1,892 results match your criteria Journal of Hospital Medicine[Journal]


Recommendations on the Use of Ultrasound Guidance for Adult Abdominal Paracentesis: A Position Statement of the Society of Hospital Medicine.

J Hosp Med 2019 Jan 2;14:E7-E15. Epub 2019 Jan 2.

Divisions of General and Hospital Medicine and Pulmonary and Critical Care Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.

1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, the most common being bleeding. 2. Read More

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http://dx.doi.org/10.12788/jhm.3095DOI Listing
January 2019

Point-of-Care Ultrasound for Hospitalists: A Position Statement of the Society of Hospital Medicine.

J Hosp Med 2019 Jan 2;14:E1-E6. Epub 2019 Jan 2.

White River Junction VA Medical Center, White River Junction, Vermont, USA.

Many hospitalists incorporate point-of-care ultrasound (POCUS) into their daily practice to answer specific diagnostic questions or to guide performance of invasive bedside procedures. However, standards for hospitalists in POCUS training and assessment are not yet established. Most internal medicine residency training programs, the major pipeline for incoming hospitalists, have only recently begun to incorporate POCUS in their curricula. Read More

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http://dx.doi.org/10.12788/jhm.3079DOI Listing
January 2019

Clinical Operations Research: A New Frontier for Inquiry in Academic Health Systems.

J Hosp Med 2019 01 28;14(1):58-59. Epub 2018 Nov 28.

Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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http://dx.doi.org/10.12788/jhm.3108DOI Listing
January 2019

Predicting the Future: Using Simulation Modeling to Forecast Patient Flow on General Medicine Units.

J Hosp Med 2019 01 28;14(1):9-15. Epub 2018 Nov 28.

Assistant Vice President of Health Sciences for Interprofessional Education and Collaborative Care, Virginia Commonwealth University Health System, Richmond, Virginia, USA.

Background: Hospitals are complex adaptive systems within which multiple components such as patients, practitioners, facilities, and technology interact. A careful approach to optimization of this complex system is needed because any change can result in unexpected deleterious effects. One such approach is discrete event simulation, in which what-if scenarios allow researchers to predict the impact of a proposed change on the system. Read More

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http://dx.doi.org/10.12788/jhm.3081DOI Listing
January 2019
1 Read

Screening for Humoral Immunodeficiency in Patients with Community-Acquired Pneumonia.

J Hosp Med 2019 01 28;14(1):33037. Epub 2018 Nov 28.

Rochester Regional Health, Rochester, New York, USA.

Background: Immunodeficiency is an underrecognized risk factor for infections, such as community-acquired pneumonia (CAP).

Objective: We evaluated patients admitted with CAP for humoral immunodeficiency.

Design: Prospective Cohort Study. Read More

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http://dx.doi.org/10.12788/jhm.3106DOI Listing
January 2019
6 Reads

A Protean Protein.

J Hosp Med 2018 Nov 28. Epub 2018 Nov 28.

Department of Medicine, University of California, San Francisco Medical Center, San Francisco, California, USA.

Background:

Objective:

Design, Setting, Patients:

Intervention:

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Conclusions: Read More

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http://dx.doi.org/10.12788/jhm.3102DOI Listing
November 2018
6 Reads

Things We Do For No Reason: Sliding-Scale Insulin as Monotherapy for Glycemic Control in Hospitalized Patients.

J Hosp Med 2018 Nov 28. Epub 2018 Nov 28.

Department of Internal Medicine, Division of Endocrinology, Massachusetts General Hospital, Boston, Massachusetts, USA.

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http://dx.doi.org/10.12788/jhm.3109DOI Listing
November 2018
6 Reads

The Basement Flight

J Hosp Med 2019 01 28;14(1):51-55. Epub 2018 Nov 28.

Departments of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.

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http://dx.doi.org/10.12788/jhm.3096DOI Listing
January 2019
4 Reads

The Role of the Medical Consultant in 2018: Putting It All Together.

J Hosp Med 2018 Dec 11;13:E1-E2. Epub 2018 Dec 11.

Section of Hospital Medicine, Division of General Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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http://dx.doi.org/10.12788/jhm.3123DOI Listing
December 2018

Towards Scalable Hospital-Based Palliative Care: Challenges and Opportunities for Hospitalists.

