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A Retrospective Study of Fulminant‐Type Pneumococcal Sepsis in a Tertiary Care Emergency Community Hospital in Japan

Background: Pneumococcal infection accounts for many cases of community‐acquired pneumonia. Patients with pneumococcal bacteremia (PB) are at risk for developing sepsis, severe sepsis or septic shock. Moreover, patients with post‐splenectomy, congenital asplenia or hyposplenia are [...]

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Peripherally Inserted Central Catheter‐Related Bloodstream Infection: Prevalence, Patterns and Predictors

Background: Growing use of peripherally inserted central catheters (or, “PICCs”), has led to increasing recognition of the risk of bloodstream infection (BSI). Despite increasing awareness of this outcome, limited data regarding risk factors associated with [...]

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Dual Anti‐Platelet Therapy for Carotid Artery Stenosis Has No Significant Advantage Over Monotherapy for Prevention of Stroke – Results from a Large Electronic Database

Background: Secondary prevention of stroke in patients newly diagnosed with carotid artery stenosis remains a challenge. Several studies have reported the use of single as well as dual antiplatelet therapy in patients with stroke, but [...]

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Perceptions of Patient Safety Culture Among Hospitalists and Nurses in a Medicine Unit

Background: Medical errors are common and interventions to address vulnerabilities may fail due to a weak organizational safety culture. To transform hospitals and develop a culture of safety and high reliability, an assessment of the [...]

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Doctor Who? A Study of Patient Provider Awareness

Background: Hospitalized patients often have multiple care providers and physicians frequently fail to introduce themselves and their role to patients. Patients’ lack of awareness of their medical providers may lead to decreased quality of care [...]

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Management of Sickle Cell Pain Crisis at an Urban Community Hospital Emergency Room (Er). a Comparison of Two Periods

Background: Patients with sickle cell disease utilize hospital emergency room (ER) for treatment of acute pain crisis. American Pain Society placed a guideline that pain medication be given within 20 minutes of entrance to ER. [...]

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A Hospitalist‐Centered Effort to Improve Antibiotic Use in Hospitalized Patients

Background: Over 60% of hospitalized patients receive antibiotics. Unfortunately, up to 50% of inpatient antibiotic use has been judged as inappropriate. With the increasing presence of hospitalists, combined with their focus on patient safety and [...]

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Foley Catheters and Daily Reminders

Background: The Yale New Haven Hospital adapted the Sunrise Clinical Manager (SCM) by Eclipse Corporation as its Electronic Medical Record (EMR) in 2007. The Hospitalist Service (HS) created a program extension that generated personalized daily [...]

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Envisioned: Examining Vision Among Inpatients with Diabetes

Background: More than one‐quarter of older patients with diabetes are readmitted to the hospital within three months of discharge. As a result of patients with diabetes’ increased risk for retinal disease and vision loss, those [...]

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On the “Cuhsp” of Greatness: The University of Colorado Hospitalist Scholars Program

Background: Hospitalist training tracks have been integrated into some internal medicine residency programs to help educate future hospitalists about Quality Improvement (QI), patient safety, and transitions in care. However, few educational programs exist for undergraduate [...]

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Inpatient Management of Oncology Patients by Hospitalists: A Tertiary Center Experience

Background: Inpatient care of Oncology patients is a specialized field with care typically provided by Oncologists. These patients are usually very sick with multiple co‐morbidities, high case mix indices, long lengths of stay and high [...]

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E‐Dip: Early Discharge Initiation Project. an Innovative Model for 1‐Day Admissions and Throughput

Background: Improving throughput and length of stay (LOS) is essential for hospitals to operate efficiently and cost effectively. Patients who require 1‐day admissions who are not placed into observation status hold specific challenges, because the [...]

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Analysis of High‐Utilizers’ Experience with Specialized Care Plans

Background: Individual Care Plans were developed at a tertiary care center within the HealthPartners’ system to coordinate care for “high‐utilizers”–patients with frequent ED visits and hospital admissions often associated with high‐risk patterns of narcotic use [...]

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Standardized Discharge Summary Deployment Across All Inpatient Specialties in an Academic Medical Center: Preliminary Results

Background: Hospital discharge is a high risk transition for patients during which deficits in transfer of information between hospital providers and the primary care providers (PCPs) are common and lead to adverse events following discharge. [...]

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A Child with an ‘Abnormal Gait’ and Much More

Case Presentation: An 18‐month old Hispanic female was brought to the emergency department of El Paso Children’s by her mother with a chief complaint of inability to bear weight. A detailed history revealed the child [...]

By | 2014-05-24T01:00:45+00:00 May 24th, 2014|Uncategorized|Comments Off on A Child with an ‘Abnormal Gait’ and Much More