Background: Current guidelines to decrease the incident of CLABSI (Central Line Associated Blood Stream Infection) recommend daily assessment of line presence and clinical indication for the line (Odada et al., 2023). This helps decrease unnecessary line use and facilitates prompt line removal if not indicated. Daily line documentation including type of line, anatomical location of [...]

Background: Hospital discharge is a complex process for patients, caregivers, and providers. A robust understanding that the patient has regarding new diagnoses, medications, and appointments improves the capacity for self-care and post-discharge outcomes. The Team Discharge approach was successful at NYU Brooklyn Hospital and expanded to the Manhattan Campus Purpose: To improve the patient experience [...]

Background: Despite 80 years of documentation of the “evil sequellae”(1) of immobility for inpatients, lack of ambulation remains prevalent and deleterious. Hospitalized patients have been shown to spend an average of 83% of their stay in bed(2), leading to complications including loss of independence in activities of daily living, higher rates of discharge to facility, [...]

Background: A patient typically encounters countless new faces during their hospital stay, particularly at a teaching hospital. Often, patients may not know who they’ve interacted with, due to the overwhelming amount of new information. They might ask the wrong person about discharge, or recount an important conversation but not be able to identify who they [...]

Background: Safety-net hospitals are disproportionately affected by the national intensivist shortage. The Society of Critical Care Medicine estimates the U.S. needs over 48,000 intensivists, but fewer than half are available. This shortage is pronounced in rural and underserved urban areas, leaving hospitalists in resource-limited settings to manage critically ill patients with minimal or no intensivist [...]

Background: Traditional methods to elicit feedback on clinical decision support (CDS) tools lack specificity and actionable insights necessary to optimize hospitalist workflows and patient care (1,2). Alert fatigue—a significant issue among hospitalists—reduces provider satisfaction and jeopardizes patient safety by prompting clinicians to dismiss critical alerts (3). Purpose: This initiative aimed to implement and evaluate a [...]

Background: Risk adjustment indices are frequently used for hospital billing and reimbursements in the United States. Severity of illness (SOI) and risk of mortality (ROM) are two risk adjustment indices used in determining the APR-DRG, a classification system commonly used by insurers to determine hospital reimbursements. Recently, many health systems implemented AI-powered clinical documentation assistants [...]

Background: Studies have shown geographically co-locating patients of the same physician (also known as regionalization) have improved provider satisfaction and increased team efficiency and collaboration. At most institutions, including ours, assigning physicians to patients and units is done manually. Furthermore, interventions to regionalize hospitals in the literature focus on grouping conditions, specialties, or teams (i.e., [...]

Background: Secure text messaging platforms are increasingly replacing traditional paging systems for in-hospital communication1,2. At our institution, the number of secure texts per month nearly doubled from 4.4 million in September 2020 to 8.1 million in September 2023. This growing burden of automated notifications from secure texts without a framework to triage message urgency contributes [...]

Background: Physicians often document patients’ anticipated discharge dates and care progression needs; however, this documentation can be challenging to locate in clinical notes and may be overlooked during care progression. At our institution, physicians are unable to consistently attend multidisciplinary rounds (MDRs), relying heavily on documentation to communicate plans of care and anticipated discharge dates. [...]