurs in twenty percent of the population and the majority of acute [...]

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HM2006 Abstract Number: 111

An Atypically Sweet Case

Presentation: A 44 year old woman presented with a two week history of myalgias and fevers. Three weeks prior to admission the patient received a 10 day course of trimethoprim‐sulfamethoxazole (T‐S) for sinusitis. Her symptoms [...]

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HM2006 Abstract Number: 110

Acute Epstein‐Barr Virus Infection Presenting as Jaundice and Polyserositis

Case Presentation: 34 yr old female with no past medical and surgical history was admitted with 4 days of vomiting, fever and shortness of breath. On examination, she was febrile and icteric.Lung exam revealed bibasilar [...]

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HM2006 Abstract Number: 109

Fever of Unknown Origin: Many Suspects, One Budding Criminal

Case Presentation: A 55‐year‐old male with history significant for end stage liver disease secondary to hepatitis B, was admitted for evaluation of a two month history of nightly fevers with associated left upper quadrant abdominal [...]

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HM2006 Abstract Number: 108

Severe Hypophosphatemia: Refeeding Syndrome in a Hospitalized Patient

Case Presentation: A 69 year old AA male, transferred from nursing home, with AMS and seizures after lack of medications and oral intake for 3 days. PMHx included CKD, Parkinson's with dementia and DM 2. [...]

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HM2006 Abstract Number: 107

Mediastinal Cyst Disclosed by a Single Episode of Dyspnea

Case Presentation: We present a twenty‐one year old AA female with a past history significant only for premature birth, referred by her physician for evaluation of a single brief episode of dyspnea at rest and [...]

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HM2006 Abstract Number: 106

Hydralazine Induced Vasculitis with Pulmonary and Renal Manifestations: Case Report and Review of the Literature

Background: Hydralazine is a popular and effective antihypertensive and afterload reducing agent. It is frequently used in patients with congestive heart failure and renal insufficiency, or when patients cannot tolerate angiotensin converting enzyme (ACE) inhibitors.. [...]

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HM2006 Abstract Number: 105

Clot with Your Pants Down

Learning Objectives: 1. Recognize thromboembolism as an atypical presentation of Inflammatory Bowel Disease (IBD). 2. Understand the relationship between IBD and hypercoagulability. Case Information: A 35 year old non‐smoking female with no past medical history [...]

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HM2006 Abstract Number: 104

Rethinking A Diagnosis Of Refractory Ascites

Case Presentation: A 35‐year‐old Caucasian female presented with progressive abdominal distension and jaundice. An extensive work up was done which included exploratory laparotomy demonstrating hepatomegaly and liver biopsy showed histopathology consistent with Budd Chiari syndrome. [...]

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HM2006 Abstract Number: 103

A “Typical” Presentation of a Rare Syndrome: Missed Calciphylaxis in a Non‐Compliant Patient with Renal Disease

Case Presentation: A 57 year‐old woman presented to the ER with complaints of chronic pain in her legs requiring frequent analgesics. Her history was significant for ESRD with HD non‐compliance, NIDDM, HTN and many hospitalizations [...]

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HM2006 Abstract Number: 102

Acute Progressive Weakness in a Healthy Young Female

Case Presentation: A 29‐year‐old, 5 week pregnant female was brought to the ER by her husband for progressive weakness. One day prior to presentation, the patient complained of leg cramps that by the following morning [...]

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HM2006 Abstract Number: 101

Air Where?

Case Discussion: A 58‐year‐old white male presented to the hospital two days after robotic prostatectomy for prostate cancer. He reported few hours of sudden onset shortness of breath and chest pain that was radiating across [...]

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HM2006 Abstract Number: 100

Disseminated Histoplasmosis Presenting as Painful Oral Ulcers

Case Presentation: A 32‐year‐old male with a past medical history of atrial septal defect, CHF, atrial fibrillation, and ICD/PPM placement presented to the ED with a 4‐month history of painful oral ulcers. Prior evaluations by [...]

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HM2006 Abstract Number: 99

Gonadal Vein Thrombosis Associated with Diverticulitis

Case Presentation: A 63‐year‐old female with a history of type II diabetes and hypertension was admitted to the hospital with two weeks of nausea, vomiting, and diarrhea and one week of abdominal pain. On admission, [...]

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HM2006 Abstract Number: 98

Non‐ST Elevation Myocardial Infarction in a Young Female with New Onset Thrombotic Thrombocytopenic Purpura

Case Presentation: A 31‐year‐old female presented with six hours of exertional chest pain, dyspnea, palpitations, and vomiting. Her review of systems was significant for easy bruising and bleeding gums. Physical examination was significant for epigastric [...]

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HM2006 Abstract Number: 97

Watch Out for this Masquerader!

Case Presentation: A 52 y/o AAM with a history of stroke, presented to the ER with retrosternal chest discomfort and shortness of breath of six hours duration. On examination, the patient was afebrile with tachypnea, [...]

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HM2006 Abstract Number: 96

Community Acquired Pneumonia Unresponsive to Antibiotics

Case Presentation: A 22 year old previously healthy woman presented to the Emergency room with a 6‐8 week history of increasing shortness of breath and fevers. She had been previously hospitalized and treated with ceftriaxone, [...]

