Comparative Effectiveness of Continuous‐Infusion with Intermittent Bolus Loop Diuretic Therapy in Patients with Acute Decompensated Congestive Heart Failure

Background: For treatment of acute decompensated congestive heart failure (CHF), intravenous loop diuretics are usually administered as intermittent bolus injections. However, these bolus injections can cause significant hemodynamic effects because of fluctuations in intravascular volume, [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Comparative Effectiveness of Continuous‐Infusion with Intermittent Bolus Loop Diuretic Therapy in Patients with Acute Decompensated Congestive Heart Failure

Cost‐Effective Treatment of Patients with Acute Cholecystitis and Possible Common Bile Duct Stones

Background: The diagnosis of acute cholecyslitis is usually straightforward, but determining whether common bile duct (CBD) stones are present is usually not. Clinicians rely on clues such as a dilated CBD, intrahepatic ductal dilation, elevated [...]

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Quality of Care for In‐Hospital Stroke: Analysis of a Statewide Registry

Background: It is estimated that 7%–15% of all strokes occur in the hospital. It might be expected that strokes occurring in the inpatient setting would receive higher quality of care, more rapid evaluation, and a [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Quality of Care for In‐Hospital Stroke: Analysis of a Statewide Registry

Hospitalist‐Powered Mobile Telemedicine to Admit Patients in the Emergency Department

Background: Hospitalists must help find innovative solutions to challenging problems that face hospitals today. Hospitals face a physician shortage for both hospitalists and other specialty physicians. And hospitals face falling revenues and are under intense [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Hospitalist‐Powered Mobile Telemedicine to Admit Patients in the Emergency Department

A Common Blood Group Type (Duffy Null) in African Americans Predicts Increased Mortality in Acute Lung Injury

Background: African Americans suffer nearly double the annual estimated mortality rate of whites in acute lung injury (ALI), and genetic factors may be involved The Duffy blood group antigen is a chemokine receptor on red [...]

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Underutilization of Antiplatelet Therapy for Primary Prevention by Hospitalists

Background: Many guidelines recommend aspirin for primary prevention of myocardial infarction and cerebrovascular accidents in high‐risk patients. Aspirin use has increased in indicated populations; however, the percentage is still suboptimal. Currently, data from the 1993 [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Underutilization of Antiplatelet Therapy for Primary Prevention by Hospitalists

Improving Physician Communication Scores on the HCAHPS Survey: Early Effect of a Multifaceted Physician‐Led Initiative in a Community Teaching Hospital

Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was developed by the Center for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality (AHRQ) as a standardized [...]

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Trends in Pediatric HIV Hospitalizations

Background: The last 15 years have seen tremendous advances in the care of HIV‐infected children. Kourtis et al. documented a 71% decline in pebiatric hospitalizations due to HIV from 1994 through 2003, especially after the [...]

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Medication Changes in the Elderly during Hospitalization

Background: In the United States the elderly make up a disproportionately large percentage of acute hospitalizations. In 2003 persons older than 65 years old made up 12% of the U.S. population but accounted for 33% [...]

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Hand Hygiene — Follow the Leader?

Background: Considerable resources have been devoted to improving hand hygiene compliance, yet true compliance remains unacceptably low, especially among physicians. Estimates from U.S. hospitals conclude that 2 million hospital‐acquired infections occur yearly, resulting in 100,000 [...]

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Staying Up‐to‐Date in Hospital Medicine by Using A Web‐Feeds Portal for Medical Journals

Background: With today's flow of information, on top of academic and clinical duties, hospitalist face the challenge of staying up‐to‐date to provide the besl care for palients. Web feeds are powered by an extensible markup [...]

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Development of a Provider Coding Education Program to Improve Charge Capture and Coding Accuracy in an Academic Hospitalist Practice

Background: An academic medical center added 15 adult hospitalists over the past 2 years. Many of the new faculty did not have prior experience with billing. Over the same time, the Department of Internal Medicine [...]

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Development of a Pediatric Hospitalist Sedation Program

Background: There is growing demand for safe procedural sedation in pediatric hospitals around the country. Purpose: Through training with pediatric anesthesiologists, we have developed a successful model for a pediatric hospitalist‐administered sedation program. Description: In [...]

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Disseminated Histoplasmosis and CD4 Lymphocytopenia: Chicken or the Egg?

Case Presentation: A 54‐year‐old woman with no past medical history presented with a 2‐month history of increasing fatigue, fever, and loss of appetite. She denied any other symptoms. She was pale and febrile (101.7°F) and [...]

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An Unusual Cause of a Common Complaint: Extensive Dural Venous Thrombosis Presenting as a Headache

Case Presentation: Dural venous thrombosis or cerebral vein thrombosis (CVT) is a rare but potentially fatal condition that can present as a severe headache and can be challenging to diagnose. A 46‐year‐old nonsmoking white female [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on An Unusual Cause of a Common Complaint: Extensive Dural Venous Thrombosis Presenting as a Headache