The development and pilot of a novel mobile application to assess clinician perception of workload and work environment
The objective of this study was to develop a mobile application to assess, in near real time, clinicians' perception of workload and work environment.Designs, Settings and ParticipantsWe developed the GrittyWork ™ application (GW App) using the Chokshi and Mann process model for user-centered digital development. Study occured at a single academic medical center with hospitalist clinicians.Main Outcome Measures and MeasuresMeasures included the System Usability Scale (SUS), use measures from GW App, electronic health record (EHR) event log data and note counts, and qualitative interviews.ResultsFrom October 28, 2022 to N...
Source: Journal of Hospital Medicine - April 19, 2024 Category: Hospital Management Authors: Marisha Burden,
Lauren McBeth,
Angela Keniston Tags: ORIGINAL RESEARCH Source Type: research
Modern art
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 18, 2024 Category: Hospital Management Authors: Michelle Izmaylov Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research
Transitional care clinics for patients discharged from hospital without a primary care provider: A systematic review
ConclusionsTCCs may be effective in reducing hospital contacts in the period following hospital discharge in patients with no established primary care provider. Further studies are required to evaluate the health benefits attributable to the implementation of TCCs across a broad range of practice contexts, as well as the cost implications of this model. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 17, 2024 Category: Hospital Management Authors: Cait Dmitriew,
Del J. Houle,
Michelle Filipovic,
Ella Chochla,
Alexander Hemy,
Celeste Woods,
Nawal Farhat,
Alanna Campbell,
Lisa J. W. Liu,
Jacquelyn J. Cragg,
James A. G. Crispo Tags: REVIEW Source Type: research
Hospitalizations and transgender patients in the United States
AbstractIt is known that transgender people experience health inequalities. Disparities in hospital outcomes impacting transgender individuals have been inadequately explored. We conducted this retrospective cohort study using the National Inpatient Sample (01/2018 –12/2019) to compare in-hospital mortality and utilization variables between cisgender and transgender individuals using regression analyses. Approximately two-thirds of hospitalizations for transgender patients (n = 10,245) were for psychiatric diagnoses. Compared to cisgender patients, there were no significant differences in adjusted means differences (...
Source: Journal of Hospital Medicine - April 16, 2024 Category: Hospital Management Authors: Keshav Khanijow,
Scott Wright,
Helene Hedian,
Che Harris Tags: BRIEF REPORT Source Type: research
Things We Do for No Reason ™: Discharge before noon
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 14, 2024 Category: Hospital Management Authors: Aaron N. Dunn,
Elise P. Lu Tags: CHOOSING WISELY ®: THINGS WE DO FOR NO REASON™ Source Type: research
Issue Information
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 13, 2024 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research
Abstract
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 13, 2024 Category: Hospital Management Tags: ABSTRACT Source Type: research
Hospital ‐associated venous thromboembolism prophylaxis use by risk assessment at a large integrated health care network in Northern California
AbstractBackgroundHospital-acquired venous thromboembolism (HA VTE) is a preventable complication in hospitalized patients.ObjectiveWe aimed to examine the use of pharmacologic prophylaxis (pPPX) and compare two risk assessment methods for HA VTE: a retrospective electronic Padua Score (ePaduaKP) and admitting clinician's choice of risk within the admission orderset (low, moderate, or high).Design, Settings and ParticipantsWe retrospectively analyzed prophylaxis orders for adult medical admissions (2013 –2019) at Kaiser Permanente Northern California, excluding surgical and ICU patients.InterventionePaduaKP was calculate...
Source: Journal of Hospital Medicine - April 13, 2024 Category: Hospital Management Authors: James Xu,
Elad Neeman,
Khanh K. Thai,
Pranita Mishra,
David Schlessinger,
Heather Clancy,
Laura Myers,
Nareg Roubinian,
Vincent Liu,
Raymond Liu Tags: ORIGINAL RESEARCH Source Type: research
Gridlock: What hospitalists and health systems can do to help
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 12, 2024 Category: Hospital Management Authors: Jennifer M. Zagursky,
Robert E. Burke,
Andrew P. J. Olson,
Jennifer K. Readlynn Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research
Things We Do for No Reason ™: Routine respiratory pathogen panels for emergency department and hospitalized patients
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 11, 2024 Category: Hospital Management Authors: Samara Levin,
David Mayer,
Yoram A. Puius,
Shitij Arora,
Alex Gileles ‐Hillel Tags: CHOOSING WISELY ®: THINGS WE DO FOR NO REASON™ Source Type: research
Development and evaluation of a writing retreat program to build community and promote productivity in academic hospital medicine
ConclusionsWe implemented a low-cost, productive writing retreat program that attendees reported was helpful in supporting deep work and represented a meaningful step toward building a community centered around academic writing. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 10, 2024 Category: Hospital Management Authors: Christopher P. Bonafide,
Kristin D. Maletsky,
Ch én Kenyon,
Stephanie K. Doupnik,
Aditi Vasan,
Irit R. Rasooly,
Laura Goldstein,
Meghan Galligan,
Jessica Hart,
Halley Ruppel,
Chris Feudtner,
Rebecca Tenney‐Soeiro Tags: ORIGINAL RESEARCH Source Type: research
Impact of billing reforms on academic hospitalist physician and advanced practice provider collaboration: A qualitative study
ConclusionsPhysician and APP collaborative care models are increasingly evolving to independent visits often driven by workloads, financial drivers, and local regulations such as medical staff rules and hospital bylaws. Understanding which staffing models produce optimal patient, clinician, and organizational outcomes should inform billing policies rather than the reverse. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 10, 2024 Category: Hospital Management Authors: Sara Westergaard,
Kasey Bowden,
Gopi J. Astik,
Greg Bowling,
Angela Keniston,
Anne Linker,
Matthew Sakumoto,
Natalie Schwatka,
Andrew Auerbach,
Marisha Burden Tags: ORIGINAL RESEARCH Source Type: research
Predicting stroke risk after sepsis hospitalization with new ‐onset atrial fibrillation
ConclusionCurrent models do not accurately stratify risk of stroke following new-onset AF secondary to sepsis. New tools are required to guide anticoagulation decisions following new-onset AF in sepsis. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 10, 2024 Category: Hospital Management Authors: Laura C. Myers,
Ithan D. Peltan,
Khanh K. Thai,
Patricia Kipnis,
Manisha Desai,
Ycar Devis,
Heather Clancy,
Yun W. Lu,
Samuel M. Brown,
Alan S. Go,
Romain S. Neugebauer,
Vincent X. Liu,
Allan J. Walkey Tags: ORIGINAL RESEARCH Source Type: research
The generative artificial intelligence revolution: How hospitalists can lead the transformation of medical education
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 9, 2024 Category: Hospital Management Authors: Verity Schaye,
Marc M. Triola Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research
Reckoning with uncertainty to repair trust
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - April 9, 2024 Category: Hospital Management Authors: Lekshmi Santhosh Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research
