Thoracentesis; A Critical Analysis of Urban Legends

Background: Thoracentesis is a relatively safe procedure. Despite a lack of supporting evidence, common assumptions regarding safety guidelines include: (1) limit fluid removal to < 1.5 L; (2) avoid bilateral procedures; (3) do not tap patients on [...]

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How Certain Do We Make a Diagnosis of Pneumonia, How Well Do We Differentiate Community‐Acquired Pneumonia (CAP) from Health Care–Associated Pneumonia (HCAP), and Does This Lead to Errors in Selecting Antibiotics?

Background: Pneumonia is a common entity associated with significant morbidity and mortality. Guidelines for the management of both CAP and HCAP have been recently published, with evidence that compliance is associated with better outcomes. These [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on How Certain Do We Make a Diagnosis of Pneumonia, How Well Do We Differentiate Community‐Acquired Pneumonia (CAP) from Health Care–Associated Pneumonia (HCAP), and Does This Lead to Errors in Selecting Antibiotics?

Are U.S. Hospitals in Compliance with Federal Regulations on Language Access Services?

Background: Federal regulations require health care organizations to provide language services for limited English proficiency (LEP) patients. The National Standards on Culturally and Linguistically Appropriate Services (CLAS standards) in Health Care include 4 that outline [...]

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Factors Related to Hospital Readmission among Hospitals in the University Health Consortium

Background: Up to three quarters of hospital readmissions may be avoidable, incurring a total cost from unplanned readmissions of $17.4 billion annually. Knowledge regarding the characteristics of patients at highest risk of readmission has been [...]

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The Boost 7P Screening TooI for Transitions as a Predictor of Read mission

Background: Project BOOST (Better Outcomes for Older Adults Through Safe Transitions) is a SHM‐mentored quality improvement program targeted at improving the discharge transition process and now has 30 participating sites. Our hospital, one of the [...]

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Effects of Hospitalists on 1‐Year Postdischarge Resource Utilization By Medicare Beneficiaries

Background: Several studies have found that hospitalists reduce cost and length of stay compared to nonhospitalists, with no adverse effect on quality of care or inpatient outcomes. However reduced length of stay could be accomplished [...]

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Can Low Clinical Pretest Probability and Negative D‐Dimer Be Used to Exclude Pulmonary Embolism in Hospitalized Patients? A Systematic Review

Background: There is controversy over the use of D‐dimer to exclude pulmonary embolism (PE) in patients hospitalized for other reasons. Some authors have suggested that D‐dimer has limited clinical utility for inpatients because of its [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Can Low Clinical Pretest Probability and Negative D‐Dimer Be Used to Exclude Pulmonary Embolism in Hospitalized Patients? A Systematic Review

Hospitalist Orthopedics Team Approach to Improving Care of Osteoporosis for Fragility Hip Fracture Patients

Background: Osteoporosis, the underlying cause of most hip fractures, is underdiagnosed and underrated. The Joint Commission's recent report on osteoporosis diagnosis and management showed that only 20% of patients with fragility or low‐impact fractures are [...]

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Cost and Trajectory of Care for Dying Patients

Background: Cost of medical care at the end of life is high, especially for hospitalizations that end in death. Palliative care services have been associated with decreased costs, including lower intensive care unit (ICU) costs. [...]

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The ABCs of Hospitalized Patients: A Multidisciplmary Checklist for Improving Quality of Inpatient Care

Background: Over the past several decades, there has been a rapid influx ol new information lor diagnostic and therapeutic interventions. It is increasingly challenging for hospitalists to continue to integrate new knowledge while complying with [...]

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The Chicago Breathe Project: A Multi‐Institution Educational Innovation to Improve Resident Knowledge and Skills in Caring for Patients with Inhalers

Background: Asthma is responsible for a substantial proportion of ER visits and hospitalizations nationally, especially in minority communities. Since 2009, asthma patients have now been at increased risk because of a mandated replacement of the [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on The Chicago Breathe Project: A Multi‐Institution Educational Innovation to Improve Resident Knowledge and Skills in Caring for Patients with Inhalers

Innovative Strategies That Improve Clinical Handoff (l‐Switch) Phase 3: Multi‐Institutional Randomized Controlled Trial Evaluating the Educational and Performance Effect of Cognitive Simulation on Resident Handoffs

Background: Handoff skills continue to be a critical part of resident training. Few large‐scale studies exist to assess the most effective method 1c teach proper handoff skills. Purpose: A prospective, randomized, controlled trial was conducted [...]

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Diarrhea, Recurring Symptom Different Diagnosis

Case Presentation: A 57‐year‐old while female presented with 9 weeks of diarrhea and abdominal pain. She characterized her stools as large volume and nonbloody. She had noticed an associated 20‐pound weight loss. She denied recent [...]

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Saved by the Hip

Case Presentation: A 73‐year‐old white male with well‐controlled hypertension, type 2 diabetes, osteoarthritis, and gout presented to our preoperative clinic in anticipation of undergoing left hip arthroplasty. The patient had experienced left hip and back [...]

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