Journal of hospital medicine最新文献

{"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":2.3,"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":"A multi-institutional multi-methods analysis of jeopardy systems in academic hospital medicine","authors":"Kirsten N. Kangelaris MD, MAS,&nbsp;Angela Keniston PhD, MSPH,&nbsp;Andrew D. Auerbach MD, MPH,&nbsp;Gregory Bowling MD,&nbsp;Marisha Burden MD, MBA,&nbsp;Shradha A. Kulkarni MD,&nbsp;Luci K. Leykum MD, MBA, MSc,&nbsp;Anne S. Linker MD,&nbsp;Matthew Sakumoto MD,&nbsp;Jeffrey Schnipper MD, MPH,&nbsp;Gopi Astik MD, MS","doi":"10.1002/jhm.70045","DOIUrl":"10.1002/jhm.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospital medicine programs use backup (“jeopardy”) systems to cover unexpected staffing gaps, but little is known about their structures or optimal practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To describe jeopardy structures, assess clinician perceptions, and identify potential approaches across a broad sample of hospital medicine groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This multi-methods study, conducted within a national hospitalist consortium, used virtual focus groups and an email survey to (1) describe the presence and structure of jeopardy systems and (2) explore features perceived as fair, equitable, and tolerable. Rapid qualitative analysis identified major themes, while descriptive methods analyzed survey data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-five individuals participated in focus groups, and 26 completed the survey, representing 31 unique institutions. Participants were primarily physicians in academic hospital medicine groups. Three themes emerged: (1) jeopardy systems are widely used but vary in structure, activation criteria, and compensation, leading to inconsistencies in clinician experiences; (2) many clinicians report stress and dissatisfaction due to unpredictability, perceived inequities in assignment, and concerns about inappropriate use; and (3) strategies to improve fairness, equity and tolerability include structured scheduling, support for sick days, and compensation for the burden of jeopardy coverage. Survey data confirmed high variability in jeopardy systems across institutions. Common practices included jeopardy activation over redistributing patients and compensating clinicians for covered shifts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Jeopardy systems are essential for hospital medicine staffing but contribute to clinician dissatisfaction due to unpredictability and perceived inequities in coverage. Implementing deliberate scheduling, formalized support for absences, and equitable compensation models may reduce dissatisfaction and improve jeopardy system sustainability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"953-962"},"PeriodicalIF":2.3,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://shmpublications.onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050594","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: Secondary fracture prevention","authors":"Emily E. Waner MD, MPH,&nbsp;David Saxon MD, MSc,&nbsp;Heather E. Nye MD, PhD","doi":"10.1002/jhm.70062","DOIUrl":"10.1002/jhm.70062","url":null,"abstract":"<p>Osteoporosis is underdiagnosed and undertreated after fragility fractures. Hospitalists should be able to risk stratify osteoporosis severity to guide treatment decisions. Bisphosphonates remain the cornerstone of treatment. However, patients with the highest fracture risk may benefit from anabolic therapy before bisphosphonate use. Behavioral and environmental fall prevention measures also play a key role to prevent future fractures. Hospitalists are well-positioned to help address the gap in osteoporosis care—especially for patients who have already fractured and are at highest risk.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"983-987"},"PeriodicalIF":2.3,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052597","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":"Impact of an electronically-integrated clinical pathway on hospital initiation of medications for alcohol use disorder and subsequent hospital utilization","authors":"Kelsey O. Cole PA-C, MMSc,&nbsp;Melissa B. Weimer DO, MCR,&nbsp;Kaicheng Wang MD, MPH,&nbsp;David A. Fiellin MD,&nbsp;Anisha J. Advani MD,&nbsp;Nidhi Shah MD,&nbsp;Christopher T. Zemaitis PharmD, MBA, BCPS,&nbsp;Deborah J. Rhodes MD","doi":"10.1002/jhm.70049","DOIUrl":"10.1002/jhm.