Background: Mobile health applications have the potential to support patients via improved engagement and self-management. While the use of this technology has been developed for patients with chronic diseases, there is limited evidence to guide the development of this technology for patients with acute conditions. Patients diagnosed with acute venous thromboembolic disease (VTE) are at [...]

Background: Patient record form one of the most important part of clinical care as the primary source for patient information for primary team, consultants, nurses and other paramedic staff and help in providing a higher quality of care, as well as monitoring patient safety. Incomplete patient records are a source of gaps in patient care [...]

Background: Point-of-care ultrasound (POCUS) is increasingly recognized as an important adjunctive diagnostic tool in hospital medicine (HM). The incorporation of POCUS into clinical decision-making has been shown to increase the speed and accuracy of initial diagnosis, decrease procedural complications, and even increase patient satisfaction compared to usual care. It has already been widely adopted in [...]

Background: Hospitalists spend a significant part of their workday interacting with the electronic medical record (EMR). Less is known regarding the details of the tasks that are performed during this interaction. In considering aspects of workflow and EMR usability, we sought to characterize how hospitalists spend time within the EMR, in terms of number of [...]

Background: Inpatient physicians often spend 30-60 minutes daily creating a “rounding list,” a process that requires reviewing the electronic health record (EHR) and transcribing data to paper. Previous studies have described automated rounding-lists leveraging EHR data showing improved clinician satisfaction, decreased daily chart review time, and improved accuracy of information. However, previous rounding lists were [...]

Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider and patient. Previous studies have shown the value of shared decision-making between patients and providers requiring a mutual understanding of [...]

Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence is conflicting. CXR currently receives a Class I recommendation by the AHA in the evaluation of decompensated heart failure. Given [...]

Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies including pulmonary edema. The number of sonographic B-lines on LUS has been used as a test to detect pulmonary congestion in patients with chronic heart failure. However, its ability to detect elevated left-sided filling pressures relative to accepted noninvasive measure [...]

Background: Implantable cardiac monitors (ICM) have continued to gain acceptance since its introduction into clinical practice to help physician accurately detect cardiac causes of syncope that may need further intervention. Their cost-effectiveness in the evaluation of syncope has continued to receive positive reviews as recent guidelines have encouraged early use of this device.However, the question [...]

Background: Despite strong performance on Venous Thromboembolism (VTE) Core Measures, our institutional approach to VTE prophylaxis placed significant burden on providers through frequent automated alerts. Within our Electronic Medical Record (EMR), provider alerts triggered when a patient with at least one identified risk factor for VTE did not have prophylactic medication ordered. However, only 11% [...]