The Brown journal of hospital medicine最新文献

Updates in Hospital Medicine. 医院医学最新进展。

The Brown journal of hospital medicine Pub Date : 2022-12-01 eCollection Date: 2023-01-01 DOI: 10.56305/001c.56913

Kevin Hageman

引用次数: 0

Phlegmasia Cerulea Dolens Due To May Thurner Syndrome. May Thurner综合征所致的淡蓝色痰肿。

The Brown journal of hospital medicine Pub Date : 2022-11-01 eCollection Date: 2022-01-01 DOI: 10.56305/001c.39659

Monarch Shah, Vlad Vayzband, Michelle Nabi, Sanya Chandna

引用次数: 0

1-Minute Pearls/Pitfalls for the Clinician. 给临床医生的1分钟提示/陷阱。

The Brown journal of hospital medicine Pub Date : 2022-09-12 eCollection Date: 2023-01-01 DOI: 10.56305/001c.38027

Kwame Dapaah-Afriyie, Michelle Ting

引用次数: 0

Chromhidrosis.

The Brown journal of hospital medicine Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.56305/001c.37030

Sambhawana Bhandari, Maun R Baral, Shamima Yeasmin

引用次数: 0

Seeking the Right Time for Venous Thromboembolism Prophylaxis Alerts. 寻求静脉血栓栓塞预防警报的正确时间。

The Brown journal of hospital medicine Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.56305/001c.36786

Stijn Hentzen, Sarah Hacker, Nathan Meyer, Ethan Kuperman

{"title":"Seeking the Right Time for Venous Thromboembolism Prophylaxis Alerts.","authors":"Stijn Hentzen, Sarah Hacker, Nathan Meyer, Ethan Kuperman","doi":"10.56305/001c.36786","DOIUrl":"10.56305/001c.36786","url":null,"abstract":"Background: Our institution used an automated provider alert for venous thromboembolism (VTE) prophylaxis. This alert had an option to \"snooze,\" generating a user-specific delay before repeat firing. Providers snoozed 67% of VTE alerts. Our aim was to decrease alert burden by 25% through lengthening the snooze delay.Methods: This initiative was conducted at a tertiary care academic medical center using an integrated electronic health record. Data was collected with snooze delay time set at 1, 2 and 3 hours. Our primary outcome was the number of alerts per 100 admissions. Secondary outcomes included percentage of alerts snoozed, percent of patients receiving pharmacoprophylaxis, and percent of admissions satisfying VTE core measures.Results: There was no change in alerts per 100 admissions (168 vs. 176, p=0.375) or percentage of patients receiving pharmacoprophylaxis (50.9% vs. 50.9%, p=0.997). There was a small reduction in snooze percentage (67.0% to 63.2%, p=<0.001) and a small increase in core measure satisfaction (86.0% to 88.0%, p=0.025). On post-hoc analysis, the intervention increased the median interval between same-patient, same-provider VTE alerts (3.4 to 8.3 hours). Internal medicine hospitalists were responsible for 22% of alerts, selecting snooze 78% of the time.Conclusion: Increasing snooze delay time did not decrease alert burden. Manipulating alert parameters is unlikely to decrease alert burden without simultaneous changes in provider response culture.","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 3","pages":"36786"},"PeriodicalIF":0.0,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Cross-Sectional Study of Attitude and Behaviour of Individuals Towards Visiting the Hospital During the COVID-19 Pandemic in India. 印度COVID-19大流行期间个人就诊态度和行为的横断面研究

The Brown journal of hospital medicine Pub Date : 2022-06-06 eCollection Date: 2022-01-01 DOI: 10.56305/001c.36121

Manaswi Shamsundar, Shaista Choudhary

{"title":"A Cross-Sectional Study of Attitude and Behaviour of Individuals Towards Visiting the Hospital During the COVID-19 Pandemic in India.","authors":"Manaswi Shamsundar, Shaista Choudhary","doi":"10.56305/001c.36121","DOIUrl":"10.56305/001c.36121","url":null,"abstract":"Introduction: Visiting the hospital is important as a part of check-up in avoiding the major risks of unknown and serious diseases irrespective of any pandemic. Our study aims to understand the attitude and behaviour of the public towards visiting the hospital during COVID-19 pandemic in two major hotspot areas of India namely western Maharashtra state and southern Karnataka state.Methods: A cross-sectional study was conducted between July-August 2021 among the population of western Maharashtra and southern Karnataka states in India. A total of 636 respondents responded to the survey using an electronic form that was distributed through social media platforms and returned electronically. The inclusion criteria were literate undergraduate and postgraduate individuals from the public and individuals from the medical field at the time of data collection, having access to an internet connection to fill out the online questionnaire. Individuals who did not fill the form completely were excluded from the study.Results: Among 636 respondents, 74.8% were not ready to visit the hospitals while 25.2% of respondents were willing to go to the hospitals during the COVID-19 pandemic if their symptoms were serious. The top three reasons for the reduced willingness to seek hospital care were fear of getting infected in the hospitals by COVID-19 patients (72.6%), fear of stepping out of home (31.1%) and fear of COVID-19 infection from lab equipment (24.5%).Conclusion: Overall the study revealed that there was a reduction in willingness to visit hospitals for conditions other than COVID-19 after the start of the pandemic. Individuals were still willing to go to hospital if they experienced severe symptoms or symptoms attributed to COVID-19. These findings may be useful to develop strategies to address the public's safety concerns related to seeking hospital care during a pandemic.","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"36121"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lessons Learned When Discharging Older Adults to Skilled Nursing Facilities. 将老年人送到熟练护理机构的经验教训。

