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Questions Remain About Nirsevimab ’ s Impact
The new monoclonal antibody nirsevimab may radically change incidence and outcomes for respiratory syncytial virus (RSV) infections in young pediatric patients, especially when combined with the impact of the new RSV vaccine approved in pregnancy. However, many questions remain about the implementation of nirsevimab in the 2023-24 RSV season and its more long-term impacts. Current impact of pediatric RSV Dr. Shah “RSV is the most common diagnosis pediatric hospitalists see over the winter months,” said Samir S. Shah, (@SamirShahMD), MD, MSCE, MHM, vice chair of clinical affairs and education at Cincinnati Children’...
Source: The Hospitalist - November 16, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Clinical Clinical Guidelines Drug Therapy Hospital Medicine Neonatal Medicine Patient Care Pediatrics Preventive Care Vaccines Source Type: research

Psychological Safety a Must for HM Education
When the space shuttle Challenger exploded in the sky in 1986, a group of engineers’ fears had come true: They had known a critical failure was possible at the low temperatures that were seen around the time of the launch, and that the launch should have been scrubbed, but not enough engineers spoke up. The launch—and the tragedy—were allowed to come to pass. One reason—a group of experts said at SHM Converge 2023—was that they had no “psychological safety” allowing questions and dissent. So their opinions were drowned out by their superiors and administrators at NASA. Creating this environment of psychologic...
Source: The Hospitalist - November 14, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Business of Medicine Career Education Source Type: research

Rebuilding Trust a Top Priority for Hospitalists
In addition to all of the more obvious effects such as deaths and lingering comorbidities wrought by the disease, a somewhat counterintuitive phenomenon took hold during the COVID-19 pandemic. Rather than having patients trust more in their health care system after having been through a health emergency, 32% of patients say they lost trust in the system. That’s a huge problem, said Gwendolyn Williams, MD, FHM, a hospitalist at Hampton, Va.-based Sentara Healthcare, in a talk at SHM Converge 2023. “In health care, trust is the foundation of the patient-physician relationship,” Dr. Williams said. “Trust is actually e...
Source: The Hospitalist - November 14, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Patient Care Source Type: research

Harm to Patients in Hospital Calls for Transparency
When unexpected events happen in the hospital, resulting in harm to a patient, having early and transparent conversations with patients and families is the key to getting to the best resolution, panelists said in a session at SHM Converge 2023. This process—especially the conversations with the families—is difficult, but having a system in place for handling it can make it more manageable, said Elizabeth Schulwolf, MD, MBA, FHM, chief medical officer at Dell Seton Medical Center at the University of Texas, Austin; and Marsha Nichols, JD, a risk-management specialist at two Austin-area hospitals. “They are mostly unex...
Source: The Hospitalist - November 14, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Patient Care Patient Safety Source Type: research

Experts Offer Tips to Thrive, Not Just Survive, in Hospital Medicine
When it comes to job satisfaction, many hospitalists might find themselves in a kind of in-between posture: Their jobs are, well, mostly fine. Dr. Pierce But Read Pierce, MD, chief of hospital medicine at Dell Medical School at the University of Texas, Austin, and Patrick Kneeland, MD, SFHM, vice president of medical affairs at Dispatch Health in Denver, Colo., say they should aspire to more. Rather than saying, “I’m okay, but I don’t necessarily love my job,” Dr. Pierce told an audience at SHM Converge 2023, they could be saying, “I actually really like what I do.” “That is still possible, though it may no...
Source: The Hospitalist - November 14, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Career Mental Health Source Type: research

Research is Possible —and Vital—as a Hospitalist
When you’re in the middle of yet another impossibly busy week, making time for research in hospital medicine might seem next to impossible. But it is possible—and enormously important for the health of the field, a panel of experts said in a session at SHM Converge 2023. Dr. Collins “We think that we can do research as hospitalists, and it’s not a myth and it is within reach for us,” said Will Collins, MD, clinical assistant professor of medicine at Stanford University in Stanford, Calif. Sure enough, there are challenges. Hospitalists are often seen as “clinicians first,” he said, the people who get the wo...
Source: The Hospitalist - November 14, 2023 Category: Hospital Management Authors: Lisa Casinger Tags: Career Hospital Medicine SHM Converge Source Type: research

Hospitalists: the missing link in complex patient care
Croat Med J. 2023 Oct 31;64(5):374-376.NO ABSTRACTPMID:37927192 (Source: Croatian Medical Journal)
Source: Croatian Medical Journal - November 6, 2023 Category: General Medicine Authors: Aleksandar D žakula Karmen Lon čarek Leif Hass Dorja Vo čanec Source Type: research