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

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https://www.readbyqxmd.com/read/29345257/engaging-families-as-true-partners-during-hospitalization
#1
Alisa Khan, Sharon Cray, Alexandra N Mercer, Matthew W Ramotar, Christopher P Landrigan
No abstract text is available yet for this article.
January 18, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29345256/caregiver-perspectives-on-communication-during-hospitalization-at-an-academic-pediatric-institution-a-qualitative-study
#2
Lauren G Solan, Andrew F Beck, Stephanie A Shardo, Hadley S Sauers-Ford, Jeffrey M Simmons, Samir S Shah, Susan N Sherman
OBJECTIVE: Communication among those involved in a child's care during hospitalization can mitigate or exacerbate family stress and confusion. As part of a broader qualitative study, we present an in-depth understanding of communication issues experienced by families during their child's hospitalization and during the transition to home. METHODS: Focus groups and individual interviews stratified by socioeconomic status included caregivers of children recently discharged from a children's hospital after acute illnesses...
January 18, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29340341/credentialing-of-hospitalists-in-ultrasound-guided-bedside-procedures-a-position-statement-of-the-society-of-hospital-medicine
#3
Brian P Lucas, David M Tierney, Trevor P Jensen, Ria Dancel, Joel Cho, Mahmoud El-Barbary, Ricardo Franco-Sadud, Nilam J Soni
Ultrasound guidance is used increasingly to perform the following 6 bedside procedures that are core competencies of hospitalists: abdominal paracentesis, arterial catheter placement, arthrocentesis, central venous catheter placement, lumbar puncture, and thoracentesis. Yet most hospitalists have not been certified to perform these procedures, whether using ultrasound guidance or not, by specialty boards or other institutions extramural to their own hospitals. Instead, hospital privileging committees often ask hospitalist group leaders to make ad hoc intramural certification assessments as part of credentialing...
January 18, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29261820/a-method-for-attributing-patient-level-metrics-to-rotating-providers-in-an-inpatient-setting
#4
Carrie A Herzke, Henry J Michtalik, Nowella Durkin, Joseph Finkelstein, Amy Deutschendorf, Jason Miller, Curtis Leung, Daniel J Brotman
BACKGROUND: Individual provider performance drives group metrics, and increasingly, individual providers are held accountable for these metrics. However, appropriate attribution can be challenging, particularly when multiple providers care for a single patient. OBJECTIVE: We sought to develop and operationalize individual provider scorecards that fairly attribute patient-level metrics, such as length of stay and patient satisfaction, to individual hospitalists involved in each patient's care...
December 20, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29261819/inpatient-portals-for-hospitalized-patients-and-caregivers-a-systematic-review
#5
Michelle M Kelly, Ryan J Coller, Peter Lt Hoonakker
Patient portals, web-based personal health records linked to electronic health records (EHRs), provide patients access to their healthcare information and facilitate communication with providers. Growing evidence supports portal use in ambulatory settings; however, only recently have portals been used with hospitalized patients. Our objective was to review the literature evaluating the design, use, and impact of inpatient portals, which are patient portals designed to give hospitalized patients and caregivers inpatient EHR clinical information for the purpose of engaging them in hospital care...
December 20, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29261818/update-in-hospital-palliative-care-symptom-management-communication-caregiver-outcomes-and-moral-distress
#6
Rachel D Havyer, Daniel H Pomerantz, Robert L Jayes, Patricia F Harris, Stephanie M Harman, Aziz A Ansari
BACKGROUND: Updated knowledge of the palliative care (PC) literature is needed to maintain competency and best address the PC needs of hospitalized patients. We critiqued the recent PC literature with the highest potential to impact hospital practice. METHODS: We reviewed articles published between January 2016 and December 2016, which were identified through a handsearch of leading journals and a MEDLINE search. The final 9 articles selected were determined by consensus based on scientific rigor, relevance to hospital medicine, and impact on practice...