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HM2006 Abstract Number: 95

Pneumoperitoneum Due to Sexual Activity

Case Presentation: A 27‐year‐old female was admitted to the hospital with the chief complaint of periumbilical abdominal pain and fever for 2 days. The pain was sharp, exacerbated by food and she denied nausea, vomiting, [...]

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HM2006 Abstract Number: 94

A Case of Recurrent Periorbital Cellulitis

Case Presentation: A 49 year‐old female nurse presented to our hospital with a one‐week history of progressive swelling around her right eye. At the time of admission, she reported photophobia and a right‐sided headache but [...]

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HM2006 Abstract Number: 93

“Do Anything to Get Rid of My Pain”

Case Presentation: A 34‐year‐old male with end‐stage appendiceal carcinoma was admitted to the hospital with a severe pain crisis. The patient was diagnosed 3 years prior when his appendix ruptured, spilling malignant material into his [...]

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HM2006 Abstract Number: 92

Hidden Risk of Common Procedures

Case Presentation: A 56‐year old female with a history only significant for hernia repair and colonoscopy six months prior to admission presented with a fever for a week, generalized abdominal pain and vomiting. Physical examination [...]

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HM2006 Abstract Number: 91

But it Must be B12 Deficiency

Case Presentation: A 24 year old woman with a history of hypothyroidism presented with six months of burning pain and numbness in her feet. These symptoms began as acute pain in her right foot which [...]

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HM2006 Abstract Number: 90

Acute Psychosis: Did Your Patient Have Small Bowel Surgery?

Case Presentation: A 58‐year‐old Caucasian woman presented to the emergency department with mental status change since eight weeks. The changes included episodes of confusion, slurred speech, unsteady gait, short call memory impairment, and visual and [...]

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HM2006 Abstract Number: 89

The Pediatric Hospitalist as a Hospital Care Consultant

Background: Following a landmark report by the Institute of Medicine, To Err is Human, in 1999, hospitals were prompted to develop initiatives to improve patient safety and quality of care. This time period also marks [...]

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HM2006 Abstract Number: 87

Using the Principles of Mass Customization to Produce Standard Order Sets

Background: Hospitalized patients deserve medical care that is based on the latest scientific evidence. Numerous sources reveal a very different reality with unexplained variation in practice and widespread problems of quality and safety. Standard order [...]

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HM2006 Abstract Number: 86

Creating Patient Safety Learning Modules for House Officers and Faculty

Background: National organizations have called for medical school and residency training in patient safety. Although several groups have developed patient safety curricula, techniques for adapting these curricula for medical house officers are not well worked [...]

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HM2006 Abstract Number: 85

PROPCON, A Pocket PC Based Program for Pre‐Operative Risk Assessment

Background: Hospitalists perform pre‐operative risk assessment daily. With 30 million non‐cardiac surgeries performed annually, implications for morbidity, mortality, length of stay and cost are enormous. We propose a pocket PC program (PROPCON) to help Hospitalists [...]

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HM2006 Abstract Number: 84

Safety, Communication, Education: The Intranet Patient Signout System

Purpose: Hospitalists and residents recognized the need for accurate, confidential patient care information transfer between practitioners. Background: 2006 Hospital National Patient Safety Goals include 2E “Implement a standardized approach to “hand off” communications”. Patient care [...]

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HM2006 Abstract Number: 83

Early Discharge Initiative

Background: Delayed discharges from the hospital can negatively impact hospital throughput by preventing new patients from accessing beds. At Stanford Hospital & Clinics (SHC), the median discharge order time was 13:16 and median discharge time [...]

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HM2006 Abstract Number: 82

Administration of Inactivated Trivalent Influenza Vaccine (TIV) to Parents of Infants in the Neonatal Intensive Care Unit (NICU): A Novel Strategy to Increase Vaccination Rates

Background: Infants less than 23 months of age with influenza ‐ particularly those discharged from the NICU ‐ demonstrate significant morbidity. TIV is indicated for all parents and household caretakers of these infants. However, vaccination [...]

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HM2006 Abstract Number: 81

Practice Based Learning and Improvement

Background: Traditionally internal medicine residents provide consultation service to surgical patients but their formal teaching in perioperative medicine is limited. Purpose: Teaching, evaluation and documentation of residents' competency in Perioperative use of beta‐blockers Material and [...]

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HM2006 Abstract Number: 80

Intern Boot Camp: Cross‐Cover Survival Skills for the Intern

Background: Inappropriate management of common cross‐cover problems can result in misdiagnosis and mistreatment of patients. Errors often occur due to: resident inexperience; incorrect patient information; lack of formal instruction on cross‐cover management; informal instruction occurring [...]

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HM2006 Abstract Number: 79

Resident Education Quandaries in a Teaching Hospital Unit‐Based Hospitalist System

Background: With the continued evolution of the hospitalist movement, medical residency programs are utilizing hospitalists in a variety of educational settings. In a unit‐based hospitalist system, the omnipresence of a hospitalist teaching attending may diminish [...]

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HM2006 Abstract Number: 78

Improving the Inpatient Consultation Process in a Pediatric Hospital

Background: Communication problems between medical providers contribute to sentinel events among hospitalized children. Effective communication is particularly important when consultants are involved. Improving communication effectiveness among caregivers is a JCAHO 2006 National Patient Safety Goal. [...]

