Hospital Medicine
Original Research
Audit and Feedback: A Quality Improvement Study to Improve Antimicrobial Stewardship
Education coupled with antibiotic prescribing audit and feedback sessions resulted in a decline in potentially inappropriate antibiotic...
Original Research
High Rate of Inappropriate Fecal Immunochemical Testing at a Large Veterans Affairs Health Care System
A retrospective quality assurance study found that efforts are still required to improve both patient and health care provider education and...
What's Your Diagnosis?
Albuterol, Acidosis, and Aneurysms
A patient with a complicated medical history on admission for dyspnea was administered nebulizer therapy but after 72 hours developed asymptomatic...
Original Research
Risk Factors and Antipsychotic Usage Patterns Associated With Terminal Delirium in a Veteran Long-Term Care Hospice Population
In this retrospective case-control study of veterans receiving hospice care, more than half experienced terminal delirium requiring treatment with...
Case Reports
Photographic Confirmation of Biopsy Sites Saves Lives
Quality photographic documentation of lesions prior to biopsy can decrease the risk of wrong site surgery, improve patient care, and save lives....
Original Research
Implementation of a Pharmacist-Managed Transitions of Care Tool
In a single-center study, pharmacists monitored care transitions for high-risk patients and offered targeted interventions to successfully reduce...
Original Research
VA Academic Affiliations Matter in the Era of Community Care: A Model From California
Continued access to US Department of Veterans Affairs hospitals and patients for academic partners is a key element of both veteran care and...
Original Research
Physician Responsiveness to Positive Blood Culture Results at the Minneapolis Veterans Affairs Hospital—Is Anyone Paying Attention?
A retrospective chart review analyzing empiric antibiotic use revealed that health care providers appeared to be adhering to best practices and...
Case Reports
Glucosuria Is Not Always Due to Diabetes
Further study of the long-term implications and follow-up is needed on SGLT2 mutation, an uncommon cause of glucosuria that mimics the effect of...
Original Research
Management of Do Not Resuscitate Orders Before Invasive Procedures
A template that allows rapid suspension of DNR status may improve providers’ DNR acknowledgments before invasive procedures.