Journal of hospital medicine最新文献_第2页

Improving healthcare value: Choosing wisely canada's hospital designation program. 提高医疗保健价值：明智地选择加拿大医院指定计划。

Journal of hospital medicine Pub Date : 2025-01-21 DOI: 10.1002/jhm.13593

Daksh Datta, Doreen Day, Christine Soong

引用次数: 0

Patient physical violence toward healthcare workers at a US children's hospital. 在美国一家儿童医院，病人对医护人员的身体暴力。

Journal of hospital medicine Pub Date : 2025-01-20 DOI: 10.1002/jhm.13592

Adrienne G DePorre, Troy Richardson, Henry T Puls, Alec M Bernstein, Rebecca Ebbers, Cy Nadler

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Introducing visual vignettes. 引入视觉插图。

Journal of hospital medicine Pub Date : 2025-01-18 DOI: 10.1002/jhm.13591

Samir S Shah, Manpreet Malik

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The secret to saying no: A decision framework for physicians. 说不的秘诀：医生的决策框架。

Journal of hospital medicine Pub Date : 2025-01-16 DOI: 10.1002/jhm.13590

Samir S Shah

引用次数: 0

Accuracy of pathogen diagnostic codes for acute hematogenous musculoskeletal infections in children. 儿童急性血源性肌肉骨骼感染病原体诊断代码的准确性。

Journal of hospital medicine Pub Date : 2025-01-13 DOI: 10.1002/jhm.13584

Justin B Searns, Matt Hall, Meghan Birkholz, Kevin J Downes, Brittany B Hubbell, Andrew S Kern-Goldberger, Jessica L Markham, Jason G Newland, Stephanie L Rolsma, Marie E Wang, Sean T O'Leary, Samuel R Dominguez, Sarah K Parker, Matthew P Kronman

{"title":"Accuracy of pathogen diagnostic codes for acute hematogenous musculoskeletal infections in children.","authors":"Justin B Searns, Matt Hall, Meghan Birkholz, Kevin J Downes, Brittany B Hubbell, Andrew S Kern-Goldberger, Jessica L Markham, Jason G Newland, Stephanie L Rolsma, Marie E Wang, Sean T O'Leary, Samuel R Dominguez, Sarah K Parker, Matthew P Kronman","doi":"10.1002/jhm.13584","DOIUrl":"https://doi.org/10.1002/jhm.13584","url":null,"abstract":"Administrative databases are powerful tools for pediatric research but lack patient-level microbiology results. This study aimed to determine the accuracy of pathogen discharge diagnosis codes for children hospitalized with acute hematogenous musculoskeletal infections (MSKIs). Medical records for 244 children hospitalized with acute hematogenous MSKIs were manually reviewed to determine which bacterial pathogen, if any, was identified for each MSKI based on microbiology results obtained during the hospitalization. Microbiology results for each patient were then compared to their discharge diagnoses in the Pediatric Health Information System (PHIS) database to determine the accuracy of pathogen discharge codes. Discharge diagnostic codes correctly matched the microbiology results in 89.3% of encounters. Sensitivity and specificity for Staphylococcus aureus discharge diagnostic codes were 88.6% and 96.4% respectively for methicillin-susceptible S. aureus and 92.9% and 99.5% for methicillin-resistant S. aureus. Pathogen discharge codes are reliable surrogates that accurately reflect the microbiology results for children with MSKIs.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981087","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}

引用次数: 0

Dying in the hospital: Spiritual-based care at the end of life. 在医院里死去：生命结束时的精神护理。

Journal of hospital medicine Pub Date : 2025-01-13 DOI: 10.1002/jhm.13588

Hafsa Bhatty, Ashima Lal, Emily Pinto Taylor

引用次数: 0

Preparing for the unthinkable: The resurgence of vaccine-preventable diseases. 为不可想象的事情做准备：疫苗可预防疾病的死灰复燃。

Journal of hospital medicine Pub Date : 2025-01-10 DOI: 10.1002/jhm.13589

Samir S Shah, Erin E Shaughnessy, Benjamin Kinnear

引用次数: 0

Factoring neighborhood context factor into readmission risk: An outstanding question for health systems and policymakers. 将社区环境因素纳入再入院风险：卫生系统和政策制定者面临的一个突出问题。

