-
Health equity and Hospital at Home programs J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-16 Anupama Goyal, Stephanie Taylor
INTRODUCTION With widespread evidence of health disparities challenging healthcare delivery, health systems, communities, and policymakers, must address how to manage a diversifying population requiring complex and costly healthcare. Both patients and health systems desire to optimize time at home and avoid hospital-associated complications. Many health systems have developed Hospital at Home (HaH)
-
Diagnostic stewardship: Improving use of diagnostic tests for better quality and value in hospital medicine J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-14 Valerie M. Vaughn, Daniel J. Morgan
INTRODUCTION US healthcare remains the most expensive healthcare system in the world.1 Unfortunately, high healthcare expenditures have not improved outcomes.1 Rather, our system contains many examples of low-value care.2 One driver of low-value care is the increasing abundance of, reliance on, and inappropriate use of low-value diagnostic testing. Every year, more than 14 billion diagnostic tests
-
Rethinking the consultation paradigm: Validity evidence for a new framework, a multimethods study J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-13 Rushad Patell, Joséphine A. Cool, Elise Merchant, Laura E. Dodge, Daniel N. Ricotta, Brian Persaud, Larissa K. Gomez, Lauren Yang, Alison Trainor, Brian Carney, Jeffrey William, Stewart Lecker, Miranda Theodore, Camille Petri, Douglas Horst, Daniel Stein, Natalia Forbath, Ahmed A. Azim, Andrew J. Hale, Jason A. Freed
BackgroundIn‐hospital consultation is essential for patient care. We previously proposed a framework of seven specific consultation types to classify consult requests to improve communication, workflow, and provider satisfaction.MethodsThis multimethods study's aim was to evaluate the applicability of the consult classification framework to real internal medicine (IM) consults. We sought validity evidence
-
The burden of RSV, hMPV, and PIV amongst hospitalized adults in the United States from 2016 to 2019 J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-11 Ajay Bhasin, David C. Nguyen, Benjamin J. Briggs, Hannah H. Nam
BackgroundRespiratory syncytial virus (RSV), human metapneumovirus (hMPV), and parainfluenza virus (PIV) hospitalize many people yearly. Though severe lower respiratory tract disease has been described in children, the elderly, and the immunocompromised, there is a gap in our understanding of RSV, hMPV, and PIV in hospitalized adults. We sought to evaluate the association of RSV, hMPV, and PIV with
-
The association between opioid use disorder and skilled nursing facility acceptances: A multicenter retrospective cohort study J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-08 Ifedayo O. Kuye, Laura M. Prichett, Rosalyn W. Stewart, Scott A. Berkowitz, Megan E. Buresh
BackgroundPrior single‐hospital studies have documented barriers to acceptance that hospitalized patients with opioid use disorder (OUD) face when referred to skilled nursing facilities (SNFs).ObjectiveTo examine the impact of OUD on the number of SNF referrals and the proportion of referrals accepted.Design, Settings, and ParticipantsA retrospective cohort study of hospitalizations with SNF referrals
-
Centering health equity during handoff communications J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-07 Ritu Bansal, Monisha Bhatia, Lekshmi Santhosh
INTRODUCTION Despite increasing attention to health disparities, inequities in health outcomes continue to plague our society.1, 2 The Joint Commission notes that communication breakdowns are the leading factor contributing to sentinel events, which disproportionately affect historically marginalized populations for reasons including implicit bias and systemic racism, among other possibilities.3 Verbal
-
Pediatrician perspectives on barriers and facilitators to discharge instruction comprehension and adherence for parents of children with medical complexity J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-06 Alexander F. Glick, H. Shonna Yin, Benjamin Silva, Avani C. Modi, Vincent Huynh, Emily J. Goodwin, Jonathan S. Farkas, Julia S. Turock, Hannah S. Famiglietti, Victoria V. Dickson
BackgroundHigh rates of posthospitalization errors are observed in children with medical complexity (CMC). Poor parent comprehension of and adherence to complex discharge instructions can contribute to errors. Pediatrician views on common barriers and facilitators to parent comprehension and adherence are understudied.ObjectiveTo examine pediatrician perspectives on barriers and facilitators experienced
-
Hospitalists outside the hospital: Preparing for new settings of care delivery J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-05 Timothy J. Judson, Christopher A. Longhurst, Sarah F. Horman
INTRODUCTION The hospitalist movement was born in the mid-1990s in response to cost pressures on hospitals, time constraints on primary care physicians, and ambition for improved clinical outcomes. A group of internal medicine physicians honed new skills to care for acutely ill patients and navigate the inpatient arena, forging a path as quality improvement and patient safety experts, paving the way
-
Experience and impact of inappropriate patient sexual behaviors within a large VA healthcare system J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-04 Heather M. Gebhardt, Aaron M. Norr, Jesse D. Markman, Mark A. Reger
Inappropriate patient sexual behaviors (IPSBs) can negatively impact work performance, job satisfaction, and the psychological well-being of clinicians and staff. Although the Veterans Health Administration (VHA) is the largest integrated healthcare system in the United States, the rate of IPSBs in VHA hospitals is unknown. The unique demographic and cultural characteristics of military populations
-
Impact of a relocation to a new critical care building on pediatric safety events J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-04 Andrew Furthmiller, Rashmi Sahay, Bin Zhang, Maya Dewan, Matthew Zackoff
BackgroundCincinnati Children's Hospital Medical Center (CCHMC) relocated the pediatric, cardiac, and neonatal intensive care units (PICU, CICU and NICU) to a newly constructed critical care building (CCB) in November 2021. Simulation and onboarding sessions were implemented before the relocation, aimed at mitigating latent safety threats.ObjectiveTo evaluate the impact of ICU relocation to the CCHMC
-
-
On being that family member J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-01 Caitlyn D. Ahlberg
CONFLICT OF INTEREST STATEMENT The author declares no conflict of interest.
