Multidisciplinary Team Rounding Leads to Increased Patient Satisfaction

Background: Joint Commission on Accreditation of Healthcare Organizations sentinel event reporting demonstrates that 70% of preventable medical errors are due to communication errors. The national patient safety goals for 2006 include improving “the effectiveness of [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Multidisciplinary Team Rounding Leads to Increased Patient Satisfaction

Incident Tracker: An Intranet‐Based Decision Support Tool for Analyzing, Aggregating, and Reporting Sentinel Events

Background: Hospitals are required to review sentinel events (SEs) and develop root cause analyses (RCA), implement action plans, and monitor the effectiveness of implemented plans. Vague definitions of safety terms and nonstandardized review processes impede [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Incident Tracker: An Intranet‐Based Decision Support Tool for Analyzing, Aggregating, and Reporting Sentinel Events

Incorporating Pharmacists Into Medication Reconciliation

Background: The challenges of medication reconciliation at hospital admission and discharge are well recognized, and best practices remain to be fully defined. The accuracy of the preadmission medication list (PAML) may be compromised by patient [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Incorporating Pharmacists Into Medication Reconciliation

Teaching Death Pronouncement: Reinforcing Didactics with Systems‐Based Improvements

Background: Handling deaths is a stressful but unfortunately common event for hospital‐based trainees. This experience is a key component of the practice of palliative care. Training in palliative care is a responsibility and a requirement [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Teaching Death Pronouncement: Reinforcing Didactics with Systems‐Based Improvements

Burnout, Sense of Calling, and Career Resilience Among Hospitalists and Primary Care Physicians: A National Survey

Background: Physicians’ levels of burnout shape the trajectory of their professional development, ultimately affecting their career resilience. Burnout poses a challenge to long‐term career resilience by preventing physicians from responding to their intrinsic motivations. However, [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Burnout, Sense of Calling, and Career Resilience Among Hospitalists and Primary Care Physicians: A National Survey

Prevalence of Community‐Acquired Methicillin‐Resistant Staphylococcus Among Children with Skin and Soft‐Tissue Infections

Background: The prevalence of community‐acquired methi‐cillin‐resistant Staphylococcus aureus (CA‐MRSA) infections among the pediatric population has been gradually increasing over the years. Similarly, the resistance to other families of antibiotics has also developed rapidly in community [...]

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A Unit‐Localized Hospitalist System and Its Impact on Patients Requiring Complex Discharge Planning

Background: A unit‐localized hospitalist physician is often utilized to improve the overall efficiency of patient care. The effect of this type of system specifically on discharge time of day and length of stay (LOS) in [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on A Unit‐Localized Hospitalist System and Its Impact on Patients Requiring Complex Discharge Planning

Readmission Rates on a Sickle Cell Service Run by Hospitalists and Sickle Cell Specialists: A Quality Improvement Pilot Project

Background: Sickle cell disease (SCD) patients are overre‐presented in emergency department and inpatient settings, requiring more than $2 billion annually for hospitalization. Average length of stay (LOS) is 5.3 days, whereas 14‐day readmission rates can [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Readmission Rates on a Sickle Cell Service Run by Hospitalists and Sickle Cell Specialists: A Quality Improvement Pilot Project

Decreasing Barriers in Prevention of Hospital‐Acquired Clostridium Difficile Colitis

Background: Nearly all hospital‐acquired infections are preventable. There has been at least a twofold increase in hospital‐acquired Clostridium difficile–associated diarrhea (HA‐CDAD) across the country. Hospitalized patients with CDAD can have 3 times the length of [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Decreasing Barriers in Prevention of Hospital‐Acquired Clostridium Difficile Colitis

Early Withdrawal of Care Following Sudden Cardiac Arrest: Defining Patient Profiles

Background: Severe neurological impairment is a tragic outcome in survivors of sudden cardiac arrest (SCA). Standard practice to assess neurological recovery requires clinical and diagnostic evaluation 3–4 days after SCA. It is unclear whether this [...]

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Improving Discharge Care for the Homeless Patient: Perspectives from the Shelter

Background: Acute care transitions are particularly difficult for patients experiencing homelessness, yet there are limited data from the perspective of this high‐risk population to guide hospital‐based interventions to improve the quality of discharge care specifically. [...]

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Prognostic Significance of Abnormal Liver Function Tests in Acute Decompensated Heart Failure

Background: Hepatic congestion leading to abnormal liver function tests (LFTs) is a common finding in patients with acute decompensated heart failure. The aim of this study was to determine the prognostic significance, if any, of [...]

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Improving Patient Safety During Bedside Procedures: Successfully Implementing the Universal Protocol

Background: The Universal Protocol was created by the Joint Commission to eliminate the occurrence of wrong‐site, wrong‐procedure, and wrong‐person surgery. This study evaluated the effects of an innovative reengineered process for bedside procedures with an [...]

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Safety of Arthrocentesis in Patients on Chronic Warfarin Therapy with Therapeutic INR

Background: Patients often need arthrocentesis for diagnostic and therapeutic reasons while on chronic warfarin therapy. Often the procedure is delayed or avoided because of concern about bleeding. The aim of this retrospective study was to [...]

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Pathological Crying in a Patient with Basal Ganglia Bleeding

Case Presentation: A 62‐year‐old right‐handed white man suddenly started crying at work without clear reason. En route to the emergency room (ER), he had multiple intermittent crying spells each lasted for about 5 minutes. On [...]

By | 2011-05-10T16:16:22+00:00 May 10th, 2011|Uncategorized|Comments Off on Pathological Crying in a Patient with Basal Ganglia Bleeding