Article
Anti-Xa Monitoring During Therapeutic LMWH Use Leads to Frequent Dose Changes Without Clear Evidence of Improved Clinical Outcomes
September 2, 2026
Clinical Question: In patients receiving therapeutic low-molecular-weight heparin (LMWH), does anti-Xa monitoring with subsequent dose adjustment improve bleeding or thrombotic outcomes? Background:...
Article
Daily Fish-Oil Supplementation Reduced Serious Cardiovascular Events in Patients with End-Stage Kidney Disease Who Receive Maintenance Hemodialysis
September 2, 2026
Clinical Question: Does daily supplementation with omega-3 polyunsaturated fatty acids reduce cardiovascular events in patients on maintenance hemodialysis? Background: Cardiovascular disease is the...
Article
IV Iron Administration During Acute Infection Does Not Worsen Outcomes and Is Associated with Improved Survival and Hemoglobin Recovery
September 2, 2026
Clinical Question: In hospitalized adults with iron-deficiency anemia (IDA) and concurrent acute infection, does IV iron administration improve clinical outcomes or worsen the infection? Background:...
Article
Demystifying Performance Measures for Hospitalists: Principles for Attribution
- Chris Bruti, MD, MPH, SFHM, and Kathryn Humes, MD, FACP, FHM
September 2, 2026
In last month’s issue of The Hospitalist, members of SHM’s Performance Measurement and Reporting Committee wrote about attribution challenges. Building on that article, the use of quality...
Article
The Balancing Act of Pain Management
September 2, 2026
Dr. Spaeth Hospitalists continue to grapple with the best multimodal way to control patient pain while maximizing the use of medications and other available choices. “Pain is uniquely...
Article
Should Hospitalists Routinely Perform Bedside Procedures?
- Kristin Gershfield, MD, FHM, and Christopher Migliore, MD, MS, FACP, FHM
September 2, 2026
Why Hospitalists Should Not Routinely Perform Bedside Procedures After six months of critical care rotations during my internal medicine residency, I felt well prepared to perform most of the...
Article
Your Hurt Is Not My Hurt: The Subjectivity and History of Pain
September 2, 2026
“Only that which never ceases to hurt stays in the memory,” philosopher Friedrich Nietzsche said about pain. For him, pain is central to human existence, and its function is to make us remember....
Article
Developing a POCUS-Focused Inpatient Wards Team with Mixed Faculty Expertise
- Arinea Salas, MD, Swathi Subramany, MD, FACP, David Goldstein, MD, SFHM, Cassie Shaw, MD, FACP, David Baron Herrera, MD, and Evelyn Inga, MD
September 2, 2026
Despite national endorsements from the Society of Hospital Medicine, the American College of Physicians, and the Alliance for Academic Internal Medicine recognizing point-of-care ultrasound (POCUS)...
Article
Optimizing Patient Flow and Growing Referring-Hospital Transfers
- Benjamin P. Buettner, MD, FACP, Deepak Rai, MD, FACP, SFHM, and Tyler Tumberg, MBA, MHA
September 2, 2026
As a quaternary academic referral center, The Ohio State University Wexner Medical Center (OSUWMC) is heavily reliant on transfers from referring hospitals and experiences a high volume of such...
Article
New CAP Guidance Highlights Antibiotic Stewardship, Lung Ultrasound, and Steroid Use
- Naveed Choudry, MD, FHM, FACP, Nazifa Sheikh, Saad Mohammad, MD, FACP, and Shams Quazi, MD, MS, FACP
September 2, 2026
Community-acquired pneumonia (CAP) remains one of the most common reasons adults are admitted to the hospital in the U.S., accounting for more than 1.4 million emergency department visits, 740,000...