Background: Interprofessional collaboration (IPC) is vital for high-quality patient care, and effective IPC among medical professionals, especially trainees, is crucial to supporting positive individual and team outcomes. Measuring IPC and understanding its impact on patient care remains underexplored. Understanding which IPC patterns are associated with better patient and individual outcomes will inform how to best [...]

Background: The Hospitalist Service of Wellstar-MCG Health run the Family Medicine In-Service (FMIS) rotations. It is a month-long rotation with a team consisting of a hospitalist attending, one or two senior residents, and several interns. A large portion of learning to care for inpatients occurs during these rotations. There currently is no process in place [...]

Background: Croup is a common cause of respiratory distress in young children secondary to viral infection. Oral dexamethasone has been shown to improve the symptoms of respiratory distress caused by croup. The frequency of repeat dexamethasone dosing during admission or on discharge is not well understood, and the effect of re-dosing on re-admission or recurrence [...]

Background: Unnecessary inpatient laboratory testing is common and negatively impacts patients by causing discomfort and iatrogenic anemia. Such testing also burdens a busy phlebotomy team, particularly when patients decline labs due to recency of previous checks. Audit and feedback interventions are known to reduce low value practices in medical residents, but no published study has [...]

Background: Multiple educational modalities have been utilized to teach high value care to trainees, including lectures, facilitated group discussion, and behavioral nudges and prompts (1–3). However, little has been done to compare different educational strategies delivered via the same modality. The goal of this study was to explore whether different educational prompts encouraging thoughtful lab [...]

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: Inadequate assessment and recognition of barriers to discharge at time of admission leads to delays in the discharge process and prolongation of hospital admissions. These delays are associated with multiple negative outcomes such as increased length of stay, decreased patient satisfaction, strain on hospital bed capacity, and higher readmission rates. Prior studies have shown [...]

Background: The United States healthcare system has witnessed an overwhelming trend towards mergers of hospitals and acquisitions, with the proportion of primary care physicians working in hospital – or healthcare system-owned organizations increasing from 28% to 44% from 2010 to 2016. Existing evidence suggests this consolidation has driven higher costs but has had mixed effects [...]

Background: Guidelines for inpatient diabetes management recommend insulin therapy for persistent hyperglycemia >180 mg/dL with a target glucose range of 140 – 180 mg/dL.1,2 Although guidelines recommend glucose monitoring for insulin administration, there is no standard monitoring approach for patients without evidence of persistent hyperglycemia. As such, hospitalized patients are frequently started on 3 – [...]

Background: Infectious gastroenteritis is a common cause of morbidity and mortality worldwide. The FilmArray GI panel (GIP) is a multiplex PCR assay that can rapidly detect 21 gastrointestinal pathogens, including 13 bacteria, 5 viruses, and 4 parasites. The GIP has high sensitivity and specificity for most targets and has been widely adopted in clinical practice. [...]