Background: Hospitalizations related to injection drug use (IDU) are often complicated by complex psychosocial circumstances and behavioral health needs. Despite growing hospitalizations amongst this patient population, little is known about physician experience caring for these patients. Our study aims to explore physician perspectives in caring for patients with IDU to understand the impact of these [...]

Background: Equity is one of the fundamental domains of quality in healthcare. Disparities occur in clinical research enrollment among patients of racial and ethnic minority groups and low socioeconomic status. The racial and ethnic disparities in COVID-19 incidence and mortality accentuates the inequities in access to and representation in clinical trials. In the Adaptive COVID-19 [...]

Background: Surgical risk stratification tools have existed since Goldman created the cardiac risk index in 1977. Since then, there has been a proliferation of risk calculators: the three most notable being the Revised Cardiac Risk Index (RCRI), the American College of Surgeons-Surgical Risk Calculator (ACS-SRC), and the Gupta Myocardial Infarction and Cardiac Arrest calculator (MICA). [...]

Background: Thrombotic disorders, such as venous thromboembolism (VTE) and ischemic stroke are highly prevalent conditions. In many cases, an underlying inciting risk factor is clearly visible that can explain the thrombotic event. When a clear explanation is not found, diagnoses such as “idiopathic VTE” and “cryptogenic stroke” are made. Except when there is a concern [...]

Background: Venous thromboembolism (VTE) is a significant cause of morbidity and mortality for hospitalized patients. There are approximately 900,000 new VTE events and 100,000 VTE-related deaths every year. In the United States, more deaths occur due to VTE than breast cancer, AIDS, and motor vehicle accidents combined. VTE are considered preventable events with appropriate prophylaxis; [...]

Background: Venous thromboembolism (VTE) poses a significant risk to patients in the hospital setting, and studies have shown that VTE prophylaxis should be incorporated into the management of high-risk patients during their hospital stay. However, many of these patients are still high-risk for VTE at the time of discharge and for up to three months [...]

Background: Organized stroke care units (SCU) led by multidisciplinary teams with expertise in stroke management are paramount to providing high standards of care to stroke patients. Several trials have consistently demonstrated that stroke patients admitted to a SCU are more likely to survive their stroke, regain independence and return home as compared to stroke patients [...]

Background: Given its ability to identify obscure bleeding at a rate of 0.1-0.5 mL/min, technetium-labeled red cell scans have long been considered the most sensitive radiographic test for gastrointestinal bleeding. They are routinely compared to computed tomography angiography, which detects bleeding at a minimum rate of 0.5 mL/min or greater. We conducted a clinical quality [...]

Background: The use of early warning systems (EWS) to augment clinical care is of increasing interest with recent publications showing EWS algorithm alerts coupled with clinical response actions to have significant morbidity and mortality benefit.1 At Stanford Hospital we are developing an alert and response EWS using a machine learning (ML) model predicting clinical deterioration [...]

Background: Previous work at our major academic medical center found that compared to White patients, Black and Latinx patients with a primary diagnosis of congestive heart failure (CHF) were significantly less likely to be admitted to our specialized cardiology service rather than our general medicine service (GMS). This work additionally found that CHF patients admitted [...]