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Medications for alcohol use disorder (MAUD) are underutilized and multiple barriers and disparities in treatment initiation have been identified. Effective hospital-based strategies to promote MAUD use are not well-defined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine whether an electronic health record (EHR)-integrated clinical pathway increases MAUD initiation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a prospective observational cohort study with consecutive adult inpatients diagnosed with alcohol use disorder (AUD) and withdrawal requiring treatment who were admitted to a health system comprising a mix of community and tertiary academic medical centers. The impact of voluntary use of an AUD EHR-integrated clinical pathway on MAUD initiation (main outcome) and ED return or readmission for any cause within 30 days of discharge (secondary outcomes) was evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 2630 inpatient medicine encounters, the pathway was utilized in 17.8%. Pathway utilization was associated with 4.31 (confidence interval [CI]: 3.10–5.99, <i>p</i> &lt; .001) increased odds of MAUD initiation as compared with encounters without pathway utilization (31% vs. 15.4%). There were no differences in rates of 30-day ED returns (odds ratio [OR]: 0.76; 95% confidence interval [CI]: 0.35–1.62; <i>p</i> = .47) or 30-day readmissions (OR: 1.19; 95% CI: 0.80–1.76; <i>p</i> = .40) and no differences in MAUD initiation by race or ethnicity when the pathway was utilized versus not utilized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Relevance</h3>\u0000 \u0000 <p>Utilization of an EHR-integrated clinical pathway for individuals with AUD significantly increased MAUD initiation at hospital discharge. These findings support the use of an EHR-integrated clinical pathway as an implementation tool for overcoming barriers to MAUD initiation and may be a generalizable strategy for increasing low rates of MAUD prescribing for patients with AUD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1044-1051"},"PeriodicalIF":2.3,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015889","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":"Gaps in care delivery for patients with heart failure: A qualitative study of patients with multiple readmissions","authors":"Zara Latif MD,&nbsp;Tracy T. Makuvire MD, MPH,&nbsp;Shelli L. Feder PhD, APRN,&nbsp;A. Reshad Garan MD,&nbsp;Pablo Quintero Pinzon MD,&nbsp;Haider J. Warraich MD","doi":"10.1002/jhm.70051","DOIUrl":"10.1002/jhm.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite significant advances in the management of patients with heart failure with preserved and reduced ejection fraction (HFpEF and HFrEF), readmission rates remain high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>In this study, we sought to understand the experiences and gaps in care delivery among heart failure (HF) patients with multiple readmissions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a qualitative study using semistructured interviews with patients admitted with HF exacerbation and who had a prior admission for HF exacerbation within 1 year of the interview. We analyzed the interview contents using thematic analysis. Additionally, we reviewed the medical charts and collected information regarding patients' disease course and treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our study included 24 patients, 54% had HFrEF, and 46% had HFpEF. Two major themes emerged; the first theme was centered on hospital readmissions, which often uncovered gaps in communication and deficiencies in discharge education. Patients expressed frustration with recurrent admissions, identified communication challenges while inpatient, and highlighted the shortcomings of the current discharge education models. The second theme explored the ways in which fragmented understanding of HF as a result of gaps in effective care delivery impacted multiple domains of care spanning the spectrum from initial diagnosis to prognosis. The interviews highlighted important differences between patients with HFrEF and HFpEF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients with HF and recurrent admissions shared multiple gaps in care delivery with important differences noted between HFpEF and HFrEF patients. These findings can inform the design of future targeted interventions to ensure effective care delivery to a high-risk population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1052-1060"},"PeriodicalIF":2.3,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059341","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":"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":2.3,"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}

{"title":"Increasing timely code status discussions in hospitalized children with medical complexity","authors":"James Bowen MD,&nbsp;Laura Brower MD, MSc,&nbsp;Daniel Kadden MD,&nbsp;Jasmine Parker BS,&nbsp;Alexandra Delvalle BSN,&nbsp;Andrew Krueger MD,&nbsp;Kristin Todd MSW,&nbsp;Rachel Peterson MD","doi":"10.1002/jhm.70058","DOIUrl":"10.1002/jhm.