J Hosp Med 2018 Dec;13(12):881-882

Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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http://dx.doi.org/10.12788/jhm.3118DOI Listing
December 2018
3 Reads

We May Not "Have It All," But We Can Make It Better through Structural Changes.

J Hosp Med 2018 Dec;13(12):877-878

Department of Medicine, University of California, San Francisco, San Francisco, California. USA.

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http://dx.doi.org/10.12788/jhm.3107DOI Listing
December 2018

Is Hospital Discharge the Rube Goldberg Machine of Academic Internal Medicine?

J Hosp Med 2018 Dec;13(12):875-876

Section of Hospital Medicine, Division of General Internal Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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http://dx.doi.org/10.12788/jhm.3116DOI Listing
December 2018

Barriers to Earlier Hospital Discharge: What Matters Most?

J Hosp Med 2018 Dec;13(12):872-874

Associate Professor of Medicine, Cleveland Clinic Lerner School of Medicine at Case Western Reserve University, Cleveland, Ohio, USA.

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http://dx.doi.org/10.12788/jhm.3094DOI Listing
December 2018

You Can't Have It All: The Experience of Academic Hospitalists During Pregnancy, Parental Leave, and Return to Work.

J Hosp Med 2018 Dec;13(12):836-839

Department of Medicine, Division of Hospital Medicine, University of Colorado, Denver, Colorado, USA.

Background: The United States lags behind most other countries regarding the support for working mothers and parental leave. Data are limited to describe the experience of female hospital medicine physicians during pregnancy, parental leave, and their return to work in academic hospital medicine.

Methods: We conducted a qualitative descriptive study including interviews with 10 female academic hospitalists chosen from institutions across the country that are represented in Society of Hospital Medicine (SHM) Committees. Read More

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http://dx.doi.org/10.12788/jhm.3076DOI Listing
December 2018

Barriers to Early Hospital Discharge: A Cross-Sectional Study at Five Academic Hospitals.

J Hosp Med 2018 Dec;13(12):816-822

Division of Hospital Medicine, University of Colorado, Denver, Colorado, USA.

Background: Understanding the issues delaying hospital discharges may inform efforts to improve hospital throughput.

Objective: This study was conducted to identify and determine the frequency of barriers contributing to delays in placing discharge orders.

Design: This was a prospective, cross-sectional study. Read More

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http://dx.doi.org/10.12788/jhm.3074DOI Listing
December 2018
1 Read

In Reply to "Diving Into Diagnostic Uncertainty: Strategies to Mitigate Cognitive Load. In Reference to: 'Focused Ethnography of Diagnosis in Academic Medical Centers'".

J Hosp Med 2018 11;13(11):805

Division of Hospital Medicine and the VA Ann Arbor Healthcare System, University of Michigan, Ann Arbor, Michigan, USA.

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http://dx.doi.org/10.12788/jhm.3078DOI Listing
November 2018

Increasing Inpatient Consultation: Hospitalist Perceptions and Objective Findings. In Reference to: "Hospitalist Perspective of Interactions with Medicine Subspecialty Consult Services".

J Hosp Med 2018 Nov;13(11):802

Department of Medicine, University of Chicago, Chicago, Illinois, USA.

Objective:

Design:

Setting:

Patients:

Measurements:

Results:

Conclusions: Read More

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http://dx.doi.org/10.12788/jhm.2992DOI Listing
November 2018

The Adoption of an Online Journal Club to Improve Research Dissemination and Social Media Engagement Among Hospitalists.

J Hosp Med 2018 Nov;13(11):764-769

Section of General Internal Medicine, University of Chicago, Chicago, Illinois, USA.

Background: Twitter-based journal clubs are intended to connect clinicians, educators, and researchers to discuss recent research and aid in dissemination of results. The Journal of Hospital Medicine (JHM) began producing a Twitter-based journal club, #JHMChat, in 2015.

Objective: To describe the implementation and assess the impact of a journal-sponsored, Twitter-based journal club on Twitter and journal metrics. Read More

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http://dx.doi.org/10.12788/jhm.2987DOI Listing
November 2018

Limitations of Using Pediatric Respiratory Illness Readmissions to Compare Hospital Performance.

J Hosp Med 2018 11;13(11):737-742

University of California, San Francisco, California, USA.

