Background: Interhospital transfer (IHT) processes vary across institutions. The fragmented and complex nature of IHTs pose patient safety risks. The implementation of a standardized IHT process with a templated note for hospital medicine patients at our institution demonstrated promising patient safety outcomes and a significant increase in physician satisfaction. A second, iterative intervention expanded this [...]

Background: Background: Rapid response (RR) is a system in place to intervene when hospitalized patients experience acute deterioration in medical conditions.Problem Definition: Residents at LSU Shreveport/Monroe Family Medicine program have reported facing decision-making challenges and increased stress when called to manage rapid responses.Aim Statement: Enhance the rapid response management skills and confidence among the residents [...]

Background: Rapid Response Teams (RRTs), also known as medical emergency or patient response teams, are widely implemented in hospitals to improve patient outcomes. Existing literature demonstrates that RRTs reduce in-hospital mortality, cardiac arrest, and unplanned ICU admissions. However, less is known about the outcomes of patients transferred to the ICU following an RRT activation. At [...]

Background: The Reducing REVISITS study enrolled and randomized diverse hospitals to identify scalable solutions for reducing preventable acute care for patients with chronic obstructive pulmonary disease (COPD) utilizing Society of Hospital Medicine’s (SHM’s) award-winning mentored implementation model (MIM). MIM provides one year of expert advice and tools through virtual site visits and monthly meetings to [...]

Background: Acute heart failure exacerbations remain a leading cause of morbidity and mortality and are associated with high rates of hospital admissions and healthcare expenditure. As hospital medicine (HM) primary service footprint expands, further information regarding patient care provided by HM compared to cardiology (CV) is needed. As part of a broader effort to improve [...]

Background: Hospital antibiotic stewardship programs (ASPs) play a critical role in minimizing unnecessary antibiotic use and combating antimicrobial resistance. Although various antibiotic stewardship interventions have been described, the feasibility and sustainability of these approaches remain uncertain. Furthermore, some interventions may be challenging for smaller hospitals to implement due to informatics resource limitations. Thus, we aimed [...]

Background: Hospital readmissions are a significant healthcare concern, particularly for patients harboring liver cirrhosis. Optimizing discharge planning and transitional care management for this population requires a detailed understanding of the factors associated with readmission risk, stratified by disease severity. Elixhauser Comorbidity Index v2024.1 guided identification of patients with standardize mild versus moderate-severe cirrhosis plus respective [...]

Background: There is no standardized, consistent method for providing and receiving personalized feedback on patient care amongst hospitalists at our institution. The result is that physicians are not aware of areas they could improve in clinical care until either a sentinel event occurs or at the time of their annual review with division leadership. Additionally, [...]

Background: Many hospitalist programs have established a bedside procedure team to encourage timeliness of necessary bedside procedures, reduce diagnostic delays, and decrease length of stay. We assessed the impact of a bedside procedure team on the timeliness of the procedure and length of stay (LOS). Methods: A hospitalist-run On-call Procedure Team (OPT) was launched in [...]

Background: Patients’ names are pronounced incorrectly during medical encounters, but there is limited literature on the impact name pronunciation has on patient experience. At our quaternary care center, there is no system to communicate the pronunciation of a patient’s name. Our clinical experience on the cardiology service highlighted the negative effects of name mispronunciation on [...]