Predictors and Prognosis of Worsening Renal Function in Patients with Diastolic Heart Failure Hospitalized with Acute Heart Failure and Treated with Intravenous Furosemide

Background: The purpose of this study was to assess the predictors and prognosis of worsening renal function (WRF) in patients hospitalized with acute diastolic heart failure. Methods: We retrospectively evaluated 149 patients who were admitted [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Predictors and Prognosis of Worsening Renal Function in Patients with Diastolic Heart Failure Hospitalized with Acute Heart Failure and Treated with Intravenous Furosemide

Introduction of a Discharge Template to Improve Discharge Documentation for Patients with Heart Failure

Background: The time of hospital discharge is a pivotal period in the care of hospitalized patients and one during which patients are at particular risk for adverse events. This is especially true for patients with [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Introduction of a Discharge Template to Improve Discharge Documentation for Patients with Heart Failure

What's Out There? Characterizing Tests Pending at Discharge

Background: Approximately 40% of medical patients are discharged with tests pending, and these test results change patient care over one third of the time. Little is known, however, about what types of tests are pending [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on What's Out There? Characterizing Tests Pending at Discharge

Factors Influencing Hospital Recidivism among Patients Discharged from an Academic Hospitalist Service

Background: Many patients that hospitalists care for have complex social situations and poor access to medical care. These vulnerable populations often do poorly after discharge and may repeatedly return to the hospital for unresolved medical [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Factors Influencing Hospital Recidivism among Patients Discharged from an Academic Hospitalist Service

Patterns of Computed Tomography (CT) Utilization for Pediatric Patients Seen in the Emergency Department: Results from a National Survey

Background: Increasing the use of computed tomography (CT) imaging over the past 10 years has been accompanied by rising concerns about the effects of radiation exposure, especially in children. One approach to limiting radiation exposure [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Patterns of Computed Tomography (CT) Utilization for Pediatric Patients Seen in the Emergency Department: Results from a National Survey

In‐Hospital Cardiopulmonary Arrest: The Role of BMI, Central Venous Catheter, and Other Predictors of Outcome

Background: Survival following in‐hospital cardiac arrest has remained poor, at about 14%. The goal of this study was to determine the factors related to survival, and to evaluate the role of BMI and central venous [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on In‐Hospital Cardiopulmonary Arrest: The Role of BMI, Central Venous Catheter, and Other Predictors of Outcome

Improving Teamwork: Impact of Structured Interdisciplinary Rounds on a Medical Teaching Unit

Background: Research reveals deficiencies in teamwork on medical teaching units. The aim of this study was to assess the impact of an intervention, structured interdisciplinary rounds (SlDRs), on hospital care providers' ratings of collaboration and [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Improving Teamwork: Impact of Structured Interdisciplinary Rounds on a Medical Teaching Unit

Measuring Plasma Oxygen to Estimate True Oxygen Content of Blood in Patients with Extreme Leukocytosis: A Case Report

Background: Spurious hypoxemia is a very rare but known entity in patients with extreme leukocytosis. There are roughly only 15 cases that have been reported and documented spurious hypoxemia in patients with extreme leukocytosis and [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Measuring Plasma Oxygen to Estimate True Oxygen Content of Blood in Patients with Extreme Leukocytosis: A Case Report

Increased Mortality and Readmission among Patients Discharged Against Medical Advice

Background: Approximately 500,000 patients are discharged from U.S. hospitals against medical advice (AMA) each year. The clinical implications of discharge AMA are not known. We hypothesized that discharge AMA would be associated with a strong [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Increased Mortality and Readmission among Patients Discharged Against Medical Advice

Relationship between Patient Perceptions of Hospitalist Communication and Length of Stay

Background: Length of stay in U.S. hospitals has been trending downward, and correlations to both outcomes and patient satisfaction are mixed. We compared measures of patient satisfaction with hospitalists' communication skills to average patient length [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Relationship between Patient Perceptions of Hospitalist Communication and Length of Stay

Tomorrow Night's Coverage Today!

Background: Every hospitalist program needs night coverage. Noctumists are in high demand and short supply and rotating hospitalists from days to nights is a dissatisfier. Night coverage is Typically more expensive than day coverage because [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Tomorrow Night's Coverage Today!

Advancing Geriatrics Education: An Efficient Faculty Development Program for Academic Hospitalists Increases Geriatric Teaching

Background: Hospitalists care for an increasing number of older patients. As teachers of medicine, they are uniquely positioned to teach geriatric skills to residents. Faculty development programs focused on geriatrics leaching skills are often expensive [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Advancing Geriatrics Education: An Efficient Faculty Development Program for Academic Hospitalists Increases Geriatric Teaching

Using Standardized Patients for Work Rounds and Discharge Quality Improvement

Background: Work rounds are an established part of internal medicine residency training and an essential component of patient‐centered care. Work rounds provide house staff with the opportunity to review patients' hospital course, test results, treatment [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Using Standardized Patients for Work Rounds and Discharge Quality Improvement

Wernicke's Encephalopathy after Bariatric Surgery: A Case Series

Case Presentation: Case 1 is a 57‐year‐old African American female patient with morbid obesity, type 2 DM, HTN. and CKD stage 3 who was admitted for DKA. She had undergone Roux‐en‐Y gastric bypass surgery 2 [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Wernicke's Encephalopathy after Bariatric Surgery: A Case Series

Spontaneous Coronary Artery Dissection (SCAD): Often a Postmortem Diagnosis

Case Presentation: Spontaneous coronary artery dissection (SCAD) is a very rare cause of acute coronary syndrome in young otherwise healthy patients with a striking predilection for the female sex. We describe a patient who underwent [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Spontaneous Coronary Artery Dissection (SCAD): Often a Postmortem Diagnosis