The Brown journal of hospital medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.56305/001c.36144

Katherine Barry, Rohit Tyagi, Jill O'Brien, Lynn McNicoll

{"title":"Lessons Learned When Discharging Older Adults to Skilled Nursing Facilities.","authors":"Katherine Barry, Rohit Tyagi, Jill O'Brien, Lynn McNicoll","doi":"10.56305/001c.36144","DOIUrl":"10.56305/001c.36144","url":null,"abstract":"Background: When patients transition from an inpatient hospital stay to a skilled nursing facility (SNF), the information that is sent with them is essential to proper care in the facility.Methods: Records of hospital-to-SNF transfer were reviewed for opportunities for improvement in providing accurate or complete information. SNF staff were asked about their experiences caring for these patients and the effects that the inadequate documentation had on the patient's medical care.Results: Four cases were identified that exhibit key errors that make the transition from the inpatient setting to the SNF setting difficult and potentially unsafe for patients and providers. These included: (1) inaccurate medication reconciliation on discharge, (2) incomplete medication instructions on discharge, (3) lack of information about the inpatient course and diagnoses and (4) missing instructions for follow-up care and procedures.Conclusions: Education for hospital-based providers has the potential to decrease the risks associated with transitioning patients from inpatient to SNF care settings. Structural and systemic changes could reduce the role of human error in this process and decrease the time requirements on overburdened hospital staff.","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"36144"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Progressive Encephalomyelitis with Rigidity and Myoclonus Treated with Rituximab: Case Report and Review of the Literature. 利妥昔单抗治疗进行性脑脊髓炎伴强直和肌阵挛：病例报告及文献回顾。

The Brown journal of hospital medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.56305/001c.36139

Carlin Chuck, Karl Herman, Sleiman El Jamal

引用次数: 0

Acute T-cell Lymphoblastic Leukemia Presenting with Cardiac Encasement and Pericardial Tamponade. 急性t细胞淋巴细胞白血病表现为心脏包膜和心包填塞。

The Brown journal of hospital medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.56305/001c.36103

Rasan Cherala, Quynh Lan Dao

引用次数: 0

Rapid (7-Day) Readmissions to an Inpatient Medical Service at a Tertiary, Academic Medical Center. 快速（7天）再入院的住院医疗服务在三级，学术医疗中心。

The Brown journal of hospital medicine Pub Date : 2022-06-03 eCollection Date: 2022-01-01 DOI: 10.56305/001c.36124

Arkadiy Finn, Raza Naqvi, Vijairam Selvaraj, Kwame Dapaah-Afriyie

{"title":"Rapid (7-Day) Readmissions to an Inpatient Medical Service at a Tertiary, Academic Medical Center.","authors":"Arkadiy Finn, Raza Naqvi, Vijairam Selvaraj, Kwame Dapaah-Afriyie","doi":"10.56305/001c.36124","DOIUrl":"10.56305/001c.36124","url":null,"abstract":"Background: Rapid readmissions, occurring within 7 days of hospital discharge, are associated with significant morbidity and mortality. Objectives: Identify causes of rapid readmissions with a focus on clinical judgement errors and improve discharge practices.Methods: Records of 371 patients discharged from an inpatient medical service and readmitted within 7 days were reviewed. Causes for readmission were identified and classified into 10 categories, including diagnostic and/or therapeutic error leading to readmission.Results: Fifty percent of rapid readmissions were related to severity of underlying disease/failure to respond to treatment. Adherence challenges, patients with known high hospital utilization, and substance use disorder/uncontrolled psychiatric conditions accounted for 32.4% of 7-day readmissions. Readmissions related to clinical judgement accounted for 24 (6.5%) of the total readmissions. Clinical judgement errors were comprised of 6 diagnostic and 18 therapeutic errors, involving infections, diabetic medications and anticoagulation agents.Conclusions: Most rapid readmissions are related to the severity of the condition during the index hospitalization. Clinical judgement errors are a rare cause for rapid readmission and involve certain high-risk medications and symptoms which require a high degree of awareness from the discharging provider.","PeriodicalId":520437,"journal":{"name":"The Brown journal of hospital medicine","volume":"1 2","pages":"36124"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0