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Guillain‐Barre Syndrome As Presenting Feature in Patient with Lupus Nephritis

Case Presentation: A 59‐years‐old female presented with progressive muscle weakness of arms and legs, together with parasthesia in both hands and feet for one‐month duration. Her medical history was remarkable for depression, hypertension, and gastro [...]

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The Eyes Have It: Rare Presentation of a Common Malignancy

Case Presentation: A 65‐year‐old man with a 50‐pack‐year smoking history but no known chronic medical problems presented to the emergency department with eight days of left retro‐orbital pain and frontal headache and five days of [...]

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Sarcoidosis Masquerading As Biliary Colic

Case Presentation: A 54 year‐old woman with a history of Nissen Fundoplication presented with two weeks of worsening chronic epigastric pain and one day of fever. For two years, she had recurrent episodes of epigastric [...]

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The Effectiveness of Computerized Order Entry at Reducing Preventable Adverse Drug Events and Medication Errors in Hospital Settings: A Systematic Review and Meta‐Analysis

Background: The American Recovery and Reinvestment Act subsidizes hospitals’ implementation of electronic health records with computerized provider order entry (CPOE), which may reduce patient injuries due to medication errors (preventable adverse drug events, pADEs). Effects [...]

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Clinical Excellence in Hospital Medicine: Insight Gleaned Through Observation

Background: As of July 2010, there were more than 30,000 hospitalists in the United States. The quality of care rendered by hospitalists is not uniform. Although patient satisfaction metrics like Press Ganey attempt to measure [...]

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Can I Entrust You? The Association of Entrustment of Autonomy to Housestaff with 30‐Day Readmission

Background: Entrustable Professional Activities (EPAs) have highlighted entrustment of autonomy by attending physicians to housestaff as a measure of assessment in graduate medical education. Entrustment is a key concept in understanding housestaff readiness to progress [...]

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Factors Associated with Delayed Diagnosis of Pulmonary Embolism

Background: Acute pulmonary embolism (PE) is a common and frequently fatal disease. Mortality could be reduced by early diagnosis and management. The clinical presentation of PE is variable and nonspecific and thus the diagnostic delay [...]

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The Association Between Upper and Lower Extremity Deep Vein Thrombosis and Peripherally Inserted Central Catheters: Think Below the Waist

Background: It is well known that peripherally inserted central catheters (PICCs) are associated with an increased risk of venous thromboembolism (VTE). While most PICC VTE studies have focused on upper‐extremity deep vein thrombosis (DVT), some [...]

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Hospitalized Patients Lack Knowledge About Their Advanced Chronic Kidney Disease

Background: Pre‐renal replacement therapy (RRT) patient education leads to reduced central venous catheter use, increased uptake of peritoneal dialysis, and improved access to transplant for patients with end‐stage renal disease. Yet many patients with advanced [...]

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Nursing Practice, Concerns and Knowledge Gaps Related to Peripherally Inserted Central Catheters: A Survey‐Based Study

Background: Peripherally inserted central catheters (PICCs) play a key role in providing venous access for medication and fluids, laboratory testing, and hemodynamic monitoring. Despite standardization of insertion practices, little is known about nursing knowledge and [...]

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Quality Measures and Institutional Factors Are Not Associated with Increased Inter‐Hospital Transfer Mortality

Background: Hospital mortality rates are frequently used as indicators of quality. Patients undergoing inter‐hospital transfer represent a unique subset of patients that contribute to hospitals’ overall mortality rates. Factors associated with mortality rates following inter‐hospital [...]

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Let’s Work Together: The Positive Impact of Implementing Multidisciplinary Rounds in a Hospitalist Program

Background: There is a need for structured communication among hospital providers to improve efficiency and to provide patient‐centered care through collaboration in the hospital setting. A concise Multidisciplinary Rounds (MDR) model was designed and implemented [...]

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Indication Based Ordering of Ecg Monitoring Reduces Inappropriate Utilization

Background: Overutilization of ECG monitoring (EM) can negatively impact patient flow and increase healthcare costs. In 2004, an American Heart Association (AHA) consensus statement detailed indications for EM in hospital settings. Monitoring was suggested for [...]

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Use of Smartphones and Other Mobile Computing Devices in Hospitalized Patients

Background: Ownership of mobile computing devices has been rapidly increasing in the general population prompting increased clinical uses in outpatient settings. To date, however, we know very little about ownership, type of device, and usage [...]

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Seeing Is Believing: Vision‐Related Quality of Life Among Hospitalized Patients

Background: Impaired vision is a risk factor for poor health outcomes, such as falls and delirium, during hospitalization. Additionally, hospitalized patients with poor vision may be unable to read critical documents such as consent forms. [...]

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