Archive | Hospitalization RSS feed for this section

Optimize Your Electronic Medical Record to Increase Value: Reducing Laboratory Overutilization

Eliminating electronic health record features that facilitate over-utilization is likely to be a safe and effective method of reducing hospital costs. Purpose The purpose of this study is to decrease overutilization of laboratory testing by eliminating a feature of the electronic ordering system that allowed providers to order laboratory tests to occur daily without review. […]

Read more

Top 10 Facts to Know About Inpatient Glycemic Control

Optimizing glycemic control should be a priority for all health care providers in the inpatient setting. Uncontrolled hyperglycemia in hospitalized patients with or without a previous diagnosis of diabetes is associated with adverse outcomes and longer lengths of hospital stay. It is estimated that one-third of hospitalized patients will experience significant hyperglycemia, and the cost […]

Read more
American Journal of Medicine Editor Joseph Alpert

“Common Sense Is Not So Common” (What We All Need to Remember) – Part Two

Common Sense Is Not So Common. — Voltaire (Francois Marie Arouet, 1694-1778), Dictionnaire Philosophique, 1764 This essay is the second of 2 dealing with clinical aphorisms that I have derived during many years of clinical experience. The first part contained 8 items and was published in the August issue of The American Journal of Medicine. Rule […]

Read more

Depression and Clinical Outcomes in Heart Failure: An OPTIMIZE-HF Analysis

Hospitalized patients with heart failure and a history of depression were less likely to receive cardiac procedures and some education components during hospitalization, and referral to an outpatient heart failure disease management program at discharge. Hospital length of stay was longer and all-cause mortality was higher in patients with a history of depression. Abstract Background […]

Read more

“Dose-dependent” Impact of Recurrent Cardiac Events on Mortality in Patients with Heart Failure

The risk of death increases progressively and independently with each heart failure or cardiovascular event. The number of prior events predicts mortality and should be ascertained in patients with heart failure. Abstract Background The mortality impact of recurrent cardiac hospitalizations has not been delineated in community-based heart failure patients. We determined if a “dose-dependent” relationship […]

Read more