Effects of 2- vs 4-Week Attending Physician Inpatient Rotations on Unplanned Patient Revisits, Evaluations by Trainees, and Attending Physician Burnout: A Randomized Trial
Lucas B, Trick W, Evans A, Mba B, Smith J, Das K, Clarke P, Varkey A, Mathew S, Weinstein R. Effects of 2- vs 4-Week Attending Physician Inpatient Rotations on Unplanned Patient Revisits, Evaluations by Trainees, and Attending Physician Burnout: A Randomized Trial. JAMA 2012, 308: 2199-2207. PMID: 23212497, DOI: 10.1001/jama.2012.36522.Peer-Reviewed Original ResearchMeSH KeywordsAdultBurnout, ProfessionalChicagoCross-Over StudiesEmergency Service, HospitalEmotionsFemaleHospital Bed Capacity, 500 and overHospitals, TeachingHumansInternal MedicineMaleMedical Staff, HospitalMiddle AgedPatient CarePatient ReadmissionPatient TransferPhysiciansStudents, MedicalTime FactorsWorkloadConceptsUnplanned revisitsPatient revisitsCrossover noninferiority trialPhysician burnoutLength of stayHouse staffCrossover randomizationSecondary outcomesPrimary outcomeUnique patientsNoninferiority marginNoninferiority trialPhysician reportsInpatient servicesPatientsInternal medicineInpatient rotationsPhysiciansMedical studentsSelf-rated measuresWard rotationsBurnout severityStayEmotional exhaustionTrialsHand-carried Echocardiography by Hospitalists: A Randomized Trial
Lucas B, Candotti C, Margeta B, Mba B, Kumapley R, Asmar A, Franco-Sadud R, Baru J, Acob C, Borkowsky S, Evans A. Hand-carried Echocardiography by Hospitalists: A Randomized Trial. The American Journal Of Medicine 2011, 124: 766-774. PMID: 21663885, DOI: 10.1016/j.amjmed.2011.03.029.Peer-Reviewed Original ResearchConceptsLength of stayHand-carried echocardiographyStandard echocardiographyUsual careDiagnostic accuracyGeneral medicine inpatientsGeneral medicine patientsMain outcome measuresPatient outcome dataFavorable diagnostic accuracyHospitalist careHospital dischargeMedicine inpatientsSecondary outcomesHeart failureMedicine patientsSubgroup analysisTeaching hospitalHospitalist serviceOutcome measuresEchocardiographyOutcome dataStayCare qualityCare informationA hospitalist‐run short‐stay unit: Features that predict length‐of‐stay and eventual admission to traditional inpatient services
Lucas B, Kumapley R, Mba B, Nisar I, Lee K, Ofori‐Ntow S, Borkowsky S, Asmar A, Lewis T, Bienias J. A hospitalist‐run short‐stay unit: Features that predict length‐of‐stay and eventual admission to traditional inpatient services. Journal Of Hospital Medicine 2009, 4: 276-284. PMID: 19504489, DOI: 10.1002/jhm.386.Peer-Reviewed Original ResearchConceptsShort-stay unitTraditional inpatient servicesAcute coronary syndromeInpatient servicesEventual admissionHeart failureProvisional diagnosisSpecialty consultationPossible acute coronary syndromeProspective observational cohort studyDiagnostic testsCommon provisional diagnosisLow-risk patientsObservational cohort studyPredictors of lengthLarge public teaching hospitalPublic teaching hospitalCoronary syndromeEligible patientsHospital stayCohort studyConsecutive admissionsMedical recordsPhysical examPatient stayImpact of a bedside procedure service on general medicine inpatients: A firm‐based trial
Lucas B, Asbury J, Wang Y, Lee K, Kumapley R, Mba B, Borkowsky S, Asmar A. Impact of a bedside procedure service on general medicine inpatients: A firm‐based trial. Journal Of Hospital Medicine 2007, 2: 143-149. PMID: 17549745, DOI: 10.1002/jhm.159.Peer-Reviewed Original ResearchConceptsGeneral medicine inpatientsMedicine inpatientsBedside proceduresProcedure serviceProspective cohort studyGeneral medicine serviceLarge public teaching hospitalPublic teaching hospitalSuccess of proceduresCohort studyMajor complicationsConsecutive admissionsTeaching hospitalInvasive proceduresMedicine serviceTherapeutic indicationsInpatientsResults of proceduresNumber of attemptsPhysiciansFurther studiesWeeksProcedure attemptsIndicationsComplications