Journal of hospital medicine最新文献

{"title":"Leadership & professional development: The \"Yes, and\" leader: What improvisation teaches healthcare about adaptive leadership.","authors":"Mary Fredrickson, Brett Hendel-Paterson, Ankit Mehta","doi":"10.1002/jhm.70519","DOIUrl":"https://doi.org/10.1002/jhm.70519","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149291425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical progress note: The evolving role of nonoperative management in uncomplicated pediatric appendicitis.","authors":"Krustina Lal, David D'Arienzo, Sophie Biyu Sun, Patricia Tran","doi":"10.1002/jhm.70520","DOIUrl":"https://doi.org/10.1002/jhm.70520","url":null,"abstract":"<p><p>Appendicitis is the most common pediatric surgical emergency across the globe. The historical approach emphasized early operation to prevent perforation, accepting negative appendectomies as an inevitable consequence. However, appendectomy comes with risk for postsurgical complications, and with improvements in imaging, early studies began to suggest nonoperative management (NOM) with antibiotics in low-risk patients with uncomplicated appendicitis. With growing use of NOM, we have expanding literature to show that NOM may not be as efficacious as previously implied, complicating the shared clinical decision making discussion with patients and their families.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149291410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of social risk factors among hospitalized patients with disabilities.","authors":"Lauren Leviton, Carol Haywood, Lynn Huang, Clayton Barnes, Jane S Kim, Tara Lagu, Kevin J O'Leary","doi":"10.1002/jhm.70515","DOIUrl":"https://doi.org/10.1002/jhm.70515","url":null,"abstract":"<p><p>Disability and social risk factors remain understudied among hospitalized patients, despite known associations with poor outcomes. This research aimed to describe social risks among hospitalized patients with disability (PWD) to better inform patient-centered care. We screened adult patients admitted to general medicine services at a large, urban academic medical center for social risks and chronic disability. We examined patients with and without self-reported disability, stratified by demographic characteristics and social risk. Compared with patients who did not report disability, PWD reported more social risks. When examined by disability type, patients with visual, dressing/bathing, and communication-related disabilities were more likely to report transportation barriers than patients with disabilities unrelated to those domains. More patients who reported a learning disability also reported housing instability, when compared with patients with disabilities unrelated to learning. Co-occurrence of disability and social risks are significant and warrant further examination as barriers to delivery of high-quality care.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149279042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing clinician-patient communication in academic hospitals: Insights from a multisite rapid qualitative analysis.","authors":"Blair P Golden, Monish A Sheth, Sonia Dalal, James D Harrison, Anita Hegde, Karnjit Johl, Patricia E Litkowski, Satyam Nayak, Andrea Porrovecchio, Lucy Z Shi, Hillary L Western, Andrew A White, Mark V Williams, Angela Keniston","doi":"10.1002/jhm.70525","DOIUrl":"10.1002/jhm.70525","url":null,"abstract":"<p><strong>Background: </strong>High-quality clinician-patient communication is associated with improved patient understanding, trust, and healthcare outcomes. However, the hospital environment poses unique challenges to effective communication, and research documents that many hospitalized patients report poor communication with clinicians.</p><p><strong>Objective: </strong>Characterize current efforts and barriers to improving clinician-patient communication across hospital medicine.</p><p><strong>Methods: </strong>We conducted a multi-methods study using virtual focus groups with an online survey. Focus groups were held with hospital medicine clinicians and members of the Hospital Medicine ReEngineering Network (HOMERuN) Patient and Family Advisory Council (PFAC). We analyzed focus groups using rapid qualitative analysis.</p><p><strong>Results: </strong>Across 8 total focus groups, 37 clinicians and 4 PFAC members participated. We received 26 survey responses (63% response rate); the majority (19, 73%) reported their institution had initiatives in place to improve clinician-patient communication. Our qualitative analysis revealed four primary themes: (1) hospital medicine communication initiatives vary widely in approaches and objectives; (2) trainees are taught foundational communication skills through formal and informal mechanisms, but these efforts may be siloed from other initiatives; (3) hospital medicine clinicians perceive multiple barriers to improving individual communication behaviors; and (4) systems-level factors make it challenging to effectively develop, evaluate, and sustain communication initiatives.</p><p><strong>Conclusions: </strong>Hospital medicine groups are actively engaged in diverse communication initiatives, but these efforts are undermined by fragmentation, inadequate feedback mechanisms, and competing priorities. Our findings highlight a need for coordinated strategies that align communication projects with real-world clinical workflows, provide clinicians with actionable feedback, and incorporate genuine partnership with patients and caregivers.