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Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine

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https://read.qxmd.com/read/30534643/clinical-operations-research-a-new-frontier-for-inquiry-in-academic-health-systems
#1
Rachel Kohn, S Ryan Greysen
No abstract text is available yet for this article.
November 28, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30534640/a-protean-protein
#2
Miriam T Nawas, Evan J Walker, Megan B Richie, Andrew A White, Gerald Hsu
No abstract text is available yet for this article.
November 28, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30534639/things-we-do-for-no-reason-sliding-scale-insulin-as-monotherapy-for-glycemic-control-in-hospitalized-patients
#3
Daniel B Ambrus, Mark J O'Connor
No abstract text is available yet for this article.
November 28, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30534638/the-basement-flight
#4
Chetna K Pande, Justin Berk, Mandeep S Jassal, Reza Manesh, Andrew Pj Olson
No abstract text is available yet for this article.
November 28, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30534642/predicting-the-future-using-simulation-modeling-to-forecast-patient-flow-on-general-medicine-units
#5
Vimal Mishra, Shin-Ping Tu, Joseph Heim, Heather Masters, Lindsey Hall, Ralph R Clark, Alan W Dow
BACKGROUND: Hospitals are complex adaptive systems within which multiple components such as patients, practitioners, facilities, and technology interact. A careful approach to optimization of this complex system is needed because any change can result in unexpected deleterious effects. One such approach is discrete event simulation, in which what-if scenarios allow researchers to predict the impact of a proposed change on the system. However, studies illustrating the application of simulation in optimization of general internal medicine (GIM) team inpatient operations are lacking...
January 8, 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30534641/screening-for-humoral-immunodeficiency-in-patients-with-community-acquired-pneumonia
#6
Karthik Vadamalai, Denise Sanche-Tejera, Jonathan Bress, S Shahzad Mustafa
BACKGROUND: Immunodeficiency is an underrecognized risk factor for infections, such as community-acquired pneumonia (CAP). OBJECTIVE: We evaluated patients admitted with CAP for humoral immunodeficiency. DESIGN: Prospective Cohort Study. SETTING: Inpatients. PATIENTS, INTERVENTION, AND MEASUREMENTS: We enrolled 100 consecutive patients admitted with a diagnosis of CAP from February 2017 to April 2017...
January 8, 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30379137/the-interplay-between-financial-incentives-institutional-culture-and-physician-behavior-an-incompletely-understood-relationship-worth-elucidating
#7
Kristin E Bergethon, Daniel M Blumenthal
No abstract text is available yet for this article.
January 8, 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30379136/association-between-hospitalist-productivity-payments-and-high-value-care-culture
#8
Reshma Gupta, Neil Steers, Christopher Moriates, Michael Ong
BACKGROUND: Given the national emphasis on affordability, healthcare systems expect that their clinicians are motivated to provide high-value care. However, some hospitalists are reimbursed with productivity bonuses, and little is known about the effects of these reimbursements on the local culture of high-value care delivery. OBJECTIVE: To evaluate if hospitalist reimbursement models are associated with high-value culture in university, community, and safety-net hospitals...
January 8, 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30604780/recommendations-on-the-use-of-ultrasound-guidance-for-adult-abdominal-paracentesis-a-position-statement-of-the-society-of-hospital-medicine
#9
Joel Cho, Trevor P Jensen, Kreegan Rierson, Benji K Matthews, Anjali Bhagra, Ricardo Franco-Sadud, Loretta Grikis, Michael Mader, Ria Dancel, Brian P Lucas, Nilam J Soni
1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. We recommend that ultrasound guidance should be used to avoid attempting paracentesis in patients with an insufficient volume of intraperitoneal free fluid to drain. 3. We recommend that ultrasound guidance should be used with paracentesis to improve the success rates of the overall procedure. 4. We recommend that ultrasound should be used to assess the volume and location of intraperitoneal free fluid to guide clinical decision making of where paracentesis can be safely performed...
