Case Presentation: A 50-year-old Hispanic male with osteoarthritis on chronic steroids of unknown dose from Mexico and type II diabetes mellitus was admitted to the hospital for generalized weakness and fall with questionable loss of consciousness. Physical examination revealed verrucous and nodular lesions on his right arm, posterior neck, and left thumb, but was otherwise [...]

Case Presentation: A 78-year-old woman with a past medical history significant for paroxysmal atrial fibrillation (not anti-coagulated due to recent GI bleed) presented with left hip pain and a hemoglobin of 5.3 mmol/L. CT scan of the left femur showed a soft tissue hematoma within the left gluteus medius muscle. She reported skin bruising and [...]

Background: Since the onset of the novel coronavirus (COVID-19) pandemic, ongoing research exploring risk factors and adverse outcomes in COVID-19 patients has been conducted. This study examined common comorbidities observed in patients diagnosed with COVID-19 and admitted to St. Catherine of Siena Medical Center in Smithtown, N.Y. The impact of these comorbidities on level of [...]

Background: Blood transfusion practices is an important topic that may significantlyreduce maternal mortality and morbidity. This study assessed the incidence, demographics,obstetric profile, and indications of transfusion of blood products among women admitted forobstetric care, in a tertiary care hospital. Methods: This Cross-sectional study at Southern Railway Head Quarters hospital, Perambur, Chennai was conducted with women [...]

Background: Provider-level practice variation is common and may impact clinical outcomes, such as length of stay and imaging ordering. However, it is unclear which provider characteristics lead to variations in practice. Using individual performance data from a provider-level dashboard, we aimed to evaluate variability in clinical performance and predictors of high or low performance. Methods: [...]

Background: In 2017, Emory University Hospital Midtown (EUHM) instituted fast track dialysis (FTD) which identified low risk patients in the emergency department (ED) in need of hemodialysis (HD) and provided it efficiently. The FTD development team consisted of hospital medicine, emergency medicine, nephrology, dialysis unit nursing, and ED nursing. This program showed a reduction in [...]

Background: The ABIM Foundation’s Choosing Wisely Campaign and The Infectious Diseases Society of America recommend against screening and treating for suspected urinary tract infections (UTI) unless patients are symptomatic or meet specific clinical parameters (1). Inappropriate testing for UTIs with urinalysis and urine cultures is prevalent in healthcare and may lead to waste in resources, [...]

Background: Hospitals generally have clear protocols, often nursing driven, for management of inpatient hypoglycemia. The American Diabetes Association recommends a standardized approach to hypoglycemia management in the hospital to address hypoglycemia. A frequent cause of hypoglycemia is poor management of the first hypoglycemia episode. Standard treatment protocols include the use of oral carbohydrate agents for [...]

Background: Hospital clinicians may identify the presence of a patient’s comorbid conditions, overall severity of illness, and clinical status at discharge as risk factors for readmission after COVID-19 hospitalization. Objective data are lacking to support reliance on these factors for discharge decision-making. Objectives included examination of risk factors for readmission to hospital after COVID-19 hospitalization [...]

Background: Hospital at home (HaH) programs have provided critical inpatient-level care to acutely ill patients throughout the COVID-19 pandemic.1 Despite the documented benefits2-5, referral rates for HaH often mirror capacity demands. The pattern reflects implementation barriers including the tendency to default to usual care and time constraints.6 Continued success of HaH hinges on the question [...]