Background: Rapid recognition of deteriorating patients and efficient physician – nursing communication is essential for patient safety and improved health outcomes (1,2).  We conducted a pilot study at a tertiary care academic hospital in September, 2024 with intervention to improve communication between night physicians (nocturnists) and nurses (RN). Methods: At the study site, night shifts last from 7pm-7am [...]

Background: Hospital length of stay (LOS) is an important metric for evaluating a healthcare system’s quality of patient care, patient experience and outcomes, efficiency of practice, and resource management. The COVID-19 pandemic led to a significant increase in the average hospital LOS in the United States. Hospital LOS has continued to remain high due to [...]

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 [...]

Background: Stepdown units were introduced to provide an alternative for patients with needs not met by a general ward unit but did not require an intensive care unit. Current research indicates that these beds promote greater flexibility in patient triage, increase accessibility to limited intensive care resources, and provide a cost-effective alternative for patients. The [...]

Case Presentation: A 39-year-old male presented with persistent abdominal pain and was found to have a large, left-sided renal mass measuring 15 x 11 x 23 cm. Initial biopsy results were inconclusive, demonstrating nonspecific necrosis and inflammation. Two weeks later the patient developed worsening abdominal distention and acute kidney injury. He was found to have [...]