Background: At all academic medical centers, nurses and resident physicians are two prominent front-line contributors to the care of patients. During a patient’s hospital stay, they receive communication regarding their diagnosis, test results, management, and plan of care from both the resident physicians and the nursing staff. Therefore, it is critical to have effective communication [...]

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: At all academic medical centers, nurses and resident physicians are two prominent front-line contributors to the care of patients. During a patient’s hospital stay, they receive communication regarding their diagnosis, test results, management, and plan of care from both the resident physicians and the nursing staff. Therefore, it is critical to have effective communication [...]

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: The use of physical restraints (PR) in the hospitals among patients is associated with increased delirium, pressure ulcers, prolonged ventilator use, post traumatic stress disorder and disruption of therapeutic relationship with the healthcare team. The current scientific research suggests their ineffectiveness for patient safety like preventing falls or dislodging medical devices. There has been [...]

Background: Delirium is a neuropsychiatric syndrome that can occur in hospitalized patients. The negative impact that delirium has on the patient and the health system are well described and include increased mortality, risk of falls, length of stay and overall healthcare utilization. Delirium can have a heterogenous presentation including hyperactivity with agitation, restlessness and psychosis [...]

Background: Patient satisfaction surveys have taken increased importance over the last years, and data is increasingly used to rate and compare hospitals. Studies that analyzed the association between patient satisfaction and reviews with quality outcomes and hospital ratings have yielded conflicting results. We sought to analyze how HCAPS ratings and internet reviews correlated with hospital [...]

Background: Compared to peripherally inserted central catheters (PICC), midlines have a lower risk of bloodstream infection, but several studies have found increased thrombosis risk for a variety of clots such as deep vein thrombosis, superficial vein thrombosis, and greater daily hazard of thrombosis. Given increased midline use, better safety data is needed for complications such [...]

Background: Mortality reviews are a cornerstone of patient safety and quality improvement efforts. Increasingly, electronic medical record and web-based tools are leveraged to identify gaps in quality of care through retrospective or real-time mortality reviews. However, studies have yet to compare results when utilizing both review methods in the same patient cohort. This study aims [...]

Background: Medical procedure services (MPS) are increasingly implemented in Hospital Medicine programs to promote resident learning, support provider workloads, and expedite performance of common bedside medical procedures, including thoracentesis, paracentesis, and lumbar puncture (LP) [. Prior work has demonstrated safety and positive educational experience with MPS but little data exists on the impact of MPS [...]