Background: The field of hospital medicine has grown significantly, warranting investigation of staffing models to maximize outcomes and promote patient safety. Handoffs are a source of increased risk for patients and result in longer lengths of stay, increases in error, and missed items for follow up. Our current hospital medicine model uses specialized care teams [...]

Background: Many modern electronic medical record (EMR) systems permit application of templates to hospital After Visit Summaries (AVS). A need remains for enhancement of the document’s completeness and readability to enable successful patient self-management. Such advancements must balance with provider usability of EMR tools. This study evaluates the impact of a novel EMR tool, disappearing [...]

Background: Transitions of care from one service to another are a precarious time with risk of adverse events, medical errors, and clinician dissatisfaction. Every handoff involves transferring information and responsibility for a patient from one physician to another. The appropriateness of transfer is critical to safe patient care. The transfer process from an intensive care [...]

Background: Mitigating physician burnout among health care professionals, especially among hospital providers, has become a national priority in the wake of COVID-19. While most studies focus on individual factors (e.g., exercise, psychosocial support), few studies have evaluated systemic factors (e.g., schedules, leadership). The objective of this study was to determine which systemic factors are associated [...]

Background: Syrian health system capacity has been devastated by a decade of conflict distinguished by frequent attacks on healthcare facilities and workers. The chronic nature of complex emergency created substantial gaps in formal training for what remains of the health system, leaving already impaired infrastructure vulnerable to the arrival of Covid-19 in mid-2020 to areas [...]

Background: Increasingly, hospitals and health systems have looked to hospital medicine physicians to lead initiatives, locally and on a broader level. At our institutions, two 600+ bed, academic, tertiary care medical centers located outside of New York City, members of our 120-physician hospital medicine group (HMG) are often asked to champion initiatives aimed at quality/process [...]

Background: In the US, a small number of patients with complex medical and psychosocial needs disproportionately consume healthcare resources. At our institution, the HOME Program provides dedicated Individualized Care Plans (ICPs) and care coordination for patients with a range of chronic illness. Among such illnesses, Type 1 Diabetes Mellitus accounts for a large portion of [...]

Background: Heart failure is a main reason for hospitalization in those 65 years and older. Additionally, individuals with heart failure can experience frequent admissions, readmissions, and poor quality of life. A systematic review suggested that nurse-led patient education for adults with heart failure reduces hospital admissions and readmission. This quality initiative emphasized an interprofessional model [...]

Background: Nurse Practitioners (NP) & Physician Assistants (PA), also referred to as Advanced Practice Providers (APPs), have become an integral part of Hospital Medicine Groups (HMG). As per the State of Hospital Medicine report (1) from the Society of Hospital Medicine, 83% of HMGs had APPs in 2020. Over the next few years, the average [...]

Case Presentation: MG is an 18 year old male with quadriplegia from c-spine injury and chronic respiratory failure with trach/vent dependence who presented with 2-3 weeks of intermittent fevers, chills, malaise, abdominal pain, nausea, emesis, diarrhea, and anorexia. Initial evaluation revealed leukocytosis, thrombocytosis, and mild anemia. Urinalysis was significant for moderate leukocyte esterase, nitrites, pyuria, [...]