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Case Report of Retarded Catatonia: Always Consider Catatonia as a Differential Diagnosis of Altered Mental Status.
Rev Colomb Psiquiatr (Engl Ed)
August 2024
Department of Internal Medicine, Universidad Central del Ecuador, Quito, Ecuador.
Background: Catatonia is a rare neuropsychiatric condition; it is estimated that around 10% of patients with mood disorders present signs and symptoms of catatonia. A catatonic syndrome is characterised by mutism, negativism, rigidity, and stupor.
Case Report: We report the case of a 59-year-old patient with a medical history of bipolar disorder who was admitted to the internal medicine service due to a seizure episode.
Development of an Emergency Department Case Management Case-Finding Tool.
Prof Case Manag
March 2024
Purpose Of Study: Identifying emergency department (ED) patients who are at high risk for return visits is an important goal for case management to improve patient care. This quality improvement study describes the development and evaluation of the Emergency Department Case Management Priority Score (EDCMPS), an electronic medical record (EMR)-based "case-finding" system, and its ability to identify these high-risk patients. In addition, the authors present data about its acceptability among emergency department case managers (ED CMs).
View Article and Find Full Text PDFImplementation of pharmacogenomics into inpatient general medicine.
Pharmacogenet Genomics
February 2023
Department of Medicine, The University of Chicago, Chicago, Illinois, USA.
Article Synopsis
- Pharmacogenomics plays a vital role in personalized medicine but is rarely implemented in hospitals, prompting a collaborative project in Chicago to integrate it into inpatient care.
- The study focused on enrolling African American adult patients for preemptive genotyping to predict drug responses or toxicity across three hospitals.
- Challenges faced included engaging hospital staff and adapting workflows, with strategies like streamlined information delivery and leveraging champions among healthcare providers to enhance adoption of pharmacogenomic practices.
Using Machine Learning to Predict Likelihood and Cause of Readmission After Hospitalization for Chronic Obstructive Pulmonary Disease Exacerbation.
Int J Chron Obstruct Pulmon Dis
October 2022
Department of Medicine, Section of General Internal Medicine, University of Chicago, Chicago, IL, USA.
Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of hospital readmissions. Few existing tools use electronic health record (EHR) data to forecast patients' readmission risk during index hospitalizations.
Objective: We used machine learning and in-hospital data to model 90-day risk for and cause of readmission among inpatients with acute exacerbations of COPD (AE-COPD).
Characteristics and impact of bedside procedure services in the United States: A systematic review.
J Hosp Med
August 2022
Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Background: Bedside procedure services are increasingly employed within internal medicine departments to meet clinical needs and improve trainee education. Published literature on these largely comprises single-center studies; an updated systematic review is needed to synthesize available data.
Purpose: This review examined published literature on the structure and function of bedside procedure services and their impact on clinical and educational outcomes (PROSPERO ID: 192466).
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