Archive for October 2017

Opioid Safety, Choosing Wisely and SHM Member Successes in HM News

­SHM & Hospital Medicine in the News: October 12 – 26, 2017 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare news. For the full stories, click on the links below: Hilary Mosher, MD, FHM and SHM’s Reducing Adverse Drug Events related to Opioids (RADEO) Guide were featured in an article in Modern Healthcare. Christopher Moriates, MD, SFHM and Vineet Arora, MD, MPP, MHM, co-authored an article for Health Affairs on the growth of Choosing Wisely, along with other directors at Costs of Care. Brian Clay, MD, SFHM was named one of Becker’s Hospital Review’s 50 hospital and health system CMIOs to know. SHM is one of many medical societies that contributed to and concurs with the unchanged respiratory syncytial virus (RSV) recommendations. Journal of Hospital Medicine research on the effect of an informational CPR video on hospitalized patients’ code status was cited in an article…

The Return of #JHMChat and Choosing Wisely

by Charlie M. Wray DO, MS
By: Charlie M. Wray DO, MS I’ll be honest – I can’t remember who won the 2012 Super Bowl, World Series or any other pop culture phenomenon*, but I do recall stumbling across something called Choosing Wisely® one afternoon while sitting in my clinic. With a burgeoning awareness that much of the care I was providing seemed superfluous and wasteful, the discovery that there was a group of physicians who shared this same sentiment was exciting! Five years in, the Choosing Wisely® campaign has published more than 500 specialty recommendations – with the Society of Hospital Medicine working on the upcoming version 2.0 (all are welcome to contribute!). Just as Choosing Wisely is gearing up for round 2, the Journal of Hospital Medicine’s (JHM) online journal club, #JHMChat, is rebooting as well! After a brief summer hiatus, we’re happy to announce that #JHMChat will be returning to discuss “Against Medical…
Charlie M. Wray DO, MS is an Assistant Professor of Medicine at the University of California, Francisco and the San Francisco VA Medical Center. He completed medical school at Western University – College of Osteopathic Medicine, residency at Loma Linda University Medical Center, and a Hospital Medicine Research Fellowship at The University of Chicago. Dr. Wray’s research interests are focused on inpatient care transitions, care fragmentation in the hospital setting, and overutilization of hospital resources. Additionally, he has strong interests in medical education, with specific focus in evidence-based medicine, the implementation of value-based care, and how learners negotiate medical uncertainty. Dr. Wray can often be found tweeting under @WrayCharles.

Navigating a Near Miss

When my daughter was around 5 years old, she disappeared. We were outside, my wife and I doing some work around the house, and our 5-year-old playing on the driveway. She was deeply engrossed in some colored chalk, creating an infinite hopscotch board. I stepped inside to grab something, and my wife went to grab something else on the side of the house. We both returned to the driveway to find chalk rolling down towards the sidewalk – and no daughter. She couldn’t have run into the house; that’s where I was. Nor the backyard, where my wife had been. We call her name, look around, and then realize she must have run off down the sidewalk. But we don’t see her. Images flash by. She runs into the street and gets struck by a car. She turns towards a backyard and vanishes in the next neighborhood. She hides behind…

Making the Implicit Explicit

Last month, I wrote about some interesting workplace trends, in particular about how the implied compact between U.S. workers and their employers is evolving rapidly. Few of us in the workforce today can conceive of an employment relationship in which we are guaranteed lifelong employment and a generous benefits package including full healthcare and retirement in exchange for hard work and loyalty to a single employer. Since then, I’ve had several conversations about the term “compact” as I used it in that post. At its most fundamental, a compact is an agreement between two or more parties. In my recent post, I used the term to refer to the generally accepted but rarely articulated set of expectations that workers and their employers have of each other. There is an implied compact between physicians and the hospitals where they practice as well. Historically that compact assumed that doctors would refer lots…

SHM Member Research Breakthroughs, Pediatric HM Subspecialty & More in HM News

­SHM & Hospital Medicine in the News: September 28 – October 12, 2017 Check out the latest hospital medicine and SHM-related stories in mainstream and healthcare news. For the full stories, click on the links below: Ian Jenkins, MD, SFHM’s research on improving blood transfusion practices was highlighted in Patient Safety & Quality Healthcare. SHM members Weijen Chang, MD, SFHM, Dan Rauch, MD, FAAP, FHM and Leonard Feldman, MD, SFHM discussed the development of the pediatric hospital medicine subspecialty with Medscape. Journal of Hospital Medicine research on association of health literacy with hospital length of stay was cited on Clinical Advisor. A Journal of Hospital Medicine editorial on the three-day hospital stay requirement, co-authored by Ann Sheehy, MD, MS, SFHM was cited in an article on HealthLeaders Media. Saving Blood: The Relatively Simple Task of Blood Management Want to save your bosses some money and improve patient safety? Improve your…
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