Methylnaltrexone for Opioid‐lnduced Constipation During Rehabilitation Following Orthopedic Procedures: A Double‐Blind, Randomized Clinical Study

Background: Methylnaltrexone, a quaternary derivative of naltrexone, is a peripheral mu‐opioid receptor antagonist recently approved for the treatment of opioid‐induced constipation (OIC) in patients with advanced illness who are receiving palliative care when response to [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Methylnaltrexone for Opioid‐lnduced Constipation During Rehabilitation Following Orthopedic Procedures: A Double‐Blind, Randomized Clinical Study

Newly Cleaned Physician Uniforms Have Similar Rates of Bacterial Contamination at the End of the Workday as Infrequently Washed White Coats

Background: In 2007, the British Department of Health developed guidelines for health care workers regarding uniforms and work wear that banned the traditional white coat, long sleeves, jewelry, and neckties in the United Kingdom. To [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Newly Cleaned Physician Uniforms Have Similar Rates of Bacterial Contamination at the End of the Workday as Infrequently Washed White Coats

Effect of a Multicomponent Campaign on Pressure Ulcer Prevention and Care

Background: A 2‐year quality improvement campaign at a single teaching hospital was launched to improve the identification, documentation, and treatment of pressure ulcers (PUs) in the wake of the CMS declaration that severe hospital‐acquired PUs [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Effect of a Multicomponent Campaign on Pressure Ulcer Prevention and Care

Development of a Guideline for Management of Coombs‐Positive Infants in a Community Hospital for Pediatric Hospitalists

Background: Coombs‐positive (DAT+) infants are commonly encountered in the newborn nursery. These infants are at risk for developing severe hyperbilirubinemia and bilirubin encephalopathy. Multiple hospitalists may care for each infant daily, with diverse approaches to [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Development of a Guideline for Management of Coombs‐Positive Infants in a Community Hospital for Pediatric Hospitalists

Impact of a Standard Admission Order Form on Appropriate Use of Venous Thromboembolism Prophylaxis

Background: Venous thromboembolism prophylaxis (VTEP) decreases rates of deep vein thrombosis among inpatients, and increasing VTEP use is a common target for quality improvement initiatives. However, little is known about the balance of appropriate versus [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Impact of a Standard Admission Order Form on Appropriate Use of Venous Thromboembolism Prophylaxis

Improving Timeliness without Compromising Quality: Discharge Summaries Dictated by Internal Medicine Residents

Background: The discharge summary is an important tool for communicating essential information as patients transition from the hospital, yet it frequently does not arrive for outpatient physicians in a timely manner Furthermore, residents are often [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Improving Timeliness without Compromising Quality: Discharge Summaries Dictated by Internal Medicine Residents

Proton Pump Inhibitors Overuse among Academic and Nonacademic Hospitalists

Background: Over the past decade, several studies reported a sharp increase in the use of proton pump inhibitors (PPIs) in the hospital setting. Between 33% and 65% of these prescriptions were found to be noncompliant [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Proton Pump Inhibitors Overuse among Academic and Nonacademic Hospitalists

A Hospital‐Based Curriculum for Patient‐Centered Care and Safe Transitions: Effect on 30‐Day Heart Failure Readmissions

Background: Hospital readmission is a common and costly problem, with an average 30‐day readmission rate of 20% for Medicare patients. HF is the most common reason for readmission. Inattention to care across transitions is a [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on A Hospital‐Based Curriculum for Patient‐Centered Care and Safe Transitions: Effect on 30‐Day Heart Failure Readmissions

Safe Procedural Sedation for Radiological Studies in Children Using Propofol by a Pediatric Hospitalist Team

Background: There is increasing use of propofol by nonanesthesiologists to sedate children for ambulatory diagnostic imaging studies. There is little published data on the safety profile and frequency of adverse events when propofol is used [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Safe Procedural Sedation for Radiological Studies in Children Using Propofol by a Pediatric Hospitalist Team

Preventing Catheter‐Associated Urinary Tract Infection in U.S. Hospitals, 2005–2009

Background: Urinary catheters are frequently used in acute care settings, resulting in substantial morbidity and costs from catheter‐associated urinary tract infection (CAUTI). National data from 2005 revealed that preventing CAUTI was a low priority for [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Preventing Catheter‐Associated Urinary Tract Infection in U.S. Hospitals, 2005–2009

A Standardized EHR Discharge Documentation Tool to Mistake‐Proof CHF Bundle Compliance

Background: In 2005, CMS and JCAHO implemented the Heart Failure Core Measures Set along with other core measures, in launching their hospital Performance Measures Initiative. Virginia Mason Medical Center (VMMC) has been able to improve [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on A Standardized EHR Discharge Documentation Tool to Mistake‐Proof CHF Bundle Compliance

Pharmacist‐Driven Discharge Medication Reconciliation as Part of Project BOOST

Background: Discharge transitions in care represent a high‐risk period for medication errors and adverse drug events such as medication discrepancies. Although there is literature on improving admission medication reconciliation (Cornish et al. Arch Mem Med. [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Pharmacist‐Driven Discharge Medication Reconciliation as Part of Project BOOST

The First 3 Years of a Hospital‐Based Comparative Effectiveness Center; Translating Research into Practice to Improve the Quality, Safety, and Cost Effectiveness of Patient Care

Background: Variations in physician practice are well documented, despite the existence of best practices. Difficulty in translating research inlc practice, as well as industry influence, may be factors responsible for such variation. For academic medical [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on The First 3 Years of a Hospital‐Based Comparative Effectiveness Center; Translating Research into Practice to Improve the Quality, Safety, and Cost Effectiveness of Patient Care

“Boxing Glove” Hand: The RS3PE Syndrome

Case Presentation: A 73‐year‐old male with HTN presented with 1 month of bilateral UE throbbing pain in his upper arms followed by his hands. This was associated with swelling ascending up from his hands to [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on “Boxing Glove” Hand: The RS3PE Syndrome

Spontaneous Intra‐Abdominal Hemorrhage: A Case Report

Case Presentation: A 34‐year‐old African American male with sickle cell trait and Gilbert's syndrome presented To Ihe emergency room with left‐sided, throbbing flank pain that radiated To the ipsilateral testicle. Four months ago, he underwent [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Spontaneous Intra‐Abdominal Hemorrhage: A Case Report