Background: Administrative harm (AH), defined as negative consequences arising from administrative processes and decisions within healthcare, is pervasive in medicine, yet poorly understood and described. Methods: We sought to explore common AHs experienced by hospitalist clinicians, administrative leaders, researchers, and patient and family advisory council members that were part of two national consortiums for hospitalists [...]

Background: Administrative harm (AH), defined as negative consequences arising from administrative processes and decisions within healthcare, is pervasive in medicine, yet poorly understood and described. Methods: We sought to explore common AHs experienced by hospitalist clinicians, administrative leaders, researchers, and patient and family advisory council members that were part of two national consortiums for hospitalists [...]

Background: Hospitalists frequently lead family meetings with patients and family members. Shared decision making employed during family meetings is believed to foster mutual understanding of its participants, including understanding of prognosis. However, this assumption has not been empirically assessed. Methods: We performed a secondary analysis of data from a trial of a decision support tool [...]

Case Presentation: An 89-year-old man with coronary artery disease, hypertension, and osteoarthritis presented with acute-onset severe posterior neck pain, with no viral prodrome. The patient reported experiencing generalized weakness and associated headache, but denied any fevers, chills, cough, myalgia, joint pain, ulcers or rashes. Additionally, he did not report any photophobia, phonophobia, changes in vision, [...]

Background: Clinicians face substantial challenges in limiting life-prolonging interventions (e.g., ICU admission, life-sustaining treatments, invasive procedures) near the end of life, even when they judge these interventions to be non-beneficial [1-3]. The objective of our study was to empirically derive a descriptive framework of decision-making approaches used by clinicians to limit (i.e., withhold or withdraw) [...]

Background: Previous research describes different models for mentorship of new hospitalists, however, most of these models are geared towards development in research, education or quality improvement skills. There is scarce work describing programs promoting the clinical development of new hospitalists. New hospitalists may face cases that are complex due to clinical, social, or administrative challenges [...]

Case Presentation: 21 cases of small intestine anisakiasis were analyzed in terms of medical history, examinations of symptoms, vital signs, laboratory data, and CT findings. 9 cases were identified through specific anisakiasis Immunoglobulin E or Immunoglobulin A testing. 2 cases were confirmed by the detection of anisakis by endoscopic examination. 10 cases were diagnosed based [...]

Case Presentation: A 57-day old ex-term, Caucasian female presented with one day of diffuse rash and fever in the setting of congestion and a sick sibling. Her rash was initially attributed to viral erythema multiforme. She was well-appearing but given vulnerable age and elevated band count, she was admitted for observation. With improvement of her [...]

Case Presentation: A 4-month-old, Filipina female presented with 5 days of fever, irritability, and left jaw and neck swelling. Physical exam revealed bilateral conjunctivitis, blanching migratory macular erythema of the forehead and abdomen, and edema with erythema of the left neck that also obscured the angle of the left jaw. Ultrasound showed enlarged left parotid [...]

Case Presentation: A 56-year-old man with PMH chronic kidney disease (CKD) stage II, adjustment disorder, methamphetamine (meth) abuse, last use 2 days before admission, presented with decreased urine output, “coffee-colored” urine, diffuse muscle pain, severe back pain, and fatigue for 1 day. Urine was positive for amphetamines, CPK 218,000 mcg/L, AST, and ALT were 1254 [...]