Background: Prior studies have found racial disparities in how patients are assessed for pain and prescribed opioids from emergency department and surgical settings. However, we do not know whether similar disparities exist among general medicine inpatients. We examined opioid prescriptions at discharge among adults admitted to the general medicine service at our medical center, with [...]

Background: One in five Americans (64 million) speak a language other than English, and one in twelve Americans (26 million) speak English less than “very well”, classifying them as having limited English proficiency (LEP). LEP patients have difficulty navigating the healthcare system due to language barriers in understanding their treatment plans, communicating with providers and [...]

Background: When people with Limited English Proficiency (LEP) access the US healthcare system, a disparity is created, leading to worse outcomes and lower quality of care.1-5 In-person interpreters are essential in circumventing these disparities, yet pitfalls to collaboration between providers and interpreters persist.6-9 This study’s goal was to assess barriers and identify opportunities for intervention [...]

Background: The US has a heavy burden of deaths from opioid overdoses, and New Mexico is not excepted from this. Treatment options for opioid use disorder (OUD) are buprenorphine/naloxone (“Suboxone”), methadone, naltrexone, counseling, and/or behavioral therapy. Long-acting oral opioids like Suboxone, are the most effective methods for treating opioid withdrawal and OUD. They are often [...]

Background: Health care equity, one of the six domains of high-quality health care as defined by the Institute of Medicine, will only be achieved when health care outcomes do not vary based on patient social characteristics, such as gender, race, ethnicity, geographic location, and socioeconomic status. Readmission is a significant outcome for patients and health [...]

Background: Uncontrolled asthma leading to emergency department (ED) visits and hospitalization causes suffering, disproportionately among underserved patients, and are costly to healthcare systems. Timely treatment and adherence to clinical guidelines via serial monitoring of patients’ reported symptoms, offers the opportunity to improve health outcomes that are important to patients, clinicians, and accountable care organizations (ACO). [...]

Case Presentation: Our patient is a 64 year old gentleman with a history of prior cerebellar stroke who presented to the Emergency Department (ED) after being found unresponsive in his car by bystanders. On ED evaluation he was noted to be lethargic, able to follow commands but unable to recall what happened. Neurologic exam in [...]

Background: Prior studies have found racial disparities in how patients are assessed for pain and prescribed opioids from emergency department and surgical settings. However, we do not know whether similar disparities exist among general medicine inpatients. We examined opioid prescriptions at discharge among adults admitted to the general medicine service at our medical center, with [...]