Journal of hospital medicine最新文献_第7页

Write more, worry less: A guide to enhancing your academic productivity. 多写作，少烦恼：提高学习效率指南》。

Journal of hospital medicine Pub Date : 2024-09-02 DOI: 10.1002/jhm.13502

Samir S Shah

引用次数: 0

Clinical guideline highlight for the hospitalist: Diagnosis and management of acute bacterial arthritis in children. 住院医生临床指南要点：儿童急性细菌性关节炎的诊断和治疗。

Journal of hospital medicine Pub Date : 2024-09-01 DOI: 10.1002/jhm.13499

Brandon Palmer, Austin Cummings, Danita Hahn

引用次数: 0

Artificial intelligence in hospital medicine. 人工智能在医院医疗中的应用。

Journal of hospital medicine Pub Date : 2024-09-01 DOI: 10.1002/jhm.13498

Zahir Kanjee, Charlie M Wray, Andrew P J Olson, Samir S Shah

引用次数: 0

Using patient preferences to shift healthcare culture: Patient-centered clinical decision support as a tool to aid in hospital at home participation. 利用患者偏好转变医疗文化：将以患者为中心的临床决策支持作为协助参与家庭医院的工具。

Journal of hospital medicine Pub Date : 2024-08-30 DOI: 10.1002/jhm.13497

Courtney Sump, Matthew J Molloy, Shivani K Jindal

引用次数: 0

Elevated care at home: An alternative to traditional levels of care. 居家护理：传统护理水平的替代方案。

Journal of hospital medicine Pub Date : 2024-08-29 DOI: 10.1002/jhm.13496

Emily R Downing, Sandra R Castro-Pearson, Abbey C Sidebottom, Timothy D Sielaff

{"title":"Elevated care at home: An alternative to traditional levels of care.","authors":"Emily R Downing, Sandra R Castro-Pearson, Abbey C Sidebottom, Timothy D Sielaff","doi":"10.1002/jhm.13496","DOIUrl":"https://doi.org/10.1002/jhm.13496","url":null,"abstract":"Background: Elevated care at home (ECH) is a novel in-home care model supporting early hospital discharge and providing an alternative to institutional postacute care.Objectives: This study compares patient characteristics, mortality, and readmission outcomes of hospitalized patients who transitioned to ECH to patients who transitioned to skilled nursing facilities (SNF) and skilled home health services (SHH).Methods: A retrospective study of patients between May 2020 and January 2022 transitioned from the hospital to ECH, SNF, or SHH. The analysis compared patient characteristics, 30-day mortality, and readmission stratified by COVID-19 infection status. Outcomes were assessed using logistic regression after propensity score matching.Results: Of 32,132 eligible patients, 6.3% were transitioned to ECH, 39.7% to SNF, and 54.0% to SHH. After matching, all baseline characteristics except for age were balanced between groups. Postmatch and adjusting for age differences, ECH patients experienced lower risk of death compared to SNF (adjusted odds ratio [AOR] 0.61, 95% confidence interval [CI] 0.40, 0.92) and similar risk of hospital readmission compared to SNF patients (AOR 1.08, 95% CI 0.89, 1.31) and SHH patients (AOR 0.96, 95% CI 0.80, 1.16). COVID-19-negative ECH patients compared to matched SNF patients were more likely to readmit (AOR 1.30, 95% CI 1.02, 1.65) with no significant difference in risk of mortality (AOR 0.72, 95% CI 0.44, 1.18).Conclusions: ECH had similar or improved outcomes relative to SNF and SHH. COVID-19-negative ECH patients experienced higher readmissions relative to SNF. ECH supported patients to return home from the hospital and provided an alternative to an institutional postacute setting.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116578","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

Inpatients' understanding of the hospitalist role and common medical terminology. 住院病人对医院专家角色和常用医学术语的理解。

Journal of hospital medicine Pub Date : 2024-08-28 DOI: 10.1002/jhm.13492

Nicole Curatola, Nathan Juergens, Mariam K Atkinson, Jeffrey L Schnipper, Rachel Weiss, Erin Y Cohen, Jenica Cimino, Clara To, Elizabeth A Bambury, Ebrahim Barkoudah, Sampathkumar Mani, Hassan Khalil, Rosa Mora, Johsias Maru, James D Harrison

{"title":"Inpatients' understanding of the hospitalist role and common medical terminology.","authors":"Nicole Curatola, Nathan Juergens, Mariam K Atkinson, Jeffrey L Schnipper, Rachel Weiss, Erin Y Cohen, Jenica Cimino, Clara To, Elizabeth A Bambury, Ebrahim Barkoudah, Sampathkumar Mani, Hassan Khalil, Rosa Mora, Johsias Maru, James D Harrison","doi":"10.1002/jhm.13492","DOIUrl":"https://doi.org/10.1002/jhm.13492","url":null,"abstract":"Many patients are unable to identify members of their hospital care team and experience confusion regarding some medical terminology used during hospitalization, including descriptions of the structure of their inpatient care team. This cross-sectional study sought to (1) examine inpatients' understanding of the role of a hospitalist and (2) assess inpatients' familiarity with other medical terminology commonly used in the hospital. We surveyed 172 patients admitted to the hospital medicine service at two academic medical centers. We found that almost half (47%) of respondents were unfamiliar with the term and/or role of a hospitalist, while the remaining patients had varied understanding of the role. Several other medical terms were frequently misunderstood (such as \"NPO,\" \"PA,\" and \"Attending\"). Ongoing efforts are needed to improve communication to ensure that hospitalized patients understand the hospitalist's role and the medical terms shared with them.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094340","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

