Case Presentation: A 65‐year‐old man presented with a 4‐week history of general malaise, headaches, low‐grade fevers, and bilateral upper‐extremity pain. He denied having episodes of chills, vomiting, or photophobia. He lives in a wooded area and has had multiple tick bites in the past. He had been on ibuprofen for more than 2 weeks before […]

Background: There is often little communication across inpatient medicine teams at a busy academic medical center. Although teams comprise trainees across many levels, individual teams often work in parallel without relating shared challenges and experiences. This can be isolating, and practicing in such silos can propagate systems issues and contribute to burn out. Purpose: Create […]

Background: In March 2019, the CEO of our public teaching hospital set a goal for the institution to become a high reliability organization. At that time, the hospital’s rates of catheter associated urinary tract infections (CAUTIs), central line associated blood stream infections (CLABSIs), and hospital acquired pressure injuries (HAPIs) were above the national average. Evaluation […]

Case Presentation: A 14‐month‐old boy was admitted with failure to thrive. He had 10–14 stools daily, occurring within 15 minutes of eating. He had pruritis. There were no recent fevers or vomiting. There was no history of jaundice, icterus, or meconium ileus. Medical history included solitary left kidney with mild hydronephrosis and poor weight gain. […]