Allen B Repp
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View article: Overcoming therapeutic inertia in primary care: a multisite quality initiative to increase guideline-based prescribing for patients with diabetes
Overcoming therapeutic inertia in primary care: a multisite quality initiative to increase guideline-based prescribing for patients with diabetes Open
Background Therapeutic inertia (TI), the failure to intensify or de-intensify treatment when appropriate, is a contributor to poor guideline adherence in diabetes treatment, including the suboptimal use of sodium-glucose cotransporter 2 in…
View article: Development and validation of risk models for hospital-acquired bleeding in medical inpatients: the Medical Inpatients Thrombosis and Hemostasis (MITH) study
Development and validation of risk models for hospital-acquired bleeding in medical inpatients: the Medical Inpatients Thrombosis and Hemostasis (MITH) study Open
View article: Anticoagulation and other risk factors for clinically relevant bleeding after medical hospitalization: the Medical Inpatient Thrombosis and Hemostasis Study
Anticoagulation and other risk factors for clinically relevant bleeding after medical hospitalization: the Medical Inpatient Thrombosis and Hemostasis Study Open
View article: The Association of P2Y<sub>12</sub> Inhibitor Pretreatment With Length of Stay Among Patients With Acute Coronary Syndrome Who Underwent Coronary Artery Bypass Graft Surgery: A Cohort Study
The Association of P2Y<sub>12</sub> Inhibitor Pretreatment With Length of Stay Among Patients With Acute Coronary Syndrome Who Underwent Coronary Artery Bypass Graft Surgery: A Cohort Study Open
Introduction: Recent clinical practice guidelines do not recommend routine P2Y 12 inhibitor pretreatment for patients with non‐ST‐elevation acute coronary syndromes (NSTE‐ACS) treated with an early invasive strategy based upon clinical tri…
View article: Causes and outcomes of non-chemotherapy induced neutropenic fever in hospitalized adults: An observational study
Causes and outcomes of non-chemotherapy induced neutropenic fever in hospitalized adults: An observational study Open
Neutropenic fever in adults undergoing chemotherapy for cancer treatment is a medical emergency and has been the focus of numerous studies. However, there is a paucity of data about non-chemotherapy induced neutropenic fever (non-CINF). We…
View article: Validation of the International Medical Prevention Registry on Venous Thromboembolism (IMPROVE) risk scores for venous thromboembolism and bleeding in an independent population
Validation of the International Medical Prevention Registry on Venous Thromboembolism (IMPROVE) risk scores for venous thromboembolism and bleeding in an independent population Open
View article: Authors’ response to “Venous Thromboembolism Risk Models in Hospitalized Medical Patients: The Time for Implementation, Not Never-Ending Development”
Authors’ response to “Venous Thromboembolism Risk Models in Hospitalized Medical Patients: The Time for Implementation, Not Never-Ending Development” Open
View article: Subacute Invasive Pulmonary Aspergillosis Presenting With Pneumothorax
Subacute Invasive Pulmonary Aspergillosis Presenting With Pneumothorax Open
We report the case of a 43-year-old woman with subacute invasive aspergillosis after COVID-19 infection who presented with a pneumothorax. We discuss the spectrum of pulmonary disease due to Aspergillus and suggest that clinicians consider…
View article: Things We Do for No Reason™: Obtaining an electrocardiogram for managing mild hyperkalemia in hospitalized adults
Things We Do for No Reason™: Obtaining an electrocardiogram for managing mild hyperkalemia in hospitalized adults Open
A 67-year-old woman with a history of type 2 diabetes mellitus, stage 2 chronic kidney disease (CKD), and recently diagnosed urinary tract infection for which she was started on trimethoprim-sulfamethoxazole presents with fever and flank p…
View article: The spatial and temporal effect of electrochromic windows on indoor and human microbiome in an inpatient hospital
The spatial and temporal effect of electrochromic windows on indoor and human microbiome in an inpatient hospital Open
Objective: Improving the hospital environment and developing novel disinfection strategies are critical for infection control in healthcare settings. In this study, we explored the effects of electrochromic (EC) windows on indoor and patie…
View article: Development and validation of a risk model for hospital-acquired venous thrombosis: the Medical Inpatients Thrombosis and Hemostasis study
Development and validation of a risk model for hospital-acquired venous thrombosis: the Medical Inpatients Thrombosis and Hemostasis study Open
View article: OC 32.4 Predictors of Venous Thromboembolism Chemoprophylaxis in Hospitalized Medical Patients: The Medical Inpatients Thrombosis and Hemostasis (MITH) Study
OC 32.4 Predictors of Venous Thromboembolism Chemoprophylaxis in Hospitalized Medical Patients: The Medical Inpatients Thrombosis and Hemostasis (MITH) Study Open
View article: OC 32.1 Risk Factors for Venous Thrombosis after Discharge from Medical Hospitalizations: The Medical Inpatient Thrombosis and Hemostasis (MITH) Study
OC 32.1 Risk Factors for Venous Thrombosis after Discharge from Medical Hospitalizations: The Medical Inpatient Thrombosis and Hemostasis (MITH) Study Open
Results: Elevated levels of miR-145 expression in plasma were associated with decreased risk of VTE (Table 1).Participants with miR-145 levels in the highest quartile had a 50% lower risk of VTE (HR 0.50, 95% CI 0.37-0.66)compared with tho…
View article: PB1314 Risk Assessing Medical Inpatients for Bleeding Events: The Medical Inpatients Thrombosis and Hemostasis (MITH) Study
PB1314 Risk Assessing Medical Inpatients for Bleeding Events: The Medical Inpatients Thrombosis and Hemostasis (MITH) Study Open
events, hypersensitivity reactions, or deaths (Table 1).No neutralizing antibodies to eptacog beta were detected.
