Background: Interhospital transfer (IHT) is a pathway by which many patients may receive procedures or specialty care not available at their local hospital. While IHTs present the opportunity for resource sharing between hospitals for the purpose of improved patient outcomes, the discontinuity of care and the acuity of the patients may adversely affect other quality [...]

Background: Medication errors during hospital discharge can lead to adverse outcomes, medication-related readmissions, and increased healthcare costs [1,2]. Pharmacist-led medication reconciliation at discharge (PMRD) has emerged as a potential solution to mitigate poor outcomes and optimize medication safety [3-7]. The main objectives of this study were to determine the number of errors identified at discharge [...]

Background: Millions of patients are discharged to skilled nursing facilities (SNFs) each year. In teaching hospitals, resident physicians are often responsible for organizing this transition. Understanding residents’ knowledge and experiences of this care transition has the potential to inform residency training, education, and clinical experience. This study aimed to explore residents’ attitudes and experiences in [...]

Background: The Discharge Summary (DS) plays a vital role in transmitting key information about a patient’s hospital admission to their primary care clinician (PCC) and serves as a valuable information source for inpatient clinicians. However, current guidelines for DS creation tend to neglect the importance of prioritizing critical content. This oversight, coupled with the excessive [...]

Background: Adverse events (AEs) occur in 19-28% of hospitalized patients in the 30 days after discharge [1,2]. Though new or worsening symptoms (NWS) reported by patients are often an early indicator of post-discharge AEs, they are not systematically captured in electronic health record (EHR) documentation or via patient portals. Higher fidelity capture of patient-reported NWS [...]

Background: Older adults are commonly discharged to skilled nursing facilities (SNFs) after hospitalization. It is not known how patients anticipate SNF discharges and what they prioritize. The aims of this study are to explore what matters most to older adults during their hospital to SNF care transition. Methods: We conducted a grounded theory qualitative study. [...]

Background: Over 5 million hospital-to-skilled nursing facility (SNF) transitions occur annually. Of these patients, 20% are readmitted within 30 days, and 25% of those readmissions are deemed preventable. While effective communication between the inpatient clinician and the accepting SNF clinician has been shown to improve re-hospitalization rates, few studies have examined clinician confidence or competence [...]

Background: Uncertainty, defined as the “subjective perception of ignorance”(1), is an inescapable and familiar reality to those who practice hospital medicine. An inability to tolerate uncertainty is associated with burnout, anxiety, depression, and inappropriate use of resources (2). Learning more about how hospitalists experience and manage uncertainty will aid us in promoting high-value care by [...]

Background: Research and quality improvement programs may differentially reach some population groups and not others, thereby worsening health disparities. RE-AIM is a well-established implementation science framework used to evaluate the impact of interventions across five domains: Reach, Effectiveness, Adoption, Implementation, and Maintenance. This study aimed to summarize past applications of RE-AIM to evaluate for disparities [...]

Background: Traditional measures of workload such as wRVUs may not be adequate to understand the impact of work design on key patient, workforce, and organizational outcomes. In this study, we developed a workforce application to capture clinician perception of workload and environment and then paired this data with electronic workload measures in the EHR in [...]