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The development and pilot of a novel mobile application to assess clinician perception of workload and work environment J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-18 Marisha Burden, Lauren McBeth, Angela Keniston
BackgroundTraditional measures of workload such as wRVUs may not be adequate to understand the impact of workload on key outcomes.ObjectiveThe objective of this study was to develop a mobile application to assess, in near real time, clinicians' perception of workload and work environment.Designs, Settings and ParticipantsWe developed the GrittyWork™ application (GW App) using the Chokshi and Mann process
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Transitional care clinics for patients discharged from hospital without a primary care provider: A systematic review J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-16 Cait Dmitriew, Del J. Houle, Michelle Filipovic, Ella Chochla, Alexander Hemy, Celeste Woods, Nawal Farhat, Alanna Campbell, Lisa J. W. Liu, Jacquelyn J. Cragg, James A. G. Crispo
BackgroundThe transition from hospital to home is a high‐risk period. Timely follow‐up care is essential to reducing avoidable harms such as adverse drug events, yet may be unattainable for patients who lack attachment to a primary care provider. Transitional care clinics (TCCs) have been proposed as a measure to improve health outcomes for patients discharged from hospital without an established provider
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Hospitalizations and transgender patients in the United States J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-16 Keshav Khanijow, Scott Wright, Helene Hedian, Che Harris
It is known that transgender people experience health inequalities. Disparities in hospital outcomes impacting transgender individuals have been inadequately explored. We conducted this retrospective cohort study using the National Inpatient Sample (01/2018–12/2019) to compare in‐hospital mortality and utilization variables between cisgender and transgender individuals using regression analyses. Approximately
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Things We Do for No Reason™: Discharge before noon J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-13 Aaron N. Dunn, Elise P. Lu
CLINICAL SCENARIO A hospital has recently implemented a goal of 30% of discharges before noon to address overcrowding and boarding in the emergency department (ED). To accommodate this, resident didactics were cut to 30 min and the hospital medicine team starts rounding at 8:30 a.m. On rounds, teams are encouraged to prioritize patients who are possible discharges to meet the administrative goal. The
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Gridlock: What hospitalists and health systems can do to help J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-12 Jennifer M. Zagursky, Robert E. Burke, Andrew P. J. Olson, Jennifer K. Readlynn
CONFLICT OF INTEREST STATEMENT Andrew P. J. Olson receives grant funding from 3 M to study rural healthcare workforce and consulting fees from the New England Journal of Medicine for work on a clinical reasoning application, neither of which has relevance to this work. No other authors have relevant conflict of interest.
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Hospital‐associated venous thromboembolism prophylaxis use by risk assessment at a large integrated health care network in Northern California J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-12 James Xu, Elad Neeman, Khanh K. Thai, Pranita Mishra, David Schlessinger, Heather Clancy, Laura Myers, Nareg Roubinian, Vincent Liu, Raymond Liu
BackgroundHospital‐acquired venous thromboembolism (HA VTE) is a preventable complication in hospitalized patients.ObjectiveWe aimed to examine the use of pharmacologic prophylaxis (pPPX) and compare two risk assessment methods for HA VTE: a retrospective electronic Padua Score (ePaduaKP) and admitting clinician's choice of risk within the admission orderset (low, moderate, or high).Design, Settings
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Impact of billing reforms on academic hospitalist physician and advanced practice provider collaboration: A qualitative study J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-10 Sara Westergaard, Kasey Bowden, Gopi J. Astik, Greg Bowling, Angela Keniston, Anne Linker, Matthew Sakumoto, Natalie Schwatka, Andrew Auerbach, Marisha Burden
Medicare previously announced plans for new billing reforms for inpatient visits that are shared by physicians and advanced practice providers (APPs) whereby the clinician spending the most time on the patient visit would bill for the visit.
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Development and evaluation of a writing retreat program to build community and promote productivity in academic hospital medicine J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-10 Christopher P. Bonafide, Kristin D. Maletsky, Chén Kenyon, Stephanie K. Doupnik, Aditi Vasan, Irit R. Rasooly, Laura Goldstein, Meghan Galligan, Jessica Hart, Halley Ruppel, Chris Feudtner, Rebecca Tenney-Soeiro
Scientific writing is a core component of academic hospital medicine, and yet finding time to engage in deeply focused writing is difficult in part due to the highly clinical, 24/7 nature of the specialty that can limit opportunities for writing-focused collaboration and mentorship.
