Weijen Chang, MD, SFHM
The Big Tent of Health Care Must be Bigger
March 1, 2023
As I feared in last year’s Editor’s Column, this past year has seen one crisis merge into successive crises, making our waking lives a nightmarish fever dream. Just when we thought we were...
PHM16: Pediatric Hospital Medicine Leaders Kick Off 2016 Conference
August 4, 2016
Speaker: Lisa Zaoutis, MD, Pediatric Residency Program Director at the Children’s Hospital of Philadelphia. Amid the skyscrapers of the Windy City, Pediatric Hospital Medicine (PHM) 2016 swept into town, bringing with it the denizens of pediatric hospitalist programs across the country.
VTEP Guidelines Can Be Systematically Implemented in Pediatric Inpatients
March 21, 2016
Clinical question: Can venous thromboembolism prophylaxis (VTEP) guidelines be systematically implemented in a pediatric inpatient population? Background: VTEP for hospitalized adult medical patients has been characterized in the literature as being safe and efficacious, although mortality benefi
QUIZ: When Should You Suspect Kawasaki Disease as the Cause of Fever in an Infant?
February 8, 2016
Kawasaki disease (KD) is an acute systemic vasculitis of unknown etiology that occurs in children. Because there is no specific diagnostic test or pathognomonic clinical feature, clinical diagnostic criteria have been established to guide physicians.
Nebulized Hypertonic Saline Does Not Improve Outcomes for Non-ICU Infants with Acute Bronchiolitis
January 18, 2016
Clinical question: Does the use of nebulized 3% hypertonic saline shorten length of stay (LOS) in infants hospitalized with acute bronchiolitis? Background: Acute bronchiolitis is a disease primarily of infants and young children, triggered by a viral infection that leads to variable inflammation
Parental Perceptions of Nighttime Communication Are Strong Predictors of Patient Experience
December 23, 2015
Clinical question: How does parental perception of overnight pediatric inpatient care affect the overall patient experience? Background: Restrictions on resident duty hours have become progressively more stringent as attention to the effects of resident fatigue on patient safety has increased.
The Lone Hospitalist in the Nuba Mountains of Sudan
November 4, 2015
[caption id="attachment_11766" align="alignright" width="295"] Image Credit: www.nytimes.comA screenshot of the New York Times website featuring Times columnist Nicholas Kristoff’s article "The Worst Atrocity You’ve Never Heard Of,” which chronicles Dr.
Standard Discharge Communication Process Improves Verbal Handoffs between Hospitalists, PCPs
July 29, 2015
Clinical question: Can a standardized discharge communication process, coupled with an electronic health record (EHR) system, improve the proportion of completed verbal handoffs from in-hospital physicians to PCPs within 24 hours of patient discharge? Background: Discharge from the hospital setti
Just-In-Time CPR Training Studied in Pediatric Cardiopulmonary Arrest
May 5, 2015
Outcomes for JIT CPR training, with or without visual feedback, improves compliance with chest compression rate, depth guidelines during simulated CPA
Pediatric Physicians React to Bronchiolitis Clinical Practice Guideline
May 5, 2015
Reading posts from multiple listservs is much like Cold War-era CIA monitoring of Russian phone calls—you have to scan through a lot of unrewarding material to find a nugget of interesting material.