Background: Delirium is a problem that can be dangerous for patients and costly for hospitals. Despite its high prevalence, the identification and treatment can often be delayed because of its ability to mimic other illnesses. According to a 2006 Cochrane Systemic Review, delirium may affect 60% of frail elderly people in the hospital, and among […]

Background: In medical care for older patients, the presence of potentially inappropriate medications (PIMs) is associated with increased adverse outcomes [1, 2]. A wide range of medications with anticholinergic properties affects cognitive states of older patients have been regarded as PIMs [1, 3]. We purposed to assess clinical impact of anticholinergic cognitive burden on clinical […]

Case Presentation: A 42‐year‐old woman with a history of Graves' disease status post thyroidectomy and type II diabetes presented with a 3‐day history of dyspnea on exertion. The patient has also had right‐sided chest pain that was sharp in nature. The chest pain was aggravated by lying down and relieved by sitting up. The patient […]

Background: Obtaining the Best Possible Medication History (BPMH) is the protocolized gold standard in obtaining medication histories and well known to decrease the total number of medication errors during transitions in care. Trained technicians require an average of 15-30 minutes to collect a BPMH [2]. Our facility conducted a categorical analysis and within subject study […]

Case Presentation: A 21‐year‐old man with metastatic fibrolamellar hepatocellular carcinoma (HCC) with recurrent malignant ascites was admitted to the hospital for nausea and vomiting. His disease had continued to progress after 4 cycles of FOLFOX and was recently switched to sunitinib. On physical examination he was cachectic and had abdominal distention. Patient had no stigmata […]

Background: Timely and efficient communication between pharmacists and physician providers in the hospital setting is integral to patient care. Inpatient care involves discussions regarding medication dosing, timing, contraindications, side-effect surveillance, and medication reconciliation during admission and discharge, often requiring pharmacy consultation. The current system of communication in our institution relies on electronic pages to be […]