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Shortness of Breath Giving You the Blues?

Case Presentation: A 53 year old man with a history of HIV, CD4 count of 20, pulmonary aspergillosis, history of pulmonary stenotrophomonas maltophilia, and bronchus intermedius stenosis presented with fever, dyspnea, and cough of two [...]

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The Tale of a Diagnostically Bumpy Ride

Case Presentation: A 52‐year‐old man presented with 4 weeks of dry cough, dyspnea, weight loss, chills, subcutaneous nodules, fatigue, and generalized weakness. His past medical history was significant for myasthenia gravis, metastatic thymoma to lungs, [...]

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Lemierre’s Syndrome: A Forgotten Life‐Threatening Infection

Case Presentation: An otherwise healthy 36‐year‐old male presented to our institute with a 4‐day history of low‐grade fever accompanied by sore throat and myalgia. Physical examination was remarkable for an injected pharynx without any neck [...]

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Nursing‐Physician Paging Communication: How Effectively Is It Working?

Background: The care delivery in a teaching hospital depends on effective communication amongst multiple healthcare providers. Adverse outcomes and patient care delays are often caused by communication failure. Several hospitals utilize a paging system to [...]

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Patient Perceptions of Who Is Most Involved in Their Care with Successive Duty Hour Limits

Background: Residency training is grounded in experiential learning, or having residents assume care for a set of patients. Restricted residency duty hours have reportedly led to inpatient attendings playing a larger role in direct patient [...]

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Safety and Practice Patterns of Intravenous Iron Therapy in Hospitalized Patients: A Single‐Center Experience

Background: Anemia is a common medical problem in hospitalized patients. For several decades parenteral iron was available only as high molecular iron dextran preparations which were associated with frequent serious adverse reactions including anaphylaxis. Despite [...]

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Opportunities for Improvement: 30‐Day Readmission Rates in Patients with Chronic Liver Disease

Background: Early or 30‐day hospital readmission rates are used to measure quality of inpatient hospital care. Consequences of early readmission often include duplication for much of the assessment, diagnosis, and treatment from the previous admission. [...]

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Effect of Hospitalist – Advanced Practice Provider Teams on Patient Experience

Background: Due to restrictions on resident duty hours, increasing numbers of patients at academic hospitals are being cared for by hospitalists paired with advanced practice providers (H‐APP teams). Hospitals are held accountable for their patient’s [...]

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Pediatric Hospitalist Circumcision Service: Analysis of Rate of Complications

Background: Circumcision is the most common neonatal surgical procedure in the world. There is regional variation in circumcision providers which includes obstetricians, pediatricians, family practitioners and non‐medical personnel. Pediatric hospitalists (PH) in many hospitals provide [...]

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Mobile Interdisciplinary Care Rounds (Micro)

Background: Traditional interdisciplinary rounds are unstructured and take place in a conference room. To promote optimal communication among all team members and engage patients in the daily plan and disposition process, we transformed our rounds [...]

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Clinical Predictors Associated with Proton Pump Inhibitor Guideline Adherence

Background: Proton pump inhibitors (PPIs) are indicated to treat a variety of diseases, including gastroesophageal reflux disease, peptic ulcer disease, and Helicobactor pylori infection. Studies have shown that, despite being linked to an increased risk [...]

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Cloudy with a Chance of Discharge: An Evaluation of General Medicine Discharge Prediction Forecasts

Background: Hospital throughput and discharge coordination are strategic priorities for the hospital to ensure patients are safely transitioned across episodes of care and to predict bed availability for patients being admitted. Coordinating bed flow and [...]

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Transitions of Care in Underserved Patients: A Literature Review

Background: Failure to transition from acute care to outpatient care has been well studied without regard to insurance status. Common experience suggests that underserved patients face unique barriers to effective post‐hospital care. These patients may [...]

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