Background: Pain is ubiquitous; the 2019 National Health Survey indicated that 20.4% of adults had chronic pain and that for 7.4% of adults, pain limited work or life activities. Earlier research found racial disparities in the management of pain and opioid prescriptions in emergency department and surgical settings, but research has been more limited in […]

Background: Gestational diabetes mellitus (GDM) is defined as carbohydrate intolerance of varying degrees of severity with onset or first recognition during pregnancy (1). In 2013, 6 million women in India were diagnosed with some form of hyperglycemia in pregnancy, of which 90 % were GDM (2). Yoga is an important aerobic activity that may decrease […]

Background: To improve quality of care, it is essential to first assess factors that influence patient experience. This study investigated whether room type influences different aspects of patient experience at an academic medical center. Methods: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data from medicine patients across two hospitals from January 2018 […]

Background: The recent passage of the 21st Century Cures Act “open notes” mandate underscores the central role of patient portals in the healthcare system. Additionally, the use of patient portals such as MyChart has been associated with greater patient engagement and improved health outcomes[1]. At our institution, we aimed to characterize the patient demographics associated […]

Background: A growing area within medical literature focuses on clinical prediction and decision tools that use variables from patient history, examination, or diagnostic tests to generate outcome-based risk stratification and/or intervention recommendations. Demonstration of appropriate methodologic quality and clinical applicability remains a need. Here we explore tools that advise a complicated, multifaceted phenomenon – the […]

Background: Overtreatment or low value care, including overutilization of laboratory testing, has an estimated annual cost of waste of $75.7 to 101.2 billion annually. Providing performance feedback to hospitalists has been shown to be an effective way to encourage the practice of quality improvement focused medicine. There remains limited data regarding implementation of performance feedback […]

Background: Mentorship and sponsorship (a relationship of professional support and endorsement), are essential avenues for professional success, combatting burnout, and improving equity and representation of women and URMs in medicine. Unfortunately, traditional measures of mentorship quality and success are one-dimensional and are of limited value; academic medicine rarely teaches menteeship or mentorship skills, relies on […]

Background: Engaging patients as research advisors and collaborators is an essential component of patient-centered research. Accessing Patient and Family Advisory Councils (PFACs) is one established model for engaging patients in research. However, PFACs that operate exclusively for the purpose of advising and supporting researchers in Hospital Medicine are uncommon. Purpose: To create, operationalize, and sustain […]

Background: Our multicenter academic health system has developed an outreach organization focused on helping international healthcare systems develop patient safety culture and improve hospital quality to meet international quality and safety standards. We established a relationship with a 500-bed comprehensive community hospital in Southern China to activate improvement efforts in clinical care and administrative work. […]

Background: The inter-hospital transfer process is complex even under ideal circumstances, susceptible to logistical errors, inefficiencies, and patient harm. Clinical hospitalists have historically been responsible for triage of all Medicine transfers at Oregon Health and Science University (OHSU), fielding 10-20 calls daily alongside clinical and educational responsibilities. In part due to time constraints during triage, […]