Background: Adult hospital readmission rates can reliably identify meaningful variation in hospital performance; however, pediatric condition-specific readmission rates are limited by low patient volumes.

Objective: To determine if a National Quality Forum (NQF)-endorsed measure for pediatric lower respiratory illness (LRI) 30-day readmission rates can meaningfully identify high- and low-performing hospitals.

Design: Observational, retrospective cohort analysis. Read More

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http://dx.doi.org/10.12788/jhm.2988DOI Listing
November 2018
9 Reads

Less Lumens-Less Risk: A Pilot Intervention to Increase the Use of Single-Lumen Peripherally Inserted Central Catheters.

J Hosp Med 2019 01 31;14(1):42-46. Epub 2018 Oct 31.

Division of Hospital Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.

To reduce risk of complications, existing guidelines recommend use of peripherally inserted central catheters (PICCs) with the minimal number of lumens. This recommendation, however, is difficult to implement in practice. We conducted a pilot study to increase the use of single-lumen PICCs in hospitalized patients. Read More

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http://dx.doi.org/10.12788/jhm.3097DOI Listing
January 2019

Ethical Considerations in the Care of Hospitalized Patients with Opioid-Use and Injection Drug-Use Disorders.

J Hosp Med 2018 Oct 31. Epub 2018 Oct 31.

VA National Center for Ethics in Health Care New Mexico Veterans Affairs Health Care System, Albuquerque New Mexico, USA.

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http://dx.doi.org/10.12788/jhm.3100DOI Listing
October 2018

Interventions for Frequently Hospitalized Patients and Their Effect on Outcomes: A Systematic Review.

J Hosp Med 2018 12 31;13(12):853-859. Epub 2018 Oct 31.

Department of Medicine, Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

BACKGROUND: A small subset of patients account for a substantial proportion of hospital readmissions. Programs to reduce utilization among this subset of frequently hospitalized patients have the potential to improve health and reduce unnecessary spending. PURPOSE: To conduct a systematic review of interventions targeting frequently hospitalized patients. Read More

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http://dx.doi.org/10.12788/jhm.3090DOI Listing
December 2018

On Decreasing Utilization: Models of Care for Frequently Hospitalized Patients and Their Effect on Outcomes.

J Hosp Med 2018 12 31;13(12):879-880. Epub 2018 Oct 31.

Blue Cross Blue Shield of Texas, Richardson, Texas, USA.

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http://dx.doi.org/10.12788/jhm.3089DOI Listing
December 2018

Random Drug Testing of Physicians: A Complex Issue Framed in 7 Questions.

J Hosp Med 2019 01 31;14(1):56-57. Epub 2018 Oct 31.

University of Colorado Hospital, Aurora, Colorado, USA.

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http://dx.doi.org/10.12788/jhm.3099DOI Listing
January 2019

Prevalence of Staphylococcus aureus and Use of Antistaphylococcal Therapy in Children Hospitalized with Pneumonia.

J Hosp Med 2018 12 31;13(12):848-852. Epub 2018 Oct 31.

Division of Hospital Medicine, Monroe Carell Jr. Children's Hospital and the Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

Within a cohort of >2,000 children hospitalized with community-acquired pneumonia, staphylococcal pneumonia was rare (1%) but associated with adverse in-hospital outcomes. Despite this low prevalence, use of antistaphylococcal antibiotics was common (24%). Efforts are needed to minimize overuse of antistaphylococcal antibiotics while also ensuring adequate treatment for pathogen-specific diseases. Read More

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http://dx.doi.org/10.12788/jhm.3093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321763PMC
December 2018
1 Read

Things We Do For No Reason: Prealbumin Testing to Diagnose Malnutrition in the Hospitalized Patient.

J Hosp Med 2018 Oct 31. Epub 2018 Oct 31.

Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.

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http://dx.doi.org/10.12788/jhm.3088DOI Listing
October 2018

Acute Treatment of Hypertensive Urgency.

J Hosp Med 2018 12 31;13(12):860-862. Epub 2018 Oct 31.

Ralph H. Johnson VA Medical Center, Charleston Health Equity and Rural Outreach Innovation Center (HEROIC), Charleston, South Carolina, USA.

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http://dx.doi.org/10.12788/jhm.3086DOI Listing
December 2018

Association of Weekend Admission and Weekend Discharge with Length of Stay and 30-Day Readmission in Children's Hospitals.

