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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…

If I Were You, I Would Not Be Bullish on Long-Term Care

Last week I was in Dunkin' Donuts and noticed something odd—although the oddness did not strike me immediately.  The woman who was serving me could have been my grandmother. Ditto that when I was at Home Depot in the lighting aisle yesterday.  And ditto it again in Walmart this morning. I would never dream of seeing that as a kid. Ever. (more…)

JHM Research, Readmissions Reduction & SHM Members Make HM News

­SHM & Hospital Medicine in the News: September 14 – 28, 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: SHM Board member Danielle Scheurer, MD, SFHM, MSCR and research from the Journal of Hospital Medicine were mentioned in an article on hospitalist burnout. Journal of Hospital Medicine research on higher mortality rates in weekend hospital admissions was highlighted in an article on Clinical Advisor. Dan Brotman, MD, SFHM was quoted throughout an article on HealthcareDIVE discussing CMS’ readmissions reduction program. SHM member Jocelyn Edathil, MD, PhD is not only a hospitalist and assistant professor of clinical medicine at Temple University Hospital, but plays the dual role of unofficial hospital chaplain. Vineet Arora, MD, MPP, MHM’s blog post encouraging doctors to professionally speak out on health issues was reposted on Kevin, MD. Burnout Among Hospitalists…