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Hospital Practice (Minneapolis)

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https://www.readbyqxmd.com/read/29431543/high-flow-nasal-oxygen-therapy-utilization-7-year-experience-at-a-community-teaching-hospital
#1
Mihaela S Stefan, Patrick Eckert, Bogdan Tiru, Jennifer Friderici, Peter K Lindenauer, Jay S Steingrub
OBJECTIVE: To examine the use of high flow nasal cannula oxygen therapy (HFNC) between 2008 and 2014 in patients 18 years or older at a community teaching hospital. METHODS: Yearly utilization rates of HFNC, noninvasive ventilation (NIV) and invasive mechanical ventilation (IMV) were calculated among admissions with a set of cardiopulmonary diagnoses (heart failure, COPD, asthma or pneumonia). RESULTS: Among the 41,711 admissions with at least one of the above cardiopulmonary condition, HFNC was utilized in 1,128 or 27...
February 15, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29426263/drug-promotional-activities-in-nigeria-impact-on-the-prescribing-patterns-and-practices-of-medical-practitioners-and-the-implications
#2
Joseph O Fadare, Kazeem A Oshikoya, Olayinka O Ogunleye, Olufemi O Desalu, Alessandra Ferrario, Okezie O Enwere, Adekunle Adeoti, Taofiki A Sunmonu, Amos Massele, Amanj Baker, Brian Godman
OBJECTIVE: Pharmaceutical companies spend significant amount of resources on promotion influencing the prescribing behavior of physicians. Drug promotion can negatively impact on rational prescribing, which may adversely affect the quality of patient care. However, little is known about these activities in Nigeria as the most populous country in Africa. We therefore aimed to explore the nature of encounters between Nigerian physicians and pharmaceutical sales representatives (PSRs), and how these encounters influence prescribing habits...
February 9, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29400119/morbidity-mortality-and-management-of-methicillin-resistant-s-aureus-bacteremia-in-the-us-update-on-antibacterial-choices-and-understanding
#3
Jessica Ortwine, Kavita Bhavan
Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia is associated with significant healthcare costs, morbidity, and mortality in the United States. Complications of MRSA bacteremia include infective endocarditis, osteomyelitis, and sepsis, all of which are difficult to treat. Time to effective therapy and antibacterial choice greatly affect patient outcomes. Vancomycin and daptomycin remain first-line therapies; however, reports of vancomycin-associated treatment failure and reduced daptomycin susceptibility highlight the need to define alternative strategies for MRSA bacteremia treatment...
February 5, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29322848/inpatient-satisfaction-at-different-public-sector-hospitals-of-a-metropolitan-city-in-pakistan-a-comparative-cross-sectional-study
#4
Mehwish Hussain, Rehana Rehman, Zia Ikramuddin, Nava Asad, Ayesha Farooq
OBJECTIVE: To observe inpatient satisfaction at different public sector hospitals of Karachi, Pakistan. METHODS: A cross sectional study was carried out during 2010-2012 in four major public sector hospitals of Karachi. A total of 710 patients completed the study. Responses were gathered in a self-structured questionnaire that comprised of four dimensions of satisfaction with doctor, staff, administration and treatment. Average Score of each dimension was taken and compared using one way analysis of variance...
January 11, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29320310/comparison-of-current-recruitment-process-for-specialty-residency-training-in-uk-and-usa
#5
Ali Sibtain Farooq Sheikh, Mona Adel Mohamed
In the United Kingdom (UK), the medical education system strives to deliver high quality residency training to junior doctors. The same task is achieved in the United States (USA) but with a different approach. Both systems have advantages and disadvantages in their own accord. Some improvements are required in the process of initial recruitment at grass-root level. This article provides a comparison between the two systems, highlights the inefficiencies and gives suggestions to improve postgraduate medical education...
January 10, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29285946/implementation-of-a-metastatic-malignancy-of-unknown-primary-origin-service-led-by-a-palliative-physician
#6
David Brooks, Philippa Hughes, Clare Farrington, Peter A Bath, Mary McGregor, Wasim Ahmed, Bill Noble
BACKGROUND: Cancer of unknown primary is the fourth most common cause of cancer death in the United Kingdom. National guidance in 2010 recommended the establishment of a dedicated unknown primary team to facilitate targeted investigation and symptom control. A service development project was undertaken to identify those affected by malignancy of unknown origin and institute a pathway for coordinating their care led by a palliative physician. AIM: To describe the patient population and illness trajectory and to assess the effect of the new pathway on the clinical outcomes...