J Hosp Med 2018 10 31. Epub 2018 Oct 31.

Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Background: Worse outcomes among adults presenting for/receiving care on weekends (ie, "the weekend effect") have been observed for many diseases. However, little is known about the overall impact of the weekend effect in hospitalized children.

Objective: o determine the association between weekend admission and length of stay (LOS) and between weekend discharge and 30-day all-cause readmission. Read More

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http://dx.doi.org/10.12788/jhm.3085DOI Listing
October 2018
2.081 Impact Factor

The Interplay between Financial Incentives, Institutional Culture, and Physician Behavior: An Incompletely Understood Relationship Worth Elucidating.

J Hosp Med 2019 01 31;14(1):60-62. Epub 2018 Oct 31.

Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

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http://dx.doi.org/10.12788/jhm.3098DOI Listing
January 2019

Association between Hospitalist Productivity Payments and High-Value Care Culture.

J Hosp Med 2019 01 31;14(1):16-21. Epub 2018 Oct 31.

Department of Medicine, University of California Los Angeles, Los Angeles, California, USA.

Background: Given the national emphasis on affordability, healthcare systems expect that their clinicians are motivated to provide high-value care. However, some hospitalists are reimbursed with productivity bonuses, and little is known about the effects of these reimbursements on the local culture of high-value care delivery.

Objective: To evaluate if hospitalist reimbursement models are associated with high-value culture in university, community, and safety-net hospitals. Read More

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http://dx.doi.org/10.12788/jhm.3084DOI Listing
January 2019
15 Reads

Perioperative Management of ACE Inhibitor Therapy: Challenges of Clinical Decision Making Based on Surrogate Endpoints.

J Hosp Med 2018 Sep;13(10):724-726

Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.

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http://dx.doi.org/10.12788/jhm.3062DOI Listing
September 2018

A Shooting in the Hospital: When Domestic Violence Occurs in the Hospital, Reflection, and Response.

Authors:
Edward J Merrens

J Hosp Med 2018 Sep;13(10):722-723

Chief Clinical Officer, Dartmouth-Hitchcock Health, Hospitalist, Section of Hospital Medicine, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, USA.

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https://www.journalofhospitalmedicine.com/jhospmed/article/1
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http://dx.doi.org/10.12788/jhm.3075DOI Listing
September 2018
5 Reads

Inferior Vena Cava Filter Placement in Patients with Venous Thromboembolism without Contraindication to Anticoagulation.

J Hosp Med 2018 Sep;13(10):719-721

Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

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http://dx.doi.org/10.12788/jhm.3041DOI Listing
September 2018

The Role of Hospital Medicine in Emergency Preparedness: A Framework for Hospitalist Leadership in Disaster Preparedness, Response, and Recovery.

J Hosp Med 2018 Sep;13(10):713-718

Medical Director for Emergency Preparedness at University of Colorado Hospital, Department of Emergency Medicine University of Colorado, and Colorado School of Public Health, University of Colorado Hospital, Aurora, Colorado, USA.

Recent high-profile mass casualty events illustrate the unique challenges that such occurrences pose to normal hospital operations. These events create patient surges that overwhelm hospital resources, space, and staff. However, in most healthcare systems, hospitalists currently show no integration within emergency planning or incident response. Read More

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https://www.journalofhospitalmedicine.com/jhospmed/article/1
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http://dx.doi.org/10.12788/jhm.3073DOI Listing
September 2018
3 Reads

Does Patient Experience Predict 30-Day Readmission? A Patient-Level Analysis of HCAHPS Data.

J Hosp Med 2018 09 25;13(10):681-687. Epub 2018 Jul 25.

Division of General Internal Medicine, Johns Hopkins Medicine Baltimore, Maryland, USA.

Background: Hospital-level studies have found an inverse relationship between patient experience and readmissions. However, based on typical survey response time, it is unclear if patients are able to respond to surveys before they get readmitted and whether being readmitted might be a driver of poor experience scores (reverse causation).

Objective: Using patient-level Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS) and Press Ganey data to examine the relationship between readmissions and experience scores and to distinguish between patients who responded before or after a subsequent readmission. Read More

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http://dx.doi.org/10.12788/jhm.3037DOI Listing
September 2018

Prospective Randomized Evaluation of Preoperative Angiotensin-Converting Enzyme Inhibition (PREOP-ACEI).

