Metabolic Syndrome Is an Independent Predictor of Significant Coronary Artery Disease and Carotid Artery Stenosis in Patients with Moderate to Severe Aortic Stenosis

Background: Metabolic syndrome (MetS) portends an increased risk of coronary artery disease (CAD), independent of traditional risk factors, and is also associated with increased carotid intimal wall thickness. Metabolic syndrome has also been associated with [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Metabolic Syndrome Is an Independent Predictor of Significant Coronary Artery Disease and Carotid Artery Stenosis in Patients with Moderate to Severe Aortic Stenosis

Preparing for the Next Pandemic Flu: The Role of the Medical Student — A View from Within

Background: The rising incidence of patients seeking hospital services with flulike illness and related complications has every health care system preparing for busy flu seasons. Based on lessons from previous pandemic flu events, there are [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Preparing for the Next Pandemic Flu: The Role of the Medical Student — A View from Within

Scripted Social History Questions Increase Screening Rates for Intimate Partner Violence on Inpatient Medicine Teaching Services

Background: Although numerous professional organizations recommend routine screening for intimate partner violence (IPV), and the Joint Commission for Accreditation for Health Care Organizations requires screening for IPV in in patient admissions, screening rates in outpatient [...]

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Can a Mail‐Home Hospital Patient Satisfaction Survey Be Used to Assess Individual Hospitalist Communication?

Background: Hospitals are increasingly interested in patient satisfaction as an outcome measure. The Press‐Ganey (PG) patient satisfaction survey contains items related to satisfaction with individual physician's communication. On receipt of the completed survey these results [...]

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Predictors of Hospital Readmissions within 30 Days after Discharge

Background: Read mission to the hospital soon after discharge is a significant burden to patients and our health care system, We aimed to study the predictors of readmissions within 30 days of discharge from our [...]

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Patient's Knowledge about Their Hospitalization at Discharge

Background: Hospital discharge represents a potentially dangerous transition in care requiring active engagement with patients and their caregivers. Ensuring that patients undersland any new diagnoses, medications and dosing changes, and follow‐up is essential to preventing [...]

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

Background: Communication among health care providers is critically important to provide safe care, as poor communication represents a major etiology of preventable adverse events (AE) in hospitals. The aim of this study was to assess [...]

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Assessment and Optimization of Cardiac Performance for Noncardiac Surgery Patients: The Increase Quality Improvement

Background: Several randomized and observational trials in the past decade and the more recent ACC/AHA guidelines support the use of preoperative beta‐blockers (PBBs) in selected patients undergoing noncardiac surgery (NCS). The Internal Medicine Preoperative Assessment [...]

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Assessing Impact of Usual Care on Quit Rates 4 Weeks Postdischarge among Hospitalized Smokers

Background: The hospital setting is an ideal environment to counsel patients on smoking cessation. The effectiveness of hospital‐based care for smoking is unclear, specifically among African Americans, who face a disproportionate burden of tobacco‐related disease. [...]

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Discharge Summary Redesign Yielding Timely Completion and Forwarding

Background: At our quaternary academic medical center the process of dictating discharge summaries historically led to delays such that discharge summaries were being completed on average of more than 5 days after discharge. Our geriatricians [...]

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Dear Doctor: A Tool to Facilitate Patient‐Centered Care and Enhance Communication

Background: The results of publicly reported patient care surveys, such as the Hospital Consumer Assessment of Hospitals and Health Systems (HCAHPS), suggest that physician communication with patients could be improved. Patient‐centered care: which attempts to [...]

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Developing a Longitudinal Ql Curriculum to Practically Teach Quality Improvement to Trainees

Background: Program directors are responsible for teaching and evaluating resident competence in quality improvement (QI) activities. Recent literature has highlighted various methods to accomplish this goal using varied curricula, facilitation tools, and rotational structures. The [...]

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Immersion of House Staff in Case Review: Blending Education with Quality Improvement

Background: The ACGME requires that residents achieve competence in systems‐based practice (SBP) and practice‐based learning and improvement (PBL). Residency programs are challenged to develop, teach, and measure the impact of educational curricula in These arenas. [...]

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Renal Artery Dissection from Blunt Abdominal Trauma: A Case Report and Literature Review

Case Presentation: This is a 43‐year‐old white man who suffered blunt abdominal wall trauma from a collision with a teammate during a Softball game. The patient initially presented to the emergency department 1 day after [...]

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Sepsis and Pulse Pressure Variation: Dynamic Consequences

Case Presentation: An 83‐year‐old man was admitted to the hospital with suspected right upper load pneumonia. His physical exam and laboratory values were significant for a temperature of 38.4°C, a heart rate of 108, a [...]

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