Combating weight bias
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - November 2, 2023 Category: Hospital Management Authors: Don Mathew Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research

Methodological progress note: Utilizing inpatient data sources to minimize common biases when emulating target trials
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - November 2, 2023 Category: Hospital Management Authors: Michael Colacci, Michael Fralick Tags: PROGRESS NOTES Source Type: research

Issue Information
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - November 1, 2023 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

Achieving diagnostic excellence through prevention and teamwork (ADEPT)  study protocol: A multicenter, prospective quality and safety program to improve diagnostic processes in medical inpatients
AbstractBackgroundFew hospitals have built surveillance for diagnostic errors into usual care or used comparative quantitative and qualitative data to understand their diagnostic processes and implement interventions designed to reduce these errors.ObjectivesTo build surveillance for diagnostic errors into usual care, benchmark diagnostic performance across sites, pilot test interventions, and evaluate the program's impact on diagnostic error rates.Methods and AnalysisAchieving diagnostic excellence through prevention and teamwork (ADEPT)  is a multicenter, real-world quality and safety program utilizing interrupted time-...
Source: Journal of Hospital Medicine - October 28, 2023 Category: Hospital Management Authors: Jeffrey L. Schnipper, Katie E. Raffel, Angela Keniston, Marisha Burden, Jeffrey Glasheen, Sumant Ranji, Colin Hubbard, Peter Barish, Molly Kantor, Julia Adler ‐Milstein, W. John Boscardin, James D. Harrison, Anuj K. Dalal, Tiffany Lee, And Tags: ORIGINAL RESEARCH Source Type: research

A methodological progress note: Introducing qualitative focus group research and the brainwriting premortem
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 27, 2023 Category: Hospital Management Authors: Heather M. Gilmartin, Catherine Battaglia Tags: PROGRESS NOTES: CLINICAL PRACTICE UPDATE OR METHODOLOGICAL UPDATE Source Type: research

Feasibility of social network analysis to study outcomes of children with medical complexity
This study evaluated the feasibility of applying social network analysis (SNA) to describe caregiving networks. Because hospitalization is among the most frequently used outcomes for CMC, exploratory correlations between network characteristics and CMC hospital use were evaluated. Within 3 weeks, the goal network enrollment was achieved, and all feasibility measures were favorable. Network characteristics correlated with hospital use, that is, smaller, denser networks, with more closed-loop communication correlated with fewer hospital days. Networks with more professional caregivers also correlated with fewer hospital days...
Source: Journal of Hospital Medicine - October 26, 2023 Category: Hospital Management Authors: Ryan J. Coller, Harold D. Green Jr., Patrick C. Kaminski, Kristina Howell, Elena Alfaro, Cassandra Nelson, Gemma Warner, Nicole E. Werner Tags: BRIEF REPORT Source Type: research

Hospitalists can learn from antimicrobial stewardship programs when it comes to environmentally conscious prescribing
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 25, 2023 Category: Hospital Management Authors: Lesley B. Gordon, Katherine T. Liu, Minkey Wungwattana, Daniel A. Meyer Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research

Things We Do for No Reason ™: Opioid infusions as initial therapy for symptoms at the end of life
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 25, 2023 Category: Hospital Management Authors: Samantha L. Gelfand, Alexis Drutchas, Leah B. Rosenberg Tags: CHOOSE WISELY ®: THINGS WE DO FOR NO REASON™ Source Type: research

Feasibility of social network analysis to study outcomes of children with medical complexity
This study evaluated the feasibility of applying social network analysis (SNA) to describe caregiving networks. Because hospitalization is among the most frequently used outcomes for CMC, exploratory correlations between network characteristics and CMC hospital use were evaluated. Within 3 weeks, the goal network enrollment was achieved, and all feasibility measures were favorable. Network characteristics correlated with hospital use, that is, smaller, denser networks, with more closed-loop communication correlated with fewer hospital days. Networks with more professional caregivers also correlated with fewer hospital days...
Source: Journal of Hospital Medicine - October 25, 2023 Category: Hospital Management Authors: Ryan J. Coller, Harold D. Green Jr., Patrick C. Kaminski, Kristina Howell, Elena Alfaro, Cassandra Nelson, Gemma Warner, Nicole E. Werner Tags: BRIEF REPORT Source Type: research

Things We Do for No Reason ™: Opioid infusions as initial therapy for symptoms at the end of life
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 25, 2023 Category: Hospital Management Authors: Samantha L. Gelfand, Alexis Drutchas, Leah B. Rosenberg Tags: CHOOSE WISELY ®: THINGS WE DO FOR NO REASON™ Source Type: research

Hospital ‐based opioid treatment: Expanding and sustaining the model in Texas
AbstractThisBrief Report includes follow-up data about the sustainability and expansion of the Buprenorphine Team (B-Team), a hospital-based opioid treatment (HBOT) program. Between September 2018 and January 2023, the B-Team started 398 patients with opioid-use disorder (OUD) on buprenorphine therapy and coordinated outpatient care for 353 patients before discharge. Two-hundred and forty-nine of these patients were scheduled for follow-up at our partner addiction treatment clinic. Retention rates at our partner clinic remain relatively high: 73 patients (36% of eligible patients) continued to attend appointments between 6...
Source: Journal of Hospital Medicine - October 25, 2023 Category: Hospital Management Authors: Christopher Moriates, Alanna Boulton, Blair Walker, Rachel Holliman, Nicholaus Christian, John Weems, Emily Humphry, Sara Young, Richard Bottner, Jennifer Potter Tags: BRIEF REPORT Source Type: research

Characteristics, disposition, and outcomes of children hospitalized for mental health boarding at a children's hospital
We examined associations between patients' characteristics and their di sposition and outcomes. Our cohort included 1891 boarding hospitalizations: 53.9% transferred to an inpatient psychiatric hospital and 46.1% discharged home. Characteristics associated with not being transferred to an inpatient psychiatric hospital included age<13 years (adjusted odds ratio [aOR] 0.6; 95% confidence interval [CI]: 0.4 –0.7), disruptive or aggressive behavior (aOR 0.6; 95% CI: 0.4–0.8), psychosis (aOR 0.5; 95% CI: 0.3–0.8), COVID-19 infection (aOR 0.3; 95% CI: 0.2–0.6), or a complex chronic medical condition (aOR 0.8; 95% C...
Source: Journal of Hospital Medicine - October 24, 2023 Category: Hospital Management Authors: Evan M. Dalton, Polina Krass, Zoe Bouchelle, Adam Fillmore, Tanner Katz, Gabriela Andrade, Peter Camacho, Molly Candon, Emily Kane, Stephanie K. Doupnik Tags: BRIEF REPORT Source Type: research