2008 Articles
A multicenter qualitative study on preventing hospital-acquired urinary tract infection in U.S. hospitals.
Infect Control Hosp Epidemiol
Although urinary tract infection (UTI) is the most common hospital-acquired infection, there is little information about why hospitals use or do not use a range of available preventive practices. We thus conducted a multicenter study to understand better how US...
Although urinary tract infection (UTI) is the most common hospital-acquired infection, there is little information about why hospitals use or do not use a range of available preventive practices. We thus conducted a multicenter study to understand better how US...
Preventing hospital-acquired urinary tract infection in the United States: A national study.
Clin Infect Dis
Although urinary tract infection (UTI) is the most common hospital-acquired infection in the United States, to our knowledge, no national data exist describing what hospitals in the United States are doing to prevent this patient safety problem. We conducted a...
Although urinary tract infection (UTI) is the most common hospital-acquired infection in the United States, to our knowledge, no national data exist describing what hospitals in the United States are doing to prevent this patient safety problem. We conducted a...
Clinical problem-solving: Beware of first impressions.
N Engl J Med
In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.
In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.
The University of Michigan Specialist-Hospitalist Allied Research Program: jumpstarting hospital medicine research.
J Hosp Med
Clinical research has developed slowly in most academic hospitalist programs, possibly because of a failure to recognize the important role of specialists in the diagnosis and management of complex medical patients as well as their expertise in clinical...
Clinical research has developed slowly in most academic hospitalist programs, possibly because of a failure to recognize the important role of specialists in the diagnosis and management of complex medical patients as well as their expertise in clinical...
Where should hospitalists sit within the academic medical center?
J Gen Intern Med
One of the most significant changes in US hospitals over the past decade has been the emergence of hospitalists as key providers of inpatient care. The number of hospitalists in both community and teaching hospitals is growing rapidly, and as the field burgeons...
One of the most significant changes in US hospitals over the past decade has been the emergence of hospitalists as key providers of inpatient care. The number of hospitalists in both community and teaching hospitals is growing rapidly, and as the field burgeons...
Work hour rules and contributors to patient care mistakes: A focus group study with internal medicine residents.
J Hosp Med
The “Swiss cheese model” of systems accidents is commonly applied to patient safety, implying that many “holes” must align before an adverse event occurs. The Accreditation Council for Graduate Medical Education (ACGME) instituted work hour limitations to fill one...
The “Swiss cheese model” of systems accidents is commonly applied to patient safety, implying that many “holes” must align before an adverse event occurs. The Accreditation Council for Graduate Medical Education (ACGME) instituted work hour limitations to fill one...
How do hospitalized patients feel about resident work hours, fatigue and discontinuity of care?
J Gen Intern Med
Patient-centered care requires that physicians understand patients’ perspectives. Since the resident work hour rules were instituted, little information is available about how patients perceive these issues. Our objectives were to explore patients’ knowledge, concerns...
Patient-centered care requires that physicians understand patients’ perspectives. Since the resident work hour rules were instituted, little information is available about how patients perceive these issues. Our objectives were to explore patients’ knowledge, concerns...
Clinical problem-solving: Variations on a theme.
N Engl J Med
Preventing ventilator-associated pneumonia in the United States: a multicenter mixed-methods study.
Infect Control Hosp Epidemiol
To determine what practices are used by hospitals to prevent ventilator-associated pneumonia (VAP) and, through qualitative methods, to understand more fully why hospitals use certain practices and not others.
To determine what practices are used by hospitals to prevent ventilator-associated pneumonia (VAP) and, through qualitative methods, to understand more fully why hospitals use certain practices and not others.
Clinical problem-solving: Fool's gold.
N Engl J Med
Nursing practice and work environment issues in the 21st century: A leadership challenge.
Nurs Res
A leadership conference titled "Have Patient Safety and the Workforce Shortage Created the Perfect Storm?" was held in honor of Dr. Ada Sue Hinshaw, who was ending her tenure as dean of the University of Michigan School of Nursing. A morning panel on the...
A leadership conference titled "Have Patient Safety and the Workforce Shortage Created the Perfect Storm?" was held in honor of Dr. Ada Sue Hinshaw, who was ending her tenure as dean of the University of Michigan School of Nursing. A morning panel on the...
Adoption of alcohol-based handrub by United States hospitals: A national survey.
Infect Control Hosp Epidemiol
The extent to which the use of alcohol-based handrub for hand hygiene has been adopted by US hospitals is unknown. A survey of infection control coordinators (response rate, 516 [72%] of 719) revealed that most hospitals (436 [84%] of 516) have adopted...
The extent to which the use of alcohol-based handrub for hand hygiene has been adopted by US hospitals is unknown. A survey of infection control coordinators (response rate, 516 [72%] of 719) revealed that most hospitals (436 [84%] of 516) have adopted...
Mobility and other predictors of hospitalization for urinary tract infection: a retrospective cohort study.
BMC Geriatr
Many hospitalizations for residents of skilled nursing facilities are potentially avoidable. Factors that could prevent hospitalization for urinary tract infection (UTI) were investigated, with focus on patient mobility.
Many hospitalizations for residents of skilled nursing facilities are potentially avoidable. Factors that could prevent hospitalization for urinary tract infection (UTI) were investigated, with focus on patient mobility.
Incidence of antibiotic-resistant infection in long-term residents of skilled nursing facilities.
Am J Infect Control
Incidence of antibiotic-resistant infection in long-term residents of skilled nursing facilities. The incidence and predictors of antibiotic-resistant infection were investigated in 56,182 long-term residents of 3314 skilled nursing facilities in California, Florida, Michigan,...
Incidence of antibiotic-resistant infection in long-term residents of skilled nursing facilities. The incidence and predictors of antibiotic-resistant infection were investigated in 56,182 long-term residents of 3314 skilled nursing facilities in California, Florida, Michigan,...
Use of urinary collection devices in skilled nursing facilities in five states.
Am J Geriatr Soc
To assess use of urinary collection devices (external, intermittent, and indwelling catheters; pads or briefs) and examine predictors of indwelling catheters in skilled nursing facilities (SNFs).
To assess use of urinary collection devices (external, intermittent, and indwelling catheters; pads or briefs) and examine predictors of indwelling catheters in skilled nursing facilities (SNFs).
Clinical problem solving: An unintended consequence.
N Engl J Med
Clinical problem solving: What's the connection?
N Engl J Med