December 20, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29261817/near-and-far
#7
Adam Gray, Sean Lockwood, Aibek E Mirrakhimov, Allan C Gelber, Reza Manesh
BACKGROUND: HASH(0x38f3a50) OBJECTIVE: HASH(0x41dbc50) DESIGN, SETTING, PATIENTS: HASH(0x342a6b0) INTERVENTION: HASH(0x41cfaf8) MEASUREMENTS: HASH(0x397ade0) CONCLUSIONS: HASH(0x41dfe38)
December 20, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29261816/improving-quality-of-care-for-seriously-ill-patients-opportunities-for-hospitalists
#8
Robin E Fail, Diane E Meier
As the shift to value-based payment accelerates, hospitals are under increasing pressure to deliver high-quality, efficient services. Palliative care approaches improve quality of life and family well-being, and in doing so, reduce resource utilization and costs. Hospitalists frequently provide palliative care interventions to their patients, including pain and symptom management and engaging in conversations with patients and families about the realities of their illness and treatment plans that align with their priorities...
December 20, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29240853/the-evaluation-of-medical-inpatients-who-are-admitted-on-long-term-opioid-therapy-for-chronic-pain
#9
Hilary Mosher, Shoshana J Herzig, Itai Danovitch, Christina Boutsicaris, Sameer Hassamal, Karl Wittnebel, Azadeh Dashti, Teryl Nuckols
Individuals who are on long-term opioid therapy (LTOT) for chronic noncancer pain are frequently admitted to the hospital with acute pain, exacerbations of chronic pain, or comorbidities. Consequently, hospitalists find themselves faced with complex treatment decisions in the context of uncertainty about the effectiveness of LTOT as well as concerns about risks of overdose, opioid use disorders, and adverse events. Our multidisciplinary team sought to synthesize guideline recommendations and primary literature relevant to assessing medical inpatients on LTOT, with the objective of assisting practitioners in balancing effective pain treatment and opioid risk reduction...
December 6, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29240852/the-epidemiology-and-clinical-associations-of-portal-vein-thrombosis-in-hospitalized-patients-with-cirrhosis-a-nationwide-analysis-from-the-national-inpatient-sample
#10
Shawn L Shah, Joseph C Anderson, Joseph J Shatzel, Arifa Toor, Rolland C Dickson
BACKGROUND: HASH(0x33736e8) OBJECTIVE: HASH(0x33c1140) DESIGN, SETTING, PATIENTS: HASH(0x41afbe8) INTERVENTION: HASH(0x33fd308) MEASUREMENTS: HASH(0x38cb8b8) CONCLUSIONS: HASH(0x39b52f0)
December 6, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29240851/off-target-but-hitting-the-mark
#11
Areeba Kara, Somnath Mookherjee, Warren Gavin, Karen McDonough
BACKGROUND: HASH(0x3a0b8c8) OBJECTIVE: HASH(0x41d4740) DESIGN, SETTING, PATIENTS: HASH(0x38c5c80) INTERVENTION: HASH(0x3957ce8) MEASUREMENTS: HASH(0x2f6e250) CONCLUSIONS: HASH(0x38a4828)
December 6, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29240850/hospitalist-and-internal-medicine-leaders-perspectives-of-early-discharge-challenges-at-academic-medical-centers
#12
Hemali Patel, Margaret C Fang, Michelle Mourad, Adrienne Green, Robert M Wachter, Ryan D Murphy, James D Harrison
Improving early discharges may improve patient flow and increase hospital capacity. We conducted a national survey of academic medical centers addressing the prevalence, importance, and effectiveness of early-discharge initiatives. We assembled a list of hospitalist and general internal medicine leaders at 115 US-based academic medical centers. We emailed each institutional representative a 30-item online survey regarding early-discharge initiatives. The survey included questions on discharge prioritization, the prevalence and effectiveness of early-discharge initiatives, and barriers to implementation...
December 6, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29240849/the-association-of-frailty-with-discharge-disposition-for-hospitalized-community-dwelling-elderly-patients
#13
Sheryl K Ramdass, Maura J Brennan, Rebecca Starr, Peter K Lindenauer, Xiaoxia Liu, Penelope Pekow, Mihaela S Stefan
BACKGROUND: HASH(0x41d4890) OBJECTIVE: HASH(0x33c54d0) DESIGN, SETTING, PATIENTS: HASH(0x347a2a8) INTERVENTION: HASH(0x41cf960) MEASUREMENTS: HASH(0x3442878) CONCLUSIONS: HASH(0x33e8d90)
December 6, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29240848/hospitalists-in-the-icu-necessary-but-not-sufficient
#14
Scott A Flanders, Colin R Cooke
BACKGROUND: HASH(0x39d68e0) OBJECTIVE: HASH(0x2eaefc0) DESIGN, SETTING, PATIENTS: HASH(0x41f2d48) INTERVENTION: HASH(0x344df88) MEASUREMENTS: HASH(0x3442668) CONCLUSIONS: HASH(0x34320b8)
December 6, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29240847/characterizing-hospitalist-practice-and-perceptions-of-critical-care-delivery
#15
Joseph R Sweigart, David Aymond, Alfred Burger, Andy Kelly, Nick Marzano, Thomas McIlraith, Peter Morris, Mark V Williams, Eric M Siegal
BACKGROUND: Intensivist shortages have led to increasing hospitalist involvement in critical care delivery. OBJECTIVE: To characterize the practice of hospitalists practicing in the intensive care unit (ICU) setting. DESIGN: Survey of hospital medicine physicians. SETTING: This survey was conducted as a needs assessment for the ongoing efforts of the Critical Care Task Force of the Society of Hospital Medicine Education Committee...
