Background: An estimated 20-30% of inpatient standing labs are medically unnecessary1, contributing to iatrogenic anemia2, sleep disruption3, and increased healthcare costs. The Society of Hospital Medicine identified routine repetitive complete blood count (CBC) and chemistry (BMP) as a common wasteful inpatient practice4. At our institution, repetitive inpatient CBC, BMP, magnesium, and phosphorus account for 500,000 [...]

Background: The Surviving Sepsis Campaign strongly recommends that all hospitals screen for sepsis as part of performance improvement. The effect of screening for sepsis on mortality, length of stay, and time to antibiotics is uncertain. Methods: A systematic literature search was conducted using Cochrane Library, Google Scholar, Ovid Embase, Ovid Medline, Scopus, and Web of [...]

Background: Individuals with diabetes have a 2–3 fold higher hospitalization rate compared to those without diabetes. During hospitalization, individuals with diabetes frequently experience elevated blood glucose levels (or, hyperglycemia) (1), which can increase monitoring by nurses and hospitalists, length of stay, and healthcare cost. Therefore, we sought to develop a machine learning model to predict [...]

Background: In-hospital cardiac arrest (IHCA) remains a leading cause of mortality in the United States, with an estimated 290,000 cases annually and survival to discharge rates ranging from 15% to 40% as of 2024. For those patients who achieve return of spontaneous circulation (ROSC), predicting their neurological outcome and survival in the intensive care unit [...]

Background: Hypoglycemia occurs frequently in hospitalized adults with diabetes, and is associated with adverse clinical events, increased use of rapid response teams, prolonged hospital length of stay, and higher healthcare costs (1). Identifying risk of hypoglycemia in hospitalized adults is vital to preventing adverse events and maximizing patient safety. However, there are no tools/models to [...]

Background: According to the Global Burden of Disease (GBD) study, 523 million (95% UI: 497 to 550 million) people worldwide had cardiovascular diseases (CVDs) in 2019, resulting in a significant increase in DALYs and years of life lost, mostly due to ischemic heart disease. There are various accurate and economical gold standard tests to identify [...]

Background: Automated bidirectional text messaging has emerged as a compelling strategy to facilitate communication between patients and the health system after hospital discharge. Understanding the unique ways in which patients interact with these messaging programs can inform future efforts to tailor their design to individual patient styles and needs. The aim of this study was [...]

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 [...]