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HM2006 Abstract Number: 77

Teaching Interdisciplinary Transitional Care to Medical and Pharmacy Students on Inpatient Clerkships: Developing a Post‐Discharge Continuity Visit Program

Background: In this era of overlapping professional roles, there is increasing national emphasis on teaching medical and pharmacy students an interdisciplinary approach to patient care that begins in the hospital and extends through and even [...]

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HM2006 Abstract Number: 75

“Plan‐do‐study‐act” for Improvement of Glycemic Control in the Hospitalized Patient: Report of the First Cycle

Background: Management of hyperglycemia in hospitalized patients has historically relied upon the “insulin sliding scale” (SSI). In connection with persistent hyperglycemia, it leads to less than optimal outcomes in the majority of hospitalized patients. Purpose: [...]

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HM2006 Abstract Number: 74

Improving Compliance with JCAHO Core Measures

Introduction: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires accredited hospitals to collect and submit performance data on three diagnoses: Acute Myocardial Infarction (AMI) Heart Failure (HF) Community Acquired Pneumonia (CAP) These are [...]

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HM2006 Abstract Number: 73

Dashboard for Quality Excellence

Background: Building on the development of order sets and their monitoring, our organization crafted a dashboard to track 25 key quality indicators for the entire organization, with more than half linked to diagnoses managed by [...]

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HM2006 Abstract Number: 72

The Internal Medicine Residency Hospitalist Track at an Academic Institution

Background: The field of Hospital Medicine continues to evolve as Hospitalists try to define themselves not only by the place they work but in terms of knowledge and skills. These areas of knowledge and skills [...]

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HM2006 Abstract Number: 71

Pediatric Services for a Community Hospital an Innovative Model for a Combined Emergency ‐ Inpatient Unit

Background: Providing cost‐effective quality pediatric care is a challenge for general community hospitals. Children requiring admission need pediatric expertise and their needs can be compromised in a non‐pediatric environment. High pediatric operating costs can force [...]

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HM2006 Abstract Number: 70

Transition of Care for Hospitalized Elderly ‐ The Development of a Discharge Checklist for Hospitalists

Background: Discharge from the hospital is a critical transition point in a patient's hospitalization. Poor hand‐offs at discharge can lead to adverse events for the individual patient, and result in avoidable re‐hospitalizations. Care transitions are [...]

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HM2006 Abstract Number: 69

Improving the Care Transitions for Patients Discharged from Hospital to Subcute Facilities: The Development of a County‐Wide Transitional Care Council

Background: Many hospitalized patients are discharged from hospital to subacute facilities for further management. At Saint Joseph Mercy Hospital, we identified this care transition as an important risk factor for readmission for many patient populations. [...]

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HM2006 Abstract Number: 68

A Novel Internal Medicine Residency Hospitalist Training Program

Background: Data suggests that Internal Medicine (IM) trained hospitalists enter practice with an inadequate understanding of healthcare systems, continuums of care and ethics. There is also an underpreparation in clinical areas such as palliative care, [...]

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HM2006 Abstract Number: 67

Educational and Electronic Intervention to Improve DVT Prophylaxis Rates

Background: In NY State, hospital acquired DVT is a reportable event. Missed opportunities to prevent these outcomes are now decreasing with the advent of IT systems and their ability to influence physician behavior. Our institution [...]

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HM2006 Abstract Number: 66

Preliminary Observations of a General Surgery Hospitalist Program in a Non‐Academic Community Hospital

Background: Community hospitals have increasing difficulty providing E.D. and inpatient call coverage for General Surgery patients. Lower professional fees, higher malpractice costs, and a greater number of underinsured patients have made general surgeons less able [...]

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HM2006 Abstract Number: 65

Economic Outcomes Associated with a Clinical Pharmacist Hospitalist Team

Background: Medication misuse was underscored in 1999 when the Institute of Medicine (IOM) recommended that reduction in medication errors be considered a national priority. IOM has emphasized the need to improve health care by adopting [...]

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HM2006 Abstract Number: 64

Using Computerized Provider Order Entry to Improve Pneumococcal Vaccination Screening and Immunization Rates

Background: The pneumococcal vaccination has been shown to reduce the incidence of invasive pneumococcal infection by as much as 75%. Since approximately two‐thirds of patients hospitalized with serious pneumococcal infections have been previously hospitalized at [...]

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HM2006 Abstract Number: 63

Developing a High Performance Team Training Framework for Internal Medicine: The ABC's of Teamwork

Background: Effective teamwork and communication can prevent error and mitigate harm. High‐performance team training was developed in the aviation industry for flight crews, and is being incorporated in healthcare settings such as emergency departments, operating [...]

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HM2006 Abstract Number: 62

DVT Prevention ‐ Can We do Better? Implementing a Risk Assessment Tool to Improve Adherence to Guidelines for Medical Inpatients

Background: Deep venous thrombosis (DVT) and pulmonary embolism (PE) are common events in hospitalized patients. The American College of Chest Physicians (ACCP) guidelines endorse routine pharmacologic prophylaxis for all medical patients at risk. At our [...]

