Background: Medication errors and adverse drug events are common in the pediatric population. Parents with limited English proficiency have increased risk of management errors and nearly a third of low-income families failed to pick up their child’s prescriptions after hospital discharge, with non-adherence rates as high as 40%. The objective of this study is to [...]

Background: Healthcare costs in the United States are exorbitant and excessive lab utilization contributes significantly1. Daily labs (DL), typically consisting of basic metabolic panels (BMPs) and complete blood counts (CBC) are often over-ordered for hospital inpatients2. This leads to increased costs, limits phlebotomy resources, iatrogenic anemia, patient discomfort and interruption of sleep3. The Choosing Wisely® [...]

Background: Individuals experiencing homelessness have increased disease burden and healthcare needs compared to the general population. Homelessness is correlated with poor health outcomes and higher early mortality rates. Despite increased health care needs, individuals experiencing homelessness have more barriers and therefore less exposure to ambulatory care with consequently higher rates of acute hospital care. Unhoused [...]

Background: Fewer hospitalized patients are discharged per day on weekends as compared to weekdays.1 Hospital medicine groups have implemented quality improvement (QI) initiatives to increase weekend discharges, however, the factors contributing to lower rates of weekend discharges are not well-described.2 To better understand contributors to missed opportunities for weekend discharge, we analyzed patients discharged on [...]

Background: Patients hospitalized with COVID-19 are at risk for clinical deterioration after discharge. Because of this concern, hospitals established home monitoring programs during the pandemic. This study sought to describe these programs among a sample of US academic medical centers. Methods: We conducted a voluntary survey of hospital medicine leaders who participate in the Hospital [...]

Background: The management of patients with COVID-19 is challenging for front-line healthcare providers given limited validated, evidence-based clinical decision support. Determining patient mortality risk is critical for effective triage, management, and discharge decision making. Numerous COVID-19 risk prediction models have been created, though the robustness of these models varies. The 4C Mortality Score, created by [...]

Background: Despite equal representation of genders within academic hospitalist groups, more hospitalist authors are men than women (Burden et al). In a study analyzing first and last authors in medical publications from all specialties between 2000 and 2017, only 31.6% of first authors and 19.4% of last authors were women (Bernardi et al). The COVID-19 [...]

Background: Much of medical education relies on effective consultation between primary teams and consultants. Previous work has shown that trainees have difficulty with placing and receiving consults. Resident-driven interventions have been shown to increase the number of teaching interactions during consults. Purpose: Our objective was to evaluate the effect of an educational workshop and the [...]

Background: Mentorship and sponsorship (a relationship of professional support and endorsement) are both teachable and learnable skills that are crucial for medical faculties to have in academic medicine. Unfortunately, these skills are rarely formally taught or measured as part of faculty development. Medical education has started to incorporate more structured mentoring (typically by assigning each [...]

Background: Central line associated bloodstream infection (CLABSI) is the 8th leading cause of death in the United States, causing 100,000 deaths annually. Each CLABSI costs about $56,000 per patient and increases length of hospital stay by an average of 3 weeks. Femoral lines have been shown to have the highest risk of infection compared to [...]