Background: Palliative care (PC) is a multidisciplinary consult service aimed at ensuring goal-concordant medical care while optimizing patient/family support. Prior studies have illustrated that palliative care consultation can be associated with a significantly shorter length of stay but without significant change in mortality or disposition. Utilization of standard high-risk descriptive criteria or “triggers” that uniformly [...]

Background: Medication reconciliation is a complex process intended to identify and resolve discrepancies by maintaining the most accurate medication list for a patient to provide ultimate care. The Joint Commission National Patient Safety Goals emphasize completion of medication reconciliation on admission within an organization to reduce the likelihood of harm to patients.1 Our medical center [...]

Background: Length of stay is an ongoing challenge for hospitals across USA. Large number of medically stable patients continue to remain in the hospital. There are multiple barriers including social, financial, and poor communication between team members. This delays discharge leading to poor patient care, burnout of team members, reduced bed capacity and access. Purpose: [...]

Case Presentation: A 42-year-old woman with a history of common variable immunodeficiency, asthma, cirrhosis presumed secondary to non-alcoholic fatty liver disease, subdural hematoma, epilepsy, and inflammatory polyarthritis presented to the ED with altered mental status (AMS). She was in her usual state of health, living independently until one month prior when she developed intermittent hallucinations, [...]