Background: As hospital care becomes increasingly reliant on technology, it is important to address disparities in access and use of technology among hospitalized patients. While access to technology itself is becoming more widespread, older inpatients may still experience technology-related disparities due to varying abilities to use/obtain support for technology use. We sought to compare access, [...]

Background: Hospital discharge requires coordination among multiple disciplines and may feel chaotic as discharge approaches. The 48-Hour Discharge Prediction Tool (48DPT) is an AI-based system developed to predict clinical readiness for discharge 48 hours beforehand, with the aim of alerting the interdisciplinary team and prompting earlier completion of preparatory procedures. This study assessed 48DPT’s impact [...]

Background: Thromboprophylaxis of hospitalized COVID-19 patients – including extended, post-discharge thromboprophylaxis in high-risk patients – has been evaluated in multiple randomized trials and incorporated into antithrombotic guidelines. Yet, provider adoption of best practices remains sub-optimal. Our aim was to assess whether an electronic health record (EHR)-agnostic clinical decision support (CDS) tool incorporating the validated IMPROVE-DD [...]

Background: Patient portals are intended to engage caregivers with their child’s healthcare by allowing them to read clinical notes, access test results, make appointments, and message providers, and they are often used during hospitalization. While patient portals typically offer multiple language options, the extent to which medical information is translated remains limited. Understanding how caregivers [...]

Background: Early sepsis recognition and treatment can save lives. The Centers for Medicare & Medicaid Services defines appropriate treatment using the Severe Sepsis/Septic Shock Early Management Bundle (SEP-1) components. To help improve sepsis identification, documentation, and organizational compliance with SEP-1, our hospital implemented a “best-practice alert” (BPA) comprised of Epic’s “sepsis score,” but the rates [...]

Background: The Lumbar puncture (LP) success rate for graduating pediatric residents is around 54%, and residents often feel uncomfortable performing Lumbar punctures(LPs). An UALP(ultrasound-assisted lumbar Puncture) uses POCUS (point of care ultrasound) to visualize key anatomical landmarks for optimal and safe cerebral spinal fluid (CSF) collection. Evidence has shown improved LP success rates in pediatric [...]

Background: Since the pilot project for the “hospitalist system” began in South Korea in September 2016, hospitalists have been delivering specialized care to inpatients, serving as experts in the field of hospitalization. Given the various reasons such as duty rotations, surgical procedures, and transfers, it is essential for hospitalized patients to undergo changes in their [...]

Background: The after-visit-summary (AVS) is an essential tool used by providers to explain discharge instructions and ensure appropriate post discharge follow up. Studies have shown that post discharge follow up within 7 days is associated with substantially lower risk of readmission, an organizational priority for us (1). However, many patients were not following up within [...]

Background: Alcohol withdrawal is a common reason for admission to acute care hospitals. The American Society of Addiction Medicine (ASAM) has proposed that prescription of medications for alcohol use disorder (AUD) and timely outpatient follow-up are important quality measures for inpatient detoxification, but few studies report the frequency of AUD medications and subsequent follow-up for [...]

Background: It is common for Inter-Intensive Care Unit (ICU) transfers between hospitals to take place to provide a patient with a higher level of care to improve clinical outcomes. The decision to transfer ICU patients is not standardized and leads to a wide variability in transfer practice patterns. This may lead to higher cost, burden [...]