J Hosp Med 2018 09 25;13(10):661-667. Epub 2018 Jul 25.

Section of Hospital Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Background: Intraoperative hypotension is associated with an increased risk of end organ damage and death. The transient preoperative interruption of angiotensinconverting enzyme inhibitor (ACEI) therapy prior to cardiac and vascular surgeries decreases the occurrence of intraoperative hypotension.

Objective: We sought to compare the effect of two protocols for preoperative ACEI management on the risk of intraoperative hypotension among patients undergoing noncardiac, nonvascular surgeries. Read More

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http://dx.doi.org/10.12788/jhm.3036DOI Listing
September 2018
2 Reads

Predictors of Clinically Significant Echocardiography Findings in Older Adults with Syncope: A Secondary Analysis.

J Hosp Med 2018 12 26;13(12):823-828. Epub 2018 Sep 26.

Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Heath & Science University, Portland, Oregon, USA.

Background: Syncope is a common reason for visiting the emergency department (ED) and is associated with significant healthcare resource utilization.

Objective: To develop a risk-stratification tool for clinically significant findings on echocardiography among older adults presenting to the ED with syncope or nearsyncope.

Design: Prospective, observational cohort study from April 2013 to September 2016. Read More

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http://dx.doi.org/10.12788/jhm.3082DOI Listing
December 2018
3 Reads

The Virtual Hospitalist: The Future is Now.

J Hosp Med 2018 11 26;13(11):798-799. Epub 2018 Sep 26.

Johns Hopkins University, Baltimore, Maryland, USA.

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http://dx.doi.org/10.12788/jhm.3080DOI Listing
November 2018

A Dark Horse Diagnosis.

J Hosp Med 2018 11 26;13(11):790-794. Epub 2018 Sep 26.

Department of Medicine, University of Washington, Seattle, Washington, USA.

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http://dx.doi.org/10.12788/jhm.3068DOI Listing
November 2018

The Virtual Hospitalist: A Single-Site Implementation Bringing Hospitalist Coverage to Critical Access Hospitals.

J Hosp Med 2018 11 26;13(11):759-763. Epub 2018 Sep 26.

University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.

Background: On-site hospitalist care can improve patient care, but it is economically infeasible for small critical access hospitals (CAHs). A telemedicine "virtual hospitalist" may expand CAH capabilities at a fractional cost of an on"site provider.

Objective: To evaluate the impact of a virtual hospitalist on transfers from a CAH to outside hospitals. Read More

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http://dx.doi.org/10.12788/jhm.3061DOI Listing
November 2018

So Much More than Bald and Bloated.

J Hosp Med 2018 11 26;13(12):863-867. Epub 2018 Sep 26.

Division of Hospital Medicine, Department of Medicine, Oregon Health & Science University, Portland, Oregon, USA.

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http://dx.doi.org/10.12788/jhm.3083DOI Listing
November 2018

Things We Do For No Reason: The Default Use of Hypotonic Maintenance Intravenous Fluids in Pediatrics.

J Hosp Med 2018 Sep;13(9):637-640

Department of Pediatrics, Childrens Hospital of Pittsburgh of UPMC, The University of Pittsburg, School of Medicine, Pittsburgh, Pennsylvania, USA.

Objective:

Design:

Setting:

Patients:

Measurements:

Results:

Conclusions: Read More

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http://dx.doi.org/10.12788/jhm.3040DOI Listing
September 2018

A Tough Egg to Crack.

J Hosp Med 2018 09;13(9):641-645

Department of Medicine, Johns Hopkins Hospital and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Objective:

Design:

Setting:

Patients:

Measurements:

Results:

Conclusions: Read More

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https://www.journalofhospitalmedicine.com/jhospmed/article/1
Publisher Site
http://dx.doi.org/10.12788/jhm.3063DOI Listing
September 2018
9 Reads

FYI: This Message Will Interrupt You - Texting Impact on Clinical Learning Environment.

J Hosp Med 2018 Sep;13(9):650-651

Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.

Objective:

Design:

Setting:

Patients:

Measurements:

Results:

Conclusions: Read More

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http://dx.doi.org/10.12788/jhm.3067DOI Listing
September 2018