Journal of hospital medicine : an official publication of the Society of Hospital Medicine
-
Multicenter Study
A Prescription for Note Bloat: An Effective Progress Note Template.
United States hospitals have widely adopted electronic health records (EHRs). Despite the potential for EHRs to increase efficiency, there is concern that documentation quality has suffered. ⋯ The bundled intervention for progress notes significantly improved the quality, decreased the length, and resulted in earlier note completion across 4 academic medical centers.
-
Multicenter Study
Patterns and Predictors of Short-Term Peripherally Inserted Central Catheter Use: A Multicenter Prospective Cohort Study.
The guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated duration of use is =5 days. However, short-term PICC use is common in hospitals. We sought to identify patient, provider, and device characteristics and the clinical outcomes associated with short-term PICCs. ⋯ Short-term use of PICCs is common and associated with patient, provider, and device factors. As PICC placement, even for brief periods, is associated with complications, efforts targeted at factors underlying such use appear necessary.
-
Multicenter Study
How Exemplary Teaching Physicians Interact with Hospitalized Patients.
Effectively interacting with patients defines the consummate clinician. ⋯ The key findings of our study (care for the patient's well-being, consideration of the "big picture," and respect for the patient) can be adopted and honed by physicians to improve their own interactions with hospitalized patients.
-
Randomized Controlled Trial Multicenter Study
Helping Seniors Plan for Posthospital Discharge Needs Before a Hospitalization Occurs: Results from the Randomized Control Trial of PlanYourLifespan.org.
Investigate the effect of PlanYourLifespan.org (PYL) on knowledge of posthospital discharge options. ⋯ Seniors who used PYL demonstrated an increased understanding of posthospitalization and home services compared to the control group.
-
Multicenter Study Observational Study
A Simple Algorithm for Predicting Bacteremia Using Food Consumption and Shaking Chills: A Prospective Observational Study.
Predicting the presence of true bacteremia based on clinical examination is unreliable. ⋯ A 2-item screening checklist for food consumption and shaking chills had excellent statistical properties as a brief screening instrument for predicting true bacteremia.