Patients with both medical and psychiatric problems pose challenges for hospitals and physicians. Our cover story this month describes innovative efforts by hospitalists and others to provide better care for such patients while also reducing costs for hospitals and stress for clinicians. Whether it's bringing psychiatrists onto medical teams, sending hospitalists to psychiatric facilities, or cohorting those with similar problems in a single ward, these ideas may offer solutions for other hospitals facing the same challenge. acpi-201608-psychiatric-comanagement.htm
This issue also describes patient-centered rounding, another innovation in the inpatient care process. Clinician-researchers report the mixed results of their efforts to be more inclusive of care team members and patient perspectives during rounds. In addition, the experts offer tips on making any encounter more patient-centered, regardless of your rounding style.
After you've warmed patients' hearts with your bedside manner, learn about putting filters near them. Our story looks at the risks and benefits of inferior vena cava filters. Research evidence and society guidelines are compared and contrasted with typical current practice.
Also on the clinical side, our Q&A dives into Sepsis-3 and this month's Expert Analysis explains hemolytic uremic syndrome and thrombotic thrombocytopenic purpura. Try saying that 3 times fast, and then test your knowledge of the conditions with relevant questions from MKSAP 17.
Finally, if you need a laugh after all that hard work, read Newman's Notions and assess whether any of your colleagues might carry some newly discovered biomarkers. And if you have any thoughts to share on this month's content, please e-mail us.
Editor-in-Chief, ACP Hospitalist