Joel Boggan

At VA hospitals, patients awaiting #guardianship have prolonged length of stay and higher rates of adverse events. The implications of this can translate to non-VA patients and inform health policy. Read more here: rdcu.be/em1l1

Welcome! You are invited to join a meeting: Quality Improvement and Implementation Science in Health Care Systems: Top-Rated Manuscripts from JGIM 2023-2024. After registering, you will receive a confirmation email about joining the meeting. The 4th Annual JGIM Webinar, organized in collaboration with the ImSci Lab at Columbia University (led by Dr. Nathalie Moise), highlights outstanding QIS/IS research published in JGIM. The featured…

Join us for the 4th Annual JGIM Webinar on Quality Improvement & Implementation Science on June 20 @ 1PM ET! This webinar, led by Dr. Lenny López & Dr. Nathalie Moise, will feature the top 3 QIS/IS articles of the year @journalgim.bsky.social‬

🔗 buff.ly/R0c8g6e

#JGIM #QI #ImplementationScience

Serving Vietnam Veterans Hospitalized Outside the VA System: A Scoping Review of Presumptive Service-Related Illnesses and Presentations

New in #JGIM: Vietnam veterans are increasingly hospitalized outside the VA. This #scopingreview equips internists with insights on service-related exposures to guide high-quality inpt care. 👉 rdcu.be/em1Xj

#VeteranHealth #MedTwitter @rmiller333; @maryannscience1

bp pulse signs strategic agreement with Waffle House to expand ultrafast EV charging network in the US bp pulse is excited to announce a new strategic relationship with iconic American diner chain Waffle House. The agreement will see the installation of bp pulse charge points at Waffle House locations ...

Interesting partnership.

bppulsefleet.com/press/bp-pul...

Americans support VA research for better Veteran care and medical advancements Survey reveals strong backing for Veterans’ healthcare research, yet many Americans remain unaware of VA’s scientific contributions

Nice to see strong support for VA research

85% of all Americans believe it’s vital that VA doctors and staff conduct research www.ipsos.com/en-us/americ...

Happy birthday, David Attenborough! 99 ways he has inspired us, by Barack Obama, Billie Eilish, Morgan Freeman – and many more This week the presenter turns 99. To celebrate, we asked 99 nature lovers – including Margaret Atwood, Jane Fonda, Bono, Kate Winslet and Michael Palin – how he has helped us see the world with fresh eyes

Happy birthday, David Attenborough! 99 ways he has inspired us, by Barack Obama, Billie Eilish, Morgan Freeman – and many more

Variation in Major Leg Amputation for Newly Diagnosed Diabetic Foot Ulcer This cohort study examines facility-level variation in leg amputation rates among veterans newly diagnosed with diabetic foot ulcers.

New: Facility-Level Variation in Major Leg Amputation Among Patients With Newly Diagnosed Diabetic Foot Ulcer #idsky #medsky #openaccess jamanetwork.com/journals/jam...

The public colleges of New York, Texas, and California are great engines of social mobility in America. They move many born in the lower 20% of income to the top 20%.

Our most elite universities move smaller numbers from the bottom 20% income to the top 1%.

Paper: www.nber.org/system/files...

Renewables accounted for 93% of global power capacity growth in 2024 Renewable technologies now comprise 46% of world-wide power generating capacity, up from less than 30% in 2015.

Renewables accounted for 93% of global power capacity growth in 2024

Wind, solar, geothermal, hydro and other renewable technologies now comprise 46% of world-wide power generating capacity, up from less than 30% in 2015.

theprogressplaybook.com/2025/03/26/r...

Economic growth is increasingly decoupling from energy emissions, IEA says Renewables and nuclear accounted for 40% of the world's electricity generation mix for the first time in 2024.

Economic growth is increasingly decoupling from energy emissions, IEA says

theprogressplaybook.com/2025/03/25/e...

Medications for alcohol‐use disorder and follow‐up after hospitalization for alcohol withdrawal: A multicenter study Background Alcohol withdrawal is a common reason for admission to acute care hospitals. Prescription of medications for alcohol-use disorder (AUD) and close outpatient follow-up are commonly recomme...

In this retrospective study of veterans admitted for alcohol withdrawal, the only intervention that improved outcomes was discharge to residential treatment, which was associated with decreased readmission and improved abstinence. #MedSky
shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

CU Doctor Elevates Hospital Care for Veterans Locally and Nationally Mel Anderson, MD, the VA’s national program executive director of hospital medicine, was inducted into the Clinical Excellence Society.

Dr. Mel Anderson has been at the forefront of elevating hospital care for veterans. Join us in celebrating his incredible contributions and his induction into the @cudeptofmedicine.bsky.social Clinical Excellence Society! 👏🎉

Read about his inspiring career & community impact here 👉 bit.ly/3XomTAC

TY for finding and commenting!

We didn’t find ⬇️ in 30d ED use/readmissions, but you correctly point out other potential benefits - finding 💊 errors, service coordination, symptom trajectory, etc - and that there likely are populations that would benefit from sustained or intensive contact post 🏥

A Cross-Sectional Study of GPT-4–Based Plain Language Translation of Clinical Notes to Improve Patient Comprehension of Disease Course and Management The 21st Century Cures Act provides patients with access to their clinical notes, but most patients, particularly those with limited health literacy, have difficulty understanding and utilizing the...

