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From the Editor in Chief Important Journal of Hospital Medicine NO. JANUARY 2019 1 VOL. 14 www.journalofhospitalmedicine.com An Official Publication of the Society of Hospital Medicine From the Editor in Chief 33 Screening for Humoral Immunodeficiency 7 The Journal of Hospital Medicine 2019 and in Patients with Community-Acquired Beyond Pneumonia Karthik Vadamalai, et al. Samir S Shah. Important Announcement Brief Reports 8 Announcing the Journal of Hospital 40 Effectiveness of SIESTA on Objective and Medicine Editorial Fellowship Subjective Metrics of Nighttime Hospital Volume 14, Number 1, January 2019 Volume Charlie M Wray, et al. Sleep Disruptors Vineet M Arora, et al. Original Research 65 EDITORIAL Nudging Providers to 9 Predicting the Future: Using Simulation Improve Sleep for Hospitalized Modeling to Forecast Patient Flow on Patients General Medicine Units Catherine L Auriemma and S Ryan Greysen. Vimal Mishra, et al. 42 Less Lumens-Less Risk: A Pilot Intervention 58 EDITORIAL Clinical Operations to Increase the Use of Single-Lumen Research: A New Frontier for Inquiry Peripherally Inserted Central Catheters in Academic Health Systems David Bozaan, et al. Rachel Kohn and S Ryan Greysen. Choosing Wisely®: Things We Do 16 Association between Hospitalist for No Reason Productivity Payments and High-Value Care Culture 47 Things We Do for No Reason: Intermittent Reshma Gupta, et al. Pneumatic Compression for Medical Ward Patients? 60 EDITORIAL The Interplay between Jürgen L Holleck and Craig G Gunderson. Financial Incentives, Institutional Culture, and Physician Behavior: An Clinical Care Conundrum Incompletely Understood Relationship 51 The Basement Flight Worth Elucidating Chetna K Pande, et al. Kristin E Bergethon and Perspectives in Hospital Medicine Daniel M Blumenthal. 56 Random Drug Testing of Physicians: 22 Improving Patient Flow: Analysis of an A Complex Issue Framed in 7 Questions Initiative to Improve Early Discharge Ethan Cumbler and Jean S Kutner. Lauren Destino, et al. 28 The Association of Discharge Before Noon and Length of Stay in Hospitalized Pediatric Patients Hailey J James, et al. 63 EDITORIAL Discharge by Noon: Pages 1–68 The Time Has Come for More Times to be the Right Time Emily R Kane and Evan Fieldston. EDITOR-IN-CHIEF CHOOSING WISELY®: Oanh Kieu Nguyen, MD, MAS Bradley Monash, MD THINGS WE DO FOR NO REASON University of California, San Francisco University of California, San Francisco EDITORS Samir S. Shah, MD, MSCE, Michael Ong, MD, PhD Andrew Odden, MD, SFHM SFHM Anthony C. Breu, MD, FHM UCLA, VA Greater Los Angeles Washington University, St. Louis Harvard Medical School Healthcare System Cincinnati Children’s Hospital Andrew Olson, MD Medical Center Leonard Feldman, MD, SFHM Rehan Qayyum, MD University of Minnesota Johns Hopkins School of Medicine Virginia Commonwealth University Andrew White, MD SENIOR DEPUTY EDITORS CHOOSING WISELY®: Gregory W. Ruhnke, MD, MPH University of Washington NEXT STEPS IN IMPROVING University of Chicago Daniel J. Brotman, MD, MHM HEALTHCARE EDITORS Johns Hopkins School of Medicine Jeffrey L. Schnipper, MD, MPH, FHM PAST EDITORS Andrew Masica, MD, MSCI, SFHM Brigham and Women’s Hospital, Margaret Fang, MD, MPH, FHM Baylor Scott & White Health Harvard Medical School Andrew D. Auerbach, MD, MPH, MHM University of California, San Francisco (2012-2018) Ann M. Sheehy, MD, MS, SFHM Joanna E. Thomson, MD, MPH Shoshana J. Herzig, MD, MPH University of Wisconsin Cincinnati Children’s Hospital Medical Mark V. Williams, MD, MHM Beth Israel Deaconness Medical Center Center (2006-2011) LEADERSHIP AND PROFESSIONAL Tara Lagu, MD, MPH DEVELOPMENT EDITOR Amanda J. Ullman, RN, PhD Baystate Health Center for Quality of Griffith University THE SOCIETY OF HOSPITAL Care Research Vineet Chopra, MD, MSc, MHM University of Michigan Health System Jeffrey G. Wiese, MD, FACP, FHM MEDICINE OFFICERS Luci K. Leykum, MD, MBA, MSc, SFHM Tulane University Nasim Afsar, MD, SFHM University of Texas Health Science Center President in San Antonio ASSOCIATE EDITORS EDITORIAL BOARD Christopher Frost, MD, SFHM Sanjay Mahant, MD, MSc, FRCPC Melver L. Anderson III, MD, FACP President-Elect University of Toronto University of Colorado, Anschutz Medical Douglas W. Carlson, MD, SFHM Center Southern Illininois University Danielle Scheurer, MD, MSCR, SFHM Treasurer STATISTICAL EDITOR Christopher P. Bonafide, MD, MSCE Patrick H. Conway, MD, MSc, MHM The Children’s Hospital of Philadelphia Blue Cross Blue Shield of North Carolina Tracy Cardin, ACNP-BC, SFHM Heidi J. Sucharew, PhD Secretary Cincinnati Children’s Hospital Medical Peter Cram, MD, MBA Sunil Kripalani, MD, MSc, SFHM Center UHN and Mt. Sinai Hospitals Vanderbilt University Ron