Journal of hospital medicine最新文献

{"title":"Co-occurrence of five chemotherapy induced nail findings","authors":"Rony Moon BA, MS,&nbsp;Emma Zeng MD,&nbsp;Richard Brach MD,&nbsp;Michael E. Lazarus MD, FACP, FRCP","doi":"10.1002/jhm.70149","DOIUrl":"10.1002/jhm.70149","url":null,"abstract":"<p>A 58-year-old man with acute myeloid leukemia developed five distinct new fingernail changes after chemotherapy. These include onycholysis, palpable transverse depressions across his fingernails, diffuse melanonychia, transverse, nonblanching white bands, and thin white transverse lines all caused by his chemotherapy regimen. It is uncommon to find all five of these physical exam findings simultaneously. We describe the underlying pathophysiology for hospital-based clinicians and highlight their transient course.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1149-1150"},"PeriodicalIF":2.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meningitis mirage","authors":"Ren Kawamura MD, PhD,&nbsp;Takafumi Suzuki MD,&nbsp;Hadzki Matsuda MD, PhD,&nbsp;Kazuyuki Ishida MD, PhD,&nbsp;Andrew A. White MD,&nbsp;Taro Shimizu MD, PhD, MSc, MPH, MBA","doi":"10.1002/jhm.70134","DOIUrl":"10.1002/jhm.70134","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1112-1117"},"PeriodicalIF":2.3,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalist time and motion studies: Moving from descriptive to predictive","authors":"Justin Porter MD, MPP","doi":"10.1002/jhm.70125","DOIUrl":"10.1002/jhm.70125","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1138-1139"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial for manuscript “Defusing disruption: A rapid qualitative analysis examining hospitalist experiences navigating behavioral escalation events”","authors":"Lisa J. Rosenthal MD,&nbsp;Rachel Cyrus MD,&nbsp;Leigh Berman MD","doi":"10.1002/jhm.70130","DOIUrl":"10.1002/jhm.70130","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"1030-1031"},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herpes zoster ophthalmicus with dependent contralateral edema","authors":"Tyler B. Larsen MD, FACP","doi":"10.1002/jhm.70124","DOIUrl":"10.1002/jhm.70124","url":null,"abstract":"<p>A 72-year-old man with multiple myeloma presented with an acute, progressive, exquisitely painful vesicular rash on his left face (Figure 1). Intravenous acyclovir was started to treat herpes zoster ophthalmicus. The following day, new periorbital edema was noted around his right eye (Figure 2). No other vesicles or rash were observed to suggest disseminated herpes zoster. After serial ophthalmologic evaluations, the right-sided periorbital edema was determined to be dependent edema from the patient positioning himself exclusively on his right side due to the allodynia he felt on the left side of his face. The edema resolved spontaneously by changing sleeping position (Figure 3).</p><p>Herpes zoster ophthalmicus (HZO) results from reactivation of the varicella zoster virus in the ophthalmic (V1) branch of cranial nerve V. As cranial nerve V innervates the cornea, HZO can lead to sight-threatening keratitis, uveitis, or retinal necrosis. Vesicular lesions on the tip or side of the nose, known as “Hutchinson's sign,” indicate nasociliary branch involvement and predict a higher risk of ocular complications.<span>¹</span> HZO constitutes an ophthalmologic emergency that requires close evaluation by ophthalmology. Although the vesicular lesions of herpes zoster remain confined to a dermatomal distribution, the inflammation-associated edema can freely cross fascial planes. Acute periorbital edema in the contralateral eye should raise concern for disseminated disease, preseptal cellulitis due to bacterial superinfection, or acute angioedema. These diagnoses were considered however the clinical picture combined with the rapid onset and resolution in this case supported a benign, positional cause.</p><p>The author declares no conflicts of interest.</p><p>The images featured in this manuscript were obtained and published with written informed consent of the patient.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1147-1148"},"PeriodicalIF":2.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://shmpublications.onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A salty revelation","authors":"James M. McCluskey III, MD, MPH,&nbsp;Whitney L. Bossert MD,&nbsp;Keri T. Holmes-Maybank MD, MSCR, SFHM,&nbsp;Andrew P. J. Olson MD, SFHM, FACP, FAAP","doi":"10.1002/jhm.70122","DOIUrl":"10.1002/jhm.70122","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"1005-1008"},"PeriodicalIF":2.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defusing disruption: A rapid qualitative analysis examining hospitalist experiences navigating behavioral escalation events","authors":"Courtney Enix MD,&nbsp;Angela Keniston PhD, MSPH,&nbsp;Ashley Jenkins MD, MSc,&nbsp;Claire Westcott PA,&nbsp;Kristin Furfari MD,&nbsp;Sneha Daya MD,&nbsp;Jeffrey L. Schnipper MD, MPH,&nbsp;Andrew Auerbach MD, MPH,&nbsp;Katie E. Raffel MD","doi":"10.1002/jhm.70121","DOIUrl":"10.1002/jhm.