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Things We Do for No Reason™: Routine respiratory pathogen panels for emergency department and hospitalized patients J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-10 Samara Levin, David Mayer, Yoram A. Puius, Shitij Arora, Alex Gileles-Hillel
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Predicting stroke risk after sepsis hospitalization with new-onset atrial fibrillation J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-09 Laura C. Myers, Ithan D. Peltan, Khanh K. Thai, Patricia Kipnis, Manisha Desai, Ycar Devis, Heather Clancy, Yun W. Lu, Samuel M. Brown, Alan S. Go, Romain S. Neugebauer, Vincent X. Liu, Allan J. Walkey
New-onset atrial fibrillation (AF) during sepsis is common, but models designed to stratify stroke risk excluded patients with secondary AF. We assessed the predictive validity of CHA2DS2VASc scores among patients with new-onset AF during sepsis and developed a novel stroke prediction model incorporating presepsis and intrasepsis characteristics.
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The generative artificial intelligence revolution: How hospitalists can lead the transformation of medical education J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-09 Verity Schaye, Marc M. Triola
CONFLICT OF INTEREST STATEMENT Verity Schaye currently has work funded by the NBME Stemmler fund on the use of AI in assessment: Development and Validation of a Machine Learning Model for Automated Workplace-Based Assessment of Resident Clinical Reasoning Documentation. The other author declares no conflict of interest.
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Reckoning with uncertainty to repair trust J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-09 Lekshmi Santhosh
An eager MS1 drinks from the fountain of knowledge, filling her brain with medical facts, answering multiple-choice questions dutifully, choosing the “single best right answer.” An industrious MS3 proposes thoughtful courses of action in her oral presentation and gets feedback to “be more confident” and “put your nickel down.” As she transitions to residency, the shades of grey multiply before her
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Clinical progress note: Glucagon‐like peptide‐1 receptor agonists and hospitalized patients J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-04 Anjali Ravee, Desiree Burroughs‐Ray, Christopher D. Jackson, Susan E. Spratt, Suchita Shah Sata
CONFLICT OF INTEREST STATEMENT Susan E. Spratt is a stockholder in Amgen, GE, J&J, Medtronic, Merck, Organon, Pfizer, P&G, Walmart; Data Safety & Monitoring Board member for Medpace Inc. The remaining authors declare no conflict of interest.
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Ethical responses to violence toward health care workers J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-03 Finlay Pilcher, Catherine D. Shubkin, Evie Marcolini, Marissa Coleman, Tim Lahey
INTRODUCTION Violence toward health care workers—from threats and discriminatory comments to physical assault—is increasing; up to 38% of health care workers have experienced physical violence at work, with nurses being disproportionately affected.1-4 The American Medical Association and the American Nurses Association have both issued position papers calling for coordinated responses among hospitals
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Shifting boundaries: The evolution of hospital medicine J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-03 Harris Carmichael, Benjamin Kinnear
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Clinical guideline highlights for the hospitalist: Evaluation, management, and prevention of cow's milk allergy J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-03 Kennon Ulicny, Mary Orr
GUIDELINE TITLE: An ESPGHAN position paper on the diagnosis, management and prevention of cow's milk allergyRELEASE DATE: Journal of Pediatric Gastroenterology and Nutrition, July 26, 2023PRIOR VERSION: 2012DEVELOPER: ESPGHAN (European Society of Paediatric Gastroenterology, Hepatology and Nutrition), NASPGHAN (North American Society of Pediatric Gastroenterology, Hepatology and Nutrition)FUNDING SOURCE:
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Continuity for medical students in the hospital setting: A work in progress J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-03 Nancy H. Stewart, Farah A. Kaiksow
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Climate change and excess length of stay: A call to action for health equity and environmental sustainability J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-02 Catherine Chen, Glenn Miller, Soko Setoguchi
INTRODUCTION Over 6340 million metric tons (MMT) of CO2 equivalents (CO2e) of greenhouse gas (GHG) emissions were produced in the United States in 2021,1 with 8%–10% of these emissions directly attributable to the US healthcare sector.2-4 A 2019 report from Health Care Without Harm showed annual per-capita healthcare climate footprints of 0.03 tons of CO2e per person in India, 0.25 tons CO2e per person
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Dyspneic and pink J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-02 Christian Inchaustegui, Sarvari Yellapragada, Jack Badawy, Ameer Ahmed, Andrew White, Zaven Sargsyan
