Idiopathic CD4+ T‐Cell Lymphocytopenia

Case Presentation: A previously healthy 65‐year‐old man presented to Dartmouth‐Hitchcock Medical Center with 3 months of decreased energy, dyspnea, and fever. The patient was afebrile and normotensive but required 100% O2 by face mask. His [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Idiopathic CD4+ T‐Cell Lymphocytopenia

Bridging the Healthcare Gap: An Effective Collaboration of Hospital Medicine and Community Case Management

Background: All too often the transition of patient care from the inpatient to the outpatient setting is a dilemma. Our hospital administration recognized this issue and developed a community case management program (CCMP). The staff [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Bridging the Healthcare Gap: An Effective Collaboration of Hospital Medicine and Community Case Management

Benefits of Initiating a Hospitalist PICC Program — Experience from an Academic Community Medical Center

Background: Hospitalists play a key role in procedural training at many academic institutions and are frequently called on to assist with vascular access. PICCs have been shown to be safe and cost effective. Their use [...]

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The ABIM Hospital‐Based Practice Improvement Module (PIM): Who Are the Completers and What Have We Learned?

Background: The ABIM recently developed a series of Web‐based practice‐focused self‐evaluation instruments called Practice Improvement Modules (PIM) as a requirement of its maintenance of certification program. PIMs facilitate the implementation of quality improvement (QI) processes [...]

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Situational Awareness Improves Prevalence of VTE Prophylaxis on Multiple Nursing Units

Background: Research in hospital care delivery has yet to elucidate a transferable strategy to deliver optimal care on a consistent basis. Most hospitals struggle even to generate the regular data flow necessary to track performance. [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Situational Awareness Improves Prevalence of VTE Prophylaxis on Multiple Nursing Units

Patterns of Nurse‐Physician Communication and Agreement on the Plan of Care

Background: Interdisciplinary communication is critically important for safe and effective patient care. Little is known about patterns of communication between nurses and physicians caring for hospitalized medical patients. Our objective was to characterize nurse‐physician communication [...]

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Impact of a Predominant Geographic Model on Outcomes for Hospitalist Patients

Background: Concern for patient safety and efficient throughput has been the impetus for the development of many initiatives aimed at improving hospital processes. It is our hypothesis that the traditional assignment of patients may adversely [...]

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Perioperative β‐Blockade in Clinic Practice

Background: Studies examining the effect of perioperative β‐blockade on cardiac events have yielded conflicting results. This discrepancy is in part a result of differences in degrees of β‐blockade as assessed by heart rate (HR). Complications [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Perioperative β‐Blockade in Clinic Practice

A Qualitative Exploration of the Impact of Completing the ABIM Hospital‐Based Practice Improvement Module (PIM)

Background: To facilitate maintenance of certification (MOC) of hospital‐based physicians, the American Board of Internal Medicine (ABIM) developed the Hospital‐Based Practice Improvement Module (Hospital PIM). The Hospital PIM is one of a series of data‐driven, [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on A Qualitative Exploration of the Impact of Completing the ABIM Hospital‐Based Practice Improvement Module (PIM)

Alcohol Withdrawal in a Suicidal Patient

Case Presentation: A 63‐year‐old man with a history of alcoholism and withdrawal seizures presented to the ED after a suicide attempt. The patient had persistent suicidal ideation and was placed on a psychiatric hold. In [...]

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Bilateral Adrenal Hemorrhage after Bilateral Total Knee Arthroplasty

Case Presentation: A 52‐year‐old man with bilateral total knee arthroplasty (TKA) done 9 days prior to admission presented with complaints of bilateral upper quadrant abdominal pain, nausea, and vomiting of 2 days' duration. He was [...]

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Painless Acute Aortic Dissection Presenting as Left Lower Extremity Weakness and Numbness

Case Presentation: A 76‐year‐old woman presented with left lower extremity numbness and weakness for 1 hour. She denied chest or back pain. Vital signs were unremarkable. Neurological examination revealed 0/5 motor strength and decreased pinprick [...]

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Abdominal Pain That Is Not in the Abdomen — An Unusual Presentation of Non‐Hodgkin B‐Cell Lymphoma

Case Presentation: The epidural space is a well‐known, albeit uncommon, location for lymphomatous involvement. We present a Hispanic man with an initial complaint of upper abdominal pain that progressed to a posterior spinal canal compression [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Abdominal Pain That Is Not in the Abdomen — An Unusual Presentation of Non‐Hodgkin B‐Cell Lymphoma

A Novel System Designed to Optimize Communication between Hospitalists and Primary Care Physicians

Background: Communication is central to the coordination of quality patient care. Yet studies have documented poor communication among physicians and have associated poor communication with serious adverse outcomes. A recent meta‐analysis revealed that direct communication [...]

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Building a Hospital Medicine Curriculum to Enhance Internal Medicine Residency Education Using the Hospital Medicine Core Competencies

Background: Our program's house staff and medical student curricula were heavily weighted toward ambulatory medicine. Our division and training program wanted to develop a learning tool focused on inpatient skills, using the Society of Hospital [...]

By | 2008-04-03T12:00:45+00:00 April 3rd, 2008|Uncategorized|Comments Off on Building a Hospital Medicine Curriculum to Enhance Internal Medicine Residency Education Using the Hospital Medicine Core Competencies