Background: With the advent of COVID-19 vaccinations, disparities in vaccination rates across various demographic groups especially in vulnerable population such as HIV positive patients have become an area of concern. Understanding these disparities and their underlying factors can provide essential insights for designing targeted interventions and optimizing vaccine distribution strategies. This study sought to investigate [...]

Background: Nocturnist turnover is high at many institutions, leaving vacant positions, with potential impact on patient care and satisfaction, as well as substantial recruitment expenses. The reasons that nocturnists choose to leave their positions, and night work in general, have not been formally studied. We sought to gain deeper understanding about the reasons for nocturnist [...]

Background: The US faces a worsening epidemic of substance use-associated morbidity and mortality. In 2021, over 46 million people had a substance use disorder (SUD) and over 109,000 overdose deaths occurred. Furthermore, an estimated 1 in 7 hospital admissions are for patients with SUDs. Stigma is pervasive among these patients’ hospital providers, and SUD management [...]

Background: Sepsis affects over 19 million patients worldwide annually. While there was a reduction in in-hospital mortality for sepsis over the past two decades, the readmission rate among its survivors has increased. Sepsis is a leading cause of 30-day hospital readmission in the United States at 21.4%, compared to all-cause readmissions of 17%, and imposes [...]

Background: Survivors of critical illness, such as acute respiratory distress syndrome (ARDS) requiring invasive mechanical ventilatory support in an intensive care unit (ICU), commonly experience prolonged morbidity in multiple health domains: psychological distress, functional debility, cognitive impairment, and poorer quality of life. This resulting morbidity is now recognized broadly as post-intensive care syndrome (PICS). COVID-19 ICU survivors are at [...]

Background: The patient-physician relationship is influenced by several factors including the environment of care. Given the increased use of telemedicine – catalyzed by the COVID-19 pandemic – understanding preferences for and comfort with telemedicine is important. This study aimed to explore patient preferences for various types of video visit background environments and their effects on [...]

Background: Decision fatigue describes the erosion of decision making capacity as a consequence of the repeated acts of decision making. The phenomenon has been detected in ambulatory settings with higher rates of inappropriate antimicrobial and opiate prescribing and lower rates of cancer screening associated with appointments that occur later in the day. As hospital medicine [...]

Background: Low Health Literacy (HL) is associated with poor health outcomes (1), higher utilization of care, increased risk for hospitalization and increased risk for 30-day rehospitalization (2). HL is composed of three components which includes obtaining the information (reading), comprehending the information and applying it to one’s daily life (3). Patients may master one component, [...]

Background: The 2016 and 2023 AABB international red blood cell (RBC) transfusion guidelines recommend, in addition to restrictive transfusion practices, that clinicians also consider the patient’s overall clinical context when making transfusion decisions (1). However, there is little empiric data on which specific clinical factors, other than Hb, should inform transfusion decisions in hospitalized patients [...]

Background: High hospital occupancy is a ubiquitous problem worldwide. Singapore General Hospital (SGH) being the largest tertiary hospital in Singapore, sees a large number of attendees come through its Emergency Department (ED) daily 1,2. With silver tsunami on the horizon and rising life expectancies around the world, we are facing higher healthcare complexities and stress [...]