Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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To describe patterns of transfer, resource utilization, and clinical outcomes associated with interhospital transfer of critically ill and injured children. ⋯ In this multiyear, statewide sample, mortality and resource utilization were higher among children who underwent interhospital transfer to intensive care after initial hospitalization, compared with those transferred directly from emergency to intensive care. Decision-making underlying initial triage and subsequent interhospital transfer of critically ill children warrants further study.
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To determine the range and frequency of experiences, clinical and nonclinical roles, training, work expectations, and career plans of practicing pediatric hospitalists. ⋯ This study provides the most comprehensive information available regarding the clinical and nonclinical roles, training, work expectations, and career plans of pediatric hospitalists. However, the field is currently a moving target; there is significant flux in the hospitalist workforce and variation in the roles of these professionals in their clinical and nonclinical work environment.
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Multicenter Study Comparative Study
Evaluation of hospital glycemic control at US academic medical centers.
To evaluate contemporary hospital glycemic management in US academic medical centers. ⋯ Despite frequent insulin use, glucose control was suboptimal. Academic medical centers have opportunities to improve care to meet current American Diabetes Association hospital diabetes care standards.
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Comparative Study
Limited communication and management of emergency department hyperglycemia in hospitalized patients.
Hyperglycemia is often overlooked and unaddressed in hospitalized patients, and early and intensive management may improve outcomes. ⋯ Most ED patients with even mild hyperglycemia were hospitalized. Recognition, communication, and management of ED hyperglycemia were suboptimal and represent a missed opportunity to identify undiagnosed diabetes and to initiate early glycemic control for hospitalized patients.