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Clinical guideline highlight for the hospitalist: Childhood eosinophilic gastrointestinal disorders beyond eosinophilic esophagitis J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-02 Madeline Eckenrode
GUIDELINE TITLE: Joint ESPGHAN/NASPGHAN Guidelines on Childhood Eosinophilic Gastrointestinal Disorders Beyond Eosinophilic Esophagitis.RELEASE DATE: July 4, 2023 (e‐publication ahead of print).PRIOR VERSION(S): None.DEVELOPER: European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the North American Society for Pediatrics Gastroenterology, Hepatology and Nutrition
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Clinical progress note: Xylazine use and its sequelae J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-01 Haley Allcroft, Erica Heiman, Jenna L. Butner
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Intravenous antibiotics for urinary tract infections in children with neurologic impairment J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-01 Lauren S. Starnes, Matt Hall, Derek J. Williams, Sophie Katz, Douglass B. Clayton, James W. Antoon, Deanna Bell, Alison R. Carroll, Kelsey A. B. Gastineau, Ryan Wolf, My-Linh Ngo, Alison Herndon, Charlotte M. Brown, Katherine Freundlich
Children with high-intensity neurologic impairment (HINI) have an increased risk of urinary tract infection (UTI) and prolonged intravenous (IV) antibiotic exposure.
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Development of a hospital coding intensity measure based on sepsis diagnoses J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-01 Michael I. Ellenbogen, Jonathan P. Weiner, Yuxin Zhu, Jenna Swann, Daniel J. Brotman
Significant variation in coding intensity among hospitals has been observed and can lead to reimbursement inequities and inadequate risk adjustment for quality measures. Reliable tools to quantify hospital coding intensity are needed. We hypothesized that coded sepsis rates among patients hospitalized with common infections may serve as a useful surrogate for coding intensity and derived a hospital-level
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Wellness officer, heal thyself: Reflections from a burned-out physician one year later J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-01 Rachel Thienprayoon
CONFLICT OF INTEREST STATEMENT The author declares no conflict of interest.
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Behind the eightball J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-01 Adam Gray, Alan M. Hall, Heather Hofmann, Sarah Vick
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Patient-reported predictors of postdischarge mortality after cardiac hospitalization J. Hosp. Med. (IF 2.6) Pub Date : 2024-04-01 Devika Nair, Jonathan S. Schildcrout, Yaping Shi, Ricardo Trochez, Sam Nwosu, Susan P. Bell, Amanda S. Mixon, Sarah A. Welch, Kathryn Goggins, Justin M. Bachmann, Eduard E. Vasilevskis, Kerri L. Cavanaugh, Russell L. Rothman, Sunil B. Kripalani
Adults hospitalized for cardiovascular events are at high risk for postdischarge mortality. Screening of psychosocial risk is prioritized by the Joint Commission. We tested whether key patient-reported psychosocial and behavioral measures could predict posthospitalization mortality in a cohort of adults hospitalized for a cardiovascular event.
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Assessing for differences in opioid administration during inpatient end‐of‐life care for patients with limited English proficiency J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-28 Nicole Curatola, Priya Prasad, Brieze K. Bell, Margaret C. Fang, Aksharananda Rambachan
BackgroundPatients with limited English proficiency (LEP) may have worse health outcomes and differences in processes of care. Language status may particularly affect situations that depend on communication, such as symptom management or end‐of‐life (EOL) care.ObjectiveThe objective of this study was to assess whether opioid prescribing and administration differs by English proficiency (EP) status
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Clinical guideline highlights for the hospitalist: Diagnosis and treatment of diabetes‐related foot infections J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-26 Charles D. Pham, Jessica Lo, Duong T. Hua
GUIDELINE TITLE: IWGDF/IDSA Guidelines on the Diagnosis and Treatment of Diabetes‐related Foot InfectionsRELEASE DATE: October 2, 2023PRIOR VERSION: March 16, 2020DEVELOPER: IWGDF Editorial BoardFUNDING SOURCE: International Working Group on the Diabetic Foot (IWGDF), Infectious Diseases Society of America (IDSA)TARGET POPULATION: Adults with suspected or confirmed diabetes‐related foot infections
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Enhancing belonging and other stay factors to improve physician retention J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-26 Julie K. Silver, Jessica M. Allan, Amarilis A. Martin, Barbara Overholser, Nancy D. Spector
CONFLICT OF INTEREST STATEMENT J. K. S. reports that she participates in research funded by the Binational Scientific Foundation and is an advisor for Simplifed and a venture partner at Third Culture Capital. N. D. S. is a co-founder and holds equity in the I-PASS Patient Safety Institute. A. A. M. reports that she has received honoraria for speaking engagements.
