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":"Hospitalist time-motion studies: A systematic review","authors":"Samuel Porter MD,&nbsp;Michelle Knees DO,&nbsp;Laura Meimari MD,&nbsp;Christi Piper MLIS, AHIP,&nbsp;Mark Kissler MD","doi":"10.1002/jhm.70092","DOIUrl":"10.1002/jhm.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospitalist workflows have evolved significantly, yet optimal workflows and workloads remain ill-defined. Time and motion studies (TMSs) offer insights into hospitalist activities but face methodological challenges, including variability and lack of standardization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>We aimed to systematically review TMSs of hospitalist workflows, assess trends in direct and indirect patient care, and develop a novel quality assessment tool for evaluating TMS studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a comprehensive search of Ovid MEDLINE (1946–October 2024), Embase (1947–October 2024), and Web of Science (1974–October 2024) in August 2023 and updated October 7, 2024. We included studies that employed observational or quantitative TMS methods focused on attending hospitalists in US general adult inpatient settings and reported the proportion of time spent in direct and indirect patient care. We assessed study quality using a quality assessment tool adapted from the Newcastle-Ottawa scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven studies met the inclusion criteria. Direct patient care accounted for a mean of 18% (range: 13%–25%) of observed time. We identified high variability in study quality, with scores ranging from 2 to 5 out of eight stars. Significant study variability precluded statistical analysis of trends, though a narrative synthesis was possible. Few studies represented diverse settings or shifts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review utilizes a novel quality assessment tool and highlights the need for standardized TMS methodologies to enable longitudinal comparisons and more accurate assessments of hospitalist workflows. Future studies should integrate validated tools, consider multitasking, and explore emerging metrics beyond productivity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1099-1107"},"PeriodicalIF":2.3,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277074","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":"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":2.3,"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":"Is secure messaging an effective tool for inpatient communication?","authors":"Michelle Knees DO,&nbsp;Sarah J. Flynn MD, MPhil,&nbsp;Esther Y. Hsiang MD, MBA,&nbsp;Alan A. Kubey MD, FACP","doi":"10.1002/jhm.70090","DOIUrl":"10.1002/jhm.70090","url":null,"abstract":"<p>Secure messaging platforms were designed to optimize healthcare communication by providing asynchronous, bidirectional, Health Insurance Portability and Accountability Act-compliant text messaging options. Proponents argue that these platforms streamline workflows, foster coordination across multidisciplinary teams, and improve patient safety. However, critics highlight their potential to disrupt workflows through overwhelming message volumes and task interruptions, increased risk for miscommunication, and possible detrimental impacts on patient care. While secure messaging shows promise for modernizing hospital communication, it requires institutional guidelines and thoughtful use to mitigate inefficiencies and risks.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"1022-1027"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176172","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: Phenobarbital in the treatment of alcohol withdrawal syndrome","authors":"Thad E. Abrams MD,&nbsp;Matthew V. Ronan MD","doi":"10.1002/jhm.70088","DOIUrl":"10.1002/jhm.70088","url":null,"abstract":"<p>Alcohol withdrawal syndrome (AWS) is a common condition experienced by hospitalized patients. Practice patterns have evolved over time to include the use of phenobarbital, a barbiturate, as an adjunct to benzodiazepines or as an alternative monotherapy. The American Society of Addiction Medicine (ASAM) has recommended the use of phenobarbital in the management of AWS in certain clinical contexts. The current evidence base for the use of phenobarbital in AWS remains limited, though sufficient to demonstrate safety and efficacy as an alternative to benzodiazepines.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1094-1098"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180493","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 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":"The influence of intergenerational trauma in families of Chinese descent on perceptions of microaggressions","authors":"Lucy Cheng,&nbsp;Sonya Tang Girdwood MD, PhD","doi":"10.1002/jhm.70081","DOIUrl":"10.1002/jhm.70081","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1127-1129"},"PeriodicalIF":2.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145270","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":"Novel screening intervention to address food insecurity in hospitalized children","authors":"Ariel Carpenter MD,&nbsp;Adolfo Molina MD, MSHQS,&nbsp;Mary Orr MD, MPH, DTMH,&nbsp;Cassi Smola MD,&nbsp;Samantha Hanna MD,&nbsp;Chang L. Wu MD, MSCR,&nbsp;Dana Woodruff MPH,&nbsp;Cindy Deerman LCSW,&nbsp;Erin E. Shaughnessy MD, MSHCM","doi":"10.1002/jhm.70079","DOIUrl":"10.1002/jhm.70079","url":null,"abstract":"<p>Despite efforts to standardize and optimize screening of hospitalized children for food insecurity, rates of identified food insecurity (4.1%) remained far below the known community rate (18.3%–23.3%). We aimed to improve identification of food insecure families through a novel screening method, utilizing a nonclinical screener at a time uncoupled from admission. The positive food insecurity rate resulting from this screen closely approximated the community rate (18.1%). In addition, the novel screening method better identified Spanish speaking and Latino/Hispanic families with food insecurity, highlighting a disparity in the standard screening process.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"1032-1036"},"PeriodicalIF":2.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://shmpublications.onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145268","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 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":"Code status discussions with families of children with medically complexity need to happen sooner","authors":"Lauren Agoratus MA","doi":"10.1002/jhm.70075","DOIUrl":"10.1002/jhm.70075","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1136-1137"},"PeriodicalIF":2.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096406","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}