View article: The 21st Century Cures Act: Inpatient Clinician Perceptions of Changes to Information Sharing at an Academic Medical Center
The 21st Century Cures Act: Inpatient Clinician Perceptions of Changes to Information Sharing at an Academic Medical Center Open
Introduction To comply with the Information Blocking Rule in the 21st Century Cures Act, many hospitals began to release inpatient electronic health information such as clinical notes and results to patients immediately, starting in April …
View article: Development of a computable phenotype using electronic health records for venous thromboembolism in medical inpatients: the Medical Inpatient Thrombosis and Hemostasis study
Development of a computable phenotype using electronic health records for venous thromboembolism in medical inpatients: the Medical Inpatient Thrombosis and Hemostasis study Open
We developed computable phenotypes for HA-VTE and POA-VTE with adequate positive predictive value and sensitivity. This phenotype can be used in electronic health record data-based research.
View article: The relative risk of bleeding after medical hospitalization: the medical inpatient thrombosis and hemorrhage study
The relative risk of bleeding after medical hospitalization: the medical inpatient thrombosis and hemorrhage study Open
View article: Integrating High-Value Care Concepts into Preclinical Medical Education: A Practical Approach
Integrating High-Value Care Concepts into Preclinical Medical Education: A Practical Approach Open
Objectives Although some US medical schools have incorporated high-value care into their preclinical curriculum, there is no standardized approach and major curricular overhaul can be prohibitively onerous. The objectives of this study wer…
View article: Promoting scholarship in improvement science: A model for academic clinical departments
Promoting scholarship in improvement science: A model for academic clinical departments Open
Introduction Clinical departments at academic medical centers strive to deliver clinical care, provide education and training, support faculty development, and promote scholarship. These departments have experienced increasing demands to i…
View article: Culture Negative Endocarditis With <i>Tropheryma whipplei</i>
Culture Negative Endocarditis With <i>Tropheryma whipplei</i> Open
Tropheryma whipplei endocarditis is an increasingly recognized cause of culture negative endocarditis but is challenging to diagnose and often not accompanied by typical symptoms of Whipple disease. In this report, we describe a case of T.…
View article: Venous thrombosis risk during and after medical and surgical hospitalizations: The medical inpatient thrombosis and hemostasis (MITH) study
Venous thrombosis risk during and after medical and surgical hospitalizations: The medical inpatient thrombosis and hemostasis (MITH) study Open
View article: Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System
Effect of Patient Safety Curriculum for Internal Medicine Residents on a Health Care System Open
BACKGROUND: Healthcare organizations seeking to promote a safety culture depend on engaged clinicians. Academic medical centers include a community of physicians-in-training; however, medical residents and fellows are historically less eng…
View article: 21st Century Cures Act: Inpatient Clinician Perceptions of Changes to Information Sharing at an Academic Medical Center
21st Century Cures Act: Inpatient Clinician Perceptions of Changes to Information Sharing at an Academic Medical Center Open
View article: 95: Improving the integration of young adults patients: Implementation of a “welcome visit” into an adult cystic fibrosis clinic
95: Improving the integration of young adults patients: Implementation of a “welcome visit” into an adult cystic fibrosis clinic Open
View article: Things We Do for No Reason™: Routine inclusion of race in the history of present illness
Things We Do for No Reason™: Routine inclusion of race in the history of present illness Open
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View article: Predictors and Consequences of Inappropriate Thyroid Ultrasound in Hypothyroidism
Predictors and Consequences of Inappropriate Thyroid Ultrasound in Hypothyroidism Open
Introduction In 2012, the American Board of Internal Medicine Foundation established the Choosing Wisely® initiative, partnering with specialist societies to promote evidence-based care. Under this program, the Endocrine Society recommends…
View article: The Impact of a Nursing Strike on Glycemic Control in Hospitalized Patients with Diabetes
The Impact of a Nursing Strike on Glycemic Control in Hospitalized Patients with Diabetes
Open
Introduction Hyperglycemia and hypoglycemia have been found to increase morbidity and mortality among hospitalized patients with diabetes. In July of 2018, our academic medical center experienced a 48-hour nursing strike, during which time…
View article: Impact and costs of a hepatitis C virus screening programme for adults hospitalised at an academic medical centre
Impact and costs of a hepatitis C virus screening programme for adults hospitalised at an academic medical centre Open
Approximately 1.7% of the US population has chronic hepatitis C virus (HCV) infection, but among adults born between 1945 and 1965 prevalence increases to 3.25%, and this birth cohort accounts for almost 75% of the total burden of HCV.1 2 …
View article: Partnering With Patients in a Quality Improvement Curriculum for Internal Medicine Residents
Partnering With Patients in a Quality Improvement Curriculum for Internal Medicine Residents Open
Patient experience is a core component of the Institute for Healthcare Improvement Triple Aim for health care improvement. Although resident physicians must meet quality improvement (QI) competencies prior to graduation, QI training during…
View article: Risk-assessment models for VTE and bleeding in hospitalized medical patients: an overview of systematic reviews
Risk-assessment models for VTE and bleeding in hospitalized medical patients: an overview of systematic reviews Open
Multiple risk-assessment models (RAMs) for venous thromboembolism (VTE) in hospitalized medical patients have been developed. To inform the 2018 American Society of Hematology (ASH) guidelines on VTE, we conducted an overview of systematic…