December 29, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29241381/prevalence-characteristics-and-risk-factors-of-pressure-ulcers-in-public-and-private-hospitals-care-units-and-nursing-homes-in-france
#7
Brigitte Barrois, Denis Colin, François-André Allaert
OBJECTIVE: The aim of this study conducted in 2014 was to describe the prevalence of pressure ulcers in different types of French hospital unit at the national level to compare them with data from the 1994 and 2004 study. METHODS: This cross-sectional study was conducted over a single day. All care units were invited to participate by drawing lots stratified by region in successive waves until 1,200 agreements were obtained. Lots were drawn for towns with more than 10,000 inhabitants...
December 15, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29172843/intra-articular-corticosteroid-injections-in-haemophilic-arthropathy-are-they-recommended
#8
E Carlos Rodriguez-Merchan
INTRODUCTION: Intra-articular (IA) corticosteroid (CS) injections are commonly used in the treatment of osteoarthritis. However, they are rarely utilized in haemophilic arthropathy. In fact, the efficacy of this method in haemophilic arthropathy is frequently discussed and debated in clinical practice. AIM: To investigate the effectiveness of IA CS injections in patients with painful haemophilic arthropathy. METHODS: A review of the literature on the topic was performed...
November 30, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29157046/authors-reply-wide-reaching-effects-of-and-concerns-regarding-geographic-localization-of-hospitalist-units
#9
Christine Bryson, Mihaela Stefan
No abstract text is available yet for this article.
November 23, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29283294/evaluating-the-role-of-clinical-pharmacists-in-pre-procedural-anticoagulation-management
#10
Akash Kataruka, Elizabeth Renner, Geoffrey D Barnes
OBJECTIVES: While physicians are typically responsible for managing perioperative warfarin, clinic pharmacists may improve pre-procedural decision-making. We assessed the impact of pharmacist-driven care for chronic warfarin-treated patients undergoing outpatient right heart catheterization (RHC). METHODS: 200 warfarin patients who underwent RHC between January 2012 and September 2015 were analyzed. Pharmacist-care (n = 79) was compared to the usual care model (n = 121)...
February 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29224408/oral-anticoagulation-therapy-upon-discharge-in-hospitalized-patients-with-nonvalvular-atrial-fibrillation-a-retrospective-cohort-study
#11
Devada Singh-Franco, Genevieve Hale, Robin J Jacobs
OBJECTIVES: Availability of direct oral anticoagulants and CHA 2 DS 2 VASc/HAS-BLED scoring tools underscore the importance of appropriate and safe use of oral anticoagulation therapy (OACT). The purpose of this study was to evaluate stroke prevention pharmacotherapy in adult patients with nonvalvular atrial fibrillation (NVAF) discharged from a large, community-based hospital. METHODS: A retrospective cohort study was conducted using a de-identified data collection sheet for data extraction (demographics, admitting diagnosis, OACT prior to admission and at discharge, concomitant medications that could increase bleed risk and/or acid-suppressive therapies)...
February 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29171776/extended-thromboprophylaxis-in-the-acutely-ill-medical-patient-after-hospitalization-a-paradigm-shift-in-post-discharge-thromboprophylaxis
#12
REVIEW
Charles E Mahan, Allison E Burnett, Meghan L Fletcher, Alex C Spyropoulos
Venous thromboembolism (VTE) is a significant healthcare burden with approximately 900,000 events annually in the United States, over half of which are healthcare-associated. This number is anticipated to double by 2050. Group prophylaxis strategies confined to the inpatient setting appear to have minimal impact on the reduction of post-discharge VTE in medically ill patients due to shortened lengths of stay and a heterogenous population that includes patients at low risk for VTE. In accordance with current guideline recommendations, very few (<5%) medically ill patients are discharged with extended prophylaxis, which potentially creates a clinical gap for at-risk patients as VTE risk has been shown to persist for up to 90 days...
February 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29090606/efficiency-of-a-self-administered-outpatient-parenteral-antimicrobial-therapy-s-opat-for-infective-endocarditis-within-the-context-of-a-shortened-hospital-admission-based-on-hospital-at-home-program
#13
Marcos Pajarón, Marta Lisa, Manuel F Fernández-Miera, Juan C Dueñas, I Allende, Ana M Arnaiz, Pedro Sanroma-Mendizábal, José R De Berrazueta, María C Fariñas
OBJECTIVE: This study aimed to evaluate the efficiency of treatment of infectious endocarditis (IE) via Self-administered Outpatient Parenteral Antimicrobial Therapy (S-OPAT) supported by a shortening hospital admission program in a hospitalization-at-home unit (HAH), including a short review of the literature. METHODS: Ambispective cohort study of 57 episodes of IE in 54 patients treated in an HAH unit between 1988 and 2014 who receive S-OPAT after prior intra-hospital clinical stabilization...
