Hospital Medicine Research encompasses a wide range of work aimed at
improving the inpatient hospital care continuum. From the moment that a
patient is admitted, up until the time of discharge, opportunities exist to
improve patient health outcomes. Investigators within the Division are
conducting studies with the goal of giving hospital clinicians tools for
the proactive prevention of common medical complications within the
hospital environment. The result will be safer, smarter, and more
efficient, patient-centric care. Below is a sampling of the Division's
ongoing work in this area.
Inpatient Medication Utilization
Research into inpatient medication utilization focuses on discerning
connections between patterns of medication usage and patient outcomes. Dr.
has investigated the risks and benefits of acid-suppressive medication in
medical inpatients, providing an evidence base for decisions surrounding
this commonly used class of medications. Dr. Herzig's current research aims
to determine whether sedative medications also represent potentially
modifiable risk factors for hospital-acquired complications, with the
ultimate goal of developing targeted, generalizable interventions to
improve prescribing and reduce patient risk.
Clinical Predictive Guidelines
Clinical predictive guidelines enable clinicians to quickly identify,
diagnose, and prevent patient health complications in the hospital setting.
Ed Marcantonio, Chief of the Division's Section of Research, has conducted extensive work
into clinical prediction rules for the onset of delirium during
hospitalization and post-acute care. His current work focuses on the
discovery of biomarkers that may serve as risk factors for delirium, along
with developing a clinical diagnostic interview for delirium that will
enable more efficient and accurate prediction of this complication.