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Prevalence of Invasive Infections Due to Carbapenem-Resistant Enterobacteriaceae (Cre) Among Adult Patients Across Us Hospitals

Background: There is a growing appreciation of the increasing prevalence of CREs, but limited data exists on the prevalence of invasive infections due to CRE among adult, hospitalized patients in the various geographic regions of [...]

By | 2015-04-15T15:23:25+00:00 February 28th, 2015|Uncategorized|Comments Off on Prevalence of Invasive Infections Due to Carbapenem-Resistant Enterobacteriaceae (Cre) Among Adult Patients Across Us Hospitals

Are the ‘impact’ Prognostic Models for Traumatic Brain Injury Valid for Use in Elderly Adults?

Background: Through collaborative neurosurgical comanagement services, hospital medicine has had an increasing role in the hospital-based care of the neurosurgical patient.  This care model has evolved with the change in demographics of traumatic brain injury [...]

By | 2015-04-15T14:58:02+00:00 February 28th, 2015|Uncategorized|Comments Off on Are the ‘impact’ Prognostic Models for Traumatic Brain Injury Valid for Use in Elderly Adults?

Attitudes Regarding Transitional Care Practices Within a Hospital: Baseline 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 likely depends in part on local attitudes, culture, workload, and training. Prior to [...]

By | 2015-04-15T15:10:14+00:00 February 28th, 2015|Uncategorized|Comments Off on Attitudes Regarding Transitional Care Practices Within a Hospital: Baseline Survey Results from the Partners-Pcori Transitions Study

The Partners-Pcori Transitions Study: Preliminary Results of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The advent of the Patient-Centered Medical Home (PCMH) and Accountable Care Organizations (ACOs) provide an opportunity for true collaboration in which [...]

By | 2015-04-15T15:24:30+00:00 February 28th, 2015|Uncategorized|Comments Off on The Partners-Pcori Transitions Study: Preliminary Results of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

Out of Sight, Out of Mind: The Sleeping Beauty Treated for Herpes

Case Presentation: A 75-year-old man with atrial fibrillation and no neurologic history presented to the emergency department with a one day history of somnolence, aphasia, and generalized weakness. He was nonverbal and minimally responsive to [...]

By | 2015-04-15T15:00:36+00:00 February 28th, 2015|Uncategorized|Comments Off on Out of Sight, Out of Mind: The Sleeping Beauty Treated for Herpes

5Th Time’s a Charm: Creation of Unit-Based Care Teams in a High Occupancy Hospital

Background: Unit-based care teams offer inherent benefits to hospitalist services, including opportunity for improved efficiency, interdisciplinary collaboration, and enhanced patient experience. However, many barriers exist to creation of these care teams such as high occupancy [...]

By | 2015-04-15T15:10:48+00:00 February 28th, 2015|Uncategorized|Comments Off on 5Th Time’s a Charm: Creation of Unit-Based Care Teams in a High Occupancy Hospital

The Effects of a Multi-Faceted Medication Reconciliation Quality Improvement Intervention on Patient Safety: Final Results of the Marquis Study

Background: Unintentional medication discrepancies during hospitalization can contribute to patient harm. Discrepancies can be reduced by performing medication reconciliation; however, effective implementation is challenging. The goals of the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) [...]

By | 2015-04-15T15:25:53+00:00 February 28th, 2015|Uncategorized|Comments Off on The Effects of a Multi-Faceted Medication Reconciliation Quality Improvement Intervention on Patient Safety: Final Results of the Marquis Study

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