Background: Our hospitalist group has seen a rise in the number of Advanced Practice providers (APP) due to increasing patient workload. The APPs come from varying backgrounds, are within 2 years of graduation and have had little experience in evaluating common emergent and nonemergent presentations on the hospital medicine service. Our current practice is for […]

Background: Our hospitalist group has seen a rise in the number of Advanced Practice providers (APP) due to increasing patient workload. The APPs come from varying backgrounds, are within 2 years of graduation and have had little experience in evaluating common emergent and nonemergent presentations on the hospital medicine service. Our current practice is for […]

Background: Electronic health records (EHR) capture clinical information that may be useful in predicting risk of hospital readmission. This study used EHR data to examine the associations between inpatient medication exposure and risk of hospital readmissions. Methods: The study population consisted of all patients hospitalized and discharged alive from Duke University Hospital between 2007 and […]

Background: Dyad round means when nurses and doctors do patient round together. When the concept of hospitalist came to health care system, doctors became available 24 hours in the care of patients. Nurses and doctors started doing their patient-rounds individually1 and communicate via electronic medical record (EMR) or other electronic methods.On an average, a patient […]

Background: Stress is prevalent in healthcare where a certain level of stress is constant. Healthcare workers face higher rates of burnout that could be characterized by emotional exhaustion, depersonalization and could make it difficult to connect with patients in meaningful ways. Yogic Lifestyle brings into account the different variations of a healthy lifestyle combined into […]

Background: Peripherally inserted central catheters (PICCs) are associated with an increased risk of venous thromboembolism (VTE). However, the precise incidence and magnitude of this risk relative to other central venous catheters (CVCs) is unknown. We performed a systematic review and meta‐analysis of the risk of VTE associated with PICCs. Methods: Multiple databases including MEDLINE, Embase, […]

Background: Trust has long been considered an important element in the doctor-patient relationship, and historically physicians have been considered one of the most trusted professions in the US. However, recent data suggests that patient trust in the healthcare system has eroded. One hypothesized cause of this loss of trust is the breakdown of the doctor-patient […]

Background: Patients discharged to a skilled nursing facility (SNF) are at significantly higher risk of readmission within 30 days. For hospitalists at the Cleveland Clinic, the rate in 2012 to date is 25.8%. The physician communication during this transition for the patient can be suboptimal because of poor understanding of the reality of care in […]

Case Presentation: An 88‐year‐old man with a medical history of atrial fibrillation presented with dyspnea for 1 week. He endorsed bilateral leg edema, orthopnea, and productive cough of pinkish sputum. He denied fevers, chest pain, and palpitations and had no recent travel history, prolonged period of immobility, or reported history of congestive heart failure. He […]

Background: Physicians increasingly utilize electronic health records (EHR) to deliver healthcare, and the EHR has been identified as leading source of physician burnout and frustration [Shanafelt et al]. Studies report up to 52.6% of hospitalists exhibit symptoms of burnout [Roberts et al]. However, there is no data to inform how hospital medicine physicians spend their […]