Journal of hospital medicine最新文献

{"title":"Aspiration pneumonia highlighted on a barium swallow study","authors":"Sonieya Nagarajah MD, MMI,&nbsp;Elissa Greco MSLP,&nbsp;Peter E. Wu MD, MSc, FRCPC","doi":"10.1002/jhm.70077","DOIUrl":"10.1002/jhm.70077","url":null,"abstract":"<p>Sonieya Nagarajah and Peter E. Wu conceptualized the manuscript and contributed to the collection of data and figures, as well as the writing of the first draft of the manuscript. All authors reviewed and revised the manuscript and approved of its final version. All authors participated in the care of this patient.</p><p>The authors declare no conflict of interest.</p><p>The authors have obtained informed, written consent.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"912-913"},"PeriodicalIF":2.3,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304110","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":"Rebuilding trust in public health and medicine in a time of declining trust in science","authors":"Marianne Udow-Phillips MHSA,&nbsp;Joe Smyser PhD, MSPH,&nbsp;Natasha Bagdasarian MD, MPH","doi":"10.1002/jhm.70086","DOIUrl":"10.1002/jhm.70086","url":null,"abstract":"<p>Trust in public health and medical practitioners has declined since COVID-19. Throughout the COVID-19 pandemic, poor communication by medical and public health professionals coincident with the rise of social media enabled unverified, often erroneous information to spread quickly and widely. Providing accurate, fact-based information is imperative to save lives and promote health. Using a robust, evidence-based approach to tracking the spread of information and partnering with trusted messengers, states can take a leadership role in combatting misinformation and safeguarding the public's health.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 7","pages":"787-790"},"PeriodicalIF":2.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217955","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":"Clinical guideline highlight: Pediatric refractory constipation","authors":"Katherine Krause MD,&nbsp;Elizabeth Mertens MD","doi":"10.1002/jhm.70072","DOIUrl":"10.1002/jhm.70072","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"860-861"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183361","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":"Clinical progress note: Pertussis","authors":"Samantha Hanna MD, MPH,&nbsp;Nicole Samies DO","doi":"10.1002/jhm.70080","DOIUrl":"10.1002/jhm.70080","url":null,"abstract":"<p>Pertussis, commonly known as whooping cough, is a vaccine-preventable respiratory disease with rising incidence due to declining vaccination rates and waning immunity. The most severe disease course is seen in unvaccinated or incompletely vaccinated infants less than 2 months of age, accounting for the largest burden of hospitalization and death, but adolescents and adults play an important role in pertussis transmission and outbreaks. Prompt recognition and diagnosis remain critical for hospitalists in the management of pertussis disease and prevention.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"862-865"},"PeriodicalIF":2.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096403","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":"Improving promptness and quality of hospitalist-consultant interactions at an academic teaching hospital","authors":"John M. Cunningham MD, FHM, FACP,&nbsp;Robert Leverence MD, FACP,&nbsp;Nico Gotera DO, MPH,&nbsp;Phillip A. Minor MS,&nbsp;Nathan Sevigny BS,&nbsp;Ankur Segon MD, MPH, MEd, FACP, SFHM","doi":"10.1002/jhm.70047","DOIUrl":"10.1002/jhm.70047","url":null,"abstract":"<p>Communication between consulting and consultant services is essential to provide high-value care. We implemented a collaborative project between hospital medicine (HM), emergency medicine (EM), and departmental leadership of the major consulting services to provide feedback regarding consultant communication, promptness, and follow-up planning. We conducted pre- and postintervention surveys of HM and EM clinicians and measured the mean turnaround time (TAT) from consult order to consultant note completion. Perceptions of consultant promptness and follow-up communication improved postintervention. Mean TAT was significantly reduced postintervention (1098 vs. 1011 min, <i>p</i> = .002, confidence interval [CI]: 30.7–143.3). A collaborative approach using interdepartmental feedback improved perceptions of the quality of interactions with consulting services.