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149279088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting to change: Navigating ACGME changes and the PHM workforce.","authors":"Rachel J Peterson, Krista L Birnie, Nicole R Washington","doi":"10.1002/jhm.70522","DOIUrl":"https://doi.org/10.1002/jhm.70522","url":null,"abstract":"<p><p>Pediatric Hospital Medicine (PHM) is central to the clinical workforce that sustains pediatric inpatient care and the education of pediatric trainees. In 2025, the Accreditation Council for Graduate Medical Education (ACGME) revised pediatric residency requirements, substantially reducing the amount of inpatient training required for graduation. These changes create important implications for resident education, hospital staffing, and the organization of inpatient care. PHM has been integral in adapting to previous graduate medical education changes and is again positioned to help institutions navigate an evolving clinical and educational landscape. Hospital Medicine leaders, hospital leaders, and other partners must make the necessary changes to meet the new ACGME requirements, all while balancing several competing priorities to address the resultant patient care need gaps. Using a case-based scenario, we present a practical framework for responding to these changes. The approach includes (1) defining educational and operational goals, (2) developing and comparing alternate models, (3) negotiation through understanding and communicating the whole ask, (4) planning for implementation and its evaluation, and (5) heeding the call with action.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149279051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the body mass index.","authors":"Rebekah Roll, Jennifer K Readlynn, Catherine Glatz","doi":"10.1002/jhm.70514","DOIUrl":"https://doi.org/10.1002/jhm.70514","url":null,"abstract":"<p><p>Body Mass Index (BMI) is one of the most recognized measures across healthcare and beyond. However, the medical world, alongside anti-weight stigma advocates, has started a slow, but steady deconstruction of its use as a marker of individual health. This article explores the limitations of the BMI and its relationship with systemic anti-fatness while offering practical steps to optimize our care of patients of every size.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149279066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Getting on board with going off ward.","authors":"Satya Patel, Adriana Izquierdo, David Alfandre, Christopher Moriates","doi":"10.1002/jhm.70523","DOIUrl":"https://doi.org/10.1002/jhm.70523","url":null,"abstract":"<p><p>Off-ward practices for hospitalized patients vary across medical centers, but many hospitals adopt restrictive policies that prioritize safety and liability over autonomy and dignity. Hospitalists routinely navigate competing priorities and negotiate institutional barriers, positioning them to advocate for patient-centered interventions. In this Next Steps article, we describe why limiting freedom of movement infringes upon ethical principles and display that practical frontline solutions are possible through a hospitalist-led off-ward pilot program at a Veterans Affairs hospital. This experience demonstrated that hospitalists can create safe opportunities for patients to regain meaningful independence during hospitalization.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical guideline highlights for the hospitalist: Diagnosis and management of faltering weight in pediatrics.","authors":"Courtney Sump, Sarah Riddle","doi":"10.1002/jhm.70521","DOIUrl":"https://doi.org/10.1002/jhm.70521","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Department of Veterans Affairs (VA) training programs offer hospitalists expertise in research and quality improvement.","authors":"Kyler M Godwin, R Neal Axon, Robert S Dittus","doi":"10.1002/jhm.70508","DOIUrl":"https://doi.org/10.1002/jhm.70508","url":null,"abstract":"<p><p>Evidence-based, personalized, safe, and efficient interprofessional care are cornerstones of hospital medicine. Hospitalists are uniquely positioned to conduct the research and improvement needed to identify opportunities for better care. However, this requires expertise that is gained through focused training. The Department of Veterans Affairs has long been a leader in clinician training and has several programs that provide training in research and improvement. These programs allow hospitalists to gain skills and expertise for career development and advancement. Encouraging early career hospitalists to pursue such training is essential to strengthening the field and making hospital care safer, more effective, and efficient.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical guideline highlights for the hospitalist: Surviving Sepsis Campaign Update (Adults) 2026.","authors":"Shaheen Fatima, Sophie Biyu Sun, Tina C Sanjar, Jennifer H Li, Michelle N Brooks","doi":"10.1002/jhm.70512","DOIUrl":"https://doi.org/10.1002/jhm.70512","url":null,"abstract":"<p><p>Guideline title: Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock (2026). Release date: 2026. Prior version(s): Initial guidelines released in 2004 with major updates in 2008, 2012, 2016, and 2021; the 2026 report is the latest update. Developer: Surviving Sepsis Campaign (Society of Critical Care Medicine [SCCM] and European Society of Intensive Care Medicine [ESICM]). Funding source: SCCM and ESICM; no industry funding. Target population: Adults with suspected or confirmed sepsis or septic shock in hospital and acute care settings.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}