Background: Hospitalists care for an increasing number of older patients. As teachers of medicine, they are uniquely positioned to teach geriatric skills to residents. Faculty development programs focused on geriatrics leaching skills are often expensive and time intensive and may or may not enhance trainees1 learning. Purpose: To evaluate the impact of a train‐the‐trainer faculty [...]

Background: Mission Hospital is a regional community hospital serving Ihe population of western North Carolina, We repair around 500 hip fractures per year in patients older than 65, more lhan any hospital in North Carolina which ranks third in the nation in incidence of hip fracture. Since 2006 the hospital has experienced increased costs and [...]

Background: An academic medical center added 15 adult hospitalists over the past 2 years. Many of the new faculty did not have prior experience with billing. Over the same time, the Department of Internal Medicine recognized That many charges were not being captured because of poor communication with coders. Despite faculty orientation presentations, many hospitalists [...]

Background: Discharge transitions in care represent a high‐risk period for medication errors and adverse drug events such as medication discrepancies. Although there is literature on improving admission medication reconciliation (Cornish et al. Arch Mem Med. 2005;165:424‐429). Ihere is less current evidence on the process at discharge. The use of inpatient clinical pharmacists is increasingly prevalent, [...]

Background: Hospitalization and discharge‐associated transitions often involve changes in medication regimens that can lead lo adverse drug events and possible avoidable health care utilization. Studies have shown that discharge adverse events are prevalent, and medication errors are the most common. Purpose: To reduce medicalion errors at the lime of discharge and their potential costs and [...]

Background: In 2007 our Department QI Hospital Medicine was responsible lor the care QI more than 90% QI admissions for adults wilh sickle cell anemia (SCA), the majority of which were for sickle cell crisis. The total SCA population was about 100 patients, only 70 of whom were admitted in 2007. However, distributions of both [...]

Background: Asthma is responsible for a substantial proportion of ER visits and hospitalizations nationally, especially in minority communities. Since 2009, asthma patients have now been at increased risk because of a mandated replacement of the familiar generic metered dose inhalers (MDIs] with chlorofluorocartons (CFCs) with the environmentally friendly but harder to use and costlier hydrofluroalkane [...]

Background: Adverse events tallowing hospital discharge are common and represent a vulnerable time for patients. Unlike ambulatory practices That provide contact mechanisms for patients who have questions about their care, hospital medicine groups are faced with different challenges. Shift work, provider discontinuity, and lack of a dedicated provider to reach following discharge often leave patients [...]

Background: Transfusion of red hlnnri cells (RBCs) in the appropriate clinical setting can be a lifesaving procedure, but This therapeutic power does not come without cost. The latter cannot only be measured in dollars, but also in risk of harm to the recipients. Recent data suggest that blood transfusions are independently associated with increased nosocomial [...]

Background: National data on clinicians' documentation shows 60%‐80% inappropriate documentation on common hospital DRGs. We developed a documentation improvement project to improve clinicians' performance and to develop residents' core competency in system‐based practice (SBP) and practice‐based learning and improvement (PBLI). Purpose: To improve clinicians performance on appropriate documentation in hospitalized patients. Description: We collected data [...]