GPT-4–based translation substantially improved patient comprehension of discharge summary notes, especially in populations that historically have low health literacy. Further research is needed. Read the full article by A. Kumar and colleagues: nejm.ai/4avSdTw

#MedSky #AI #MLSky

As-Needed Blood Pressure Medication and Adverse Outcomes in VA Hospitals - PubMed The results of this retrospective cohort study showed that as-needed BP medication use among veterans is associated with increased AKI risk. The risks and benefits of this type of BP medication use wo...

Again, PRN blood pressure medications for asymptomatic hypertension in hospitalized patients causes harm:

pubmed.ncbi.nlm.nih.gov/39585709/

Screenshot: LA Fire Mutual Aid Resources website.

Great work from @johanm.bsky.social, creating a resource connecting people to aid in LA.

www.fireaid.info

Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity - KFF Health News Advocates say it is discrimination and are arguing for “insurance fairness” on the grounds that people who have joints surgically replaced typically don’t face the same kinds of coverage challenges.

Adams, 51, lost his right leg to cancer 40 years ago. But when his leg needed replacing last January after about five years of everyday use, his new marketplace health plan wouldn’t authorize it. kffhealthnews.org/news/article...

Retraction notice to “Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial” [International Journal of Antimicrobial Agents 56 (2020), ...

The deeply flawed 2020 paper on hydroxychloroquine for COVID-19 by Gautret and colleagues has been retracted:

www.sciencedirect.com/science/arti...

It remains a powerful reminder of the consequences of uncritical acceptance of results.

"In lieu of flowers, the Carter family requests that you consider a contribution to The Carter Center."

www.jimmycartertribute.org

Alarm clock with the words "Time is running out!"

📢🔔⏰ TODAY is the LAST DAY to sign up for the next round of the Hospital Medicine National Writing Challenge starting January 6th! 📝🥳

Register TODAY: tinyurl.com/3tjh69hc

#hospitalistwritingchallenge

@societyhospmed.bsky.social
@jhospmedicine.bsky.social
@cudivhospmed.bsky.social

US homelessness up 18% as affordable housing remains out of reach for many people Federal officials say the United States saw an 18.1% increase in homelessness, a dramatic rise driven mostly by a lack of affordable housing as well as devastating natural disasters and a surge of mig...

Homelessness has increased 18% in the US over the past year-with increases in family homelessness as well as for people who have been homeless for the first time.

Veteran homelessness - an area for which there has been intentional investment - is down.

apnews.com/article/home...

🚨New paper🚨The emergency department (ED) is like a box of chocolates; you never know which doc you're gonna get. What happens when you get a doc that admits patients more often? Are you less likely to die? @stephencoussens and I explore this question in @JAMAInternalMed.🧵1/

Variation in Case Exposure During Internal Medicine Residency This cohort study evaluates case exposure variability among internal medicine residents in Canada using an integrated database that links trainees to the patients they treat.

Amazing work led by Dr Andrew Lam @drbrandontang.bsky.social and Dr Shiphra Ginsburg
#MedEd
Variation in Case Exposure During Internal Medicine Residency
jamanetwork.com/journals/jam...

Trends in Cervical Cancer Mortality Ratesa and Number of Cervical Cancer Deaths Among US Women Aged Younger Than 25 Years, 1992-2021

Most viewed in the last 7 days from JAMA: This study found a steep decline in cervical cancer mortality among US women younger than 25 years between 2016 and 2021.

https://ja.ma/4ipI8ej

Taking action on inequities: a structural paradigm for quality and safety As quality improvement and patient safety (QIPS) practitioners, we aspire to improve care for all patients, caregivers and families using improvement methods. While teams are trained to carefully impl...

How can we effectively incorporate equity into quality improvement and patient safety?

Should there be more projects focused specifically on equity, or should equity be embedded into all quality improvement?

BMJ Quality & Safety editorial bit.ly/4f6BsPG #PtSafety

HPV vaccine stops 90% of cervical cancer cases - BBC News England began vaccinating teenage girls in 2008 and results show it is paying off.

HPV vaccine stops 90% of cervical cancer cases in England 🏴󠁧󠁢󠁥󠁮󠁧󠁿

www.bbc.com/news/article...

One-Time and As-Needed Blood Pressure Medication and Adverse Outcomes in VA Hospitals This cohort study evaluates the risk for acute kidney injury and other adverse effects from as-needed and 1-time blood pressure medications in hospitalized veterans.

I remember as an intern getting calls in the night to give unfamiliar patients intravenous hydralazine for their asymptomatic elevated blood pressure.

Decades later, I'd have thought we know this is harmful and nonsensical, but apparently not entirely. #medsky

jamanetwork.com/journals/jam...

Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. Here is a snapshot
#MedSky #FOAMed #meded

The latest @BMJ_Qual_Saf blog on clinical improving #antiplatelet therapy uptake:

blogs.bmj.com/qualitysafety/…

#cardiovascularhealth #healthinequity #medication #QI

Call for Papers: Striving for equity in the quality and safety of patient care – BMJ Quality & Sa...

If you work at the intersection of health quality/safety/equity, consider submitting your work to BMJ Quality & Safety - call for papers 👇

blogs.bmj.com/qualitysafet...