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"903-907"},"PeriodicalIF":2.3,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000993","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":"Point-counterpoint: What is the best strategy for developing generative AI for hospital medicine?","authors":"Hannah Kerman MD,&nbsp;Andre Kumar MD, MAEd,&nbsp;Byron Crowe MD,&nbsp;William Collins MD","doi":"10.1002/jhm.70070","DOIUrl":"10.1002/jhm.70070","url":null,"abstract":"<p>Generative Artificial Intelligence (Gen AI) shows significant promise as a technology that could improve healthcare delivery, but its implementation will be influenced by the spheres in which it is studied and the limited resources of hospitals. The Point authors argue that we should focus on is the cognitive abilities of GenAI or we risk being left out of a technological leap that will change the way doctors practice. The Counterpoint argues that we should focus on using GenAI to ease system burdens and address workflow issues, focusing our efforts on fixing the problems that would improve doctors’ quality of life and increase time spent with patients.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"893-898"},"PeriodicalIF":2.3,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016040","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":"Abstract","authors":"","doi":"10.1002/jhm.70025","DOIUrl":"https://doi.org/10.1002/jhm.70025","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 S1","pages":"S1-S1051"},"PeriodicalIF":2.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861603","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":"Leadership & professional development: A TEAM sport: Dual-physician couples","authors":"Christopher Wynkoop MD, MS, FACP,&nbsp;Ann E. Perrin MD, MPH, FACP, FHM","doi":"10.1002/jhm.70057","DOIUrl":"10.1002/jhm.70057","url":null,"abstract":"<p>\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"858-859"},"PeriodicalIF":2.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061022","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":"Reducing hospital admission delay times using a structured, systematic, multi-disciplinary approach","authors":"Nathan Baskin MD,&nbsp;Kavon Javaherian MD, MBA,&nbsp;Josue Zapata MD, MBA,&nbsp;Robert Litwin HSS,&nbsp;Charlie M. Wray DO, MS","doi":"10.1002/jhm.70050","DOIUrl":"10.1002/jhm.70050","url":null,"abstract":"<p>A 6-month audit at the San Francisco VA Health Care System (October 2020 to March 2021) found a median admission delay of 207 min, higher than the national VA median of 146 min. A multi-disciplinary team found that factors contributing to this delay included unclear bed assignment processes, nursing handoff delays, and over-reliance on inpatient teams to initiate admission processes. After implementing three countermeasures—(1) bed assignment standardization, (2) nursing handoff improvement, and (3) skeletal admission orders—median admission delay decreased by 29.5%, from 207 to 145 min, over a 3-month period which has sustained since the changes were implemented.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 7","pages":"795-799"},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061349","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":"Diagnostic safety and quality optimization in sepsis study protocol","authors":"Sachita Shrestha MPH,&nbsp;Marc Kowalkowski PhD,&nbsp;Sarah Birken PhD,&nbsp;Jessica Palakshappa MD, MS,&nbsp;Jessie King MD, PhD,&nbsp;Chadwick Miller MD, MS,&nbsp;Jason Pogue PhD,&nbsp;Stephanie Taylor MD, MS","doi":"10.1002/jhm.70052","DOIUrl":"10.1002/jhm.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sepsis ranks among the “Big Three\" conditions most prone to harmful diagnostic errors. Despite its high prevalence and severity, health systems lack effective and contextually tailored strategies to optimize diagnostic accuracy for sepsis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The purpose of this study is to understand factors related to high sepsis diagnostic accuracy using principles and tools of safety and implementation science.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a multi-site study involving 20 hospitals across four states in the United States. The primary objectives are to (1) describe hospital-level variability and understand barriers and facilitators to sepsis diagnostic accuracy and (2) apply cross-case and coincidence analysis to determine minimally sufficient and necessary conditions for optimal sepsis diagnosis that minimizes under- and overtreatment. To identify barriers and facilitators of acute sepsis diagnosis, we will conduct electronic surveys and in-depth interviews with key informants from each hospital. We will use data from electronic health records (EHR) and data warehouses to operationalize sepsis diagnostic accuracy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We have enrolled 20 hospitals and begum data collection. The findings of this study will be used to develop a context-specific toolkit that guides the selection of feasible and important strategies to promote optimal sepsis diagnosis in diverse hospitals settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study uses tools and principles from safety and implementation science to generate first-of-its-kind evidence to improve diagnostic excellence in sepsis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 7","pages":"800-807"},"PeriodicalIF":2.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045416","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}