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HM2006 Abstract Number: 61

Modified Admission and Discharge Orders to Include Centers for Medicare and Medicaid Services Indicators

Background: Our hospitalist group felt that achieving 100% compliance with Centers for Medicare and Medicaid Services (CMS) indicators for pneumonia, AMI, and CHF was important not only to patient care but also for financial gain [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Modified Admission and Discharge Orders to Include Centers for Medicare and Medicaid Services Indicators

HM2006 Abstract Number: 60

A Patient Satisfaction Survey to Measure the Effect of Hospitalist Practice

Background: Little is known about patients' perceptions of hospitalist care. Patient satisfaction surveys traditionally have focused on hospital services and nursing care but not on specific elements of hospitalist care, such as communication, care coordination, [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on A Patient Satisfaction Survey to Measure the Effect of Hospitalist Practice

HM2006 Abstract Number: 59

Hospitalist Bereavement Program: a Family Centered Approach

Background: A hospitalization can affect not only the patient but family members and friends. Uncertainty about symptoms, treatments, and outcomes are major predictors of stress and anxiety, especially in life‐threatening situations. The hospitalist caring for [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Hospitalist Bereavement Program: a Family Centered Approach

HM2006 Abstract Number: 58

A Hospitalist Initiated Inpatient Leadership Council to Improve Inpatient Operations

Background: The leadership on traditional medical surgical floors has traditionally been nurse managers. Some hospitals have contracted with physicians to serve as medical directors for their intensive care units and emergency room, to provide oversight [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on A Hospitalist Initiated Inpatient Leadership Council to Improve Inpatient Operations

HM2006 Abstract Number: 57

Standardized Observations of Cross‐Cover Events In Hospitalized Patients: What Goes “Bump” in the Night?

Background: Inpatient physicians frequently transfer patient information to cross‐covering physicians. Although there is an increasing interest in formalizing this information transfer, there is little scientific information about the types of problems that cross‐covering physicians are [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Standardized Observations of Cross‐Cover Events In Hospitalized Patients: What Goes “Bump” in the Night?

HM2006 Abstract Number: 56

Physicians Attitudes Toward Patients with Severe Sepsis and Septic Shock (pass)

Background: In 2004 The Surviving Sepsis Campaign Guidelines (SSCG) published specific recommendations to establish guidance to clinicians in the management of sepsis. We sought to determine the frequency that our physicians follow practices outlined in [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Physicians Attitudes Toward Patients with Severe Sepsis and Septic Shock (pass)

HM2006 Abstract Number: 55

The Impact of Decreased Duty Hours on Resident Self Reports of Errors

Background: Recent limitations on resident duty hours aim, in part, to reduce medical errors. Residents' perceptions of the impact of decreased hours on errors are unknown. Method: We surveyed internal medicine residents at the University [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Impact of Decreased Duty Hours on Resident Self Reports of Errors

HM2006 Abstract Number: 54

Quality Improvement Innovation Targeting Hospital Throughput

Background: Hospital throughput, which is defined as the volume of services provided in a unit time, may be targeted for quality improvement as a means of facilitating better utilization of existing inpatient bed capacity, expediting [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Quality Improvement Innovation Targeting Hospital Throughput

HM2006 Abstract Number: 53

The Economic Advantages of Using a Once‐Daily Parenteral Antibiotic In the Hospital: A Cost Analysis of The SIDESTEP Study

Background: Diabetic foot infections (DFI) account for more hospital days than any diabetes‐related diagnosis. Many patients with DFI are Medicare‐eligible, and hospitals are motivated to decrease costs without altering patient outcomes. A large, multicenter, randomized, [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Economic Advantages of Using a Once‐Daily Parenteral Antibiotic In the Hospital: A Cost Analysis of The SIDESTEP Study

HM2006 Abstract Number: 52

Electronic Documentation with eNote Enhances Physician Billing on an Academic Hospitalist Unit

Background: We previously reported on the deployment of a computerized note‐writing system, eNote on our Hospitalist Service.[1] Since its launch in February 2004, over 25,000 Hospitalist notes have been entered via eNote. Since our last [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Electronic Documentation with eNote Enhances Physician Billing on an Academic Hospitalist Unit

HM2006 Abstract Number: 51

Symptomatic Venous Thromboembolism Rates After Hip Fracture Surgery in Patients Treated with Unfractionated Heparin, Enoxaparin, Dalteparin or Fondaparinux

Background: Despite differences seen in clinical trials comparing alternatives for VTE prevention in orthopedics, these randomized studies (RCTs) have been criticized since they have focused mainly on venographic endpoints rather than clinical events. Additionally, the [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Symptomatic Venous Thromboembolism Rates After Hip Fracture Surgery in Patients Treated with Unfractionated Heparin, Enoxaparin, Dalteparin or Fondaparinux

HM2006 Abstract Number: 50

Cause of Death in Alcoholic Hepatitis

Background: Early mortality among patients with newly‐diagnosed alcoholic hepatitis is high and many pharmacologic therapies have been tried. Substantial literature reports the mortality rate of these patients, yet the most likely cause of death is [...]

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HM2006 Abstract Number: 49

A Computer‐Based, Multivariate, Economic Model of Neonatal‐Intensive‐Care‐Unit‐Based Influenza Vaccine Administration to Parents in a Hospitalist Setting

Background: Trivalent inactivated influenza (TIV) vaccine has been shown to reduce the number of influenza‐related outpatient visits and hospitalizations in children up to 24 months of age. The American Academy of Pediatrics and Center for [...]

