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Impact of Tablet Computers with Embedded Patient Portals on Hospitalized Patients’ Knowledge and Activation

Background: Though commonly used in the outpatient setting, patient portals have not been routinely used in hospital settings and their impact on patients’ knowledge and activation is largely unknown. Methods: We created a patient portal [...]

By | 2015-04-15T15:01:13+00:00 February 28th, 2015|Uncategorized|Comments Off on Impact of Tablet Computers with Embedded Patient Portals on Hospitalized Patients’ Knowledge and Activation

The Impact of Provider Identification Cards on Patients Ability to Correctly Identify Their Attending

Background: Effective patient-physician communication is integral for meaningful clinical relationships and patient satisfaction; thus, it is measured by the Hospital Consumer Assessment of Hospitals and Health Systems (HCAHPS) survey.  Unfortunately, such surveys often demonstrate significant [...]

By | 2015-04-15T15:11:30+00:00 February 28th, 2015|Uncategorized|Comments Off on The Impact of Provider Identification Cards on Patients Ability to Correctly Identify Their Attending

The Light Is on but No One’s Home: Another Cause of Altered Mental Status Without a Fever

Case Presentation: A previously healthy 13-year-old Korean-American girl presented with acute altered mental status. She had fatigue, leg and abdominal pain, and was initially diagnosed with “the flu.” Two days later she progressed to worsening [...]

By | 2015-04-15T15:28:50+00:00 February 28th, 2015|Uncategorized|Comments Off on The Light Is on but No One’s Home: Another Cause of Altered Mental Status Without a Fever

“Stop Compressions; Hold Injections:” Calling the Code on Overzealous Vte Prophylaxis

Background: On a daily basis, hospitalists prescribe Venous Thromboembolism (VTE) prophylaxis. While of benefit to certain populations, VTE prophylaxis has not been proven to benefit medical patients at low risk for VTE. Pharmacologic prophylaxis may [...]

By | 2015-04-15T15:01:44+00:00 February 28th, 2015|Uncategorized|Comments Off on “Stop Compressions; Hold Injections:” Calling the Code on Overzealous Vte Prophylaxis

Staphylococcus Lugdunensis: The Bad and the Ugly Coagulase-Negative Staph

Case Presentation: A 31-year-old woman with a history of rheumatic heart disease and a murmur presented with two months of intermittent subjective fevers, diffuse malaise and inability to walk. Physical exam revealed a systolic 2/6 [...]

By | 2015-04-15T15:12:12+00:00 February 28th, 2015|Uncategorized|Comments Off on Staphylococcus Lugdunensis: The Bad and the Ugly Coagulase-Negative Staph

Double Trouble: Twins with Bulging Fontanelles and Influenza Infection

Case Presentation: 6 month old former 35 week twin Hispanic girls presented to the ED for evaluation of bulging fontanelles for almost one week.  Both twins had been fussy for 24 hours, and Twin A [...]

By | 2015-04-15T15:29:13+00:00 February 28th, 2015|Uncategorized|Comments Off on Double Trouble: Twins with Bulging Fontanelles and Influenza Infection

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