Intern‐Perceived Effectiveness of a Program Designed to Teach Resident Handoffs

Background: The resident duty‐hour limitations mandated by theACGME increases the number of handoffs of patient responsibility, raising concerns about discontinuity of care and patient safety (Charap, Ann Intern Med. 2004). Meanwhile, the handoff process is [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Intern‐Perceived Effectiveness of a Program Designed to Teach Resident Handoffs

Effects of a Subcutaneous Insulin Protocol, Computerized Order Set, and Education on Inpatient Management of Hyperglycemia in the Non‐ICU Setting

Background: Inpatient hyperglycemia is common and associated with adverse patient outcomes. Current guidelines recommend treatment to achieve glucose levels below 180 mg/dL in the inpatient non‐ICU setting. The best ways to achieve this glucose target [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Effects of a Subcutaneous Insulin Protocol, Computerized Order Set, and Education on Inpatient Management of Hyperglycemia in the Non‐ICU Setting

High Recidivism Rates after Discharge from a Hospitalist‐Run Short‐Stay Unit Preparing to Reduce the “Frequent Flyer” Effect

Background: Short‐stay units (SSUs) provide traditional inpatient services in locations commonly adjacent to emergency departments (EDs). Hospitalists are well positioned to staff these units because of their expertise in caring for inpatients. However, little is [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on High Recidivism Rates after Discharge from a Hospitalist‐Run Short‐Stay Unit Preparing to Reduce the “Frequent Flyer” Effect

Pediatric Nurses' Perceptions of Pediatric Hospitalist and Nonhospitalist Faculty in the Care of Hospitalized Children

Background: Effective collaboration between physicians and nurses is necessary to ensure the optimal care of hospitalized patients. The increasing number of hospitalists across the United States provides the opportunity to affect this working relationship. However, [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Pediatric Nurses' Perceptions of Pediatric Hospitalist and Nonhospitalist Faculty in the Care of Hospitalized Children

Mastery Learning of Thoracentesis Skills by Internal Medicine Residents Using Simulation Technology and Deliberate Practice

Background: Although internal medicine residents commonly perform bedside procedures, technical proficiency and knowledge regarding procedures such as thoracentesis may be lacking. The risk of complications from thoracentesis may also be increased when performed by physicians‐in‐training. [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Mastery Learning of Thoracentesis Skills by Internal Medicine Residents Using Simulation Technology and Deliberate Practice

Acute Abdominal Aortic Thrombosis as a Complication of the Heimlich Maneuver

Case Presentation: An 81‐year‐old frail man (weight 99 lb) with a medical history significant for chronic obstructive pulmonary disease, lower‐extremity deep venous thrombosis (on warfarin), hypertension, and recent left hip replacement was undergoing rehabilitation and [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Acute Abdominal Aortic Thrombosis as a Complication of the Heimlich Maneuver

Cefepime: An Underrecognized Cause of Change in Mental Status

Case Presentation: A 72‐year‐old woman with moderately reduced renal function (creatinine, 2.1 mg/dL; GFR, 36 mL/min) was admitted to our institution because of worsening chronic back pain. Her physical examination was unremarkable except for decreased [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Cefepime: An Underrecognized Cause of Change in Mental Status

“Still” A Mystery!

Case Presentation: A 29‐year‐old white woman with a history of fever spikes for 1 month presented with complaints of fever, poor appetite, arthralgia, and an erythematous rash on her lower extremities. She had been seen [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on “Still” A Mystery!

Reduction in Code Blue Calls Using a Rapid‐Response Team Aided by an Early‐Warning Scoring System

Background: The early signs and symptoms of patients at risk for clinical deterioration are frequently difficult to assess. The complex nature of patient care coupled with the need for accurate critical evaluation skills contributes highly [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Reduction in Code Blue Calls Using a Rapid‐Response Team Aided by an Early‐Warning Scoring System

Partnership of Palliative Medicine Team and Hospitalists: Continuity of Care

Background: In a tertiary‐care setting, the culture of curative medicine can prevent physicians and parents from initiating a palliative medicine consult. Children who most need the service are those with chronic complex disease who have [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Partnership of Palliative Medicine Team and Hospitalists: Continuity of Care

Club Hospital Med: Integrating SHM's Core Competencies into a Journal Club

Background: Incorporating continuing medical education for hospital medicine programs is an important component of practice development. This can be particularly challenging for practices that do not have access to grand rounds and the usual calendar [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Club Hospital Med: Integrating SHM's Core Competencies into a Journal Club

Use of Central Venous Catheter‐Associated Bloodstream Infection Prevention Practices by U.S. Hospitals: A National Mixed‐Methods Study

Background: Catheter‐associated bloodstream infection (CA‐BSI) causes significant morbidity and mortality. Yet there are no national data describing the extent to which American hospitals are using proven strategies to prevent CA‐BSI, nor are there data assessing [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Use of Central Venous Catheter‐Associated Bloodstream Infection Prevention Practices by U.S. Hospitals: A National Mixed‐Methods Study

Outcomes of Patients Treated by Hospitalists, General Internists, and Family Physicians

Background: The hospitalist model has been rapidly adopted across the United States; however, supporting evidence is derived from a small number of studies examining the practice of few physicians. Methods: We conducted a retrospective cohort [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Outcomes of Patients Treated by Hospitalists, General Internists, and Family Physicians

Electronic Sign‐Out for Patients in a Hospital: Cumbersome System or Effective Communication Tool?

Background: Communication problems between hospital house staff are one of the most common causes of preventable medical adverse events. The process of signing out is a critical part of the communication process that takes place [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Electronic Sign‐Out for Patients in a Hospital: Cumbersome System or Effective Communication Tool?

Diagnostic Value of Exercise Stress Test Versus Pharmacological Gated SPECT Myocardial Perfusion Imaging for Detection of 3‐Vessel Coronary Artery Disease

Background: In patients with 3‐vessel coronary artery disease (3VD), perfusion defects in multiple vascular territories may not always be evident because of globally reduced perfusion. The diagnostic value of an exercise stress test (EST) versus [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Diagnostic Value of Exercise Stress Test Versus Pharmacological Gated SPECT Myocardial Perfusion Imaging for Detection of 3‐Vessel Coronary Artery Disease