Journal of hospital medicine Pub Date : 2025-01-09 DOI: 10.1002/jhm.13587

Anna Morenz, Joshua M Liao

引用次数: 0

Health conditions seen frequently in hospitalized United States Veterans who served after 9/11/2001: A scoping review. 2001年9月11日之后服役的住院美国退伍军人常见的健康状况：范围审查。

Journal of hospital medicine Pub Date : 2025-01-09 DOI: 10.1002/jhm.13586

Joel C Boggan, Nazima Allaudeen, Heather Shaw, Sarah Cantrell, Joyce Akwe

{"title":"Health conditions seen frequently in hospitalized United States Veterans who served after 9/11/2001: A scoping review.","authors":"Joel C Boggan, Nazima Allaudeen, Heather Shaw, Sarah Cantrell, Joyce Akwe","doi":"10.1002/jhm.13586","DOIUrl":"https://doi.org/10.1002/jhm.13586","url":null,"abstract":"Background: Hospitalists working outside the Veterans Affairs (VA) system frequently will serve Veterans receiving care for acute conditions and/or awaiting transfer to VA facilities.Objective: To perform a scoping review of health conditions and associated outcomes relevant to hospital medicine in US Veterans who served in active duty or reserve deployed roles after November 9, 2001.Methods: A search of MEDLINE and Embase was performed using a combination of terms related to military service period and health conditions, yielding 5634 citations published after January 1, 2013.Study selection and data extraction: Two reviewers performed independent screening at the title/abstract and later at the full-text levels. Conflicts at both stages were resolved through discussion. Single reviewers extracted data and synthesized results into three categories: (1) mental health and nonblast trauma, (2) neurologic outcomes, and (3) other conditions, including cardiovascular and respiratory outcomes.Results: Of 85 included studies, 19 focused on cardiovascular, respiratory, autoimmune, and multisystem outcomes; 38 focused on mental health and nonblast trauma; and 28 focused on traumatic brain injury and neurologic outcomes. Studies showed high rates of comorbid mental health diagnoses and suicide-related behaviors relative to non-Veteran populations, as well as relatively younger incidence of cardiovascular and respiratory chronic conditions, such as atrial fibrillation.Conclusions: Most studied health conditions among Veterans of post-9/11 conflicts have focused on areas of particular importance to the VA. However, significant gaps remain, particularly in understanding the correlation between specific exposures and clinical outcomes currently observed and to be anticipated in the future in this population.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960666","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}

引用次数: 0

Prevalence of burnout and impact of workload on physician wellness: A cross-sectional survey of hospitalists in British Columbia, Canada. 职业倦怠的普遍程度以及工作量对医生健康的影响：对加拿大不列颠哥伦比亚省医院医生的横断面调查。

Journal of hospital medicine Pub Date : 2025-01-01 DOI: 10.1002/jhm.13577

Vandad Yousefi

{"title":"Prevalence of burnout and impact of workload on physician wellness: A cross-sectional survey of hospitalists in British Columbia, Canada.","authors":"Vandad Yousefi","doi":"10.1002/jhm.13577","DOIUrl":"https://doi.org/10.1002/jhm.13577","url":null,"abstract":"Background: Hospitalists in British Columbia care for a large percentage of hospitalized patients across 21 acute care facilities.Objective: We aimed to characterize the demographic and work attributes of the workforce and to understand levels of burnout and the relationship between workload and job satisfaction.Methods: We conducted a cross-sectional survey of individuals participating in hospitalist programs in BC.Results: Almost all individuals (96%) were involved in the care of patients with COVID-19 in 2021, the height of the pandemic. High rates of burnout were demonstrated among hospitalists, with a large number of providers planning to significantly reduce or stop their involvement in acute care. Regression analysis identified workload as an important factor associated with burnout. Older physicians, those who had been practising for longer, and those with moderate to high number of shifts were more likely to consider reducing their involvement with their programs.Conclusions: High levels of burnout are associated with a desire to reduce work involvement among BC hospitalists. Health system leaders need to consider factors contributing to burnout as a key aspect of broader health human resource planning efforts.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916451","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}

引用次数: 0