Decreasing Hospital Readmissions in Highrisk Populations: What Do We Know?

Background: The search for alternative care structures that improve quality and lower costs is intensifying. Alternative care organizations (ACOs) offer promise but must demonstrate their cost–effectiveness for widespread adoption to occur. Readmissions to the hospital [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Decreasing Hospital Readmissions in Highrisk Populations: What Do We Know?

Inhospital Cardiac Resuscitation: A Nationally Representative Survey

Background: In–hospital cardiac arrest (IHCA) outcomes vary widely between hospitals, even after adjusting for patient characteristics, suggesting variations in resuscitation practice as a potential etiology. However, little is known about the actual standard of resuscitation [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Inhospital Cardiac Resuscitation: A Nationally Representative Survey

Signs of Catastrophe: Characterizing Acute Inhospital Strokes

Background: In–Hospital strokes (IHS) account for 4–17% of all ischemic strokes and are associated with increased morbidity and mortality compared to strokes with onset in the community. As with all strokes, early identification of IHS [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Signs of Catastrophe: Characterizing Acute Inhospital Strokes

Variability in the Assignment of Venous Thromboembolism Risk and Pharmacologic Prophylaxis Recommendations for Hospitalized Medical Patients: Lessons from a Multihospital Quality Collaborative

Background: Hospital–associated venous thromboembolism (VTE) is estimated to affect up to 15% of hospitalized general medical patients and is believed to be the most preventable cause of death in the hospital. Pharmacologic prophylaxis reduces the [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Variability in the Assignment of Venous Thromboembolism Risk and Pharmacologic Prophylaxis Recommendations for Hospitalized Medical Patients: Lessons from a Multihospital Quality Collaborative

Fidaxomicin Inhibits Spore Production in Clostridium Difficile

Background: Fidaxomicin was recently approved for the treatment of Clostridium difficile associated diarrhea. This is a novel narrow spectrum antibacterial agent that demonstrates potent bactericidal activity against C. difficile. In recent clinical trials with over [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Fidaxomicin Inhibits Spore Production in Clostridium Difficile

Hospital Medicine Full Circle: Impact of Incorporating Housestaff Into a Productive Nonteaching Hospitalist Group

Background: Hospital medicine's claim to fame has been shorter length of stay (LOS) and equal, if not better, adherence to quality measures without sacrificing patient satisfaction. Comparative studies highlighting these strong characteristics of hospital medicine [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Hospital Medicine Full Circle: Impact of Incorporating Housestaff Into a Productive Nonteaching Hospitalist Group

Quantitative Benefitrisk Assessment of Rivaroxaban for the Prevention of Venous Thromboembolism (Vte)

Background: VTE is common after total hip (THR) or knee (TKR) replacement. Anticoagulants reduce the risk of VTE but result in bleeding, requiring assessment of benefit–risk.Methods: To improve estimates of treatment effects on low–frequency events, [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Quantitative Benefitrisk Assessment of Rivaroxaban for the Prevention of Venous Thromboembolism (Vte)

Utilization and Outcomes of Telemetric Ekg Monitoring on a Medicine Service

Background: American Heart Association (AHA) guidelines for the use of telemetric EKG monitoring focus primarily on patients admitted with cardiac diagnoses. There is limited data to guide the use of telemetry in patients admitted with [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Utilization and Outcomes of Telemetric Ekg Monitoring on a Medicine Service

A Statewide Multisite Collaborative to Improve the Quality of Care Transitions: An Innovative Partnership Between a Health Plan, Physician Organizations, Hospitals, and the Society of Hospital Medicine

Background: Effectively transitioning patients from the hospital to home is an important priority for many hospitals and health care providers. Increasingly, reports have highlighted gaps in the quality of care that arise during and after [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on A Statewide Multisite Collaborative to Improve the Quality of Care Transitions: An Innovative Partnership Between a Health Plan, Physician Organizations, Hospitals, and the Society of Hospital Medicine

Brown Bag Medications: Development and Implementation of a Program to Provide Discharge Medications

Background: Patients often struggle with managing their medications after hospital discharge, and it is estimated that up to 40% of discharge prescriptions go unfilled. For institutions without an in–house discharge pharmacy, novel solutions are needed [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Brown Bag Medications: Development and Implementation of a Program to Provide Discharge Medications

Who Needs Detox? A Protocol for Evaluation of Patients with Alcohol Withdrawal

Background: Our hospital medicine practice noted a high number of admissions and readmissions to the internal medicine service for the specific purpose of acute detoxification from alcohol dependence. We noted a lack of a clear [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Who Needs Detox? A Protocol for Evaluation of Patients with Alcohol Withdrawal

Implementation of a Formalized Physician Assistant Training Model

Background: As Hospitalist demand continues to grow, a growing number of programs are utilizing Physician's Assistants (PAs) and Nurse Practitioners (NPs) to assist with delivery of care on the inpatient medical wards. Since the field [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Implementation of a Formalized Physician Assistant Training Model

Striving to Save 21 Million Neurons Through Quality Improvement

Background: Approximately two million neurons are lost every minute during an ischemic stroke. University of Colorado has a median time of 71 minutes for door to tissue plasminogen activator (t–PA) administration. The American Stroke Association [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on Striving to Save 21 Million Neurons Through Quality Improvement

A Case of Maythurner Syndrome Associated with Phlegmasia Cerulea Dolens

Case Presentation: A 37–year–old woman with a past medical history of depression, anxiety and migraine, who presented to emergency complaining of severe left leg pain and swelling which is sudden in onset. Pain is 10/10, [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on A Case of Maythurner Syndrome Associated with Phlegmasia Cerulea Dolens

A Heartbreaking Sore Throat

Case Presentation: A previously healthy 20–year–old woman presented to the emergency room (ER) with several days of fevers, sore throat, myalgias, and a diffuse rash. The rash emerged as papules on the back of one [...]

By | 2012-04-01T01:00:14+00:00 April 1st, 2012|Uncategorized|Comments Off on A Heartbreaking Sore Throat