January 2, 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30604779/point-of-care-ultrasound-for-hospitalists-a-position-statement-of-the-society-of-hospital-medicine
#10
Nilam J Soni, Daniel Schnobrich, Benji K Matthews, David M Tierny, Trevor P Jensen, Ria Dancel, Joel Cho, Renee K Dversdal, Gregory Mints, Anjali Bhagra, Kreegan Reierson, Linda M Kurian, Gigi Y Liu, Carolina Candotti, Brandon Boesch, Charles M LoPresti, Joshua Lenchus, Tanping Wong, Gordon Johnson, Anna M Maw, Ricardo Franco-Sadud, Brian P Lucas
Many hospitalists incorporate point-of-care ultrasound (POCUS) into their daily practice to answer specific diagnostic questions or to guide performance of invasive bedside procedures. However, standards for hospitalists in POCUS training and assessment are not yet established. Most internal medicine residency training programs, the major pipeline for incoming hospitalists, have only recently begun to incorporate POCUS in their curricula. The purpose of this document is to inform a broad audience on what POCUS is and how hospitalists are using it...
January 2, 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667412/nudging-providers-to-improve-sleep-for-hospitalized-patients
#11
Catherine L Auriemma, S Ryan Greysen
No abstract text is available yet for this article.
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667411/discharge-by-noon-the-time-has-come-for-more-times-to-be-the-right-time
#12
Emily R Kane, Evan Fieldston
No abstract text is available yet for this article.
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667410/things-we-do-for-no-reason-intermittent-pneumatic-compression-for-medical-ward-patients
#13
J├╝rgen L Holleck, Craig G Gunderson
No abstract text is available yet for this article.
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667409/effectiveness-of-siesta-on-objective-and-subjective-metrics-of-nighttime-hospital-sleep-disruptors
#14
Vineet M Arora, Nolan Machado, Samantha L Anderson, Nimit Desai, William Marsack, Stephenie Blossomgame, Ambrosio Tuvilleja, Jacqueline Ramos, Mary Ann Francisco, Cynthia LaFond, Edward Ky Leung, Andres Valencia, Shannon K Martin, David O Meltzer, Jeanne M Farnan, Jay Balachandran, Kristen L Knutson, Babak Mokhlesi
We created Sleep for Inpatients: Empowering Staff to Act (SIESTA), which combines electronic "nudges" to forgo nocturnal vitals and medications with interprofessional education on improving patient sleep. In one "SIESTAenhanced unit," nurses received coaching and integrated SIESTA into daily huddles; a standard unit did not. Six months pre- and post-SIESTA, sleep-friendly orders rose in both units (foregoing vital signs: SIESTA unit, 4% to 34%; standard, 3% to 22%, P < .001 both; sleeppromoting VTE prophylaxis: SIESTA, 15% to 42%; standard, 12% to 28%, P < ...
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667408/the-association-of-discharge-before-noon-and-length-of-stay-in-hospitalized-pediatric-patients
#15
Hailey J James, Michael J Steiner, George M Holmes, John R Stephens
BACKGROUND AND OBJECTIVES: To optimize patient throughput, many hospitals set targets for discharging patients before noon (DCBN). However, it is not clear whether DCBN is an appropriate measure for an efficient discharge. This study aims to determine whether DCBN is associated with shorter length of stay (LOS) in pediatric patients and whether that relationship is different between surgical and medical discharges. METHODS: From May 2014 to April 2017, we performed a retrospective data analysis of pediatric medical and surgical discharges belonging to a single academic medical center...
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667407/improving-patient-flow-analysis-of-an-initiative-to-improve-early-discharge
#16
Lauren Destino, Denise Bennett, Matthew Wood, Christy Acuna, Stephanie Goodman, Steven M Asch, Terry Platchek
BACKGROUND: Discharge delays adversely affect hospital bed availability and thus patient flow. OBJECTIVE: We aimed to increase the percentage of early discharges (EDCs; before 11 am). We hypothesized that obtaining at least 25% EDCs would decrease emergency department (ED) and postanesthesia care unit (PACU) hospital bed wait times. DESIGN: This study used a pre/postintervention retrospective analysis. SETTING: All acute care units in a quaternary care academic children's hospital were included in this study...
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667406/announcing-the-journal-of-hospital-medicine-editorial-fellowship
#17
Charlie M Wray, Andrew Olson, Samir S Shah, Andrew D Auerbach
No abstract text is available yet for this article.
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30667405/the-journal-of-hospital-medicine-in-2019-and-beyond
#18
Samir S Shah
No abstract text is available yet for this article.
January 2019: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30534637/the-role-of-the-medical-consultant-in-2018-putting-it-all-together
#19
Michele Fang, S Ryan Greysen
No abstract text is available yet for this article.
December 11, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/30496332/towards-scalable-hospital-based-palliative-care-challenges-and-opportunities-for-hospitalists
#20
Katherine R Courtright, Nina R O'Connor
No abstract text is available yet for this article.
December 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
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