-
The challenge and opportunity of pediatric hospital care in the era of medical complexity J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-29 David D'Arienzo, Catherine Diskin, Sanjay Mahant
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Effectiveness and safety of early treatment with spironolactone for new‐onset acute heart failure J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-28 Cheng‐Wei Huang, Joon S. Park, In‐Lu Amy Liu, Janet S. Lee, Siamak Kohan, Mathew Mefford, Stefanie S. Wu, Christopher C. Subject, Huong Q. Nguyen, Ming‐Sum Lee
BackgroundThe effectiveness and safety of mineralocorticoid receptor antagonists (MRA) in acute heart failure (HF) is uncertain. We sought to describe the prescription of spironolactone during acute HF and whether early treatment is effective and safe in a real‐world setting.MethodsWe performed a retrospective cohort study of adult (≥18 years) nonpregnant patients hospitalized with new‐onset HF with
-
Investigating racial and ethnic disparities in interhospital transfer within an academic integrated healthcare system: A matched cohort study J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-27 Evan Michael Shannon, Julie Fiskio, Catherine Yoon, Jeffrey L. Schnipper, Stephanie K. Mueller
The presence of racial and ethnic disparities in interhospital transfer (IHT) within integrated healthcare systems has not been fully explored. We matched Black and Latinx patients admitted to community hospitals in our integrated healthcare system between June 2015 and December 2019 to White patients by origin hospital, age, time of year, and disease severity. We performed conditional logistic regression
-
Leadership & professional development: Enhance clinical excellence through proactive feedback J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-27 Juan N. Lessing, Vineet Chopra
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
SEE ALTERNATE MRN: Duplicate charts in hospitalized patients J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-25 Hillary L. Western, Chen‐Tan Lin, Edie Seffrood, Gavriel Roda, Gregory Adams, Benjamin Vipler, Jonathan Pell
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Introducing iLOS: An intriguing alternative measurement of efficiency in hospital care J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-25 Anna K. Archbold, Peter Cram
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Methodological Progress Note: Choosing analytic methods for randomized trials J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-25 Mari D. Takashima, Yukiko Ezure, Amanda J. Ullman, Robert S. Ware
INTRODUCTION Randomized controlled trials (RCTs) are considered the gold standard for evaluating the efficacy and effectiveness of health interventions.1 Randomization ensures that participant characteristics do not differ systematically between treatment groups, that is, any between-group differences are due solely to chance. RCTs should be designed so that, throughout the trial, participants are
-
Vulnerability to functional decline is associated with noncardiovascular cause of 90‐day readmission in hospitalized patients with heart failure J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-25 Ricardo J. Trochez, Jennifer B. Barrett, Yaping Shi, Jonathan S. Schildcrout, Chelsea Rick, Devika Nair, Sarah A. Welch, Anupam A. Kumar, Susan P. Bell, Sunil Kripalani
BackgroundHospital readmission is common among patients with heart failure. Vulnerability to decline in physical function may increase the risk of noncardiovascular readmission for these patients, but the association between vulnerability and the cause of unplanned readmission is poorly understood, inhibiting the development of effective interventions.ObjectivesWe examined the association of vulnerability
-
Leadership & professional development: Weak ties: Stronger than you think J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-22 Sherine Salib
CONFLICT OF INTEREST STATEMENT The author declares no conflict of interest.
