Background: Central nervous system medication (CNS med) use among older adults is associated with high morbidity and mortality. This study described patterns of CNS medication use, and identified people most likely to have CNS medications initiated or deprescribed around hospitalization. Methods: Retrospective cohort study using electronic health record data from 3-hospitals. Patients aged 65 years [...]

Background: Sepsis is a leading health care burden associated with high mortality in the United States. Poor outcomes associated with sepsis continue despite modifications in the sepsis care guidelines. Several factors influence the outcome of sepsis including patient characteristics, etiology of sepsis, and management in the appropriate intensive care unit setting. The aim of our [...]

Background: Distrust of the healthcare system is longstanding in Black communities. This may especially threaten the health of the population when a highly contagious infection strikes. Perceptions, knowledge, and personal safety practices related to COVID-19 are unknown among hospitalized Black patients who distrust the healthcare system. Methods: Black patients hospitalized patients were surveyed between November [...]

Background: Choosing a career in hospital medicine is becoming increasingly common among residents and medical students in the United States (US). Little is known about the factors associated with choosing a hospitalist medicine career among fourth-year medical students. Methods: We collected demographic and survey responses from the Graduating Questionnaire (GQ) survey administered by the Association [...]

Background: Hospitalized COIVD-19 patients are complex and heterogenous with regards to socio-demographics and comorbidities and many patients are at heightened risk for adverse clinical outcome. Early risk stratification enables clinical decision making for appropriateness and timeliness of interventions. Since the pandemic began, more than 100 models to forecast prognosis for hospitalized patients with COVID 19 [...]

Background: Scholarly productivity is critical for academic fulfilment and promotion in hospital medicine (HM), but many hospitalists struggle to achieve scholarly success. Protected time (PT) (i.e., non-clinical time that can be dedicated to scholarly activities) is a key facilitator of academic productivity in HM. However, little is known about how PT for scholarship is managed [...]

Background: Dysphagia is prevalent in older adults with dementia, particularly in the acute care setting. The objective of this study was to use an innovative approach to extract a more representative sample of patients with dysphagia from the electronic health record (EHR) to determine patient characteristics and outcomes associated with dysphagia in hospitalized persons with [...]

Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value, advances in relevant technologies, and the ongoing global pandemic have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the [...]

Background: Patient surveys are frequently utilized to assess patient satisfaction with physician performance. These surveys often impact provider evaluations and may even effect reimbursement and employment. Patient satisfaction surveys often have several questions designed to assess distinct aspects of physician performance. Institutions may select specific questions for their individual performance measures rather than all results. [...]

Background: As the COVID-19 pandemic continues, the hospitalist workforce, which has been at the forefront, has been further stretched in both clinical and non-clinical domains. Hospitalists have faced increased clinical workloads due to inpatient volume surges, have been asked to lead hospital administrative pandemic responses, and have had to quickly adapt research to the context [...]