Hospital Medicine: Just The Facts

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Hospital Medicine: Just The Facts

Hospital Medicine: Just The Facts

Authors: Sylvia McKean, Adrienne Bennett and Lakshmi Halasyamani

Published: June 2008

eISBN: 9780071641104 0071641106 | ISBN: 9780071463959

Contents

Contributors

Foreword

Acknowledgments

Section 1 The Hospitalist Movement

1 Hospital Medicine in the United States: Growth, Prevalence, and Challenges

2 The Role of the Hospitalist as Defined in the Core Competencies in Hospital Medicine

3 Innovative New Roles in the Hospital

Section 2 Systems––Hospitalists as Leaders in Patient Safety

4 General Overview of Patient Safety

5 Adverse Drug Events

6 Medication Discrepancies and Medication Reconciliation

7 Polypharmacy

8 Patient Safety: Preventing and Responding to Adverse Events

Section 3 Quality Improvement

9 Quality Improvement for the Hospitalist

Section 4 Hospitalist as Manager

10 Management for Hospitalists

Section 5 Hospitalists and Care Transitions and Teamwork

11 Principles of Good Teamwork

12 Strategies to Optimize Length of Stay

13 Handoffs

14 Discharge Summaries

15 Patient Education in the Hospital

16 Managing Test Results at Hospital Discharge

Section 6 Evidence-Based Medicine

17 An Introduction to Evidence-Based Medicine

18 Evidence-Based Medicine—Testing

19 The Growing Importance of Cost-Effectiveness Analysis in Managing Hospitalized Patients

20 Hospitalist As Researcher

Section 7 Hospitalist Clinical Core Competencies

Cardiovascular Illness

21 Chest Pain

22 Suspected Angina

23 Acute Coronary Syndromes

24 Advanced Cardiac Life Support

25 Atrial Fibrillation and Atrial Flutter

26 Supraventricular Tachycardia

27 Sinus Bradycardia and Atrioventricular Blocks

28 Ventricular Arrhythmias

29 Heart Failure due to Diastolic Dysfunction

30 Heart Failure due to Systolic Dysfunction

31 Syncope

32 Hypertensive Urgencies/Emergencies

33 Secondary Hypertension

Endocrine Disorders

34 Diabetic Ketoacidosis and Hyperosmolar Hyperglycemia

35 Hyperglycemia in the Critical Care Unit

36 Hyperglycemia in Noncritically-Ill Hospitalized Patients

37 Hypothyroidism and Hyperthyroidism

Gastrointestinal Illness

38 Abdominal Pain

39 Abnormal Liver Enzymes and Acute Hepatitis

40 Cirrhosis

41 Colitis and Diarrhea, Including Clostridium difficile

42 Crohn's Disease

43 Ulcerative Colitis

44 Diverticular Disease and Diverticulitis

45 Pancreatitis

46 Small Bowel Obstruction

47 Upper Gastrointestinal Bleeding

48 Lower Gastrointestinal Tract Bleeding

Hematological Derangements

49 Anemia in the Hospitalized Patient

50 Sickle Cell Disease

51 Thrombocytopenia

52 Transfusion Medicine

Infectious Diseases

53 Fever of Unknown Origin

54 Bacterial Endocarditis

55 Community- and Hospital-Acquired UTI

56 Hospital-Acquired Bacteremia

57 Influenza

58 Skin and Soft Tissue Infections

59 Viral Gastroenteritis

60 Antibiotic Resistance

Neurologic Illness

61 Confusion: Examination and Differential Diagnosis

62 Delirium

63 Ischemic Stroke/Transient Ischemic Attacks

64 Cerebral Hemorrhage

65 Meningitis/Encephalitis

66 Seizure

Psychiatric Illness

67 Assessing Capacity for Medical Decision Making

68 Behavioral Disturbances That Interfere with Medical Care

69 Drug Overdose

70 Management of Patients with Alcohol Abuse

71 Management of Patients with Drug Abuse

72 Management of Suicidal Patients

Pulmonary Illness/Critical Care Medicine

73 Shortness of Breath

74 Asthma

75 Chronic Obstructive Pulmonary Disease

76 Acute Respiratory Failure

77 Community-Acquired Pneumonia

78 Hospital-Acquired, Ventilator-Associated and Healthcare-Acquired Pneumonia

79 Complications of Pneumonia

80 Sepsis and Septic Shock

81 Ventilatory Support

Renal Illness

82 Prevention of Acute Renal Failure in the Hospital

83 Acute Renal Failure

84 Chronic Kidney Disease

85 Care of the Hospitalized Dialysis Patient

86 Acid-Base Disorders

87A: Disorders of Sodium and Water

87B: Disorders of Potassium

Venous Thromboembolism

88 Prevention of Venous Thromboembolism in Medical and Surgical Patients

89 Venous Thromboembolism

90 Anticoagulant Therapies

Section 8 Hospitalists as Experts

91 Deconditioning

92 Nutrition and the Hospitalized Patient

93 Pain Management

94 Palliative Care: Overview and Symptom Management

95 Palliative Care: Caring for the Dying Patient

96 Palliative Care: Communication

Section 9 Hospitalists Caring for Special Populations

97 Care of Vulnerable Populations

98 Inpatient Care of the Frail Older Adult

99 Oncologic Emergencies for the Hospitalist

100 Skilled Nursing Facility Care

Section 10 Hospitalist as Medical Consultant

101 Preoperative Evaluation of the Patient Undergoing Noncardiac Surgery

102 Perioperative Medication Management

103 Preoperative Screening Tests

104 Postoperative Complications

105 Surgical Comanagement

Section 11 Hospitalist as Teacher

106 Adult Learning Principles and Hospitalist Medicine

107 Teaching Venues for the Hospitalist

108 Teaching on a Team

109 Feedback and the Hospitalist

110 Scholarship and Career Development for the Hospitalist Clinician Educator

Index