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Not Your Average Multiple Myeloma

Case Presentation: A 55 year-old male with no known medical history presented to the emergency department after a fall on both knees. He was found to have bilateral patellar tendon ruptures and multiple femoral lytic [...]

By | 2015-04-15T15:02:14+00:00 February 28th, 2015|Uncategorized|Comments Off on Not Your Average Multiple Myeloma

Implementation of a Clinical Pathway for Pediatric Asthma Exacerbations Reduces Hospital Length of Stay

Background: In an effort to improve pediatric inpatient asthma care, the Joint Commission developed standards for hospital management in 2003. Despite this initiative, inpatient management of asthma exacerbations and adherence to these guidelines varies by [...]

By | 2015-04-15T15:12:39+00:00 February 28th, 2015|Uncategorized|Comments Off on Implementation of a Clinical Pathway for Pediatric Asthma Exacerbations Reduces Hospital Length of Stay

Variation in Transitional Care Practices Within a Hospital: Survey Results from the Partners-Pcori Transitions Study

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The success of efforts to improve transitional care practices likely depends in part on baseline practices and local resources, culture, and [...]

By | 2015-04-15T15:30:14+00:00 February 28th, 2015|Uncategorized|Comments Off on Variation in Transitional Care Practices Within a Hospital: Survey Results from the Partners-Pcori Transitions Study

Pay Heed to the Contaminant: Invasive Achromobacter Xylosoxidans Pneumonia in an Immunocompromised Host

Introduction: Pneumonia in an immunocompromised host is unique with respect to the organisms involved. The emergence of new pathogens has significant impact on therapy. Achromobacter xylosoxidans (A.xylosoxidans) is an uncommon pathogen known to cause serious infections [...]

By | 2015-04-15T15:02:47+00:00 February 28th, 2015|Uncategorized|Comments Off on Pay Heed to the Contaminant: Invasive Achromobacter Xylosoxidans Pneumonia in an Immunocompromised Host

Non-Uremic Calciphylaxis in the Setting of Alcoholic Liver Disease

Case Presentation: Calciphylaxis is a rare cause of skin necrosis due to calcium deposition within the vasculature, most commonly seen in patients with end stage renal disease.  A 54-year-old male was transferred from a long-term [...]

By | 2015-04-15T15:13:04+00:00 February 28th, 2015|Uncategorized|Comments Off on Non-Uremic Calciphylaxis in the Setting of Alcoholic Liver Disease

Closing the Lab Loop: A Streamlined Process to Ensure Lab Result Accountability

Background: Patient safety relies in part on timely review of laboratory and other results by appropriate providers. At our quaternary care, free-standing children’s hospital, providers were directly notified only of “critical” results (<1% of all [...]

By | 2015-04-15T15:30:57+00:00 February 28th, 2015|Uncategorized|Comments Off on Closing the Lab Loop: A Streamlined Process to Ensure Lab Result Accountability

Effects of the Intensive Discharge Intervention in Diabetes (Idid) on Medication Adherence, Glycemic Control, and Post-Discharge Healthcare Utilization

Background: Patients with diabetes and comorbid cardiovascular disease may be at particularly high risk for medication non-adherence and adverse outcomes after hospital discharge. The objective of this study was to design, implement, and evaluate an [...]

By | 2015-04-15T15:03:24+00:00 February 28th, 2015|Uncategorized|Comments Off on Effects of the Intensive Discharge Intervention in Diabetes (Idid) on Medication Adherence, Glycemic Control, and Post-Discharge Healthcare Utilization

Blind Ultrasound: Confidence, Use, and Knowledge of Point-of-Care Ultrasound Among Internal Medicine Residents

Background: Point-of-care ultrasound (POCUS) has been rapidly adopted by emergency medicine (EM) as a tool for clinical care. There is growing evidence that POCUS may improve care outside of EM, and POCUS has recently seen [...]

By | 2015-04-15T15:15:14+00:00 February 28th, 2015|Uncategorized|Comments Off on Blind Ultrasound: Confidence, Use, and Knowledge of Point-of-Care Ultrasound Among Internal Medicine Residents

She’s Just Not That Interested

Background: Patient is a previously healthy 7-week old Hispanic female who presented to an emergency department with cough, congestion and decreased PO intake x 7 days. Baby had an unremarkable prenatal course and normal delivery. [...]

By | 2015-04-15T15:28:14+00:00 February 28th, 2015|Uncategorized|Comments Off on She’s Just Not That Interested

Hospital-Aquired Venous Thromboembolism Risks: Comparing In-Hospital and Post-Discharge Events

Background: Venous thromboembolism (VTE) is considered the most common preventable hospital complication and VTE prophylaxis rates are benchmarks of hospital quality. Hospital-acquired VTE (HA-VTE) is defined as VTE that occurs during hospitalization or within 90 [...]

By | 2015-04-15T15:04:01+00:00 February 28th, 2015|Uncategorized|Comments Off on Hospital-Aquired Venous Thromboembolism Risks: Comparing In-Hospital and Post-Discharge Events

Fatty Formula: Good for the Heart?

Case Presentation: A 27 year-old male called 911 after intentional ingestion of 3g of lamotrigine and 3g of hydroxyzine.   Upon arrival to the ER, approximately one hour after ingestion, the patient had slurred speech and [...]

By | 2015-04-15T15:16:06+00:00 February 28th, 2015|Uncategorized|Comments Off on Fatty Formula: Good for the Heart?

A Deadly Complication of Peritoneal Dialysis and the Use of Paracentesis As a Palliative Intervention

Case Presentation: A 44-year-old female with end-stage renal disease on hemodialysis presented to the hospital with progressive nausea, vomiting and abdominal pain. The etiology of her renal disease was unknown. She had received a renal [...]

By | 2015-04-15T15:27:40+00:00 February 28th, 2015|Uncategorized|Comments Off on A Deadly Complication of Peritoneal Dialysis and the Use of Paracentesis As a Palliative Intervention

Effect of Preoperative Anemia on Transfusion Requirements in Joint Replacement Surgery

Background: Anemia is the most commonly encountered hematologic abnormality in preoperative evaluations and has been associated with major adverse outcomes in surgical procedures but often ignored during preoperative evaluation.  The purpose of this study is [...]

By | 2015-04-15T15:04:32+00:00 February 28th, 2015|Uncategorized|Comments Off on Effect of Preoperative Anemia on Transfusion Requirements in Joint Replacement Surgery

Development and Implementation of a Six Month Physician Assistant Hospitalist Internship Program

Background:  Per the 2014 State of Hospital Medicine Survey, 94% of adult hospital medicine groups (HMGs) reported financial shortfalls, with a mean of $169,886 in financial support per full time equivalent physician. In addition, many [...]

By | 2015-04-15T15:17:16+00:00 February 28th, 2015|Uncategorized|Comments Off on Development and Implementation of a Six Month Physician Assistant Hospitalist Internship Program

Increasing Billing Accuracy of Initial Inpatient Visits in a Multispecialty Academic Hospital Group Using Pdsa Methodology

Background: The financial success of a hospital medicine practice is dependent on accurate billing and documentation practices. Academic hospitalists face the additional challenge of educating resident physicians on appropriate documentation. As most patients admitted to [...]

By | 2015-04-15T15:27:09+00:00 February 28th, 2015|Uncategorized|Comments Off on Increasing Billing Accuracy of Initial Inpatient Visits in a Multispecialty Academic Hospital Group Using Pdsa Methodology