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Missouri hospitalist calendar, 2013-04
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
Conference Calendar.
New sepsis guidelines
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
A number of national groups have gotten together and issued new guidelines for the management of severe sepsis and septic shock, led by our former Pulmonary and Critical Care division director Phillip Dellinger....
Volunteerism among hospitalists and non-hospitalists at academic and community medical centers in North Carolina
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2017-04)
Volunteerism is common in the United States, though less is known about volunteerism among medical professionals. We aimed to record and compare volunteer activities among hospitalists and non-hospitalists in academic and community centers....
An electrocardiogram that tells you all you need to know
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
This is a 66 year old woman with progressive dyspnea on exertion for 7 months. Based on the ECG findings, what further evaluation is indicated?
Missouri hospitalist, issue 47 (2013 April-June)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2013-04)
In pursuit of happiness : Creation of an academic hospitalist wellness committee and well-being survey
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-04)
an academic hospitalist group and identifies areas to focus interventions on both personal and systemic levels....
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
QUESTION: A 53 years old female receives transfusion of 2 units of PRBCs. One hour later, she develops acute dyspnea with decreased O2 saturations. Chest x-ray demonstrates new bilateral pulmonary infiltrates. Could this ...
Spot diagnosis
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
Question: A 40 year old male presented with a five week history of rash. His primary physician had initially treated him for eczema, without improvement.
Missouri hospitalist, issue 50 (2014 January-March)
(University of Missouri. Department of Medicine. Division of Hospital Medicine, 2014-01)
Hospital-acquired infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
Hospitals in Missouri perform surveillance and external reporting for a number of hospital-acquired infections (HAI). We are required to do so variously by the stateof Missouri, the Centers for Medicare and Medicaid Services (CMS) and for those...
A case of DRESS syndrome due to Vancomycin
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2013-04)
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a severe systemic reaction that usually begins 2-6 weeks after the introduction of the inciting agent. It is mostcommonly characterized by fever, ...
Acute ischemic stroke management review for the hospitalist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2018-01)
The treatment of acute ischemic stroke is dependent on timely recognition. After ensuring airway, respiratory and circulatory stability, NIHSS should be performed and urgent CT scan obtained. If no exclusions exist, ...
Antibiotic de-escalation in culture-negative healthcare-associated pneumonia
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-04)
The guidelines from the American Thoracic Society (ATS) and the Infectious Disease Society of America (IDSA) recommend "early, appropriate antibiotics inadequate doses, while avoiding excessive antibiotics by de-escalation ...
Rothman Index as a predictor of 30-day hospital readmission
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2021-04)
Introduction: The Centers for Medicare and Medicaid services financially penalize hospitals for elevated 30-day readmission rates. Identifying patients at high risk for short-term readmission would allow health systems to ...
Transitional Care Intervention to Reduce 30-day Readmission Rate in Cardiac Transplant Patients
(2016-05)
Readmission remains a financial burden in our healthcare arena. Billions of dollars in hospital payments were made from Medicare towards readmissions. The problem of patients’ ineffective transitions during hospital discharge ...
Hospital gowns in the health care system: a study exploring whether the hospital gown preserves a patient's dignity, modesty, and comfort
(University of Missouri--Columbia, 2022)
[EMBARGOED UNTIL 6/1/2023] Over the years, hospital gowns have become accepted as the standard attire worn by patients in healthcare settings, especially in hospitals. The need for hospital gowns is still present in today's ...
Transforming the ethical behavior of clinicians through pedagogical innovation: sensemaking as a means to promote ethical practice in the face of moral ambiguity
(University of Missouri--Columbia, 2020)
Even though there is evidence to suggest that teaching normative ethical theory has limited influence on the ethical behavior of clinicians, typical pedagogy in clinical ethics continues to focus on adherence to professional ...
Standardized Code Blue Process
(University of Missouri -- Kansas City, 2019)
Cardiac arrest remains an increasing health problem, leading to thousands of cardiopulmonary
resuscitation attempts annually. With variations in code blue documentation and post-event team
debriefings, a standardized ...
An evaluation of an Electronic Medical Record (EMR) based system to characterize and correlate physician burnout and EMR use
(University of Missouri--Columbia, 2021)
and effort of administering traditional survey instruments. To address this challenge, we deployed a single-item burnout measure (SIBM) at the University of Missouri Healthcare, an academic medical center (AMC), to test the feasibility and reliability...