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HM2006 Abstract Number: 48

Limitations of the Pneumonia Severity Index in Determining Site of Care

Background: The Pneumonia Severity Index (PSI) is a validated risk assessment tool that estimates inpatient mortality in patients with community‐acquired pneumonia (CAP). Various clinical predictors of risk are converted to a weighted point score, which [...]

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HM2006 Abstract Number: 47

Major Bleed Rates After Orthopedic Surgeries in Patients Prophylaxed with Unfractionated Heparin, Enoxaparin, Dalteparin or Fondaparinux

Background: Clinical trials have reported variable rates of major bleeding after prophylaxis of venous thromboembolism with anticoagulants in orthopedic surgery patients. We attempted to assess if ‘real world’ differences in the rate of major bleeding [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Major Bleed Rates After Orthopedic Surgeries in Patients Prophylaxed with Unfractionated Heparin, Enoxaparin, Dalteparin or Fondaparinux

HM2006 Abstract Number: 46

What Effect Does an Educational Intervention Have on Interns' Confidence and Knowledge of Acute Dyspnea Management? A Randomized Controlled Trial

Background: Acute dyspnea is commonly encountered in the hospitalized patient. Inappropriate management can adversely affect patient care. Interns often receive only informal instruction in managing patients with acute dyspnea; such instruction is provided by senior [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on What Effect Does an Educational Intervention Have on Interns' Confidence and Knowledge of Acute Dyspnea Management? A Randomized Controlled Trial

HM2006 Abstract Number: 45

Patterns of Error Reporting at a County Teaching Hospital

Background: The Institute of Medicine's report, “To Err is Human,” identified the magnitude of the problem of medical errors in the United States. Unfortunately, there is no universal system in the U.S. to define, categorize, [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Patterns of Error Reporting at a County Teaching Hospital

HM2006 Abstract Number: 44

Is There a Pediatric Hospital Medicine Literature Base?

Background: The term Hospitalist was first coined in 1995. In 1998 a study of the general internal medicine literature showed a distinct hospital medicine literature base, with 33% of the articles in the journals reviewed [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Is There a Pediatric Hospital Medicine Literature Base?

HM2006 Abstract Number: 43

The Pediatric Hospitalist and the Smoking Parent

Background: The impact of parental smoking on children is enormous. Injury and illness related to parental smoking result in 6200 excess pediatric deaths per year in the US, which places smoking as the leading preventable [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Pediatric Hospitalist and the Smoking Parent

HM2006 Abstract Number: 42

Discharge Time: A Change in the Paradigm of Expectations

Background: Despite some literature on the evolution of the “scheduled discharges”, many hospital administrations and outcomes management teams perceive afternoon discharges as opportunities to improve. We challenged that concept with a hypothesis that afternoon discharges [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Discharge Time: A Change in the Paradigm of Expectations

HM2006 Abstract Number: 41

Evaluation of the Potential Need for a Medical Emergency Team at an Academic Medical Center

Background: Observational studies suggest unanticipated ICU admissions or cardiac arrests are preceded by hours of unstable clinical signs and symptoms. Medical Emergency Teams (METs) are intended to treat these patients earlier, by identifying them through [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Evaluation of the Potential Need for a Medical Emergency Team at an Academic Medical Center

HM2006 Abstract Number: 40

Nursing Perception of Barriers in Caring for Unstable Inpatients

Background: Hospitalized patients frequently show signs of clinical instability several hours before experiencing cardiac arrest or being transferred to the intensive care unit (ICU); earlier intervention and assessment might prevent adverse outcomes. This study examined [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Nursing Perception of Barriers in Caring for Unstable Inpatients

HM2006 Abstract Number: 39

Accuracy of Written Sign‐Outs of Internal Medicine Housestaff

Background: Sign‐out, the transfer of patient information and responsibility to a cross‐coverage physician, is a necessary component of caring for hospitalized patients. The number of sign‐outs in training hospitals has increased with the Accreditation Council [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Accuracy of Written Sign‐Outs of Internal Medicine Housestaff

HM2006 Abstract Number: 38

Medical Subinternship: Student Experience on a Resident Uncovered Hospitalist Service

Background: Although studies demonstrate the positive impact of hospitalists on medical student education, all were performed in a traditional resident covered ward service (RCWS) setting. Our institution implemented a resident uncovered hospitalist service (RUHS) in [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Medical Subinternship: Student Experience on a Resident Uncovered Hospitalist Service

HM2006 Abstract Number: 37

Building an Electronically Generated Discharge Summary: Assessing Satisfaction, Preferences, and Potential Future Impact

Background: Deficits in information transfer between inpatient and outpatient physicians are common. The purpose of this study is to evaluate satisfaction with current discharge summaries, perceptions of preventable adverse events related to suboptimal information transfer, [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Building an Electronically Generated Discharge Summary: Assessing Satisfaction, Preferences, and Potential Future Impact

HM2006 Abstract Number: 36

Predicting Early Hospital Readmission for a Cohort of Adult Inpatients Using the Probability of Repeated Admission (pra) Instrument

