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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

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