David Schmit, MD Archives - The Hospitalist

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Lack of fever in ESRD with S. aureus bacteremia is common
June 30, 2021
What is the incidence of fever in Staphylococcus aureus bacteremic patients with end-stage renal disease (ESRD) presenting to the emergency department?
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Conservative treatment for spontaneous pneumothorax?
June 29, 2021
Is conservative management of moderate to large primary spontaneous pneumothorax an acceptable alternative to interventional treatment?
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Using ultrasound guidance for adult abdominal paracentesis
September 24, 2019
What are the best practices for ultrasound use while performing abdominal paracentesis in adults?
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Is it safe to discharge patients with anemia?
September 23, 2019
What is the prevalence of anemia at the time of and after discharge from the hospital, and what is the associated morbidity and mortality at 6 months?
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Not All EDs Adopt Interventions to Improve Flow, Decrease Crowding
May 6, 2016
Clinical question: What is the relationship between crowding in the ED and the number of interventions adopted by the ED to address this? Background: ED crowding results in long waits, prolonged lengths of stay, and delays in providing treatments, which can result in adverse events.
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Close INR Monitoring Might Prevent Adverse Events
May 6, 2016
Clinical question: What is the appropriate frequency of INR monitoring in the hospital and its relationship to the risk of over-anticoagulation and warfarin-related adverse events? Background: Warfarin use is a common cause of adverse drug events in hospitalized patients due to narrow therapeutic
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Physicians, Residents, Students Can Learn High-Value, Cost-Conscious Care
April 29, 2016
Clinical question: What are the factors that promote education in delivering high-value, cost-conscious care? Background: Healthcare costs are increasing, with most recent numbers showing U.S. expenditures on healthcare of more than $3 trillion, almost 18% of the gross domestic product.
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Data Show Patients Are More Likely to Die at Night, on Weekends
April 29, 2016
Clinical question: Is there a clinical difference in rates of return of spontaneous circulation (ROSC) and survival to discharge in patients with in-hospital cardiac arrest (IHCA) depending on time of day and day of the week? Background: Current U.S.
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Long-Term Βeta-Blocker Use May Cause More Harm in Patients Undergoing Surgery
April 25, 2016
Clinical question: What is the harm associated with long-term beta-blocker therapy in patients with uncomplicated hypertension undergoing non-cardiac surgery? Background: Given the recent concerns over the validity of prior studies, there is uncertainty about which patients benefit most from peri
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Depression Common among Physicians in Training
April 25, 2016
Clinical question: What is the prevalence of depression or depressive symptoms in resident physicians? Background: Depression in resident physicians can lead to poor-quality medical care, increased errors, and long-term morbidity.