Journal of hospital medicine最新文献

{"title":"Association of area poverty level and performance of an electronic medical record tool in predicting 6-month mortality in hospitalized patients with cancer","authors":"Matthew P. Landler MD,&nbsp;Elaine R. Cohen MEd,&nbsp;Diane B. Wayne MD,&nbsp;Dinee C. Simpson MD,&nbsp;Joe Feinglass PhD,&nbsp;Nita S. Kulkarni MD","doi":"10.1002/jhm.70279","DOIUrl":"10.1002/jhm.70279","url":null,"abstract":"<p>Disparities in risk and access to care can lead to a greater incidence of cancer, higher stage at diagnosis, and more frequent cancer-related deaths in communities with high poverty levels. Risk prediction tools that do not take into consideration social determinants of health may underestimate mortality in these populations. We sought to determine whether an association exists between poverty and the ability of the end-of-life index (EOLI) to predict 6-month mortality in hospitalized patients with cancer. Using a sample of 802 patients admitted to oncology in an urban hospital over a 6-month period, we categorized patients according to the percentage of families living at or below the federal poverty line in their zone improvement plan codes. We applied an EOLI score of ≥40 as an indicator of higher risk of 6-month mortality. We found that the EOLI score remained equally predictive of mortality across area poverty level groups. This finding suggests that the score can be used broadly as a screening tool to predict mortality risk in hospitalized patients with cancer.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 6","pages":"650-654"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146128039","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":"Lost to follow-up","authors":"Nicole Damari MD, MS","doi":"10.1002/jhm.70315","DOIUrl":"10.1002/jhm.70315","url":null,"abstract":"<p>Many physician civic engagement efforts have effectively and appropriately focused on improving physician voter registration and turnout. As we see improvement in these areas for physicians, it is critical not to lose sight of the importance of continued civic engagement, even between elections. Just as we would not discharge a patient without a follow-up plan for continued management, we must consider our vote an initial intervention that requires continued monitoring.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 6","pages":"681-682"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70315","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640970","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":"Grounded by design","authors":"Samir S. Shah MD, MSCE","doi":"10.1002/jhm.70333","DOIUrl":"10.1002/jhm.70333","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":"21 6","pages":"603-604"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793337","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":"Abnormal sleep during acute illness: Therapeutic opportunity or allostatic phenomenon","authors":"Matthew B. Maas MD, MS","doi":"10.1002/jhm.70246","DOIUrl":"10.1002/jhm.70246","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 6","pages":"687-688"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812575","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":"Learning & professional development: Two is better than one: The dyad leadership model","authors":"Anne M. Polick MD,&nbsp;Adam E. Mikolajczyk MD","doi":"10.1002/jhm.70282","DOIUrl":"10.1002/jhm.70282","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 6","pages":"655-656"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159776","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":"Why are we dropping the ball on treating alcohol use disorder in the hospital?","authors":"Rahul B. Ganatra MD, MPH,&nbsp;Matthew V. Ronan MD","doi":"10.1002/jhm.70202","DOIUrl":"10.1002/jhm.70202","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 5","pages":"577-578"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145338432","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":"Things We Do For No Reason™: Low salt diets for patients with acute heart failure","authors":"Jessica Donato MD,&nbsp;Christopher Whinney MD,&nbsp;Anthony C. Breu MD","doi":"10.1002/jhm.70278","DOIUrl":"10.1002/jhm.70278","url":null,"abstract":"<p>Low salt diets are a common practice in the management of acute heart failure (HF), founded in classical pathophysiologic teaching related to neurohormonal alterations and associated sodium and fluid avidity in HF. However, trials comparing dietary salt restriction in patients hospitalized with acute HF showed no improvement in outcomes for those randomized to lower salt targets. Outpatient HF data also fails to show a reduction in HF admissions and mortality with salt restrictions. Routine use of dietary salt restrictions, especially those that are stringent, should be avoided to improve patient outcomes and experience.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 5","pages":"549-552"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121042","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":"Communicating what matters","authors":"Samir S. Shah MD, MSCE, MHM","doi":"10.1002/jhm.70179","DOIUrl":"10.1002/jhm.70179","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":"21 5","pages":"475-476"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194198","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":"What′s the right spectrum? Rethinking antibiotic treatment strategies in nursing and healthcare-associated pneumonia","authors":"Michael Osnard MD, MS, MPH,&nbsp;Priya A. Prasad PhD, MPH","doi":"10.1002/jhm.70196","DOIUrl":"10.1002/jhm.70196","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 5","pages":"575-576"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254079","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":"Decision fatigue in hospital medicine: A retrospective exploratory evaluation","authors":"Rachel M. Kruer PharmD, MPH, BCCCP, FCCM,&nbsp;LaKeisha Boyd MS,&nbsp;Lauren Czosnowski PharmD,&nbsp;Sarah Jones PA-C,&nbsp;Kelsey Perry MD,&nbsp;Thomas J. Streepey BS,&nbsp;Areeba Kara MD, MS","doi":"10.1002/jhm.70216","DOIUrl":"10.1002/jhm.70216","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>“Decision fatigue” (DF) is the deterioration in decision-making ability stemming from repeated decision making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Explore DF over the clinical workblock and across hospitalist and work characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients seen by hospitalists at two hospitals in January and February 2022 were retrospectively evaluated for events that may reflect DF. Events were selected through multistakeholder discussion (prescription of pharmacologically antagonistic medications, occurrence of hypoglycemia, and potential overuse of blood transfusions, imaging, and penicillin alternatives). For each date, schedules determined the number of days each hospitalist had been on service and charges submitted assessed census and physician familiarity with their team. Charges and ordering data guided event attribution. The primary predictor was the number of days on service, and the outcome was event occurrence. Secondary predictors included hospitalist gender, weekend versus weekday, census, site, and degree of familiarity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the study, 43 hospitalists worked 1306 days over 204 working blocks, providing care to 2081 patients over 3122 encounters. Median daily census was 13, median number of consecutive days worked was seven. DF events were not associated with the primary or secondary predictors except census. In the multivariable model, each one unit increase in the number of patients was associated with event occurrence (odds ratio [OR]: 1.107, 95% confidence interval [CI]: 1.022–1.198, <i>p</i> = .01). The odds of an event were 1.58 times greater at workloads above the median of 13 patients, compared with workloads ≤13. (<i>p</i> = .002).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>DF was not detected with an increasing number of days on clinical service. The findings highlight how workloads may threaten care quality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 5","pages":"506-511"},"PeriodicalIF":2.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395894","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}