Targeting Posthospitalization Interventions to Reduce 30 Day Readmissions and Emergency Department Utilization in High Risk Populations

Background: There has been considerable interest in development of strategies to reduce avoidable readmissions after hospital discharges. Studies have shown that home visits after discharge can result in readmission prevention, improved patient satisfaction, understanding and [...]

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Comparative Effectiveness of Hospitalbased Educational Interventions for Patients with Asthma or Copd

Background: Because of recent efforts to improve safe transitions from hospital to home, ensuring quality care for patients hospitalized with asthma and COPD has become a priority. A critical factor for safe care transitions may [...]

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Specialized Consult Service Reduces Readmission Rate and Length of Stay for Patients Admitted with Skin and Soft Tissue Infections

Background: Cellulitis is a common reason for admission to the hospital. The disease is often over–diagnosed due to difficultly in differentiating it from chronic venous stasis and stasis dermatitis. The natural history and etiology of [...]

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Venous Thromboembolism Prophylaxis Adherence in Hospitalized Medical Patients

Background: Venous thromboembolism (VTE) is a common yet preventable complication affecting hospitalized patients. Appropriate VTE prevention has emerged as an important hospital quality measure with emphasis on enforcing routine risk assessment and compliance with VTE [...]

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More Than Meets the Eye: Measuring the Dual Risks of Low Health Literacy and Poor Vision in Hospitalized Patients

Background: A "universal precaution" approach for all inpatients should be used to ensure adequate education for safe discharge home. However, identification of vulnerable, high–risk (e.g., low health literacy) patients may be necessary in resource–limited hospital [...]

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Hospitalization: A Missed Opportunity to Assess for Osteoporosis

Background: More that 1.5 million fractures result from osteoporosis annually in the United States at a cost of fifteen billion dollars. Less than 25% of patients who sustain a fragility fracture receive treatment for osteoporosis. [...]

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The Clinical Epidemiology of Human Metapneumovirus Infections in the Adult Inpatient Population

Background: Most studies of human metapneumovirus (hMPV) have been done in pediatric populations. Many of these studies compare hMPV with respiratory syncytial virus or are case reports of hMPV infection in the immunosuppressed. Though there [...]

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Severe Sepsis in Patients Admitted to the General Medical Ward: Organ Dysfunction and Functional Outcomes

Background: Severe sepsis, defined as infection causing new organ dysfunction, is the most common non–cardiac reason for ICU admission. Interventions to remedy the dismal outcomes related to severe sepsis have focused primarily in the ICU. [...]

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Epidemiology of Copy and Pasting in the Medical Record at a Tertiarycare Academic Medical Center

Background: The electronic health record (EHR) is recognized as a key component of the modern practice of medicine. Despite numerous advantages, EHR have enabled frequent copy–paste events (CPE). While previous studies show that CPE occur [...]

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Bridging the Transitions of Care

Background: The immediate post–discharge period is a vulnerable time both for patients and their care providers. Several studies have been published highlighting safety issues identified during the immediate post–discharge period. To address these problems, we [...]

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Impact of a Standardized Recommendation and Electronic Prompts on Followup of Indeterminate Pulmonary Nodules Found on Computed Tomography

Background: Lung cancer is the leading cause of cancer death in both men and women worldwide. Given that pulmonary nodules are a common finding on chest CT, a judicious plan for follow–up is necessary. A [...]

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Quick Rounds for Geographical Rounding

Background: Hospital –based medicine could be more effective when there is collaboration and open communication from sub specialties, nursing and discharge planning. To facilitate this effort the hospitalist group partnered with nursing leadership to establish [...]

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What Role Should Hospitalists Play in Provider Billing?

Background: Many providers find E/M coding rules confusing and frustrating. Tasking hospitalists with completing charge tickets often leads to delinquent or inaccurate charges. Hospitalist groups have incorporated various education methods and incentives to improve documentation, [...]

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Adding Insult to Injury a Case of Acute Exacerbation of Ipf

Case Presentation: A 65–year–old male with a history of Parkinson's, hypertension, and smoking presented 2 weeks after an uncomplicated left shoulder arthoplasty with one week of worsening shortness of breath, fever, cough, and profound hyoxemia. [...]

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