Background: Croup affects more than 1.4 million children under the age of six in the United States annually. Up to 6% of children with croup are hospitalized at an estimated annual cost of $56 million. Guidelines for Emergency Department (ED) and inpatient management of croup vary and generally rely on limited evidence. Specifically, admission and [...]

Background: The elderly population is growing rapidly and those aged 65 and older comprise nearly 40 percent of hospitalized adults. As the population continues to age, this number is expected to rise. Promoting age-friendly care has been at the forefront of many health systems’ goals. Purpose: Our Hospital Medicine Group’s Orthopedic Hospitalist co-management program set [...]

Background: Perioperative patient management in accordance with the clinical practice guidelines is effective only when followed. The ACC/AHA perioperative guidelines contain many recommendations which cannot be translated in electronic health record alerts or order sets. Purpose: We built an app to improve efficiency in preoperative evaluations based on the ACC/AHA guidelines. We present results of [...]

Background: The Society of Hospital Medicine (SHM)’s Quality Improvement (QI) Special Interest Group’s (QI SIG) mission is “to create and maintain a community that promotes QI by connecting QI enthusiasts to each other and the resources necessary to develop and hone QI skills.” During this year, without in-person local or national meetings as opportunities to [...]

Background: Alcohol use disorder (AUD) has a lifetime prevalence of 29% in the United States and prevalence is higher among military veterans. Discontinuation of alcohol use in patients with AUD presents a risk for alcohol withdrawal syndrome (AWS). A recent retrospective analysis of Veterans Health Administration (VHA) data estimated AWS occurred in 5.8% of inpatient [...]

Background: Transitions of patient care are common and vulnerable periods for patient safety. Effective transfer of information from the primary team to the overnight (“cross-covering”) provider has been researched, but less is known about communication from cross-covering providers back to the primary team. Purpose: The authors aimed to investigate the impact of an electronic health [...]

Background: Physician wellness has become a popular topic with reports of burnout among 50% of hospitalists nationwide. Evidence shows that managers directly impact employee engagement with up to half of provider burnout attributed to the leadership style of a physician’s immediate supervisor. While 360 feedback is a common method used to evaluate employers in the [...]

Background: Moonlighting trainees are an essential labor source for expanding hospital medicine groups. Though the ACGME specifies moonlighting eligibility criteria and duty work hour restrictions, it does not address specific onboarding requirements. Prior to this project, our section of hospital medicine had no formal onboarding process for moonlighters despite 400-500 shifts covered annually by approximately [...]

Background: Despite multiple studies supporting the safety and efficacy of pre-exposure prophylaxis (PrEP) for the prevention of HIV infection, many patients who are at high risk of HIV transmission are not treated with PrEP. HIV risk counseling and the initiation of PrEP have historically been limited to outpatient settings. Inpatient providers frequently encounter patients with [...]

Background: ~ 1 in 10 patients has a penicillin allergy listed, but up to 90% of those patients may tolerate penicillins and/or cephalosporins. This inaccurate history and documentation leads to altered clinical decision making and the use of 2nd or 3rd line antibiotics, and can lead to adverse short and long term outcomes at both [...]