Background: In hospital medicine, around 250,000 diagnostic errors occur yearly in American hospitals and a significant proportion are attributed to failures in clinical reasoning. Feedback on the diagnostic process has been proposed as one method of improving clinical reasoning. However, in the current healthcare system barriers to the delivery and receipt of feedback include limited [...]

Background: In hospital medicine, around 250,000 diagnostic errors occur yearly in American hospitals and a significant proportion are attributed to failures in clinical reasoning. Feedback on the diagnostic process has been proposed as one method of improving clinical reasoning. However, in the current healthcare system barriers to the delivery and receipt of feedback include limited [...]

Background: Clinicians face substantial challenges in limiting life-prolonging interventions (e.g., ICU admission, life-sustaining treatments, invasive procedures) near the end of life, even when they judge these interventions to be non-beneficial [1-3]. The objective of our study was to empirically derive a descriptive framework of decision-making approaches used by clinicians to limit (i.e., withhold or withdraw) [...]

Background: Hospital medicine (HM) continues to be primarily composed of junior faculty and research has highlighted a paucity of mentors and academic output. Faculty advancement programs have been identified as a means to support junior faculty in their career trajectories and to advance the field. The optimal approach to supporting faculty development (FD) efforts is [...]

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: Patients with sickle cell disease (SCD) experience painful and life threatening vaso-occlusive episodes (VOE) that cause frequent hospitalizations, account for >80% of their >$1 million lifetime healthcare costs, and can be fatal. Yet, there is a dearth of evidence addressing inpatient VOE care leading to a stark absence of evidence-informed guidelines. As a first [...]

Background: Efforts to advance health equity in the outpatient setting include routine screening for social determinants of health, expanded access to addiction treatment, and addressing pharmaco-equity. However, the question of how to advance health equity for patients who are hospitalized has been underexplored. We sought to understand hospitalists’ perspectives on health equity needs and innovations. [...]

Background: Virtual Hospitalist (VH) care models are emerging in hospital medicine to address workforce shortages and improve patient access. VH programs are any programs where the hospitalist and patient are located at different sites, but the patient requires an acute level of care. This can include arrangements where: 1) the patient is located in a [...]

Background: Throughput is a hospital priority. Decreasing length of stay is essential to decongesting overcrowded hospitals and maintaining financial viability. Purpose: The purpose of the project was to improve throughput through enhanced interdisciplinary communication. Description: We used the LEAN methodology of process improvement to perform a Value Stream Mapping exercise, which brought diverse clinical staff [...]