American journal of hospital medicine, volume 2, issue 4 (2018 October-December)
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Item Special announcement : thanks to the 2018 reviewers(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-10)A special thanks to the 2018 reviewers.Item Something has to change(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-10) Hahn-Cover, Kristin; Jones, Catherine Messick"When you have the thought, 'Something has to change', what do you do? Often, the decision to change is prompted by a problematic or undesired outcome, or a process that is frankly broken. What change is required in order to solve the problem?"Item Provider follow-up calls : a brief intervention to improve patient satisfaction scores(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07) Nookala, Vinrod; Singh, Pratiksha; Sarao, Manbeer Singh; Ennala, Sravanthi"Background: Patient-centered care is the future of hospital services. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is the first of its kind, national, publicly available standardized survey. Although the overall score has been improving over the years, the aspect of physician-patient communication still lags far behind. We conducted a pilot study to evaluate a new method to improve communication. We assessed the changes in perception of patients if their provider initiated the post-discharge follow-up. ... Discussion: Improved communication outcomes require increased physician effort along with the efforts of the other staff and hospital resources. Patients' perception of physician communication can be enhanced by a post-discharge phone call from the provider."Item Green urine from propofol(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-07) Bredehoeft, Cole T.; Rist, Rebecca T.; Rojas-Moreno, Christian A."A 65-year-old female, with past medical history of hypertension and chronic hypoxemic respiratory failure due to chronic obstructive pulmonary disease (COPD), was admitted after endoscopic resection of colonic polyps and a large rectal mass. For this procedure, general anesthesia with intravenous Propofol was utilized. Due to technical difficulty of the procedure, the total anesthesia time was 7 hours and 48 minutes with a total use of 2,951.06 mg of Propofol. On post-procedure day #1, the patient's urine was noted to be green (Figure 1). The patient denied dysuria, frequency, urgency, and foul smell. Additionally, liver function tests, renal function tests, complete blood count, and urinalysis were all within normal limits."Item Duration of antibiotic therapy(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-10) Rojas-Moreno, Christian"With the emergence of multidrug resistant organisms, risks associated with antibiotic therapy and its complications, such as Clostridioides difficile infection or adverse reactions, there is increasing interest in shorter rather than longer durations of antibiotic therapy for common infections."