Article
Procalcitonin to Predict Severity of Acute Cholangitis and Need for Urgent Biliary Decompression
- Maryann T. Ally, MD, MPH, FACP, CHCQM-PHYADV, FHM
May 1, 2023
Dr. Ally Clinical question: What impact does procalcitonin have on the management of acute cholangitis? Background: Procalcitonin has been used to predict disease severity that may lead...
Article
The Association of Hallway Boarding on Readmission and Mortality Rates
- Diana Childers, MD, CHCQM-PHYADV
May 1, 2023
Dr. Childers Clinical question: Does inpatient hallway boarding increase in-hospital mortality, 30-day mortality, or 30-day readmission rates? Background: Prior studies have reported that the...
Article
Implementation of a Comprehensive Hospitalist-led Initiative to Improve Care for Patients with OUD
- William J. Frederick, III, MD, PhD, CHCQM-PHYADV
May 1, 2023
Clinical question: Can a multidisciplinary, hospitalist-led program improve care for hospitalized patients with opioid use disorder (OUD)? Background: Despite rising opioid-related hospitalizations...
Article
Early Treatment with Thiamine and Mortality Among Patients with AUD Who are Hospitalized for Pneumonia
May 1, 2023
Dr. Chace Clinical question: Does early thiamine administration improve mortality outcomes for patients with alcohol use disorder who are hospitalized for pneumonia? Background: Wernicke’s...
Article
Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis
May 1, 2023
Dr. Hammond Clinical question: Is early, aggressive, fluid resuscitation in acute pancreatitis or moderate fluid resuscitation the best and safest way to prevent progression to moderately severe...
Article
Increased Familiarity Between Residents and Nurses Improves Team Performance and Communication
- Bryan Huang, MD, CHCQM-PHYADV, FHM
May 1, 2023
Dr. Huang Clinical question: Does an increased familiarity between medical residents and nurses improve team performance and communication? Background: Prior studies suggest that familiarity...
Article
Important Lessons from Hospitalists Who Love Their Jobs
May 1, 2023
Job stress, moral injury, burnout, and the great resignation—these are very real concerns for the field of hospital medicine, exacerbated by but not limited to the unprecedented challenges of the...
Article
Low-dose Buprenorphine Initiation is a Safe and Effective Alternative to Standard-dose Buprenorphine in Hospitalized Patients with OUD
May 1, 2023
Dr. Vuong Clinical question: Is low-dose buprenorphine initiation in hospitalized patients safe and effective for the management of opioid use disorder (OUD)? Background: OUD is a chronic...
Article
Becoming a Well-being Advocate
- Anna Zachwieja, MHA;
- Swati Mehta, MD, FACP, CPXP, SFHM
May 1, 2023
By now, burnout and its related toll on clinicians nationwide are recognized as a pressing crisis. While burnout among U.S. health care practitioners isn’t new, the COVID-19 pandemic exacerbated...
Article
Lessons in Redeployment from Adult Hospitalists
- Sydney Katz, MD, Elijah Douglass, MD, and Alice J. Tang, MD, MHPE
May 1, 2023
Diverse mid-adult nurses, mature adult hospital administrators, and senior adult doctors are standing around a table in a hospital board room. They are reviewing spreadsheets and charts containing...