Nonresolving Pulmonary Infiltrates in a Smoker

Case Presentation: A 28‐year‐old woman with a medical history of asthma, migraine, depression, and smoking presented to the emergency department (ED) with shortness of breath and cough fora month. She had previously been treated by [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Nonresolving Pulmonary Infiltrates in a Smoker

When a Patient Has No Voice

Case Presentation: A 75‐year‐old man with a distant history of laryngeal squamous cell cancer underwent a laryngoscopy to evaluate a new left piriform mass. Complications during the procedure lead to an emergent tracheostomy, and he [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on When a Patient Has No Voice

An Unusual Case of Pyomyositis of the Neck

Case Presentation: A 59‐year‐old woman with a medical history of Crohn's disease and hypertension presented to the emergency room with pain in the left side of her neck that had been progressively worsening for 4 [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on An Unusual Case of Pyomyositis of the Neck

Implementation of Multidisciplinary Collaborative Rounding in the General Practice Unit: Implications for Patient Safety and Resident Education

Background: Multiple barriers exist to improving patient safety during regular rounds on an internal medicine inpatient unit: lack of standardization, limited time because of high patient turnover, and reduced communication with all members of the [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Implementation of Multidisciplinary Collaborative Rounding in the General Practice Unit: Implications for Patient Safety and Resident Education

Indication‐Based Ordering Produces Improved Outcomes in Reducing Rate of Preventable Venous Thromboembolic Events

Background: Venous thromboembolic (VTE) disease is a significant burden for hospitalized inpatients. At our institution, we designed an intervention that would force physician users both to rate degree of VTE risk and to intervene with [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Indication‐Based Ordering Produces Improved Outcomes in Reducing Rate of Preventable Venous Thromboembolic Events

Web‐Based Team Collaboration Environment for Clinical Care, Research, and Education at an Academic Hospitalist Group

Background: As hospitalist groups grow larger, it is important for every member of the team to be on the same page with new developments and in‐house rules and regulations. Exchanging e‐mails has the limitation of [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Web‐Based Team Collaboration Environment for Clinical Care, Research, and Education at an Academic Hospitalist Group

Nosocomial Infections in Patients after Undergoing Bariatric Surgery at Our Institution

Background: Postoperative bariatric surgery (BS) infection rates (IRs) of 1%‐16.5% have been reported, with a mortality rate of up to 21.7%. This study investigated the 30‐day postoperative IR and mortality rate at our institution. It [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Nosocomial Infections in Patients after Undergoing Bariatric Surgery at Our Institution

Association between Nurse Staffing Levels and Inpatient Falls

Background: Falls remain a source of preventable morbidity and mortality of hospitalized patients with acute medical illnesses. Because of the high cost associated with falls in dollars, length of stay, and patient outcomes, much research [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Association between Nurse Staffing Levels and Inpatient Falls

Validation of a Tool Measuring Physician Attitudes and Knowledge of Nurse‐Practitioners

Background: Nurse‐practitioners (NPs) play an increasing role in the delivery of inpatient care, often within hospitalist programs. Work evaluating this collaborative relationship is limited. In other settings, qualitative studies have suggested there are role confusion [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Validation of a Tool Measuring Physician Attitudes and Knowledge of Nurse‐Practitioners

PICC‐ing Up the Pace: A New Hospitalist Service for Peripherally Inserted Central Catheters

Background: Percutaneous intravenous central catheters (PICCs) are increasingly the devices of choice for providing long‐term central venous access among medicine inpatients. However, hospitalists are not typically trained in PICC insertion and often rely on other [...]

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Brugada Syndrome: An Uncommon Cause of Syncope and Sudden Cardiac Death

Case Presentation: A 37‐year‐old man with a family history of “heart disease” presented to the emergency room (ER) with a witnessed syncopal event lasting 1 minute. He had no chest pain, dyspnea, dizziness, or palpitations [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Brugada Syndrome: An Uncommon Cause of Syncope and Sudden Cardiac Death

Lamotrigine‐Induced Aseptic Meningitis

Case Presentation: A 36‐year‐old white woman with a history of hypothyroidism and type 2 bipolar disorder presented with a 4‐day history of fever, rigors, nausea, vomiting, neck stiffness, photophobia, and severe diffuse headaches. She had [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Lamotrigine‐Induced Aseptic Meningitis

Intracardiac B‐Cell Lymphoma Presenting as New‐Onset Atrial Fibrillation and Diastolic Heart Failure

Case Presentation: A 68‐year‐old woman was admitted to a tertiary referral center after presenting to her local emergency department (ED) with a complaint of shortness of breath. She initially presented to the ED with a [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Intracardiac B‐Cell Lymphoma Presenting as New‐Onset Atrial Fibrillation and Diastolic Heart Failure

Queuing Theory for Designing Geographically Localized Hospitalist Units and Impact on Hospital Throughput

Background: Most patient arrivals at hospitals are unsynchronized with their discharges. If beds are assigned on a first come, first served basis, the result is patients being dispersed among several nursing units. This geographical disconnect [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Queuing Theory for Designing Geographically Localized Hospitalist Units and Impact on Hospital Throughput

Rapid‐Response Teams and Internal Medicine Training: Original Descriptive Summary of Rapid‐Response Team Implementation in a Community‐Based Residency Program

Background: Rapid‐response teams (RRTs) are associated with decreases in unexpected inpatient death, code blue, and unexpected ICU transfer rates. There are many RRT designs, but little has been written about RRTs coordinated by internal medicine [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Rapid‐Response Teams and Internal Medicine Training: Original Descriptive Summary of Rapid‐Response Team Implementation in a Community‐Based Residency Program