Background: Up to 25% of hospitalized adults experience early readmission. Pre‐discharge identification of patients likely to be readmitted would help target discharge‐planning to reduce readmissions, exposures to hospital‐associated risks, and costs. Pra scores of outpatients [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Predicting Early Hospital Readmission for a Cohort of Adult Inpatients Using the Probability of Repeated Admission (pra) Instrument

HM2006 Abstract Number: 35

Randomized, Multicenter, Double‐Blind Study of the Efficacy, Safety, and Tolerability of Intravenous Ertapenem Versus Piperacillin/tazobactam in the Treatment of Complicated Intra‐Abdominal Infections in Hospitalized Adults

Background: Complicated intra‐abdominal infections represent a common problem in surgical practice. This study assessed the effectiveness of ertapenem (1 g once per day) compared to piperacillin/tazobactam (3.375 g q6h) in the treatment of these infections. [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Randomized, Multicenter, Double‐Blind Study of the Efficacy, Safety, and Tolerability of Intravenous Ertapenem Versus Piperacillin/tazobactam in the Treatment of Complicated Intra‐Abdominal Infections in Hospitalized Adults

HM2006 Abstract Number: 34

Internal Medicine and General Surgery Residents' Attitudes About the American College of Graduate Medical Education (ACGME) Duty Hour Regulations: A Multicenter Study

Background: The ACGME duty hour regulations represent the largest effort to reduce errors in teaching hospitals. Little is known about residents' perspectives on the effects of these regulations on medical errors, quality of care, or [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Internal Medicine and General Surgery Residents' Attitudes About the American College of Graduate Medical Education (ACGME) Duty Hour Regulations: A Multicenter Study

HM2006 Abstract Number: 33

Potential Inappropriate Medication Prescribing in the Elderly Using the Guidelines of “Beers' Criteria”

Background: It has been estimated that 30% of hospital admissions are related to adverse drug events (ADE), at a high financial and human consequences. ADE occur most frequently in the elderly and may be preventable. [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Potential Inappropriate Medication Prescribing in the Elderly Using the Guidelines of “Beers' Criteria”

HM2006 Abstract Number: 32

Implementation and Effectiveness of Inpatient Nicotine Replacement Treatment Program in an Academic Setting

Background: The Joint Commission on Accreditation of Healthcare Organizations requires U.S. hospitals to have policies prohibiting smoking. Despite hospital policies, many patients continue to smoke while hospitalized. Smoking in the hospital has adverse health consequences [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Implementation and Effectiveness of Inpatient Nicotine Replacement Treatment Program in an Academic Setting

HM2006 Abstract Number: 31

Effects of Hospitalists on Mortality in a Multicenter Study of Academic Hospitalists

Background: A few studies have found lower mortality for patients treated by hospitalists compared to patients treated by non‐hospitalists, and one study found mortality differences after discharge that increased over time. Other studies have found [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Effects of Hospitalists on Mortality in a Multicenter Study of Academic Hospitalists

HM2006 Abstract Number: 30

Preventing Potentially Inappropriate Medication Use in Hospitalized Elders with a Computerized Provider Order Entry Drug Warning System

Background: The elderly population is particularly vulnerable to adverse drug events. As the population ages preventing these ADEs will become increasingly important. Our objective was to decrease the use of potentially inappropriate medication in hospitalized [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Preventing Potentially Inappropriate Medication Use in Hospitalized Elders with a Computerized Provider Order Entry Drug Warning System

HM2006 Abstract Number: 29

Physician Characteristics, Attitudes, and Use of Computerized Order Entry

Background: Computerized physician order entry (CPOE) is a widely advocated patient safety intervention yet little is known about its adoption by attending physicians or at community hospitals. Method: We measured order entry rates of attending [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Physician Characteristics, Attitudes, and Use of Computerized Order Entry

HM2006 Abstract Number: 28

Quality of Care in Acute Exacerbations of COPD

Background: Acute exacerbations of COPD are one of the ten leading causes of hospitalization among adults in the United States yet little is known about the quality of inpatient care or whether hospital and paitent [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Quality of Care in Acute Exacerbations of COPD

HM2006 Abstract Number: 27

Inpatient Outcomes in a Community‐Based Residency Program: Defining the Residency Performance Dashboard of the Future in an Era of Declining GME Payments

Background: Inpatient Residency Programs are often seen as expensive care models with poor utilization. Literature reviews, comparing Academic Medical Centers (AMCs) to Community Hospitals, do not support this. Many Internal Medicine Residencies, however, are Community‐based [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Inpatient Outcomes in a Community‐Based Residency Program: Defining the Residency Performance Dashboard of the Future in an Era of Declining GME Payments

HM2006 Abstract Number: 26

Unrecognized Sleep Apnea in the Surgical Patient: Implications for the Perioperative Setting

Background: Anesthesia and surgery both affect the architecture of sleep. Aside from the postoperative effects of anesthesia and surgery, sleep deprivation and fragmentation have been shown to produce apneas or desaturations even in patients without [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Unrecognized Sleep Apnea in the Surgical Patient: Implications for the Perioperative Setting

HM2006 Abstract Number: 25

Hospital‐Acquired Fever: A Systematic Evidence Based Review of the Literature

Background: In the hospitalized adult patient, temperature is universally measured daily. Hospital‐acquired fever often occurs in the absence of an identified infection and is a common rationale for empiric broad‐spectrum antibiotic therapy. We conducted a [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Hospital‐Acquired Fever: A Systematic Evidence Based Review of the Literature

