Background: Routine transfusion of platelets and Fresh Frozen Plasma (FFP) prior to paracentesis is among the “things we do for no reason”, as recommended against by the American Association of Liver Disease and American Gastroenterology Association in patients with platelets over 20,000. We hypothesize that a Medicine Procedure Service (MPS), which has adopted this recommendation [...]

Background: Medicine procedure services (MPS) have been shown to increase procedure volume, procedure completion rate, adherence to best practice safety measures, resident involvement, and resident satisfaction within Internal Medicine (IM). Despite these benefits, widespread deployment of MPSs has proved challenging, partly because the impact of MPSs on non-IM services is unknown, including MPSs’ impact on [...]