Current Findings in the Literature: A potential benefit of health IT in inpatient settings is decreased medication turnaround time. Many advocate that electronic processes for medication ordering and pharmacy verification and dispensing are more efficient than paper­based systems because they may be: (1) instantly delivered to the pharmacy as opposed to manually written by the physician, delive...

Clinical hypnosis is an established part of the comprehensive treatment of numerous problems in ambulatory pediatrics. Two cases illustrate its utility with pediatric inpatients. These cases demonstrate clinical hypnosis as a teachable, practical, and nonpharmacologic intervention that warrants further investigation in the inpatient setting.

BACKGROUND delirium and frailty are common among hospitalised older people but delirium is often missed and frailty considered difficult to measure in clinical practice. OBJECTIVE to explore the relationship between delirium and frailty in older inpatients and determine their impact on survival. DESIGN AND SETTING the prospective cohort study of 273 patients aged ≥75 years. MEASURES patie...

Transitionsareawayof life inacademicmedicine.While much has been written about these changes,1,2 less attention has been devoted to amore common shift: the move between academic work and clinical ward time.3 This gap has important consequences. For example, some faculty dread upcoming ward blocks. When on clinical rotations, theystruggle to jugglepatientandacademic activities—often doing neithe...

Purpose. To determine if the American Society of Anesthesiologist (ASA) score can be used to predict hospital charges for inpatient services. Materials and Methods. A retrospective chart review was conducted at a level I trauma center on 547 patients over the age of 60 who presented with a hip fracture and required operative fixation. Hospital charges associated with inpatient and postoperative...

BACKGROUND/AIMS Inpatient initiation of chronic hemodialysis is considered undesirable because of cost and possible harms of hospitalization. We examined the patient characteristics and outcomes associated with inpatient initiation. METHODS In a prospective cohort study of incident dialysis patients, the independent association of inpatient hemodialysis initiation with patient outcomes was as...

CONTEXT Critical laboratory value reporting is a highly visible and essential key activity for clinical laboratories. OBJECTIVE To measure critical laboratory value reporting in multiple institutions over time and to examine the practice patterns and demographic factors associated with sustained improvement in critical value reporting. DESIGN A longitudinal cohort study of 180 clinical labo...