HM2006 Abstract Number: 24

Growth of Hospitalists in the Veterans Administration (VA) Healthcare System: 1997‐2005

Background: The Veteran's Administration (VA) is the largest single provider of healthcare in the U.S., with 129 hospitals providing acute inpatient medical care. The growth of hospitalists in academic medical centers and the private sector [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Growth of Hospitalists in the Veterans Administration (VA) Healthcare System: 1997‐2005

HM2006 Abstract Number: 23

A Multi‐Center Evaluation of Upper Gastrointestinal Hemorrhage on General Medical Services: Variations in Process and Outcomes

Background: Upper gastrointestinal hemorrhage (UGIH) is a common reason for hospital admit and has known process of care measures associated with improved outcomes. We evaluated variations in process and outcomes across multiple study sites to [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on A Multi‐Center Evaluation of Upper Gastrointestinal Hemorrhage on General Medical Services: Variations in Process and Outcomes

HM2006 Abstract Number: 22

Congestive Heart Failure in African‐Americans: A Comparison of Patients with Systolic Heart Failure Versus Preserved Ejection Fraction

Background: Evidence exists for race‐specific differences in the etiology and natural history of congestive heart failure (CHF). These differences may have important treatment implications, but relatively limited data in African‐Americans exist. Method: We examined a [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Congestive Heart Failure in African‐Americans: A Comparison of Patients with Systolic Heart Failure Versus Preserved Ejection Fraction

HM2006 Abstract Number: 21

The Prevalence and Effectiveness of Evaluation of Anemia in a Predominantly Mexican American Population

Background: Anemia is known to be independently associated with increased morbidity and mortality in patients. Despite these associations, studies have indicated that anemia is not commonly recognized, evaluated or managed in hospitalized patients. A common [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Prevalence and Effectiveness of Evaluation of Anemia in a Predominantly Mexican American Population

HM2006 Abstract Number: 20

Unsolicited Complaints to a Hospital Ombudsman from Patients on an Academic General Internal Medicine Service

Background: Patient complaints, an important measure of patient satisfaction, may suggest strategies for improving the delivery of medical care. However, there is little published literature about unsolicited patient complaints, nor how such information can be [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Unsolicited Complaints to a Hospital Ombudsman from Patients on an Academic General Internal Medicine Service

HM2006 Abstract Number: 19

An Electronic Pharmacy‐Based Strategy to Prospectively Identify Hospitalized Patients with Heart Failure

Background: As hospitals develop and implement strategies to improve the care of patients with heart failure, they face increased public scrutiny with the reporting of core measure performance on websites. A common challenge in improving [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on An Electronic Pharmacy‐Based Strategy to Prospectively Identify Hospitalized Patients with Heart Failure

HM2006 Abstract Number: 18

Predictors of Heart Failure Readmission and Mortality at a Tertiary Care Community Hospital

Background: Understanding patient and system‐level predictors for heart failure (HF) readmission and mortality at 180 days from hospital discharge can help clinical programs manage modifiable factors that affect patient outcomes. We describe the predictors of [...]

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HM2006 Abstract Number: 17

Perioperative Statin Therapy in Major Noncardiac Surgery

Background: Discontinuation of 3‐hydroxy 3‐methylglutaryl coenzyme A reductase inhibitors (statins) among patients undergoing elective noncardiac surgery is common. We sought to determine whether continuation of statin therapy is associated with an increased risk of perioperative [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Perioperative Statin Therapy in Major Noncardiac Surgery

HM2006 Abstract Number: 16

The Effect of an Intensive Palliative Care‐Focused Retreat on Hospitalist Faculty and Resident Palliative Care Knowledge and Comfort/Confidence

Background: Hospitalist physicians serve a pivotal role in the provision of care for patients with advanced and terminal illness. Despite this, training programs rarely provide hospitalists with formal education in palliative care. Method: The University [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Effect of an Intensive Palliative Care‐Focused Retreat on Hospitalist Faculty and Resident Palliative Care Knowledge and Comfort/Confidence

HM2006 Abstract Number: 15

Effect of a Medicine Admitting Team on Emergency Department Diversion Time

Background: Emergency Department (ED) overcrowding is a widespread problem. Since hospitalists are expert at navigating complex systems of care, we hypothesized that early involvement of hospitalists in the ED could decrease overcrowding. We present data [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Effect of a Medicine Admitting Team on Emergency Department Diversion Time

HM2006 Abstract Number: 14

The Impact of Transitional Care and Continuity of Care in an Older Population on Hospitalist Practice

Background: A substantial proportion of older patients in hospitalist practice require post‐acute transitional care (TC) in a nursing facility. We examined demographic characteristics, utilization and healthcare outcomes for patients 65 years of age and older [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Impact of Transitional Care and Continuity of Care in an Older Population on Hospitalist Practice

HM2006 Abstract Number: 13

The Availability and Motivation of Hospitalized Patients to Participate in Health Education

Background: In‐hospital education on smoking cessation produces approximately three fold higher one year quit rates in patients with acute coronary syndromes than when education is provided on an outpatient basis (Paulsen BMJ 2003). If this [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Availability and Motivation of Hospitalized Patients to Participate in Health Education

