May 21, 2025

Step up to face challenging encounters
Experts explain how understanding trauma, verbally de-escalating, and addressing racism can ease encounters with patients.
Pancytopenia
Identifying the cause of pancytopenia is important, since it can determine whether the diagnosis is coded as a major comorbidity and complication.
SHM releases updated core competencies for procedures
Knowledge, skills, and attitudes that are necessary for hospitalists to perform procedures ranging from arthrocentesis to lumbar puncture and vascular access are listed in the updated framework from the Society of Hospital Medicine (SHM).
Adverse events frequently occur during inpatient wait for guardianship, VA study finds
An analysis of medical inpatients with a pending guardianship application found that 60% had been admitted at least in part for placement reasons and that their median length of stay was 38.5 days, based on data from 14 Veterans Affairs (VA) facilities.
Older patients who discontinued antipsychotic medications had lower risk of readmission
In a retrospective study, patients who discontinued antipsychotic medications prescribed for hospitalization-related delirium after discharge were less likely to be readmitted and had lower 180-day mortality rates compared with those who continued the medications.
JAK inhibitors improved survival in hospitalized COVID-19 patients, review finds
Patients randomized to Janus kinase (JAK) inhibitors while hospitalized with COVID-19 had reductions in 28-day mortality versus controls regardless of ventilation status, type of JAK inhibitor, presence of comorbidities, timing of treatment initiation, and concomitant use of dexamethasone or tocilizumab, according to a systematic review.
Take a quiz about the May 14 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.