Journal of hospital medicine最新文献

{"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":"Our purpose, our voice: Navigating uncertain times","authors":"Samir S. Shah MD, MSCE, MHM","doi":"10.1002/jhm.70024","DOIUrl":"10.1002/jhm.70024","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 4","pages":"331-332"},"PeriodicalIF":2.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545445","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":"Real-time symptom monitoring using electronic patient-reported outcomes: A prospective study protocol to improve safety during care transitions for patients with multiple chronic conditions","authors":"Savanna Plombon BS, MPH,&nbsp;Robert S. Rudin PhD,&nbsp;Jorge Rodriguez MD, MPH,&nbsp;Pamela Garabedian MS,&nbsp;Stuart Lipsitz PhD,&nbsp;Maria Edelen PhD,&nbsp;Marie Leeson BS,&nbsp;Madeline Smith BS, MPH,&nbsp;Kaitlyn Konieczny BS,&nbsp;Anuj K. Dalal MD","doi":"10.1002/jhm.70013","DOIUrl":"10.1002/jhm.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adverse events (AEs) during transitions from hospitals to ambulatory settings occur in 19%–28% of cases, posing a significant threat to patient safety. Early screening for worrisome symptoms and deterioration in overall health is critical for older adult patients with multiple chronic conditions (MCCs). Clinically integrated apps that remotely monitor symptoms and collect patient-reported outcomes (PROs) can predict AEs when combined with electronic health record (EHR) data. This innovative intervention may enable more timely detection, escalation, and mitigation of harm from AEs for patients with MCCs during transitions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This remote monitoring intervention leverages evidence-based frameworks for care transitions and health technologies. We will develop and validate a prediction model of postdischarge AEs using validated symptoms, PRO questionnaires, and EHR data. Existing digital infrastructure will be adapted to facilitate remote monitoring. We will employ a user-centered approach to identify patient and clinician requirements to guide the design and development of our intervention. Interoperable data exchange standards and application programming interfaces will be utilized to integrate the intervention with vendor EHRs and patient portals. A randomized controlled trial will be conducted to compare the effect of our intervention versus usual care on postdischarge AEs in MCC patients transitioning from the hospital. A mixed-methods evaluation will be performed to generate best practices for disseminating this intervention at institutions with different EHRs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>A patient-centric, digitally enabled surveillance strategy that monitors symptoms and electronic PROs, educates patients about risks, and ensures communication with clinicians has the potential to transform care for patients with MCCs during transitions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 5","pages":"534-543"},"PeriodicalIF":2.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434749","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":"Medical debt in America part I: High prices, few protections","authors":"Blake N. Shultz MD, JD,&nbsp;Ahmed M. Ahmed MD, MPP, MSc,&nbsp;Luke Messac MD, PhD","doi":"10.1002/jhm.70001","DOIUrl":"10.1002/jhm.70001","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 5","pages":"521-523"},"PeriodicalIF":2.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412088","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":"Preparing for the unthinkable: The resurgence of vaccine-preventable diseases","authors":"Samir S. Shah MD, MSCE, MHM,&nbsp;Erin E. Shaughnessy MD, MSHCM,&nbsp;Benjamin Kinnear MD, MEd","doi":"10.1002/jhm.13589","DOIUrl":"10.1002/jhm.13589","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 4","pages":"333-334"},"PeriodicalIF":2.4,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13589","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967668","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":"Factoring neighborhood context into readmission risk: An outstanding question for health systems and policymakers","authors":"Anna Morenz MD, MPH,&nbsp;Joshua M. Liao MD, MSc","doi":"10.1002/jhm.13587","DOIUrl":"10.1002/jhm.13587","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 5","pages":"532-533"},"PeriodicalIF":2.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960664","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":"Effect of neighborhood socioeconomic disadvantage on 30-day readmissions: A systematic review","authors":"Lindsey Garrett MA,&nbsp;Adil Muhammad MPH,&nbsp;Ambar Kulshreshtha MD, PhD","doi":"10.1002/jhm.13581","DOIUrl":"10.1002/jhm.13581","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The area deprivation index (ADI) is a measure of neighborhood disadvantage. It uses census-level information to quantify a person's neighborhood deprivation level based on their address. Recent studies have used ADI to examine the relationship between a patient's address and various health outcomes, including 30-day readmissions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review was conducted to determine the effect of ADI on 30-day readmissions for both medical and surgical conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a comprehensive literature search in scientific databases, including PubMed, Embase, Web of Science, and SCOPUS from 2013 to 2024. Our search included terms related to ADI and 30-day readmissions in adult populations in the United States. Studies were included if they utilized ADI as their primary exposure and examined the risk of readmissions within 30 days as an outcome. Two reviewers independently extracted the data and assessed quality and biases in the studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 66 papers found through database search, 23 (35%) were included. These studies focused on conditions such as cardiac, diabetic, neurological, and pulmonary diseases, as well as postsurgical and septic patients, with three studies examining all patients in general. When examining the highest level of ADI, 15 (65%) studies (6 of which focused on postsurgical patients) found that high ADI (most disadvantaged) is significantly associated with 30-day readmissions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Living in a high ADI area moderately impacts 30-day readmissions, particularly for patients who have undergone surgery or have undifferentiated problems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 5","pages":"489-504"},"PeriodicalIF":2.