HM2006 Abstract Number: 12

Hospitalist Teachers May Lose Their Superiority Over Non‐Hospitalist Teachers In “Mature” Hospitalist Systems

Background: Several studies have shown that Internal Medicine (IM) hospitalists are superior teachers of inpatient medicine compared with non‐hospitalist teachers. These studies based upon evaluations by house staff and students have consistently shown a teaching [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Hospitalist Teachers May Lose Their Superiority Over Non‐Hospitalist Teachers In “Mature” Hospitalist Systems

HM2006 Abstract Number: 11

Natural History of Inpatient Discharges: Factors Associated with Hour of Discharge

Background: Increasing the efficiency of the health‐care system is one way to decrease rising costs and improve timely access to care. One proposed obstacle to increasing hospital efficiency is the late afternoon discharge and its [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Natural History of Inpatient Discharges: Factors Associated with Hour of Discharge

HM2006 Abstract Number: 10

The Potential for Medical Errors ‐ How Well Are Patients' Medications Documented on Hospital Admissions, Discharges and Follow‐ups

Background: The accuracy of a patient's medication use history is essential in providing quality medical care and in preventing medical errors. An erroneous medication use history may result in failure to detect drug‐related problems as [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on The Potential for Medical Errors ‐ How Well Are Patients' Medications Documented on Hospital Admissions, Discharges and Follow‐ups

HM2006 Abstract Number: 9

Evaluation of a Nursing Practice Based Intervention to Improve Satisfaction with Pain Control

Background: Pain is common among hospitalized patients and their pain is often not well controlled. In well‐defined populations, such as postoperative patients, protocols can be effective at improving pain control. For the general medical patient, [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Evaluation of a Nursing Practice Based Intervention to Improve Satisfaction with Pain Control

HM2006 Abstract Number: 8

Role of Hospitalists in Management of Patients with Chest Pain: Results of a Retrospective Cohort Study

Background: Each year over 6 million Americans present to emergency departments with complaints of chest discomfort. Of those only 20‐25% eventually receives the diagnosis of acute coronary syndrome (ACS)/coronary artery disease (CAD). Despite the excess [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Role of Hospitalists in Management of Patients with Chest Pain: Results of a Retrospective Cohort Study

HM2006 Abstract Number: 7

Long Term Benefit of Heart Failure Disease Management Programs

Background: Short term benefit of heart failure (HF) disease management programs have been demonstrated in previous research. However, the long term efficacy of these programs has not been established. We sought to determine the long [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Long Term Benefit of Heart Failure Disease Management Programs

HM2006 Abstract Number: 6

Best Physician Model for Improving Patient Care and Service in a Community Hospital

Background: The Hospitalist program in our county owned, community hospital began in August, 2003, in an effort to provide optimum care for unfunded and Medicaid patients. The goal was to improve hospital‐wide throughput and reduce [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Best Physician Model for Improving Patient Care and Service in a Community Hospital

HM2006 Abstract Number: 5

Association of Perioperative Statins and Beta‐Blockers with Long Term Mortality After Vascular Surgery

Background: The use of perioperative beta‐blockers improves outcomes after surgery. Recent studies have shown promising preliminary results suggesting perioperative statins may also benefit patients. We sought to ascertain if the use of these drugs was [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Association of Perioperative Statins and Beta‐Blockers with Long Term Mortality After Vascular Surgery

HM2006 Abstract Number: 4

Effects of Perioperative Medical Consultation on Resource Utilization and Quality of Care in Patients Undergoing Major Surgery

Background: Higher burden of comorbidity in surgical patients and shorter lengths of stay are contributing to growing interest in collaboration between surgeons and internists in managing patients in the perioperative period. However, there is little [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Effects of Perioperative Medical Consultation on Resource Utilization and Quality of Care in Patients Undergoing Major Surgery

HM2006 Abstract Number: 3

Trends in Internal Medicine Advertisements: An Analysis of Advertisements Published Between 1996 and 2004

Background: The healthcare marketplace has changed substantially since the last assessment of demand for internal medicine physicians in 1996. Method: We reviewed internal medicine employment advertisements published in 4 major medical journals between 1996 and [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Trends in Internal Medicine Advertisements: An Analysis of Advertisements Published Between 1996 and 2004

HM2006 Abstract Number: 2

Factors Associated with Discussions of Care Preferences at the Time of Hospital Admission

Background: Discussions of care preferences, such as wishes for cardiopulmonary resuscitation or invasive procedures, are of critical importance at the time of hospital admission ‐ a time when patients are sickest and plans for hospital [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Factors Associated with Discussions of Care Preferences at the Time of Hospital Admission

HM2006 Abstract Number: 1

Measuring Quality of Hospital Care for Vulnerable Elders: Use of ACOVE Quality Indicators

Background: Measuring the quality of hospital care for elderly patients is important since elderly patients are at risk for certain hospital‐related hazards, such as delirium. The Assessing Care of the Vulnerable Elders (ACOVE) Project has [...]

By | 2006-05-03T12:00:58+00:00 May 3rd, 2006|Uncategorized|Comments Off on Measuring Quality of Hospital Care for Vulnerable Elders: Use of ACOVE Quality Indicators