PEMBlog

SEPTEMBER 20, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Diagnosis 122

Diagnosis Diagnose Hospital Clinic 122

PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

The Clinical Problem Solvers

DECEMBER 16, 2020

education, income, number of previous hospitalizations) that also lead to clinical outcomes, not only race-based stratification. Our esteemed publications should ensure that investigations that utilize racial variables follow these guidelines before being published. We might group people across socio-demographic categories (ex.

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

The Clinical Problem Solvers

FEBRUARY 9, 2020

Objectives Define likelihood ratios and their utility in diagnostic reasoning Identify how likelihood ratios alter the probability of a diagnosis Apply likelihood ratios in clinical reasoning What are likelihood ratios and how do they work? On hospital day #2, peritoneal fluid cultures returned positive for E.

Clinic 52

Clinic Diagnosis Hypertension Patients 52

PEMBlog

SEPTEMBER 27, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. JAMA Pediatr.

Patients 52

Patients Hospital Illness Management 52

PEMBlog

MARCH 18, 2024

But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The Solution: The Systematic Online Academic Resource, or SOAR, review was created in an effort to address some of these limitations.

Education 52

Education Utilities Community Management 52

PEMBlog

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. These presentations include behavior concerns, depression, anxiety, and harm to self or others. Ann Emerg Med. Ann Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

JULY 19, 2024

So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. Why would we want to? Now, we would believe this from a primary care perspective.

Screening 119

Screening Primary Care Patient-Centered IT 119

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Effective and efficient management of multimorbidity presents a significant challenge for aging societies. Objectives: To assess the impact of polydoctoring on hospital admission rates among older adults with multimorbidity. Conclusions Polydoctoring was associated with a decrease in hospital admissions for ACSCs.

Chronic Condition 130

Chronic Condition Insurance Utilities Hospital 130

The Clinical Problem Solvers

MAY 2, 2022

Dr. Valtis is a 4th year Med-Peds Resident at Brigham & Women’s Hospital and Boston Children’s Hospital, and his research focuses on race and the utilization of security responses in the inpatient hospital setting. Yannis Valtis, Ebi Okah, and Carine Davila, about research in their respective fields.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. As always, I’m your host, Brad Sobolewski, and this episode focuses on the management of children with metabolic disorders who present to the emergency department. Take it away, Emily.

Consulting 59

Consulting Individual Families Family 59

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

PEMBlog

JUNE 2, 2025

In the case presented, the patients blood pressure was significantly elevated, and she exhibited symptoms indicative of end-organ involvement, including altered mental status, headache, and nausea. Additionally, hydralazine is another agent that was previously utilized in pediatric hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). I’m a PhD candidate at Yale School of Nursing.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

DECEMBER 19, 2024

* This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. I think it’s very present in maid.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. So, one of my strategies was to make presentations nationally and one of those presentations, and here now I’m to your story, Alex, was at the National Medical Association that year.

IT 99

IT Patient-Centered Families Family 99

GeriPal

SEPTEMBER 1, 2022

And we’ll tell you the scope of practice, and this is top of license, and this is how you can best utilize a social worker and, no, actually that skillset belongs over here.” And I think now we’re at a place where we are taking back the ability to say, “No, actually, this is what a social worker does.

IT 102

IT Families Family Clinic 102

GeriPal

JANUARY 20, 2023

They don’t have nearly the responsibilities that a certified nursing assistant has when thinking about utilities, groceries, rent, mortgage, all of that stuff on a monthly basis. When you hear, “We need more money to pay for staff,” you have to say to yourself, “Where’s the money presently going?”

Finance 95

Finance Board-Certified IT Provider 95

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

With the direct primary care model, your insurance is used for what it is intended to cover: catastrophic health events, hospitalizations, specialist care, imaging, and surgery. In some cases, you may be referred to a hospital or specialty service. Instead, they establish a direct patient-provider relationship, for a flat fee.

Family Medicine 40

Family Medicine DO Family Families 40

GeriPal

AUGUST 24, 2023

So tiny, tiny, in a hospital bed. I’m fully present. The specifics of how it does that depend on the population in which it’s implemented, and the outcome measure that is utilized. So I spent some time reading through a lot of your pieces, including an interview with NPR back… God, it was maybe 15 years ago.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. And that’s critical. Eric: Yeah.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. Three hospitals all within the UW medicine system.

Patient-Centered 83

Patient-Centered IT Patients Hospital 83

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Malaz: … to restrain them in the hospital. You come over to the clinic, you go to the hospital, you provide service, and the insurance and you negotiate how much you’re going to get paid. Diane: Yeah.

Patient-Centered 125

Patient-Centered IT Families Family 125