Practice Management

Hospitalist Consults on Psychiatric Patients Concern Nurses

I am a psychiatric nurse and am concerned about the new group of hospitalists who are taking over all the new ED patients: Are signing off to the nursing staff or in the electronic health record (EHR); they do not speak with the attending psychiatrist; Are not monitoring their own medications, including Coumadin or insulin (from… [Read More]

Physician Culture, Beliefs Drive Variation in Healthcare Spending

The Dartmouth Institute for Health Policy and Clinical Practice and other institutions have long tried to quantify the prevalence and geographic variation of low-value care. Researchers have roughly defined low-value care as tests and procedures for which the potential benefit does not outweigh the potential harm, though the calculus can change significantly from patient to… [Read More]

Insufficient Time for Patients May Add to Healthcare Waste

Reform advocates agree that a doctor’s time is a scarce resource that can contribute to waste when it is stretched too thin. “It’s not just about overtreatment; it’s about getting the right treatment, and the right treatment depends on the right diagnosis, and the right diagnosis depends on really taking the time to think carefully… [Read More]

Tips for Reducing Medical Device Alarm Fatigue

In April 2013, The Joint Commission issued a Sentinel Event Alert that provided hospitals with recommendations for assessing their individual circumstances and developing a systematic, coordinated approach regarding medical device alarms. The recommendations correspond with those of the Association for the Advancement of Medical Instrumentation (AAMI) and ECRI Institute. Most of the information and guidance… [Read More]

Dr. Dimino

Movers and Shakers in Hospital Medicine, June 2015

Tammy Bugger, hospitalist practice administrator at Alton Memorial Hospital (AMH) in Alton, Ill., was awarded Manager of the Year for Illinois by BJC Medical Group. Bugger is being honored for helping to improve overall patient satisfaction scores for the AMH hospitalist group by ensuring that each patient understands the role of the hospitalist in his… [Read More]

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Precaution Guidelines Updated for Visitors of Inpatients with Infectious Diseases

Hospitalists may soon see changes in precaution protocols for some hospital visitors, thanks to a revised set of guidelines published by the Society for Healthcare Epidemiology of America (SHEA). The guidelines include recommendations for visitors to patients hospitalized with infectious diseases. “Up until now, visitors have been wearing contact precautions just like healthcare providers—gowns, gloves,… [Read More]

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Antibiotic Regimens Compared for Treating Uncomplicated Skin Infections

  Clinical question: What are the efficacy and safety of clindamycin and trimethoprim-sulfamethoxazole (TMP-SMX) for treatment of uncomplicated soft tissue infections in adults and children? Background: Clindamycin and TMP-SMX are commonly used treatments for uncomplicated skin infections in adults and children, but no head-to-head comparison of efficacy or side effect profile for these medications exists…. [Read More]

To Battle Burnout, Jerome C. Siy, MD, CHIE, SFHM, Instructs Hospitalist Leaders to Engage, Communicate, and Create a “Culture”

Studies show nearly one in three hospitalists will experience long-term exhaustion or diminished interest in their work.1 Burned out physicians have low empathy, don’t communicate well, and provide poor quality of care. Not only does burnout lower quality of care, it is also costly and affects physicians’ personal lives. Unfortunately, despite more than a decade… [Read More]