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 [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on PICC‐ing Up the Pace: A New Hospitalist Service for Peripherally Inserted Central Catheters

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

Hospitalist Track for Internal Medicine Residents

Background: Internal medicine (IM) resident training in the United States is undergoing a “relook” through “residency reform” by various medical organizations. One idea is to give residents more flexibility in planning their training to meet [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Hospitalist Track for Internal Medicine Residents

Documentation by Hospitalists and Nonhospitalists of Geriatric Syndromes in Elderly Acute Care Inpatients Discharged to Postacute Services

Background: Detection of geriatric syndromes is a critical step in caring for older patients and determining eligibility for post‐acute care services. Geriatric syndromes, notably delirium and malnutrition, are often undiagnosed and untreated in hospitalized elderly [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Documentation by Hospitalists and Nonhospitalists of Geriatric Syndromes in Elderly Acute Care Inpatients Discharged to Postacute Services

Student Satisfaction with Physical Examination Instruction on Attending‐Only Hospitalist Services Versus Traditional Ward Teams

Background: Attending‐only hospitalist services have been developed at academic centers in response in part to resident duty‐hour restrictions. The efficacy of these clinical services as teaching venues for medical students has not been assessed. Purpose: [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Student Satisfaction with Physical Examination Instruction on Attending‐Only Hospitalist Services Versus Traditional Ward Teams

How Do Hospitalized Patients Feel About Resident Work Hours, Fatigue, and Discontinuity of Care

Background: The resident work‐hour rules were implemented by the Accreditation Council for Graduate Medical Education to address the patient safety problems associated with physician fatigue, but they do not take into account the discontinuity of [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on How Do Hospitalized Patients Feel About Resident Work Hours, Fatigue, and Discontinuity of Care

Ability of Hospitalized Patients to Identify Their Inpatient Physicians

Background: Patients admitted to academic teaching hospitals are often cared for by multiple physicians of different training levels. This study aimed to ascertain the ability of patients to identify their inpatient physicians and patient and [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Ability of Hospitalized Patients to Identify Their Inpatient Physicians