Annex Publishers

Hospitalist physicians face increasing pressure to maximize productivity while maintaining high quality of care. Their success, however, depends on the effective exchange of information among a patient’s care team. The latter comprises the digital team (caregivers who document in—not just access—the patient’s electronic health record) and a physical team (caregivers who directly communicate with the hospitalist). To determine the association between hospitalist total daily processing time per patient and the size and evolution over the patient’s LOS of the digital and physical teams as well as patient-level characteristics. We measured hospitalist daily processing times and captured the physical team through a time-and-motion study of hospitalists. The digital team interactions were extracted from patient Electronic Health Records. Northwestern Memorial Hospital, a large academic urban hospital in Chicago. Participants Our case study selected four hospitalists at random who cared for 107 inpatient stays over 17 days in June-July 2014 and collaborated with 2046 caregivers: 301 were observed physical collaborators and 1745 were digital-only collaborators.

Hypokalemic Periodic Paralysis (HypoPP) is a rare disease whereby voltage-gated ion channels are mutated and it is characterized by episodic flaccid paralysis concomitant to variations in blood potassium levels. Attacks usually happen after exercise or high carbohydrate meals. The diagnosis is made with laboratory data which helps to exclude other causes and confirm low serum potassium or myotonia on eletromyography (EMG).

Mr M.Y., 32 years old, presented since 5 months Dyspnea associated with a productive cough, in a context of night sweats and encrypted weight loss 5 kg in 3 months and who has consulted in a different formation other than ours.

Rocky Mountain spotted fever, Rickettsia Rickettsii (RMSF) is a reoccurring disease in Arizona and Sonora and a public health problem due to the high risk medical complications it provokes. In the region it is transmitted by the bite of the Rhipicephalus sanguineus tick, found in dogs. This tick transmits Rickettsia rickettsii bacteria.