Metabolic Syndrome Predicts Poor Outcome in Patients with Systolic Heart Failure Who Received Implantable Cardioverter‐Defibrillators for Primary Prevention of Sudden Cardiac Death

Background: The study sought to determine the outcomes of patients with metabolic syndrome (MetS) who received an implantable cardiovertor defibrillator (ICD) for primary prevention of sudden cardiac death. Methods: This was a retrospective study of [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Metabolic Syndrome Predicts Poor Outcome in Patients with Systolic Heart Failure Who Received Implantable Cardioverter‐Defibrillators for Primary Prevention of Sudden Cardiac Death

Can Hospitalists Identify Clinical Excellence in Their Peers?

Background: Academic medical centers have tripartite missions focused on education, research, and clinical care. Promotion decisions are largely based on research accomplishments. Excellence in patient care in academia had not been well defined until recently, [...]

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Catch as Catch Can: How Physicians Manage Tests Pending at Discharge

Background: With increasing pressure to shorten the length of stay of hospitalized patients, physicians are discharging more patients with tests pending at discharge (TPAD). Little is known about how physicians currently manage TPADs. Methods: Using [...]

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Effect of Increased Venous Thromboembolism Prophylaxis on the Incidence of Heparin‐Induced Thrombocytopenia

Background: Unfractionated and low‐molecular‐weight heparins are widely used for venous thromboembolism prophylaxis (VTEP). Heparin‐induced thrombocytopenia (HIT) is a rare but potentially devastating reaction to heparins, with an incidence of 0%‐5% of exposed medical and surgical [...]

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A Multidisciplinary Intervention Improves Vancomycin Dosing in the Intensive Care Unit

Background: Vancomycin is commonly used in an empiric antimicrobial regimen. The joint 2009 AHSP/IDSA/SIDP guidelines recommend a minimum trough of 10 μg/mL to avoid development of rcsistance and troughs up to 20 μg/mL to improve [...]

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Improving Teamwork: Impact of Structured Interdisciplinary Rounds on a Hospitalist Unit

Background: Research reveals deficiencies in teamwork on medical units involving hospitalists. The aims of this study were to assess the impact of an intervention, structured interdisciplinary rounds (SlDRs), on nurses' ratings of collaboration and teamwork [...]

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Review of Predictors and Negative Outcomes Associated with Patients Who Exceed Their Expected Length of Stay

Background: Length of stay (LOS) is increasingly being recognized as an important quality measure. It reflects the total number of days a patient actually spends in the hospital until discharge and encompasses the cumulative time [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Review of Predictors and Negative Outcomes Associated with Patients Who Exceed Their Expected Length of Stay

Who Oversees Internal Medicine House Staff Procedures? Hospitalist Inexperience and Discomfort with Procedure Supervision in an Academic Medical Center

Background: Despite the removal of most internal medicine (IM) residency procedure requirements, residents at all levels continue to perform bedside procedures. Hospitalists may find themselves responsible for oversight of inpatient procedures performed by their residents. [...]

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Duplicate Medication Orders after CPOE Implementation

Background: Computer provider order entny (CPOE) systems with clinical decision support can alert providers to medication ordering errors such as duplicate medication orders. Yet many ordering errors persist despite these interventions. Duplicate orders after CPOE [...]

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Electronic Medication Reconciliation (eMed Rec) Improves Compliance with the HF‐1 Core Measure Metric

Background: In 2004, the Centers for Medicare and Medicaid Services (CMS) and the Joint Commission (JC) determined a standard set of discharge instructions must be provided to patients with a principle diagnosis of congestive heart [...]

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Innovative Strategies That Improve the Clinical Handoff (l‐Switch) Phase 4: Implementing a Handoff Cognitive Simulation Curriculum Across Multiple Specialties in a Single Academic Institution

Background: Learning effective handoff skills is critical lo patient safety and continues lo grow in importance since the implementation of resident duty‐hour restrictions and will likely become more critical across specialties given recent recommendations by [...]

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Improving Patient‐Centered Care among House Staff through Observed Rounds

Background: In most internal medicine residency programs, house staff round on their patients each morning. This practice provides residents with the opportunity To review with patients the hospital course, results from previously completed tests, changes [...]

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Chemotherapy, Confusion, and a Concerning Creatinine

Case Presentation: A 68‐year‐old woman with non‐small cell lung cancer (NSCLC), diffuse large B‐cell lymphoma (DLBCL), and chronic renal insufficiency was admitted from the infusion center with confusion. Recently diagnosed with both NSCLC and DLBCL, [...]

By | 2010-04-08T12:00:37+00:00 April 8th, 2010|Uncategorized|Comments Off on Chemotherapy, Confusion, and a Concerning Creatinine