Background: Recent research highlights that in-hospital communication increasingly is relying on secure electronic messaging with notable unintended consequences, including increasing task switching and the overall burden of communications. This study sought to quantify non-actionable, non-urgent messages to better understand their prevalence and to develop interventions aimed at optimizing communication workflows. Methods: A qualitative content analysis [...]

Background: Resident physicians are responsible for mastering a vast array of clinical and affective competencies. In the modern clinical learning environment, it is vital that residents can effectively use the electronic health record (EHR) to deliver safe and high-quality care, and that attending physicians and health organizations develop standards by which to supervise trainees in [...]

Background: Traditional methods to elicit feedback on clinical decision support (CDS) tools lack specificity and actionable insights necessary to optimize hospitalist workflows and patient care (1,2). Alert fatigue—a significant issue among hospitalists—reduces provider satisfaction and jeopardizes patient safety by prompting clinicians to dismiss critical alerts (3). Purpose: This initiative aimed to implement and evaluate a [...]

Case Presentation: A 77-year-old male with a PMH of atrial fibrillation, coronary artery disease, type 2 diabetes, hypertension and hyperlipidemia presented for a mechanical fall. He endorsed generalized malaise, subjective fevers, chills and fatigue days prior to the event. He denied any headache, cough or shortness of breath. On physical exam, he was febrile and [...]