Case Presentation: A 68‐year‐old man with known esophageal peptic stenosis, end‐stage renal disease, ischemic cardiomyopathy, severe peripheral vascular disease, and diabetes mellitus with gastroparesis presented to the emergency department with dull upper abdominal pain and recurrent nausea and vomiting with hematemesis. A nasogastric tube was inserted and confirmed coffee‐ground emesis within the stomach. The patient […]

Background: Montefiore Health System (MHS) rapidly expanded from three hospitals in close proximity to eleven hospitals across hundreds of miles. The structure of the new health system follows a hub and spoke model with the concentration of specialty care located at the hub which is the Moses campus in Bronx, NY. In order to best […]

Case Presentation: A 24‐year‐old white man presented to our hospital with ulcerative skin lesions and scleritis. He had a history of relapsing polychondritis (RP) that was diagnosed 3 years back and was well controlled for last 1 year with azathioprine 175 mg daily and prednisone 2.5 mg daily. A month prior to his current admission […]

Background: Our 165-bed community hospital is in a phase of rapid growth due to demographic changes and expansion of services offered within the hospital. While offering unprecedented level of healthcare access to the community, improvement with emergency department (ED) throughput has emerged as one of our challenges from a patient safety perspective. Unnecessarily prolonged ED […]