Background: Mass General Brigham’s Faulkner hospital (BWFH) is a 171 bed community hospital closely affiliated with Brigham and Women’s hospital (BWH), which is located 2.5 miles away. Patient care at BWFH is supported by robust access to consultation and advanced testing from subspecialists located at BWH. To access some advanced diagnostic testing and procedures, patients [...]

Background: Documentation shortcut tools in electronic health records, such as dot phrases, are essential in a busy clinical environment to promote efficiency and standardize care, but are known to carry risks. The extent to and mechanism by which dot phrase errors occur are poorly characterized. In addition, there are no defined interventions for hospitalists to [...]

Background: Novant Health is a leading healthcare provider in North Carolina, with 15 hospitals and 14 ambulatory surgery centers across the state. In the preoperative assessment arena, there are currently ten pre-admission testing clinics that are staffed by either hospitalists, anesthesia providers, or both. Variable preoperative assessment criteria exist for each surgical location, with no [...]

Background: Proton Pump Inhibitors are widely misused in both the outpatient and inpatient setting. Often, they are initiated and continued for reasons that do not follow best practice guidelines. Purpose: A Proton Pump Inhibitor Stewardship Committee was created to address this problem as part of a Quality Improvement project. The goal was to determine the [...]

Background: Medication reconciliation (MR) is a patient medication verification process performed by providers. Best practices and the intricacies of MR are poorly defined nationally, institutionally, and amongst individual providers. In graduate medical education, the skills of MR are implied and imperative in the Transitions of Care (TOC) Milestones 2.0. Prior institutional studies have indicated only [...]

Background: The CDC recognizes antimicrobial resistance as an urgent global public health threat and supports antibiotic stewardship initiatives to combat antibiotic resistance. Pneumonia is a frequent condition treated by both hospitalists and emergency room physicians and the most common reason for inpatient antibiotic use and over prescribing. Recent IDSA guidelines for the treatment of community [...]

Background: Discharge delays adversely affect patient flow leading to prolonged Emergency Department (ED) boarding time and decrease in hospital bed availability. Discharge improvement processes can mitigate these delays, but in practice it has been difficult to implement and create substantial impact on discharge delays. Purpose: To develop and implement a discharge physician assistant (DAP) role [...]

Background: The incidence of Opioid Use Disorder (OUD) is rising around the world with nearly 27 million people living with OUD globally and over 100,000 opioid overdose deaths each year. The Society of Hospital Medicine recently released a consensus statement for management of patients with OUD admitted to the hospital. This statement included recommendations for [...]

Background: Islam is the second-largest religious tradition in the world, with approximately 3.45 million members in the United States. New York State has the third largest Muslim population and recent data estimates 20,000 to 25,000 Muslims reside in the greater Rochester area. During the month of Ramadan, all Muslims who are physically capable are obligated [...]

Background: Excess alarms cause a phenomenon, known as alarm fatigue, in which medical providers become desensitized to constant noise emitted from monitors & fail to notice or react to alarms which can lead to patient safety concerns. With the acceleration of remote monitoring & monitoring hubs, it is critical to minimize unactionable alarms and prevent [...]