-
Differences in testing for drugs of abuse amongst racial and ethnic groups at children's hospitals J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-22 Adriana Herrera, Matt Hall, Marshall Alex Ahearn, Arshiya Ahuja, Kathleen K. Bradford, Robert A. Campbell, Ashmita Chatterjee, Hannah Y. Coletti, Virginia L. Crowder, Ria Dancel, Melissa Diaz, Jennifer Fuchs, Jessica Guidici, Emilee Lewis, John R. Stephens, Ashley G. Sutton, Alison Sweeney, Kelley M. Ward, Steven Weinberg, Eric K. Zwemer, Wade N. Harrison
ObjectivesRacial and ethnic differences in drug testing have been described among adults and newborns. Less is known regarding testing patterns among children and adolescents. We sought to describe the association between race and ethnicity and drug testing at US children's hospitals. We hypothesized that non‐Hispanic White children undergo drug testing less often than children from other groups.MethodsWe
-
Don't anchor on me! J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-16 Ann-Marie Tantoco, Ajay Bhasin, Maria Santos, Art Kastl, Adam Bracken
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Things We Do for No Reason™: Furosemide‐albumin coadministration for diuretic resistance J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-19 Benjamin S. Vipler, Adam M. Barelski, Erin E. Vipler
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Caring for hospitalized Autistic adults J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-19 Thomas Pineo
CONFLICT OF INTEREST STATEMENT The author declares no conflict of interest.
-
Methodological progress note: How to handle race in research according to the research aim J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-17 Heidi Sucharew, Erin Shaughnessy, Samir S. Shah
INTRODUCTION The National Institutes of Health (NIH) Revitalization Act of 1993 requires the inclusion of minorities in federally funded clinical research, mandating that all research proposals describe the anticipated participants' racial diversity, and address the impact of race and sex on health and disease. Although the NIH makes up a small share of clinical research, this initiative has pressed
-
Policy in clinical practice: Impact of restoring the 1999 public charge rule on healthcare access for noncitizen immigrants J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-15 Aman Narayan, Arthur S. Hong, Oanh K. Nguyen
CLINICAL SCENARIO A 30-year-old woman with New York Heart Association Class III nonischemic cardiomyopathy is hospitalized for acute decompensated heart failure for the 2nd time this year. She did not see outpatient cardiology nor start home inotropes as previously recommended because she is uninsured and could not afford the out-of-pocket cost. Although she deferred medical care for as long as possible
-
The coffee contract J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-14 Christopher Moriates
The coffee was mediocre at best, poured from a sitting carafe into a generic Styrofoam to-go cup, and shared in a sterile-feeling room without a view. But, for this man, this cup of coffee was worth risking his life. It was more than a decade ago, and I was an intern rotating at the Veterans Affairs hospital, each morning prerounding on my 50-ish-year-old patient dying of throat cancer. I always found
-
Clinicians' interpretation of thresholds in hospital antibiograms for gram-negative rod infections: A survey and contingent valuation study of hospitalists J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-14 Shinya Hasegawa, Che M. Harris, Vineet Gupta, Matthew Pappas, Valerie M. Vaughn, Eli N. Perencevich, Kimberly C. Dukes, Michihiko Goto
Clinical guidelines suggest that hospital antibiograms are a key component when deciding empiric therapy, but little is known about how often clinicians use antibiograms and how they influence clinicians' empiric therapy decisions. We surveyed hospitalists at seven healthcare systems in the United States on their reported practices related to antibiograms and their hypothetical prescribing for four
-
I am not the hero of this story: Lessons in listening J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-10 Samir S. Shah
I write about leadership and mentorship, often drawing on personal experiences. While my stories are typically grounded in humor,1-4 this one is more poignant as my son will soon be off to college. Earlier this year, he asked me for guidance on his college essay. I learned then that he was an excellent writer. We talked through the essay, and he identified several areas in need of revision. However
-
Perspective: Artificial intelligence and patient communication J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-10 Gabriel Tse, Nicholas Kuzma, Alisa Khan
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Diagnostic reasoning in the age of artificial intelligence: Synergy or opposition? J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-10 Conrad Gleber, Kathleen Fear
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Changes in hospitalization populations by level of complexity at children's hospitals J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-10 Madelyn Hall, Jay G. Berry, Matt Hall, Emily J. Goodwin, S. Margaret Wright, Jessica Bettenhausen, Jeffrey D. Colvin
It is important for hospitals to understand how hospitalizations for children are changing to adapt and best accommodate the future needs of all patient populations. This study aims to understand how hospitalizations for children with medical complexity (CMC) and non-CMC have changed over time at children's hospitals, and how hospitalizations for these children will look in the future. Children with
-
Phlebotomy-free days in children hospitalized with common infections and their association with clinical outcomes J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-13 Megan E. Collins, Matt Hall, Samir S. Shah, Matthew J. Molloy, Paul L. Aronson, Jillian M. Cotter, Michael J. Steiner, Elisha McCoy, Michael J. Tchou, John R. Stephens, Jessica L. Markham
Phlebotomy for hospitalized children has consequences (e.g., pain, iatrogenic anemia), and unnecessary testing is a modifiable source of waste in healthcare. Days without blood draws or phlebotomy-free days (PFDs) has the potential to serve as a hospital quality measure.
