Background: Hospitalists are key stakeholders in patient flow throughout the hospital and are pivotal in creating efficient patient movement. Throughput metrics are a large focus for all hospitals, and it takes collaborative effort from many disciplines to effectively shift patient flow toward efficiency. Purpose: To reduce decision to admit to bed minutes in a collaborative […]

Background: Hospitalists are key stakeholders in patient flow throughout the hospital and are pivotal in creating efficient patient movement. Throughput metrics are a large focus for all hospitals, and it takes collaborative effort from many disciplines to effectively shift patient flow toward efficiency. Purpose: To reduce decision to admit to bed minutes in a collaborative […]

Background: Effective quality‐improvement (QI) collaborations among physicians, nurses, and managers have been shown to improve health care outcomes. Thus, participation in QI activities is considered a core competency for practicing hospital medicine. Despite this, physician engagement in QI activities has been limited. One reason for limited participation by physicians may be that physicians may lack […]

Background: As the United States population ages the health care system is experiencing overall change and growth in the patient population as evidenced by the rising demand of psychiatric care in the emergency department. By the year 2029 “baby boomers” or older adults, those born between mid-1946 through mid-1964, will be 65 and older resulting […]

Background: Venous thromboembolism (VTE) is a common inpatient condition, managed with high‐risk anticoagulants. VTE management is often suboptimal. Inpatient anticoagulation teams improve anticoagulation processes and outcomes, but many centers (including ours) lack this resource. Diverse health care systems would benefit from alternative methods to optimize VTE management in the absence of an anticoagulation team. Methods: […]

Background: The approach to managing and admitting patients with syncope in an emergency setting lacks standardization. Our study aims to investigate how regional variation in management of emergency department (ED) patients presenting with syncope impacts outcomes and resource utilization in this patient population. Methods: We used the 2006 to 2014 Nationwide Emergency Department Sample to […]

Background: In many urban hospitals, Emergency Department (ED) crowding and patient boarding is an increasing challenge. Admitted patients often spend prolonged periods of time in the ED while waiting for an inpatient bed. These ED boarded patients can have delayed or inadequate care, increased adverse events and increased mortality. Furthermore, these ED boarded patients place […]

Case Presentation: Linear IgA bullous dermatosis is a rare autoimmune blistering disorder. Most cases are idiopathic but medications, infections and malignancies have also been reported. Although a variety of medications have been implicated in drug‐induced linear IgA bullous dermatosis, vancomycin is the most common associated drug. We present an 80‐year‐old woman with squamous cell cervical […]

Background: Preventable ED visits account for 20-50% of ED visits. (1, 2) Though student-run free clinics (SRFCs) could play an important role in decreasing unnecessary utilization, current ED utilization in SRFCs and risk factors have not been described. Methods: We conducted a cross-sectional study of patients receiving care at a student-run free clinic. We captured […]