Article
Lessons from a Med-Psych Unit
October 2, 2023
In 2019, I accepted a position at the University of Rochester’s Strong Memorial Hospital in Rochester, N.Y. I knew this wouldn’t be bread-and-butter hospital medicine, but rather a unique...
Article
Coding Corner: HF and Physician Underbilling—Two Common Conditions
October 2, 2023
Coding Corner, a new section that will appear periodically in The Hospitalist, features common coding and/or billing issues hospitalists regularly face. If you have suggestions for upcoming coding...
Article
P2Y12 Inhibitor Monotherapy After 1-3 Months of DAPT Reduces Major Bleeding Risk Without Increasing Ischemic Risk After Complex PCI
October 2, 2023
Clinical question: Does P2Y12 inhibitor monotherapy after one to three months of dual antiplatelet therapy (DAPT) improve clinical decrease in major bleeding risk without increasing ischemic risk in...
Article
Emerging Threat: Illicit Drugs Adulterated with Xylazine
September 1, 2023
Xylazine is a semi-synthetic, non-opioid, sedative paralytic used in veterinary medicine as a tranquilizer. It’s an alpha agonist, similar in chemical structure to clonidine and dexmetomidine.1 It...
Article
Demystifying Performance Measures for Hospitalists: Discharge Before Noon
August 1, 2023
SHM’s Performance Measurement and Reporting Committee (PMRC) members debut a new column in The Hospitalist—“Demystifying Performance Measures.” This series intends to provide members with a...
Article
Street Medicine on the Floors: A Promising Inpatient Model
August 1, 2023
Persons experiencing homelessness (PEH) can be some of the most complex patients on hospitalists’ services. Chronic conditions such as hypertension, hypercholesterolemia, and diabetes are...
Article
What are Common Pitfalls in Measuring the QTc in Hospitalized Adult Patients?
August 1, 2023
Case Ms. S. is a 60-year-old woman admitted with gastroenteritis and hypovolemia in the setting of three days of nausea and diarrhea. She was also found to have atrial fibrillation with rapid...
Article
The Value of Cultural Exchange in Health Care
August 1, 2023
On a Tuesday in February 2002, a happy little boy left home for school. Two hours later, he started feeling unwell, and his parents were called to pick him up. The next day, he insisted on going back...
Article
MRSA Nasal PCR’s Role in Empiric Antibiotic Selection
August 1, 2023
Case A 67-year-old man with chronic obstructive pulmonary disease (COPD) was admitted to inpatient general medicine from his nursing home for pneumonia. He reported a 10-day history of an upper...
Article
High-Value Care/Things We Do For No Reason
July 5, 2023
In this impactful session, Dr. Lee defined value as the sum of quality of care, equity, patient outcome, and experience divided by costs of care and nonfinancial risks and harms. High-value care...