Background: Commonly used discharge communication workflows hinder timely and efficient discharge. Studies exploring the use of the electronic health record (EHR) for discharge planning have been limited to electronic reports constructed from EHR data elements, including barriers to discharge documented at admission, care management data, and discharge criteria or other targeted interventions such as improving […]

Background: Increased scrutiny of length of stay (LOS) and readmission rates has led to a changing landscape for hospital medicine. Geographic rounding has been studied in academic settings with good results, including a decrease in LOS. Hospitalist groups not associated with teaching programs are trialing geographic rounding with multiple variations, though there is a paucity […]

Background: Misalignment of goals of care at the End-of-Life exposes patients to risk and the health care system to considerable costs. A lack of end of life conversations can lead to unrealistic patient expectations, patient harm, and multiple hospital readmissions. This study aims to identify physician perspectives on the barriers to initiating end of life […]

Case Presentation: A 32‐year‐old man presented with 1 day of left‐sided upper abdominal pain. The pain radiated to the left shoulder and was associated with nausea and vomiting. Initially, he complained of pain with taking a deep breath, but those symptoms resolved by presentation. He denied fever, chills, night sweats, or a history of trauma. […]