Background: Hospital length of stay (LOS) serves as a key quality metric for evaluating efficient hospital management within health systems. improving LOS enables hospitals to effectively handle both elective and emergent admissions. Excessive demand without corresponding capacity results in emergency department and unit crowding, leading to unfavorable mortality outcomes, impacts patient and provider experiences, contributes [...]

Background: The American Board of Internal Medicine and the Society of Hospital Medicine have identified routine laboratory testing of stable inpatients as one source of low-value care.1,2 As it is estimated that upwards of 21% of all lab tests represent inappropriate overutilization,3 reducing unnecessary testing could have a significant impact on cost saving, limiting waste, [...]

Background: Secure text messaging is a primary mode of clinician-to-clinician communication in large acute care hospitals. However, the accessibility and ease of secure messaging, and a lack of best practice recommendations, raise the risk of overuse. Multitasking demands from secure messaging challenge clinicians as they engage in focus-intensive patient care tasks. To address this, we [...]

Background: Globally, hepatocellular carcinoma (HCC) is the third leading cause of cancer‐related death and the second of cancer‐related years of life lost. Regular screening of asymptomatic patients at risk for HCC may detect tumors at an early stage when potentially curative treatment can be offered. 2018 guidelines by the American Association for the Study of [...]

Background: Laboratory testing is one of the highest volume medical activities in a health system. Despite their central role in driving clinical decision making, laboratory diagnostics are highly variable and expensive. The annual cost estimate in the U.S. for low value screening, testing, or procedures range from 17.2 billion to 27.9 billion dollars.1 Excessive laboratory [...]

Background: In the South Bronx, 30% of the population lives with heart failure. CHF readmission andmortality rates surpass the national average in the Bronx. Our hospital serves anethnically diverse population, predominantly Hispanic and African American, many ofwho have a low socioeconomic status. Despite multiple interventions including educating patients about CHF Action Plan, ensuring all eligible [...]

Background: Artificial intelligence (AI) is increasingly being integrated into healthcare, but there is limited data on clinicians’ perceptions and preparedness regarding AI in medical practice. This survey aimed to understand clinicians’ knowledge, attitudes, and experiences of healthcare providers with AI tools in healthcare. This is crucial as the adoption of AI in healthcare can enhance [...]

Background: Venous thromboembolism (VTE) is a prevalent and costly medical condition in hospitalized patients. Risk assessment tools like the Padua Predictive Score aim to differentiate low-risk and high-risk patients for targeted pharmaceutical prophylaxis (pPPX) administration. However, widespread adoption of risk assessment remains suboptimal. This study investigates HA VTE prophylaxis use in medicine inpatients within a [...]

Background: Multiple safety reports were reviewed for missed doses of critical medications on admission to the inpatient rehabilitation units at a large academic medical center. It was found that providers were inconsistently or incorrectly using the admission medication reconciliation (AdmMedRec) functionality in EHR that could have prevented these errors.Many hospitals struggle with AdmMedRec due to [...]

Background: Patient-centered care has recently attained the spotlight in the healthcare delivery model. An essential aspect of it depends on the patient’s perception of the care the healthcare team provides, and it’s a challenge for the healthcare community to provide a high-level patient care experience. Methods: This is a prospective study conducted in a Medicine [...]