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9135 results

  • Article

    Procalcitonin to Predict Severity of Acute Cholangitis and Need for Urgent Biliary Decompression

    • Maryann T. Ally, MD, MPH, FACP, CHCQM-PHYADV, FHM

    May 1, 2023

    Dr. Ally Clinical question:  What impact does procalcitonin have on the management of acute cholangitis?  Background:  Procalcitonin has been used to predict disease severity that may lead...

  • Article

    The Association of Hallway Boarding on Readmission and Mortality Rates

    • Diana Childers, MD, CHCQM-PHYADV

    May 1, 2023

    Dr. Childers Clinical question: Does inpatient hallway boarding increase in-hospital mortality, 30-day mortality, or 30-day readmission rates? Background: Prior studies have reported that the...

  • Article

    Implementation of a Comprehensive Hospitalist-led Initiative to Improve Care for Patients with OUD

    • William J. Frederick, III, MD, PhD, CHCQM-PHYADV

    May 1, 2023

    Clinical question: Can a multidisciplinary, hospitalist-led program improve care for hospitalized patients with opioid use disorder (OUD)? Background: Despite rising opioid-related hospitalizations...

  • Article

    Early Treatment with Thiamine and Mortality Among Patients with AUD Who are Hospitalized for Pneumonia

    • Constance Chace, MD, MPH

    May 1, 2023

    Dr. Chace Clinical question: Does early thiamine administration improve mortality outcomes for patients with alcohol use disorder who are hospitalized for pneumonia? Background: Wernicke’s...

  • Article

    Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis

    • Charles Hammond, MD

    May 1, 2023

    Dr. Hammond Clinical question: Is early, aggressive, fluid resuscitation in acute pancreatitis or moderate fluid resuscitation the best and safest way to prevent progression to moderately severe...

  • Article

    Increased Familiarity Between Residents and Nurses Improves Team Performance and Communication

    • Bryan Huang, MD, CHCQM-PHYADV, FHM

    May 1, 2023

    Dr. Huang Clinical question: Does an increased familiarity between medical residents and nurses improve team performance and communication? Background: Prior studies suggest that familiarity...

  • Article

    Important Lessons from Hospitalists Who Love Their Jobs

    • Larry Beresford

    May 1, 2023

    Job stress, moral injury, burnout, and the great resignation—these are very real concerns for the field of hospital medicine, exacerbated by but not limited to the unprecedented challenges of the...

  • Article

    Low-dose Buprenorphine Initiation is a Safe and Effective Alternative to Standard-dose Buprenorphine in Hospitalized Patients with OUD

    • Nhan Vuong, MD

    May 1, 2023

    Dr. Vuong Clinical question: Is low-dose buprenorphine initiation in hospitalized patients safe and effective for the management of opioid use disorder (OUD)? Background: OUD is a chronic...

  • Article

    Becoming a Well-being Advocate

    • Anna Zachwieja, MHA; 
    • Swati Mehta, MD, FACP, CPXP, SFHM

    May 1, 2023

    By now, burnout and its related toll on clinicians nationwide are recognized as a pressing crisis. While burnout among U.S. health care practitioners isn’t new, the COVID-19 pandemic exacerbated...

  • Article

    Lessons in Redeployment from Adult Hospitalists

    • Sydney Katz, MD, Elijah Douglass, MD, and Alice J. Tang, MD, MHPE

    May 1, 2023

    Diverse mid-adult nurses, mature adult hospital administrators, and senior adult doctors are standing around a table in a hospital board room. They are reviewing spreadsheets and charts containing...

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