Background: Hospitalizations related to opioid use disorder (OUD) are rising, creating opportunities to initiate medications for opioid use disorder (MOUD) and connect patients with outpatient resources.1,2 Despite evidence that MOUD reduces morbidity and mortality, most patients fail to receive evidence-based treatment during hospitalization.3-6 Addiction consultation services are becoming the standard of care to address this [...]

Background: Diagnostic errors (DEs), or the failure to accurately identify or provide timely explanations of a patient’s health problem, are a significant source of patient harm. DEs occur in up to 23% of adult inpatients who transfer to intensive care units (ICU) or die. Few studies have examined how clinician team composition impacts DE risk. [...]

Background: In a time when rural hospitals across the United States are closing for various reasons and local residents are left with limited access to healthcare, our academic medical center successfully built one of the few new rural facilities in the country and opened it in January 2023. The new hospital is a seventeen bed [...]

Background: Hospitalizations related to opioid use disorder (OUD) are rising, creating opportunities to initiate medications for opioid use disorder (MOUD) and connect patients with outpatient resources.1,2 Despite evidence that MOUD reduces morbidity and mortality, most patients fail to receive evidence-based treatment during hospitalization.3-6 Addiction consultation services are becoming the standard of care to address this [...]

Background: Diagnostic errors (DEs), or the failure to accurately identify or provide timely explanations of a patient’s health problem, are a significant source of patient harm. DEs occur in up to 23% of adult inpatients who transfer to intensive care units (ICU) or die. Few studies have examined how clinician team composition impacts DE risk. [...]

Background: In a time when rural hospitals across the United States are closing for various reasons and local residents are left with limited access to healthcare, our academic medical center successfully built one of the few new rural facilities in the country and opened it in January 2023. The new hospital is a seventeen bed [...]

Background: Over 32 million patients in the United States have a penicillin (PCN) allergy label in their medical chart.1 Studies have demonstrated that 15-20% of hospitalized patients are labeled PCN allergic. However, IgE-mediated PCN allergy wanes over time and up to 80% of patients with a listed PCN allergy can tolerate PCN after 10 years. [...]

Background: Hospital scheduling and structure has the potential to smooth the flow and impact quality outcomes. The most predominant hospitalist schedule follows the seven-on/seven-off scheduling where hospitalists would switch off service after the 7th day, also known as switch day, to the next incoming provider. However, there is limited data on which hospitalist switch day [...]

Background: Mortality rates are a critical quality metric for hospitals, influencing both clinical outcomes and institutional reputation. The Centers for Medicare and Medicaid Services (CMS) incorporates 30-day mortality rates into its Value-Based Purchasing (VBP) program and Star Ratings, directly impacting hospital reimbursement and public perception. Similarly, U.S. News & World Report factors 30-day mortality into [...]

Background: Hospitalist models have grown significantly since their inception in the mid-1990s. However, despite their widespread presence, hospitalists’ optimal workflows remain poorly studied and defined. This gap is particularly concerning given the increasing complexity of hospitalized patients. Without a clear understanding of optimal hospitalist work design, clinicians face an increased risk of unsafe workloads and [...]