Short stay unit led by pediatric hospital medicine advanced practice providers
AbstractBackgroundIn response to a critical pediatric bed shortage in 2022, an urgent process change was required to provide safe and timely medical care. We proposed a pilot for an advanced practice provider (APP)-run short stay unit (SSU) for select pediatric hospital medicine (PHM) patients.ObjectiveTo compare length of stay (LOS) and cost before and after implementation of a PHM APP-led SSU pilot at a tertiary pediatric hospital.Designs, Settings, and ParticipantsSingle-center prospective pilot observational cohort study with historical control. Observation encounters for patients with asthma, bronchiolitis, croup, and...
Source: Journal of Hospital Medicine - February 2, 2024 Category: Hospital Management Authors: Brittany K. Potts,
Jonathan H. Pelletier,
Leah Rawdon,
Michael L. Forbes Tags: ORIGINAL RESEARCH Source Type: research
Rates of diabetic ketoacidosis with empagliflozin use during hospitalization for acute heart failure
Visual abstract AbstractThere is concern that sodium-glucose cotransporter-2 inhibitors during hospitalization for acute heart failure (aHF) may precipitate diabetic ketoacidosis (DKA). A retrospective study of all hospitalization encounters for aHF defined by a primary HF International Classification of Diseases (ICD)-10 code in 15 Kaiser Permanente Southern California medical cente rs hospitalized between January 1, 2021 and August 31, 2023 was performed to describe rates of DKA with empagliflozin use. DKA was defined by the presence of either a DKA ICD-10 code or ketoacidosis lab criteria (bicarbonate<18 mmol/L ...
Source: Journal of Hospital Medicine - February 2, 2024 Category: Hospital Management Authors: Cheng ‐Wei Huang,
Janet S. Lee,
Ming‐Sum Lee Tags: BRIEF REPORT 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 - February 2, 2024 Category: Hospital Management Authors: JooEun Kwon,
Brian P. Lucas,
Arthur T. Evans Tags: BRIEF REPORT Source Type: research
Issue Information
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - February 2, 2024 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research
Moving toward equitable access to both opportunity and health
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - February 2, 2024 Category: Hospital Management Authors: Molly K. Krager,
Jessica L. Bettenhausen,
Andrew F. Beck Tags: EDITORIAL Source Type: research
Time to move past midnight census: Adopting modern methods to guide hospital medicine staffing
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - February 2, 2024 Category: Hospital Management Authors: Marcus Calderon,
Vikas I. Parekh Tags: EDITORIAL 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 - February 2, 2024 Category: Hospital Management Authors: Allison Nitsch,
Philip Mehler Tags: EDITORIAL Source Type: research
Length of stay in the clinical wards in a hospital after introducing a multiprofessional discharge team: An effectiveness improvement report
ConclusionHDT brought benefits to our hospital, reducing the length of stay and increasing bed turnover. However, there is a need for a team focused on the project and support from managers to overcome resistance and integrate units until they are fully operational. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - February 2, 2024 Category: Hospital Management Authors: Mariana R. R. Falcetta,
Dimitris V. Rados,
Karine Molina,
Daiana Oliveira,
Caroline Dalla Pozza,
Beatriz D. Schaan Tags: ORIGINAL RESEARCH Source Type: research
Leadership & professional development: Cultivating a path for hospitalist educators to achieve scholarly success
Visual abstract (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - February 2, 2024 Category: Hospital Management Authors: Doris Lin Tags: LEADERSHIP & PROFESSIONAL DEVELOPMENT Source Type: research
Things We Do for No ReasonTM: Dose adjusting apixaban in acute kidney injury
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - February 1, 2024 Category: Hospital Management Authors: Katelyn J. Galli,
Kathleen K. Adams Tags: CHOOSE WISELY ®: THINGS WE DO FOR NO REASONTM Source Type: research
Clinical prediction model: Multisystem inflammatory syndrome in children versus Kawasaki disease
ConclusionsA diagnostic prediction model utilizing admission information provides excellent discrimination between MIS-C and KD. This model may be useful for diagnosis of MIS-C but requires external validation. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - January 29, 2024 Category: Hospital Management Authors: Lauren S. Starnes,
Joseph R. Starnes,
Tess Stopczynski,
Justin Z. Amarin,
Cara Charnogursky,
Haya Hayek,
Rana Talj,
David A. Parra,
Daniel E. Clark,
Anna E. Patrick,
Sophie E. Katz,
Leigh M. Howard,
Lauren Peetluk,
Danielle Rankin,
Andrew J. Tags: ORIGINAL RESEARCH Source Type: research
Journal of hospital medicine. Have you considered autism?
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - January 25, 2024 Category: Hospital Management Authors: Thomas Pineo Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research
Have you considered autism?
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - January 25, 2024 Category: Hospital Management Authors: Thomas Pineo Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research