-
Impact of mental health boarding on clinicians at a children's hospital: A qualitative analysis J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-10 Diana Worsley, Cadence Bowden, Cameron Keating, Kyla Cassidy, Stephanie K. Doupnik
-
Early experience and lessons following the implementation of a Hospital-at-Home program J. Hosp. Med. (IF 2.6) Pub Date : 2024-02-07 Richard D. Rothman, Conor P. Delaney, Britney M. Heaton, Jessica A. Hohman
INTRODUCTION Healthcare is at a crossroads. Hospital admissions are increasing as staffing challenges remain—exacerbated by workforce departures, increased labor costs, and facility closures.1-3 Capacity constraints have led to increasing hospitalist censuses burnout, and uneven patient outcomes.4 Sustainably meeting demand for hospital care will require alternative approaches to acute care delivery
-
Things We Do for No ReasonTM: Dose adjusting apixaban in acute kidney injury J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-31 Katelyn J. Galli, Kathleen K. Adams
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Clinical prediction model: Multisystem inflammatory syndrome in children versus Kawasaki disease J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-28 Lauren S. Starnes, Joseph R. Starnes, Tess Stopczynski, Justin Z. Amarin, Cara Charnogursky, Haya Hayek, Rana Talj, David A. Parra, Daniel E. Clark, Anna E. Patrick, Sophie E. Katz, Leigh M. Howard, Lauren Peetluk, Danielle Rankin, Andrew J. Spieker, Natasha B. Halasa
Multisystem inflammatory syndrome in children (MIS-C) is a rare but serious complication of severe acute respiratory syndrome coronavirus 2 infection. Features of MIS-C overlap with those of Kawasaki disease (KD).
-
Journal of hospital medicine. Have you considered autism? J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-25 Thomas Pineo
CONFLICT OF INTEREST STATEMENT The authors declare no conflicts of interest.
-
Things We Do for No Reason™: Obtaining an electrocardiogram for managing mild hyperkalemia in hospitalized adults J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-24 Anirudh A. Hirve, Allen B. Repp, Lee-Anna K. Burgess
CLINICAL SCENARIO 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 pain secondary to pyelonephritis. On admission, creatinine is increased to 1.2 mg/dL (106.1 μmol/L) from a baseline of 1.0 mg/dL (88.4 μmol/L), and
-
A novel hospitalist peer observation program to improve educational and operational rounding practices J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-24 Margot E. Cohen, Ashok Linganna, Joyce Kim, Andrew R. Orr
Academic hospitalists must balance trainee education with operational demands to round efficiently and optimize hospital throughput. Peer observation has been shown to support educator development, however, few hospitalists have formal training to optimize both skill sets. We sought to extend and adapt peer observation programs to equally focus on education and operations-based outcomes. During the
-
Digitally powered care transitions: A paradigm shift for hospital medicine J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-23 Jorge A. Rodriguez, Robert S. Rudin, Anuj K. Dalal
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Association between inpatient team continuity and clerkship student academic performance J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-20 Jonathan G. Sawicki, Karishma Sriram, Ivy Hansen, Brian Good
To determine the association between inpatient team continuity, defined as the maximum number of days the same student, resident, and attending worked together on the inpatient wards, and the academic performance of students in a pediatric block clerkship.
-
Wall-mounted folding chairs to promote resident physician sitting at the hospital bedside J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-20 Blair P. Golden, Sean Tackett, Kimiyoshi Kobayashi, Terry S. Nelson, Alison M. Agrawal, Jerry Zhang, Nicole A. Jackson, Geron Mills, Ting-Jia Lorigiano, Meron Hirpa, Jessica S. Lin, Trent Johnson, Aparna Sajja, Sarah Disney, Shanshan Huang, Juhi Nayak, Matthew Lautzenheiser, Stephen A. Berry
Sitting at the bedside may improve patient-clinician communication; however, many clinicians do not regularly sit during inpatient encounters.
