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http://dx.doi.org/10.1016/j.jhazmat.2024.135263 | DOI Listing |
J Hosp Med
August 2025
Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Background: Hospital communication is increasingly reliant on asynchronous electronic secure messaging (SM) systems, with the unintended consequence of increased task switching and a greater overall burden of communications. We sought to analyze secure messages sent and received by hospitalists to understand content, urgency, and actionability, which may guide future efforts on best practices around SM.
Methods: A qualitative content analysis was performed on a subset of messages sent and received by hospitalists from 1 weekday and 1 weekend day in 2023, coding them by urgency (i.
J Hosp Med
July 2025
Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA.
Background: Lumbar puncture (LP) is frequently necessary in hospitalized patients for diagnostic and therapeutic purposes. Traditional landmark identification by palpation of the lumbar spine and pelvis can see significant failure rates. A paramedian approach is an accepted, though less frequently used technique associated with higher success rates for spinal access in anesthesia when aided by ultrasound.
View Article and Find Full Text PDFJ Hosp Med
July 2025
Department of Pediatrics, Boston Medical Center, Boston, Massachusetts, USA.
Background: In 2017 Boston Medical Center's (BMC) general pediatric inpatient unit implemented bi-level positive airway pressure (BiPAP) as supportive noninvasive ventilation for acute chest syndrome prevention (SNAP) to prevent adverse respiratory outcomes among medically stable, hospitalized patients with sickle cell disease. Barriers and facilitators to SNAP implementation at BMC differ from those in other settings.
Objective: To examine contextual determinants of SNAP implementation across different settings.
J Hosp Med
July 2025
Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Background: Academic hospitalists have major roles in medical education, clinical care, and other academic medical center missions. Their professional identity development has implications for vitality, burnout, retention, and patient safety.
Objective: To characterize academic internal medicine hospitalist professional identity and its development.