Background: Interns feel stressed about assuming responsibility, prioritization of tasks and working in multi-professional teams when they transition to residency. Games offer the ability for learners to engage in active learning, application of knowledge, skill building, problem solving, time-management, simulated patient interaction and teamwork. A medical escape room can offer a unique opportunity to practice [...]

Background: Encounters with families and patients that speak a language other than English (LOE) are at high risks for worse outcomes: higher readmission rates, less health education, and increased adverse events. In contrast, concordant language use is associated with increased patient satisfaction, treatment adherence, and decreased adverse events. Purpose: To address outcome inequality for LOE, [...]

Background: The scope of Point-of-Care Ultrasound (POCUS) use in hospital medicine continues to expand. Despite the noted benefits in diagnostic accuracy, the use of POCUS in hospital medicine is varied. A prospective study of hospitalists in 2022 showed that diagnostic POCUS use has increased nationally for cardiac, pulmonary, and abdominal applications. The most common barrier [...]

Background: Hospitalized patients have been shown to spend an average of 83% of their stay in bed(1), leading to loss of independence in activities of daily living and lower rates of discharge to home(2,3). Given staff shortages within the hospital setting and our desire to inspire prioritization of mobility in future healthcare providers, we hypothesized [...]

Background: Discrimination towards trainees is a pervasive problem and surveys show that it is often perpetrated by patients (1,2). Trainees are especially vulnerable to discriminatory behavior, with negative impacts on their education and wellbeing (3,4). Fellow clinicians, including faculty and advanced practice providers (APPs), play an important role in managing these issues and ensuring a [...]

Background: The Healthcare Improvement and iNnovation in Quality (THINQ) Collaborative, launched by UCLA Health’s Department of Medicine (DoM) Quality Program in 2014, aims to fill gaps in quality improvement (QI) education at the undergraduate level. As QI and patient safety (PS) have become core aspects of health professions education, interdisciplinary, team-based care models are increasingly [...]

Background: Hospital at Home (HaH) is an expanding clinical model that delivers inpatient-level care to patients in their homes, substituting a traditional hospital stay. It is becoming a standard of care at many institutions, yet there are still few formally established processes for integrating medical trainees despite clear benefits for both the program’s growth and [...]

Background: A process problem with our MDR process was identified which had exhausted conventional unit-based approaches to improvement. We researched new processes and brainstormed on an “outside the box” approach to the Case Management model and MDR Daily Meetings. The new approach involved a dramatic Hospital-wide change of structure, associated with integration of multiple service [...]

Background: Hospital-at-Home (HaH) is a novel care model providing inpatient care for patients in their home through a combination of home visits and virtual care. Advanced Care at Home (ACH), UNC Health’s HaH program, launched in 2021, has helped over 2,000 admissions to date. The majority of HaH care is provided under the terms of [...]

Background: The STAT priority in imaging is universally understood as a signal for medical emergencies; however, its misuse is widespread. At our institution, prior to intervention, 45% of all imaging exams were ordered STAT, with many of these orders not indicating medical emergencies. Our previous initiative in 2023 aimed to redefine imaging priority categories, reserving [...]