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Perceptions of Safety, Efficiency, and Education in Holdover Signout: A Qualitative Study

Background: Signout of newly admitted patients from a night admitting physician to a primary team is common, making up roughly 40% of admissions to the inpatient medical service at our hospital. Nevertheless, little is known [...]

By | 2015-04-15T15:04:58+00:00 February 28th, 2015|Uncategorized|Comments Off on Perceptions of Safety, Efficiency, and Education in Holdover Signout: A Qualitative Study

You Can’t Improve What You Don’t Measure: A Systems Engingeering Approach to Developing Geographically-Matched Patient Provider Teams

Background: Effective health care requires a delivery system that is fully coordinated. To achieve this requires structured communication between physicians and nurses yet an increasingly recognized barrier to efficient care is the geographic dispersion of [...]

By | 2015-04-15T15:17:52+00:00 February 28th, 2015|Uncategorized|Comments Off on You Can’t Improve What You Don’t Measure: A Systems Engingeering Approach to Developing Geographically-Matched Patient Provider Teams

Perfect Storm of Inpatient Communication: An Innovative Solution

Background: Today’s care of patients in hospitals inevitably involves multiple providers who must coordinate and communicate effectively in an environment that is uncertain and in constant flux. Unfortunately, traditional communication systems, such as pagers or [...]

By | 2015-04-15T15:05:27+00:00 February 28th, 2015|Uncategorized|Comments Off on Perfect Storm of Inpatient Communication: An Innovative Solution

A Supplemental Case of Hepatotoxicity

Case Presentation: A 37 year old Caucasian man with known peptic ulcer disease and generalized anxiety disorder presented with a three week history of worsening right upper quadrant pain, nausea and generalized malaise.  He denied [...]

By | 2015-04-15T15:19:37+00:00 February 28th, 2015|Uncategorized|Comments Off on A Supplemental Case of Hepatotoxicity

Yelp for Antibiotics: Effect of Providing Cost Data on Prescription of High-Cost Antibiotics

Background: Physicians frequently prescribe antibiotics to inpatients without knowledge of medication cost. It is not well understood whether providing cost data would change prescribing behavior. Methods: To evaluate the effect of providing cost data alongside [...]

By | 2015-04-15T15:06:06+00:00 February 28th, 2015|Uncategorized|Comments Off on Yelp for Antibiotics: Effect of Providing Cost Data on Prescription of High-Cost Antibiotics

Not Ready, Not Set…. Discharge: Patient Reported Barriers to Discharge at an Academic Medical Center

Background: Planning for safe discharge should optimally begin early in each patient’s stay, and focus on individual patient’s needs. The aims of our study were to, beginning at the start of hospitalization and continuing until [...]

By | 2015-04-15T15:20:35+00:00 February 28th, 2015|Uncategorized|Comments Off on Not Ready, Not Set…. Discharge: Patient Reported Barriers to Discharge at an Academic Medical Center

Rapid Warfarin Reversal: Step Dose Protocol for 4 Factor Pcc

Background: Despite the wide use of warfarin therapy this drug is associated with the largest number of serious adverse event reports by the FDA with 86% of warfarin-associated bleeds resulting in serious outcomes, and 10% [...]

By | 2015-04-15T15:07:09+00:00 February 28th, 2015|Uncategorized|Comments Off on Rapid Warfarin Reversal: Step Dose Protocol for 4 Factor Pcc

How Wide Is the Digital Divide? A Study of Urban Hospitalized Patients

Background:  As mobile health and technologies to engage patients in self-care gain increasing attention, it is critical to understand not only access to, but also ability and willingness of, underserved populations to use these resources, [...]

By | 2015-04-15T15:21:35+00:00 February 28th, 2015|Uncategorized|Comments Off on How Wide Is the Digital Divide? A Study of Urban Hospitalized Patients

Novice with a Needle: A Six-Year Experience with an Intern-Based, Hospitalist-Supervised Medical Procedures Service

Background: Academic medical procedure services (MPS) arise from the continued need for procedural training in the setting of decreasing procedural opportunities, increasing safety awareness, and increasing demands on inpatient resident time. Prior research has shown [...]

By | 2015-04-15T15:08:42+00:00 February 28th, 2015|Uncategorized|Comments Off on Novice with a Needle: A Six-Year Experience with an Intern-Based, Hospitalist-Supervised Medical Procedures Service

The Effect of Patient Centered Bedside Rounds on Patient Experience

Background: Interprofessional bedside rounds have been promoted as a strategy to enhance patient engagement; prior studies have been limited by their use of nonvalidated measures and lack of patient and/or family involvement in design of [...]

By | 2015-04-15T15:22:14+00:00 February 28th, 2015|Uncategorized|Comments Off on The Effect of Patient Centered Bedside Rounds on Patient Experience

Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: The Effect of Burnout

Background: Interprofessional collaboration (IPC) between nurses and physicians can be defined as shared responsibility and decision making in working towards the common goal of quality patient care. The positive effect of greater IPC on patient [...]

By | 2015-04-15T14:59:06+00:00 February 28th, 2015|Uncategorized|Comments Off on Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: The Effect of Burnout

Variability in Comportment Styles Among Respected Clinicians in Hospital Medicine

Background: One hopes that all hospitals strive for service excellence, and by 2010 there were more than 30,000 hospitalists delivering the lion’s share of inpatient care in our nation’s hospitals. Although patient satisfaction metrics like [...]

By | 2015-04-15T15:09:16+00:00 February 28th, 2015|Uncategorized|Comments Off on Variability in Comportment Styles Among Respected Clinicians in Hospital Medicine

A Catastrophic Case of Back Pain in a Patient with Atrial Fibrillation

Case Presentation: We report the case of a 69-year-old Honduran male with a long history of non-valvular atrial fibrillation with a CHA2DS2-VASc Score= 2 (Age > 65 and Hypertension) anticoagulated with Rivaroxaban 20 mg po [...]

By | 2015-04-15T15:22:42+00:00 February 28th, 2015|Uncategorized|Comments Off on A Catastrophic Case of Back Pain in a Patient with Atrial Fibrillation

Eosinophilic Colitis: A Rarity

Case Presentation: A 31-year-old African American woman with past medical history of hypertension (HTN), gastro esophageal reflux disease (GERD), bronchial asthma and a diagnosis of Irritable Bowel Syndrome (IBS) for 10 years presented with complaints [...]

By | 2015-04-15T14:56:58+00:00 February 28th, 2015|Uncategorized|Comments Off on Eosinophilic Colitis: A Rarity

Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: Differences by Profession

Background: A lack of effective physician-nurse collaboration has long been recognized to adversely impact patient and organizational outcomes.  Despite substantial efforts towards developing strategies to improve interprofessional collaboration (IPC) in the acute care setting, consistent [...]

By | 2015-04-15T15:09:44+00:00 February 28th, 2015|Uncategorized|Comments Off on Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: Differences by Profession