Article
Update on Clinical Guidelines
July 1, 2024
In a packed room, Dr. O’Leary, chief of the division of hospital medicine, associate chair for quality in the department of medicine, and vice president of quality for Northwestern Memorial...
Article
Syncope: Things We Do for No Reason & Things We Do for Reason
July 1, 2024
Syncope is broadly classified into reflex-mediated (60% to 70%), orthostatic (10%), and cardiac (10% to 20%). Cerebrovascular causes were removed from American and European guidelines (or listed as a...
Article
Is 7 Really the Magic Number for RBC Transfusion?
May 1, 2024
Over the past decade, there has been widespread adoption of restrictive red blood cell (RBC) transfusion guidelines.1,2 As a result, RBC transfusions have significantly decreased per...
Article
Coding Corner: A Critical Opportunity
April 1, 2024
A 17-year-old with a history of major depressive disorder who is new to the hospitalist service is being transferred out of the pediatric intensive care unit (PICU) after an intentional Benadryl...
Article
Interruptions: Bad for Hospitalists and Their Patients
April 1, 2024
More than 10 years ago this magazine published an article by Winthrop Whitcomb, MD, MHM, a pioneer of hospital medicine and co-founder of the Society of Hospital Medicine, warning of the hazards of...
Article
How Can Hospitalists Help Reduce Harmful In-hospital Patient Falls?
March 1, 2024
An estimated 700,000 to 1,000,000 falls occur in hospitalized patients in this country every year, with one-quarter to one-third of the falls leading to injuries. At least 10% of those are serious...
Article
Demystifying Performance Measures for Hospitalists: VTE Prophylaxis
March 1, 2024
As venous thromboembolism (VTE) became an increasingly recognized cause of death in hospitalized patients, prevention became a high priority for the health care system.1,2 Starting in 2005, the Joint...
Article
Adult Hospitalizations from Immigration-detention Facilities
February 1, 2024
Dr. Woodruff Clinical question: What are the causes of hospitalizations from immigration-detention facilities and what is their relative morbidity? Background: Over the last three decades, an...
Article
Virtual Care Team Increases the Number of Patients with CHF on GDMT During Hospitalization
February 1, 2024
Dr. Pahwa Clinical question: Can a virtual care team increase the number of patients with chronic heart failure (CHF) on goal-directed therapy during hospitalization? Background: Maximizing...
Article
Fewer COPD Exacerbations and Pneumonia Hospitalizations with LABA-LAMA Inhalers Compared to ICS-LABA in COPD
February 1, 2024
Dr. Coursen Clinical question: Is a long-acting beta agonist and long-acting muscarinic antagonist (LABA-LAMA) inhaler combination better than an inhaled corticosteroid and long-acting beta...