December 6, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29186214/things-we-do-for-no-reason-electrolyte-testing-in-pediatric-acute-gastroenteritis
#16
Carrie H Lind, David P Johnson
BACKGROUND: HASH(0x395e8b0) OBJECTIVE: HASH(0x346e598) DESIGN, SETTING, PATIENTS: HASH(0x3479f90) INTERVENTION: HASH(0x33d4a38) MEASUREMENTS: HASH(0x41dbb00) CONCLUSIONS: HASH(0x41e35d0)
November 22, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29186213/returns-to-emergency-department-observation-or-inpatient-care-within-30-days-after-hospitalization-in-4-states-2009-and-2010-versus-2013-and-2014
#17
Teryl K Nuckols, Kathryn R Fingar, Marguerite L Barrett, Grant Martsolf, Claudia A Steiner, Carol Stocks, Pamela L Owens
BACKGROUND: Nationally, readmissions have declined for acute myocardial infarction (AMI) and heart failure (HF) and risen slightly for pneumonia, but less is known about returns to the hospital for observation stays and emergency department (ED) visits. OBJECTIVE: To describe trends in rates of 30-day, all-cause, unplanned returns to the hospital, including returns for observation stays and ED visits. DESIGN: By using Healthcare Cost and Utilization Project data, we compared 210,007 index hospitalizations in 2009 and 2010 with 212,833 matched hospitalizations in 2013 and 2014...
November 22, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29186212/hospitalist-perspective-of-interactions-with-medicine-subspecialty-consult-services
#18
Traci N Adams, Joanna Bonsall, Daniel Hunt, Alberto Puig, Jeremy B Richards, Liyang Yu, Jakob I McSparron, Nainesh Shah, Jonathan Weissler, Eli M Miloslavsky
BACKGROUND: Medicine subspecialty consultation is becoming increasingly important in inpatient medicine. OBJECTIVE: We conducted a survey study in which we examined hospitalist practices and attitudes regarding medicine subspecialty consultation. DESIGN AND SETTING: The survey instrument was developed by the authors based on prior literature and administered online anonymously to hospitalists at 4 academic medical centers in the United States...
November 22, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29186211/hospital-administrators-perspectives-on-physician-engagement-a-qualitative-study
#19
Seppo T Rinne, Timo J Rinne, Kristine Olsen, Renda Soylemez Wiener, Thomas J Balcezak, Will Dardani, Rani Elwy
BACKGROUND: HASH(0x342ef20) OBJECTIVE: HASH(0x34050d8) DESIGN, SETTING, PATIENTS: HASH(0x3951978) INTERVENTION: HASH(0x3466f70) MEASUREMENTS: HASH(0x3a112e0) CONCLUSIONS: HASH(0x3945d28)
November 22, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29186210/when-reducing-low-value-care-in-hospital-medicine-saves-money-who-benefits
#20
Joshua M Liao, Amol S Navathe, Marilyn M Schapira, Arlene Weissman, Nandita Mitra, David A Asch
One emerging policy solution for deterring low-value care is to financially penalize physicians who prescribe it. However, physicians' willingness to support such policies may depend on whether they perceive that benefits accrue to patients or to insurers and hospitals. We surveyed physicians practicing hospital medicine to evaluate the association between policy support and physician beliefs about who benefits from the money saved through reducing low-value services in hospital medicine. Overall, physicians believed that more of any money saved would go to profits and leadership salaries for insurance companies and hospitals and/or health systems rather than to patients...
November 22, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
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