Greeno, MD, MHM Immediate Past President Arti D. Desai, MD, MSPH Joseph Ming Wah Li, MD, SFHM DEPUTY EDITORS University of Washington School of University of Toronto Medicine Peter Lindenauer, MD, MSc, MHM BOARD MEMBERS REVIEWS AND PERSPECTIVES S. Ryan Greysen, MD, MHS, MA, FHM Baystate Medical Center EDITORS Steven B. Deitelzweig, MD, MMM, Perleman School of Medicine at the Jennifer S. Myers, MD, FHM SFHM Read G. Pierce, MD University of Pennsylvania Perleman School of Medicine at the University of Colorado, Anschutz Medical Howard R. Epstein, MD, SFHM Karen E. Jeradi, MD MEd University of Pennsylvania Center Cincinnati Children’s Hospital Medical Kris Rehm, MD, SFHM Sanjay Saint, MD, MPH, FHM Erin E. Shaughnessy, MD, MSHCM Center VA Ann Arbor Healthcare System Bradley Sharpe, MD, SFHM Phoenix Children’s Hospital Christine D. Jones, MD, MS Nancy D. Spector, MD Jerome C. Siy, MD, SFHM SOCIAL MEDIA EDITORS University of Colorado, Anschutz Medical Drexel University College of Medicine Center Rachel Thompson, MD, MPH, SFHM Vineet Arora, MD, MPP, MHM Robert M. Wachter, MD, MHM University of Chicago Nita S. Kulkarni, MD, FHM Patrick Torcson, MD, SFHM Northwestern Medicine University of California, San Francisco Charlie M. Wray, DO, MS Winthrop F. Whitcomb, MD, MHM University of California, San Francisco Joanna K. Leyenaar, MD, PhD, MPH, FHM University of Massachusetts Medical CLINICAL CARE CONUNDRUMS Dartmouth-Hitchcock Medical Center School EDITOR Brian P. Lucas, MD, FHM Somnath Mookherjee, MD White River Junction Vermont VAMC NATIONAL CORRESPONDENTS University of Washington Anil Makam, MD, MAS Keri Holmes-Maybank, MD, FHM University of California, San Francisco Medical University of South Carolina Sara Murray, MD Nathan Houchens, MD, FHM University of California, San Francisco University of Michigan Health System Reza Sedighi Manesh, MD Johns Hopkins School of Medicine An Official Publication of the Society of Hospital Medicine Journal of Hospital Medicine Vol 14 | No 1 | January 2019 3 Publisher: The Journal of Hospital Medicine (Print ISSN 1553-5592; E-ISSN 1553- WEBSITE 5606) is published monthly for the Society of Hospital Medicine by Frontline Medical www.journalofhospitalmedicine.com Communications, with business offices at 7 Century Drive, Suite 302, Parsippany, NJ 07054-4609, telephone 973-206-3434, fax 973-206-9378. Periodicals postage paid at Parsippany, NJ and at additional mailing offices. EDITORIAL STAFF Postmaster: Send address changes to Journal of Hospital Medicine, Subscription Managing Editor Services, P.O. Box 3000, Denville, NJ 07834-3000. Susan D. Hite [email protected] Copyright, Licensing, Permissions, Re-Use of Content: Copyright © 2019 Society of Hospital Medicine. No part of this publication may be reproduced, stored or transmitted ART in any form or by any means without the prior permission in writing from the copyright holder. Authorization to photocopy items for internal and personal use is granted by Creative Director the copyright holder for libraries, authors, and co-authors. For all content licensing, Mary Ellen Niatas permissions, reprints, or any other re-use, please contact Wright’s Media at frontline@ Art Director wrightsmedia.com or call (877) 652-5295. Wright’s Media is the authorized company John J. DeNapoli for Frontline Medical Communications to obtain consents for copyright, licensing, permissions, and re-use of content. PRODUCTION AND MANUFACTURING Disclaimer: The Publisher, Society of Hospital Medicine (SHM), and Editors cannot be held responsible for errors or any consequences arising from the use of information Production Manager contained in this journal; the views and opinions expressed do not necessarily reflect Mike Wendt those of the Publisher, SHM, and Editors, neither does the publication of advertisements (973) 206-8010 constitute any endorsement by the Publisher, SHM, and Editors of the products [email protected] advertised. All materials published, including but not limited to original research, editorials, CIRCULATION reviews, brief reports and letters represent the opinions and views of the authors and Subscription Service: do not reflect any official policy or medical opinion of the institutions with which the (833) 836-2705 authors are affiliated, SHM, or of the Publisher unless this is clearly specified. Materials [email protected] published herein are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by physicians for any particular PUBLISHING STAFF patient. While the Editors, SHM, and Publisher believe that drug selections and dosages and the specifications and usage of equipment and devices as set forth herein are in Publisher accord with current recommendations and practice at the time
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