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901470","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":"Please","authors":"Sydney Katz MD","doi":"10.1002/jhm.13580","DOIUrl":"10.1002/jhm.13580","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 5","pages":"544-545"},"PeriodicalIF":2.4,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873682","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":"Benefit of using an assistive listening device in a hospital setting","authors":"Marissa Merrifield BS,&nbsp;Sharon A. Brangman MD,&nbsp;Toni Pacioles MD,&nbsp;Karen A. Doherty PhD","doi":"10.1002/jhm.13573","DOIUrl":"10.1002/jhm.13573","url":null,"abstract":"<p>High levels of noise in hospital settings can make communication difficult, especially for older adults. Assistive Listening Devices (ALDs) are personal amplifiers that can improve hearing in background noise. This study investigated the impact of providing ALDs to hospitalized patients 60 years of age and older without using hearing screenings to determine eligibility. Results indicated that 96% of the patients reported that ALD was easy to use and 88% found it helpful. The ALD was used to communicate with family, hospital staff, and physicians. This suggests ALDs can be distributed to patients 60 years and older without any hearing screenings.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 4","pages":"424-429"},"PeriodicalIF":2.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857402","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":"Waiting to be seen: Understanding the experience of waiting in hospital settings through a patient-created digital story","authors":"Michael Lang PhD,&nbsp;Daniel Piller,&nbsp;Christopher Roach BSc","doi":"10.1002/jhm.13566","DOIUrl":"10.1002/jhm.13566","url":null,"abstract":"&lt;p&gt;Few healthcare experiences are as ubiquitous as waiting. Conversations at any social gathering will unearth stories of wait times and waiting rooms, waiting for referrals, appointments, test results, treatments, or medications. A common quip in patient advocacy circles is that the experience of waiting is why “people” become “patients” when they interact with the healthcare system.* After an accident at the age of 20 led to quadriplegia, Daniel is “good at waiting” as a recurrent user of the acute care system. His years of lived experience provided extensive material to draw upon as he created a short-film titled, &lt;i&gt;Waiting to be Seen&lt;/i&gt;, on which this interpretive article is based (Click Here to View).&lt;/p&gt;&lt;p&gt;In Canada, provincial healthcare systems across the country are infamous for their time-to-treatment metrics, with surgery and emergency department (ED) wait times being challenges in acute care.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; As a result, improving patient flow in hospital contexts is a focus of many quality improvement (QI) initiatives, including the “Know Your Data” Physician Audit and Feedback pilot project with Alberta Health Services. Audit and feedback (AF) is a method of providing performance data to physicians to help them translate knowledge into practice&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; and this particular initiative aimed to help hospitalists and internal medicine physicians understand their practices using operational data.&lt;/p&gt;&lt;p&gt;Led by the Hospital Medicine Section of the Medicine Strategic Clinical Network, the pilot project used physician AF literature&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; and internal data and analytics to provide individual and service-level data to physicians and highlight data availability in the new province-wide Clinical Information System, called Connect Care. Data provision (e.g., acute length of stay:expected length of stay ratio, readmission rates, etc.) was coupled with QI approaches to cultivate change at the individual physician level, through self-reflection on their own data, and by reviewing data at an aggregated level in facilitated physician group discussions. It was noted during the initial phase of this project that these group conversations lacked context, specifically, the impact that patient flow had on the lives of patients and their families. In other words, &lt;i&gt;why did the numbers matter&lt;/i&gt;? It was clear that lived experiences were needed to contextualize the AF group conversations, and five patient advisors were recruited to create their own short-film, called a Digital Story, about their acute care encounters. The remainder of this interpretive article will explore three ideas that emerge from the story Daniel created for the Know Your Data project.&lt;/p&gt;&lt;p&gt;The imagery emphasizes these words with a slowly dissolving image of Daniel in his wheelchair that reappears as the doctor apologizes and Daniel “feels seen.” By admitting a mistake and accepting responsibility, the ED physician demonstrated that he un","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 4","pages":"430-432"},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.13566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788183","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}