Time to move past midnight census: Adopting modern methods to guide hospital medicine staffing
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 27, 2023 Category: Hospital Management Authors: Marcus Calderon, Vikas I. Parekh Tags: EDITORIAL Source Type: research

How much magnesium sulfate is needed to “keep total serum magnesium above 2.0 mg/dL”?
AbstractFor patients at increased risk of life-threating ventricular arrythmias, hospitalists often administer intravenous magnesium sulfate to maintain total serum magnesium concentration (TsMg) above 2  mg/dL. How long each dose keeps TsMg above this threshold is not well known, however. We collected TsMg values from 12,618 veterans who were given 24,363 doses of intravenous magnesium sulfate during 14,901 hospitalizations for acute heart failure. Across dose amounts, the average TsMg dropped be low 2.0 mg/dL within 24 h of administration. When we limited our analysis to 2 g doses (the most common dose) and adjus...
Source: Journal of Hospital Medicine - December 20, 2023 Category: Hospital Management Authors: JooEun Kwon, Brian P. Lucas, Arthur T. Evans Tags: BRIEF REPORT Source Type: research

Restrictive eating disorders, an expanding but forgotten patient population in medical education
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 18, 2023 Category: Hospital Management Authors: Allison Nitsch, Philip Mehler Tags: EDITORIAL Source Type: research

Design, evolution, and success of the Journal of Hospital Medicine Fellowship Programs
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 18, 2023 Category: Hospital Management Authors: Charlie M. Wray, Andrew P. J. Olson, Andrew D. Auerbach, Samir S. Shah Tags: FROM THE EDITOR ‐IN‐CHIEF Source Type: research

The role of hospital ‐based vascular access teams and implications for patient safety: A multi‐methods study
ConclusionsTo realize the full benefit of VATs, changes in hospital culture, along with an increased willingness from physicians to integrate VAT nurses in decision making, may be needed. Future interventions aimed at engaging and empowering teams appear necessary. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 16, 2023 Category: Hospital Management Authors: Martha Quinn, Jennifer K Horowitz, Sarah L. Krein, Angelique Gaston, Amanda Ullman, Vineet Chopra Tags: ORIGINAL RESEARCH Source Type: research

Assessing the contribution of hospital medicine patients to the tertiary quaternary care mission of an academic medical center
AbstractAcademic medical centers must balance caring for patients in their community with their role as referral centers for more profitable tertiary quaternary (T/Q) care. Hospital medicine services, which admit patients largely from the emergency department, often have the lowest proportion of T/Q care and may thus be under pressure to demonstrate their value to the health system. Looking at the 5771 patients that were discharged from our hospital medicine service between 2021 and 2022, we found that three quarters (74.6%) of patients had at least one prior outpatient encounter at our institution, and that more than a th...
Source: Journal of Hospital Medicine - December 14, 2023 Category: Hospital Management Authors: Theodore Peng, Adrienne Green, Michelle Mourad Tags: BRIEF REPORT Source Type: research

Methodological progress note: De ‐implementation of low‐value care
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 14, 2023 Category: Hospital Management Authors: Sunil Kripalani, Wynne E. Norton Tags: PROGRESS NOTES:  CLINICAL PRACTICE UPDATE OR METHODOLOGICAL UPDATE Source Type: research

Out for the count: Hospitalization as an opportunity to intervene for patients experiencing homelessness
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 13, 2023 Category: Hospital Management Authors: Rachel J. Peterson, Andrew F. Beck, Ndidi Unaka Tags: EDITORIAL Source Type: research

Gridlock in hospital medicine
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 12, 2023 Category: Hospital Management Authors: Jennifer Readlyn, Jennifer Zagursky, Robert E. Burke, Jin Sol G. Lee, Andrew P. J. Olson Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research

Things We Do for No Reason ™: Indiscriminate use of behavioral alerts
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 12, 2023 Category: Hospital Management Authors: Zo ë Kopp, Irina Kryzhanovskaya, Susannah Cornes Tags: CHOOSING WISELY ®: THINGS WE DO FOR NO REASON™ Source Type: research

Gridlock in hospital medicine
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 12, 2023 Category: Hospital Management Authors: Jennifer K. Readlynn, Jennifer Zagursky, Robert E. Burke, Jin Sol G. Lee, Andrew P. J. Olson Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research

Things We Do for No Reason ™: Indiscriminate use of behavioral alerts
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 12, 2023 Category: Hospital Management Authors: Zo ë Kopp, Irina Kryzhanovskaya, Susannah Cornes Tags: CHOOSING WISELY ®: THINGS WE DO FOR NO REASON™ Source Type: research

Relevance, quick hits, and vibe: Features of meaningful teaching and learning during trainee consult interactions
ConclusionRelevant, bite-sized educational content combined with a good vibe and optimal timing creates a context in which consult fellows can foster meaningful teaching opportunities for residents. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - December 11, 2023 Category: Hospital Management Authors: Jessica Rutsky, Daniel Schumacher, Daniel Mallon Tags: ORIGINAL RESEARCH Source Type: research