And please check out Lisa Burry and Chaim Bell's excellent editorial that accompanied our manuscript: jamanetwork.com/journals/jaman…
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Jeffrey Schnipper MD MPH
33 posts
Jeffrey Schnipper MD MPH
@drjschnip
Hospitalist-Researcher in quality improvement and patient safety
@HarvardMed @BrighamDGIM Katılım Temmuz 2020
37 Takip Edilen247 Takipçiler
Thanks to JAMA Network Open for publishing the results of our PHARM-DC pragmatic trial: jamanetwork.com/journals/jaman… Hospitals should focus intensive pharmacist transitions interventions on older patients with polypharmacy AND low health literacy.
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Have you seen this? From now on, all medical research conducted in the US will be a money-loser. grants.nih.gov/grants/guide/n… #endofmedicalresearch
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Reminder that the deadline for applications to the Harvard Summer Program in Clinical Effectiveness is December 1. Spread the word to clinicians interested in getting excellent training in clinical research! hsph.harvard.edu/clinical-effec… @ProgClinEffect
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Thank you to JAMA Internal Medicine for publishing our study on diagnostic errors in the hospital! jamanetwork.com/journals/jamai… @HOMERuN_Network @BrighamDGIM @BrighamHMU @JAMAInternalMed
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.@tedphilips @paulfeeneyma thank you and the entire MA legislature, for investing in permanent #SchoolMealsforAll in the FY24 budget! This is a bold & inspiring step towards building a hunger-free future for our children. #FeedKidsMA @projectbread
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.@massgovernor, please support #SchoolMealsforAll in the final FY24 state budget and ensure this resource remains available to all students permanently! It’s time for Massachusetts to invest in the well-being and future of our children #FeedKidsMA @projectbread
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Want to start (or improve) a med rec program at your hospital? Shameless plug for SHM's MARQUIS Med Rec Collaborative. @SocietyHospMed hospitalmedicine.org/clinical-topic… #medwreck
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Thank you to BMJ Quality and Safety for publishing our manuscript - what works in med rec! It provides concrete advice on the most important components of successful programs. Please RT! @BwhDgim @BrighamHMU qualitysafety.bmj.com/content/early/…
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@qdtrinh @DBatesSafety @BwhDgim I hear you - it takes vision and leadership as well. (It also helps that Canada is single-payor...). Payment reform alone is not sufficient, but it would be a tremendous facilitator.
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@drjschnip @DBatesSafety @BwhDgim Not disagreeing with the issues you raised about fee-for-service but Canada is essentially fee-for-service yet is not plagued by many of the problems seen in the U.S.
Brookline, MA 🇺🇸 English
Thank you to the Boston Globe for publishing my Op Ed today, a tirade on fee-for-service medicine: bostonglobe.com/2022/12/19/opi… An over-simplification to be sure, but let's at least start the conversation with our patients about this important topic. @drjschnip @BwhDgim
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@jeffreylinder @BostonGlobe Thanks, Jeff! With Maura Healey as our new governor, my hope is that Massachusetts has a chance to change the current system here (and maybe become a model for others).
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Great article by @drjschnip in @BostonGlobe today about, well, the main reason American healthcare is so awful.
Simply put, we’re delivering what we get paid to deliver.
Jeffrey Schnipper MD MPH@drjschnip
Thank you to the Boston Globe for publishing my Op Ed today, a tirade on fee-for-service medicine: bostonglobe.com/2022/12/19/opi… An over-simplification to be sure, but let's at least start the conversation with our patients about this important topic. @drjschnip @BwhDgim
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Thank you to Annals of Internal Medicine for asking me to write a piece on medication reconciliation, published this week online in Annals for Hospitalists! acpjournals.org/doi/10.7326/M2…
@BrighamHMU @BrighamDGIM @AnnalsofIM
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Most patients in need of post-hospitalization rehabilitation don't want to go to a facility. This could solve this problem in a cost-effective, patient-centered way.
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Congrats to David Levine and colleagues for publication of this small but important pilot study of Rehab at Home! @BrighamDGIM journals.sagepub.com/doi/full/10.11…
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Thanks to the HOMERuN COVID Collaborative for turning around our newsletter on how hospitals can deal with the latest surge in record time! myemail.constantcontact.com/HOMERuN-Collab… @HOMERuN_Network
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@PaulSaxMD In all other cases, post-test probability is intermediate, and you need a second test: either a second antigen test in 24-48 hours or a PCR.
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@PaulSaxMD I agree - it all comes back to Bayes' Theorem: if pre-test probability is high (e.g., exposed or symptomatic), then a positive test rules it in. If pre-test probability is low (e.g., not exposed and not symptomatic), then a negative test rules it out.
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This is pretty much it.
Still a valuable test, even if not "perfect"
(what is)
Sanjat Kanjilal@SanjatKanjilal
Bottomline for #antigen testing for new infection hasn't changed + in symptomatic: Done - in symptomatic: Unsure, repeat* + in asymptomatic with no exposures: Unsure, repeat* - in asymptomatic with no exposures: Done - in someone with exposures: Unsure, repeat* *w/Ag +/- PCR
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@PaulSaxMD In all other cases, post-test probability is intermediate, and you need a second test: either repeat antigen in 24-48 hours or a PCR.
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Thank you to the Boston Globe for publishing my Op-Ed piece this morning on the COVID-19 pandemic. bostonglobe.com/2021/12/24/opi… And thank you to @AimeeGindin for her help editing it. If it changes just one person's behavior, it will be worth it. #hospitalmedicine #brighamdgim
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