Background: Patient experience (PEX) is associated with higher levels of adherence to recommended prevention and treatment processes, better clinical outcomes, improved patient safety within hospitals, and decreased inappropriate health care utilization. (1,2,3) Furthermore, overall patient satisfaction is associated with lower 30-day risk standardized hospital readmission rates after adjusting for clinical quality. (4) Our hospital medicine [...]

Background: Urine culture testing should primarily be reserved for patients with clinical symptoms or other limited indications. Unfortunately, many admitted patients undergo unnecessary urine culture testing, leading to overdiagnosis and overtreatment of asymptomatic bacteriuria (ASB). Unnecessary antibiotic treatment for ASB does not improve outcomes and exposes patients to side effects. The negative implications may include [...]

Case Presentation: A 45 y.o. man presented with fever, night sweats, and hemoptysis for one week. He had immigrated to the United States from Mexico 4 years prior. Initial laboratory evaluation was notable for c-reactive protein 134.3mg/dL (normal: < 8mg/dL) and D-dimer 1646ng/mL (normal: < 500ng/mL). Chest CT showed multiple focal regions of consolidation with [...]