Leadership & professional development: Pro-motility agents: Mobilizing mentors to make progress. 领导力与专业发展：促动剂：动员导师取得进步。

Journal of hospital medicine Pub Date : 2024-08-22 DOI: 10.1002/jhm.13495

V Ram Krishnamoorthi, Shannon K Martin

引用次数: 0

Hospital commitments to address diagnostic errors: An assessment of 95 US hospitals. 医院解决诊断错误的承诺：对 95 家美国医院的评估。

Journal of hospital medicine Pub Date : 2024-08-20 DOI: 10.1002/jhm.13485

Alexandra Campione Russo, Jean-Luc Tilly, Leah Kaufman, Melissa Danforth, Mark L Graber, J Matthew Austin, Hardeep Singh

{"title":"Hospital commitments to address diagnostic errors: An assessment of 95 US hospitals.","authors":"Alexandra Campione Russo, Jean-Luc Tilly, Leah Kaufman, Melissa Danforth, Mark L Graber, J Matthew Austin, Hardeep Singh","doi":"10.1002/jhm.13485","DOIUrl":"https://doi.org/10.1002/jhm.13485","url":null,"abstract":"Background: Diagnostic errors are a leading cause of patient harm. In 2022, the Leapfrog Group published a report containing 29 evidence-based practices that hospitals can adopt to reduce diagnostic errors.Objectives: To understand the extent to which US hospitals have already implemented these practices, we conducted a national pilot survey of Leapfrog-participating hospitals.Methods: To reduce respondent burden, we divided the 29 practices across two surveys: one focused on organizational culture and structure (Domain 1), and the second focused on the diagnostic process itself (Domain 2).Results: A total of 95 hospitals from 23 states responded to one or both surveys. On average, hospitals reported implementing 9 of the 16 practices (56%) in Domain 1 and 8 of the 13 practices (62%) in Domain 2. The rate of practice implementation varied greatly, with some hospitals implementing as few as three practices in their domain. The most commonly implemented practices were ensuring access to medical interpreters, continuous access to radiologists, ensuring staff and patients can report diagnostic errors and concerns, and having a formal process to identify and notify patients when diagnostic errors occur. The least implemented practices included convening a multidisciplinary team focused on diagnostic safety and quality, a CEO commitment to diagnostic excellence, conducting diagnosis-focused risk assessments, and training clinicians to optimize clinical reasoning in the diagnostic process.Conclusions: The findings suggest large and important implementation gaps for practices related to diagnostic excellence and can inform new initiatives to promote diagnostic excellence in US hospitals.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010139","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

Disparities in postdischarge follow-up and risk of readmission between Medicaid and privately insured patients. 医疗补助和私人保险患者在出院后随访和再入院风险方面的差异。

Journal of hospital medicine Pub Date : 2024-08-20 DOI: 10.1002/jhm.13486

Elizabeth Boggs, Gregory Misky, Sharon Scarbro, Mark Gritz, Renuka Tipirneni, Richard Lindrooth

{"title":"Disparities in postdischarge follow-up and risk of readmission between Medicaid and privately insured patients.","authors":"Elizabeth Boggs, Gregory Misky, Sharon Scarbro, Mark Gritz, Renuka Tipirneni, Richard Lindrooth","doi":"10.1002/jhm.13486","DOIUrl":"https://doi.org/10.1002/jhm.13486","url":null,"abstract":"Background: Studies have identified higher risk of readmission for patients with Medicaid compared to those with private insurance. Postdischarge follow-up is utilized as an intervention to reduce readmissions in the Medicare population, but it is unclear whether follow-up reduces risk of readmission for patients with Medicaid.Objective: To assess whether follow-up within 30 days of discharge reduces risk of readmission and mitigates readmission disparities based upon insurance status.Methods: This retrospective cohort study used Cox proportional hazard and competing risk models to estimate associations between sociodemographic and clinical characteristics, follow-up, and readmission. We analyzed data from 4281 patients aged 21-64 years with Medicaid or private insurance who were hospitalized from January 2017 to December 2019 for one of five conditions associated with high risk of readmission. Outpatient follow-up within 30 days of discharge and 30-day all-cause readmission were outcomes.Results: Overall risk of readmission was similar for Medicaid and privately insured patients in this cohort (13.7% and 14.5%, respectively). Patients with Medicaid were 23% points less likely to complete outpatient follow-up within 30 days compared to patients with private insurance (p < .001). However, outpatient follow-up before readmission within 30 days of discharge was not associated with a significant difference in readmission rate (hazard ratio: 1.10, 95% confidence interval: 0.91-1.32) in the overall sample or in analysis stratified by payer.Conclusions: We found similar rates of readmission for Medicaid and privately insured patients despite significant disparities in postdischarge follow-up. Timely follow-up care alone may not be sufficient as an intervention to reduce readmissions.","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010138","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

The association of hospitalist medical procedure service with operational efficiency at an academic medical center. 一家学术医疗中心的住院医生医疗程序服务与运营效率的关联。

Journal of hospital medicine Pub Date : 2024-08-18 DOI: 10.1002/jhm.13484

Brett R Curtis, Shuo Tian, Sachita Shrestha, Trevor Denton, Blake Haller, Jonathan Sebolt, Michael Adams, Stephanie P Taylor, David Paje

引用次数: 0