-
Length of stay in the clinical wards in a hospital after introducing a multiprofessional discharge team: An effectiveness improvement report J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-23 Mariana R. R. Falcetta, Dimitris V. Rados, Karine Molina, Daiana Oliveira, Caroline Dalla Pozza, Beatriz D. Schaan
-
The transition to Pediatric Hospital Medicine fellowship: A national survey-based needs assessment J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-23 Martha J. Elster, Adam Cohen, Daniel Herchline, Deanna Chieco, Jennifer Hoefert, Sarah Denniston
-
Leadership & professional development: The power of pause J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-22 Farzana Hoque
-
Bridging the gap of work-as-imagined versus work-as-done through use of multiuser immersive virtual reality simulation J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-19 Michael Platt, Y. Raymond Chan, Jessica L. Markham
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Development and evaluation of best practice advisory alert for patient eligibility in a hospital-at-home program: A multicenter retrospective study J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-19 Michael J. Maniaci, Ricardo A. Torres-Guzman, Francisco R. Avila, Karla Maita, John P. Garcia, Antonio J. Forte, Rachel Rutledge, Sagar B. Dugani, Shannon M. Campbell, Ingrid J. Pritchard, Margaret R. Paulson
Hospital-at-home (HaH) is a growing model of care that has been shown to improve patient outcomes, satisfaction, and cost-effectiveness. However, selecting appropriate patients for HaH is challenging, often requiring burdensome manual screening by clinicians. To facilitate HaH enrollment, electronic health record (EHR) tools such as best practice advisories (BPAs) can be used to alert providers of
-
Moving toward equitable access to both opportunity and health J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-19 Molly K. Krager, Jessica L. Bettenhausen, Andrew F. Beck
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Improving healthcare value: The need to explicitly address equity in high-value care J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-17 Danni Liang, Samantha A. House, Christopher Moriates
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Clinical progress note: 5 Essential point-of-care ultrasound skills for hospitalists J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-17 Ariadna Perez-Sanchez, Trevor P. Jensen, Nilam J. Soni
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Multiuser immersive virtual reality simulation for interprofessional sepsis recognition and management J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-18 Matthew W. Zackoff, Bradley Cruse, Rashmi D. Sahay, Bin Zhang, Tina Sosa, Jerome Schwartz, Holly Depinet, Daniel Schumacher, Gary L. Geis
Sepsis is a leading cause of pediatric mortality. While there has been significant effort toward improving adherence to evidence-based care, gaps remain. Immersive multiuser virtual reality (MUVR) simulation may be an approach to enhance provider clinical competency and situation awareness for sepsis.
-
“We're all truly pulling in the exact same direction”: A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-17 Katarzyna A. Mastalerz, Sarah R. Jordan, Nikki Townsley
-
Engineering safe care journeys: Reenvisioning interhospital transfers J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-09 Amy Yu, Vineet Chopra, Stephanie K. Mueller, Charlie M. Wray, Christine D. Jones
CONFLICT OF INTEREST STATEMENT Dr. Mueller has two grants through the Agency for Healthcare Research and Quality (1R01HS028621 and R01-HS028982) related to interhospital transfers. The remaining authors declare no conflict of interest.
-
Beyond intrinsic value: Gauging hospitalist economic worth in a complex system J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-10 Brittany Hubbell, Sarah Riddle
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Things We Do for No Reason™: Routine early PEG tube placement for dysphagia after acute stroke J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-05 Robert J. Gallo, John E. Wang, Evan S. Madill
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
Connected transitions: Opportunities and challenges for improving postdischarge care with technology J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-05 Eric Bressman, Robert E. Burke, S. Ryan Greysen
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
-
“Can you help me think this through?” How pediatric hospitalists learn from informal peer consultation J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-03 Laura B. O'Neill, Priti Bhansali, Ellen Goldman
Informal peer consultation (IPC), also called curbside consultation, is a common practice in medicine. Research has shown that physicians use IPC but how this learning occurs during the process has not been studied. This basic qualitative study describes how pediatric hospitalists learn during IPC, framed by Kolb's (2015) Experiential Learning Theory of Growth and Development. Eleven pediatric hospitalists
-
Clinical progress note: ACC/AHA/HFSA 2022 heart failure guideline pearls for hospitalists J. Hosp. Med. (IF 2.6) Pub Date : 2024-01-03 Prateeti Khazanie, Mel L. Anderson
CONFLICT OF INTEREST STATEMENT Dr. Prateeti Khazanie served on the writing committee for the 2022 ACC/AHA/HFSA HF Guidelines and serves on the ACC/AHA Joint Committee on Clinical Practice Guidelines. The authors declare no conflict of interest.