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Behavioral escalation events have become commonplace in the acute care setting. Disruptive patient behaviors contribute to workplace injuries and can compromise patient care and safety. Despite frequently encountering behavioral escalation, limited research exists on hospitalists' practices and perspectives when addressing disruptive behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore hospitalists' experiences and perspectives when navigating behavioral escalation events in adult acute care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a rapid qualitative study on February 10, 2023, with four semi-structured virtual focus groups involving 27 hospital medicine participants across 19 US hospitals via the Hospital Medicine Reengineering Network (HOMERuN). Discussions examined hospitalist experiences with behavioral escalation and perspectives on response strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our rapid qualitative study identified four key themes. (1) Many hospitals lack strategies to identify patients or situations at risk of behavioral escalation. (2) Interdisciplinary collaboration is considered essential, yet dedicated response teams are often unavailable. (3) Lack of standardized approaches to disruptive behaviors and inadequate hospitalist training in de-escalation may lead to varied responses. (4) Limited proactive measures to anticipate escalation and inconsistent use of EHR behavioral alerts may unintentionally stigmatize patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Behavioral escalation events in the acute care setting pose significant risks to patient and staff safety while disrupting healthcare delivery. Participants highlighted limited strategies to anticipate behavioral escalation, inconsistent interdisciplinary team response structures, and minimal opportunity for debriefing or event review. Focus groups emphasized the need for systems that support team-based de-escalation training and incorporate bias and equity considerations into behavioral response practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"963-970"},"PeriodicalIF":2.3,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collaborative development of a rules-based electronic health record algorithm for Hospital-at-Home eligibility","authors":"Tsai-Ling Liu PhD,&nbsp;Timothy C. Hetherington MS,&nbsp;Marc Kowalkowski PhD,&nbsp;Marvin E. Knight MD,&nbsp;Jamayla Culpepper MD, MPH,&nbsp;Andrew McWilliams MD, MPH,&nbsp;Shih-Hsiung Chou PhD,&nbsp;McKenzie Isreal MPH,&nbsp;Stephanie Murphy DO","doi":"10.1002/jhm.70107","DOIUrl":"10.1002/jhm.70107","url":null,"abstract":"<p>Identifying appropriate patients for hospital at Home (HaH) is challenged by the extensive inpatient population, the dynamic nature of hospitalizations, and the eligibility window for entry into the care model. This study presents the development of a rules-based algorithm (RBA) leveraging electronic health record (EHR) data to improve HaH patient identification, which is crucial for efficient HaH operations. RBA adjustments incorporated clinician feedback to align analytics resources and enhance clinical workflows. Our study highlights the importance of interdisciplinary collaboration and the potential for analytics to optimize efficiency for emerging care models.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1140-1144"},"PeriodicalIF":2.3,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Point-counterpoint: Adult patients in children's hospitals","authors":"Meg Groom MD,&nbsp;Ruchi Doshi MD,&nbsp;Rachel Peterson MD,&nbsp;Ashley Jenkins MD","doi":"10.1002/jhm.70113","DOIUrl":"10.1002/jhm.70113","url":null,"abstract":"<p>Adults continue to be admitted to children's hospitals for a variety of reasons. But should they? Transfer from the pediatric to adult hospital setting is the standard of high-quality care for any young adult. Adult hospitalists are equipped to care for these patients. Transferring these patients to the adult model of care may not be as seamless as we would hope for. Pediatric to adult healtcare transition helps promote equitable care and addresses the growing scarcity of pediatric beds. Providers working in pediatric settings caring for adolescents and young adults must work help their patients succeed in executing and completing timely transfer into adult hospital models of care, collaborating with others and building supports for transition along the way.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1130-1135"},"PeriodicalIF":2.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://shmpublications.onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leadership & professional development: Faculty awards: Intentional pursuit, collective recognition","authors":"Sanjay Mahant MD, MSc,&nbsp;Annie Huang MD, PhD","doi":"10.1002/jhm.70110","DOIUrl":"10.1002/jhm.70110","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1092-1093"},"PeriodicalIF":2.3,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}