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Individualized Average Length of Stay: A timelier, provider‐level LOS metric J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-26 Logan Pierce, James D. Harrison, Sajan Patel
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Characteristics differentiating problem representation synthesis between novices and experts J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-26 Casey N. McQuade, Michael G. Simonson, Julia Lister, Andrew P. J. Olson, Laura Zwaan, Scott D. Rothenberger, Eliana Bonifacino
BackgroundFormulating a thoughtful problem representation (PR) is fundamental to sound clinical reasoning and an essential component of medical education. Aside from basic structural recommendations, little consensus exists on what characterizes high‐quality PRs.ObjectivesTo elucidate characteristics that distinguish PRs created by experts and novices.MethodsEarly internal medicine residents (novices)
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A clinical antiracism curriculum for third‐year medical students to bring antiracist principles to the bedside J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-26 Katharina Hayes, John Szymusiak, Andrew McCormick
As medical educators, we have a responsibility to ensure our trainees are exposed to curricula dedicated to Diversity, Equity, and Inclusion (DEI), as illustrated by the Association of American Medical Colleges' recently released DEI Competencies Across the Curriculum. We designed and implemented a curriculum, Social Justice Rounds (SJR), that incorporates teaching on these topics directly into inpatient
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Disparities in pediatric hospital use during transition to adult healthcare for young adults with childhood‐onset chronic conditions J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-22 Ashley M. Jenkins, Sophie Lanzkron, Katherine A. Auger
BackgroundYoung adults (YA) with childhood‐onset chronic conditions—particularly YA with cystic fibrosis (CF), congenital heart disease (CHD), and sickle cell disease (SCD)—continue to have pediatric hospital admissions. Factors associated with this continued pediatric hospital use remain underexplored.ObjectiveTo determine if pediatric hospital use by YA differed (1) across condition and (2) within
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Improving catch‐up vaccinations in pediatric patients admitted to the hospital J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-21 Christine Symes, Ann L. Wirtz, Rana E. El Feghaly
CONFLICT OF INTEREST STATEMENT The authors declare no conflict of interest.
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Unintended consequences of methadone regulation for opioid use disorder treatment among hospitalized patients J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-20 Susan L. Calcaterra, Ashley Dafoe, Caroline Tietbohl, Lindsay Thurman, Erin Bredenberg
BackgroundIn the United States, there are no federal restrictions on the use of methadone to manage opioid withdrawal symptoms when patients are hospitalized with a medical or surgical condition other than addiction. In contrast, in an outpatient setting, methadone for opioid use disorder (OUD) is highly regulated by federal and state governments and can only be dispensed from an opioid treatment program
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Patient engagement with an automated postdischarge text messaging program for improving care transitions J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-18 Hassan Fakhoury, Ricardo Trochez, Sunil Kripalani, Neesha Choma, Emily Blessinger, Lyndsay A. Nelson
Automated text messaging is a promising approach to monitor patients after hospital discharge and avert readmissions; however, it is not known to what extent patients would engage with this type of program and whether engagement may vary based on patients' characteristics. Using data from a 30‐day postdischarge texting program at a large university hospital, we examined engagement over time (operationalized
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Leadership & professional development: So you've been charged to lead a conference—Now what? J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-18 Christina Brown, Shikha Jain
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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)
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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
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Rethinking the consultation paradigm: Validity evidence for a new framework, a multimethods study J. Hosp. Med. (IF 2.6) Pub Date : 2024-03-12 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, Abdul Azim, Andrew J. Hale, Jason A. Freed
In-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.
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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
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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
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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
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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
High 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.
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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
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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
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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
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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.
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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.
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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
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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
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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.
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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.
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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.
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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