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Children with medical complexity (CMC) have an increased risk of hospitalization and clinical deterioration. Documentation of code statuses concordant with family goals is rare, increasing the risk of serious unintended consequences. We aimed to increase the percentage of patients with documentation of timely code status orders (CSOs) from 5% to 80% over 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This quality improvement project took place at one freestanding children's hospital and included patients admitted to the complex care team (CCT). Multiple plan-do-study-act cycles were performed focusing on interventions aimed at key drivers, including increasing knowledge in performing code status discussions (CSDs) and improving understanding of institutional policies. A P-chart was used to track the effect of the interventions over time by using established rules for determining special cause. Clinical deterioration events occurring with active CSOs were evaluated by using a Fisher's exact test. Pediatric palliative care (PPC) consultation rates were tracked as a balancing measure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average percentage of patients who received a CSO placed in their chart within 72 h of admission to the CCT increased from 5% to 61% over 6 months. Rates of CSO placement before clinical deterioration events improved from 9% to 44% (<i>p</i> = 0.04) and rates of patients who received PPC consultation remained stable (1% of patients to 5%, <i>p</i> = 0.16).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Interventions targeting knowledge in performing CSDs and multidisciplinary stakeholder engagement improved rates of code status discussions on the CCT. Further study is needed to evaluate these interventions in other practice settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1070-1078"},"PeriodicalIF":2.3,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065512","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: Time poverty: The plague of 21st century medicine","authors":"Sherine Salib MD, MRCP, FACP","doi":"10.1002/jhm.70060","DOIUrl":"10.1002/jhm.70060","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 9","pages":"981-982"},"PeriodicalIF":2.3,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016039","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":"Pediatric hospital medicine fellow expectations for postgraduate employment","authors":"Daniel Herchline MD, MSEd,&nbsp;Jennifer A. Hoefert MD,&nbsp;Deanna Chieco MD, EdM,&nbsp;Adam Cohen MD, MEd,&nbsp;Martha J. Elster MD,&nbsp;Eleanor Sharp MD, MS,&nbsp;Jennifer Maniscalco MD, MPH, MAcM","doi":"10.1002/jhm.70054","DOIUrl":"10.1002/jhm.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pediatric Hospital Medicine (PHM) has a rapidly changing landscape following subspecialty certification in 2016. As the field continues to evolve, so does the role of fellowship training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The goal of this study was to characterize postgraduate expectations of current PHM fellows to contribute to the understanding of PHM workforce dynamics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a constructivist approach, we employed a cross-sectional survey method with both multiple-choice and free-text questions to study PHM fellows’ perspectives regarding posttraining employment and motivations for pursuing fellowship. We used multiple listservs to recruit current PHM fellows for participation. We analyzed survey data using descriptive statistics and free-text responses using conventional inductive content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 119 PHM fellows (response rate 61%) completed the survey. Most participants anticipated higher starting salaries, more protected time and leadership opportunities, and more efficient career advancement because of PHM fellowship training. Additionally, participants noted several modifiable factors influencing their postgraduate employment considerations which included workplace culture and lifestyle considerations. Participants reported various motivations for pursuing PHM fellowship training, including future job security and career flexibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite different reasons for pursuing additional training, the majority of PHM fellows in our study believe that fellowship training should result in increased compensation, resources, and career opportunities than if they had not completed fellowship training. These findings have implications for counseling trainees interested in PHM and for the PHM workforce.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1061-1069"},"PeriodicalIF":2.3,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061026","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: Haemophilus influenzae type b","authors":"Anne Ewing MD,&nbsp;Sydney Haldeman MPH,&nbsp;Adam J. Ratner MD, MPH","doi":"10.1002/jhm.70059","DOIUrl":"10.1002/jhm.70059","url":null,"abstract":"<p>Vaccine-preventable diseases that have yet to be eliminated are important to review for the practicing clinician. <i>Haemophilus influenzae</i> type b (Hib) was once the leading cause of bacterial meningitis in young children and now causes rare invasive disease in young children and the elderly. Patients with immunodeficiency and impaired complement response to encapsulated organisms (e.g., sickle cell disease; asplenia) are at particular risk of invasive Hib disease. Recognition of a potential case, prompt management and reporting, and inpatient vaccine administration and education are crucial actions for hospitalists in the management of Hib disease and prevention.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 6","pages":"603-606"},"PeriodicalIF":2.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052594","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}