December 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28862873/increased-qt-dispersion-is-associated-with-reduced-overall-survival-in-patients-with-acute-exacerbations-of-chronic-obstructive-pulmonary-disease
#14
Yanna Lai, Anthony DeNardo, Selvanayagam Niranjan, Krishna B Sriram
OBJECTIVES: Chronic obstructive pulmonary disease (COPD), especially acute exacerbations of COPD, are associated with increased cardiovascular mortality, including sudden cardiac death. Previous studies have reported that ECG abnormalities are common in stable COPD patients. However, the prognostic utility of ECG taken at the time of AECOPD is not known. In this study we sought to address this gap in knowledge pertaining to ECG parameters at time of AECOPD and overall survival. METHODS: We conducted a retrospective cohort study of patients admitted to our institution with a primary diagnosis of AECOPD...
December 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28828886/topiramate-and-metabolic-acidosis-an-evolving-story
#15
Shruti Gupta, Jennifer J Gao, Michael Emmett, Andrew Z Fenves
Topiramate is an anticonvulsant that is being increasingly used for a number of different off-label indications. Its inhibition of carbonic anhydrase isoenzymes can lead to metabolic acidosis, elevated urine pH, reduced urine citrate, and hypercalciuria, thereby creating a milieu that is ripe for calcium phosphate stone formation. In this review, we describe a case of topiramate-induced metabolic acidosis. We review the frequency of metabolic acidosis among children and adults, as well as the mechanism of hyperchloremic metabolic acidosis and renal tubular acidosis in topiramate users...
December 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29141470/wide-reaching-effects-of-and-concerns-regarding-geographic-localization-of-hospitalist-units
#16
Angela L Nguyen, Flint Y Wang
No abstract text is available yet for this article.
November 15, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29125409/interdependence-in-decision-making-by-medical-consultants-implications-for-improving-the-efficiency-of-inpatient-physician-services
#17
Adam S Wilk, Lena M Chen
OBJECTIVES: Hospital administrators are seeking to improve efficiency in medical consultation services, yet whether consultants make decisions to provide more or less care is unknown. We examined how medical consultants account for prior consultants' care when determining whether to provide intensive consulting care or sign off in the treatment of complex surgical inpatients. We applied three distinct theoretical frameworks in the interpretation of our results. METHODS: We performed a retrospective cohort study of consultants' care intensity, measured alternately using a dummy variable for providing two or more days consulting (versus one) and a continuous measure of total days consulting, with 100% Medicare claims data from 2007-2010...
November 10, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29110557/post-discharge-issues-identified-by-a-call-back-program-identifying-improvement-opportunities
#18
Patty Ines Ojeda, Areeba Kara
OBJECTIVES: The period following discharge from the hospital is one of heightened vulnerability. Discharge instructions serve as a guide during this transition. Yet, clinicians receive little feedback on the quality of this document that ties into the patients' experience. We reviewed the issues voiced by discharged patients via a call-back program and compared them to the discharge instructions they had received. METHODS: At our institution, patients receive an automated call forty-eight hours following discharge inquiring about progress...
November 7, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29092636/investigation-of-health-promotion-status-in-specialized-hospitals-associated-with-hamadan-university-of-medical-sciences-health-promoting-hospitals
#19
Yadollah Hamidi, Seyed Mohammad Mahdi Hazavehei, Akram Karimi-Shahanjarini, Mohammad Ali Seifrabie, Maryam Farhadian, Shohreh Alimohammadi, Seyedeh Melika Kharghani Moghadam
OBJECTIVES: The prophecy of health promoting hospitals (HPH) is bringing about a change and transition from treatment-oriented to health-oriented attitudes. In Iran, hospitals usually play the traditional roles. The present study was aimed at the evaluation of the health promotion status in specialized hospitals associated with Hamadan University of Medical Sciences (HUMS). MATERIALS AND METHODS: This applied study was conducted in two Hamadan specialized hospitals in the Hamadan city...
November 2, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28990811/evaluation-of-hospitalization-costs-and-associated-factors-among-maternity-stays-involving-low-risk-and-moderate-to-high-risk-childbirths-in-the-united-states
#20
Amy Law, Justin Yu, Wenlong Lin, Richard Lynen, Jay Lin
OBJECTIVES: This study aimed to assess the costs of childbirth and to identify factors associated with such hospital costs for low- and moderate/high-risk childbirth groups. METHODS: All hospitalizations for childbirth between 2010-2014 in the Premier Perspective Hospital Database were identified. Risk category for each birth was defined by the age of the subject and/or presence of specific maternal comorbidities and obstetric risk factors. Hospital childbirth costs were determined and stratified by risk groups...
October 9, 2017: Hospital Practice (Minneapolis)
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