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Meetings Archive For Hospital Medicine 2006, May 3-5, Washington, D.C...

Abstract Number: 31
Effects of Hospitalists on Mortality in a Multicenter Study of Academic Hospitalists
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: A few studies have found lower mortality for patients treated by hospitalists compared to patients treated by non‐hospitalists, and one study found mortality differences after discharge that increased over time. Other studies have found no differences in mortality between hospitalist and non‐hospitalist patients. However, almost all these studies have had inadequate power to exclude […]
Abstract Number: 32
Implementation and Effectiveness of Inpatient Nicotine Replacement Treatment Program in an Academic Setting
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The Joint Commission on Accreditation of Healthcare Organizations requires U.S. hospitals to have policies prohibiting smoking. Despite hospital policies, many patients continue to smoke while hospitalized. Smoking in the hospital has adverse health consequences for the patient, exposes other patients and staff to second‐hand smoke, and for patients using oxygen, significantly increases the risk […]
Abstract Number: 33
Potential Inappropriate Medication Prescribing in the Elderly Using the Guidelines of “Beers' Criteria”
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: It has been estimated that 30% of hospital admissions are related to adverse drug events (ADE), at a high financial and human consequences. ADE occur most frequently in the elderly and may be preventable. The recognition and prevention of drug related problems in elderly patients is one the principal health care quality and safety […]
Abstract Number: 34
Internal Medicine and General Surgery Residents' Attitudes About the American College of Graduate Medical Education (ACGME) Duty Hour Regulations: A Multicenter Study
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The ACGME duty hour regulations represent the largest effort to reduce errors in teaching hospitals. Little is known about residents' perspectives on the effects of these regulations on medical errors, quality of care, or residency experiences. Method: In 2005, a survey of 200 residents who trained both before and after work hour reform was […]
Abstract Number: 35
Randomized, Multicenter, Double‐Blind Study of the Efficacy, Safety, and Tolerability of Intravenous Ertapenem Versus Piperacillin/tazobactam in the Treatment of Complicated Intra‐Abdominal Infections in Hospitalized Adults
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Complicated intra‐abdominal infections represent a common problem in surgical practice. This study assessed the effectiveness of ertapenem (1 g once per day) compared to piperacillin/tazobactam (3.375 g q6h) in the treatment of these infections. Method: This was a multicenter, double‐blinded, randomized, prospective, comparative study conducted in patients diagnosed with complicated intra‐abdominal infections. Of 535 […]
Abstract Number: 36
Predicting Early Hospital Readmission for a Cohort of Adult Inpatients Using the Probability of Repeated Admission (pra) Instrument
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Up to 25% of hospitalized adults experience early readmission. Pre‐discharge identification of patients likely to be readmitted would help target discharge‐planning to reduce readmissions, exposures to hospital‐associated risks, and costs. Pra scores of outpatients >65 years of age is a valid predictor of a hospital admission within 4 years. This study used the Pra […]
Abstract Number: 37
Building an Electronically Generated Discharge Summary: Assessing Satisfaction, Preferences, and Potential Future Impact
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Deficits in information transfer between inpatient and outpatient physicians are common. The purpose of this study is to evaluate satisfaction with current discharge summaries, perceptions of preventable adverse events related to suboptimal information transfer, and conduct a needs assessment for an electronic discharge summary we plan to design. Method: We conducted a survey of […]
Abstract Number: 38
Medical Subinternship: Student Experience on a Resident Uncovered Hospitalist Service
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Although studies demonstrate the positive impact of hospitalists on medical student education, all were performed in a traditional resident covered ward service (RCWS) setting. Our institution implemented a resident uncovered hospitalist service (RUHS) in June 2003 in an effort to comply with newly revised resident work hour requirements. Many teaching hospitals have developed similar […]
Abstract Number: 39
Accuracy of Written Sign‐Outs of Internal Medicine Housestaff
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Sign‐out, the transfer of patient information and responsibility to a cross‐coverage physician, is a necessary component of caring for hospitalized patients. The number of sign‐outs in training hospitals has increased with the Accreditation Council for Graduate Medical Education's duty hours limitations. Residents commonly use written or computerized mechanisms to track patient information, and little […]
Abstract Number: 40
Nursing Perception of Barriers in Caring for Unstable Inpatients
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Hospitalized patients frequently show signs of clinical instability several hours before experiencing cardiac arrest or being transferred to the intensive care unit (ICU); earlier intervention and assessment might prevent adverse outcomes. This study examined whether communication barriers between nurses and physicians contribute to delays in care of clinically unstable patients on general inpatient wards […]