Background: Guideline-direct medical therapy (GDMT) improves morbidity and mortality outcomes in heart failure (HF), yet disparities in prescribing patterns persist across insurance types. Previous work at our hospitals demonstrated overall increases in GDMT prescribing following two phases of targeted interventions: financial incentives and education interventions (“Post 1”) and the addition of clinical decision support systems [...]

Background: Peer consultation – the wisdom from collaborating clinicians – is associated with more accurate diagnosis. Programs that provide second opinions or diagnostic time-outs (also known as cross-checks) are thought to improve diagnosis but have not been applied to hospital medicine services. Data from our multicenter collaborative suggest concerns remain about the time required and [...]

Background: Peer consultation – the wisdom from collaborating clinicians – is associated with more accurate diagnosis. Programs that provide second opinions or diagnostic time-outs (also known as cross-checks) are thought to improve diagnosis but have not been applied to hospital medicine services. Data from our multicenter collaborative suggest concerns remain about the time required and [...]

Background: Despite decades of standardized sepsis protocols, fluid resuscitation practices remain variable across hospital settings. At our community hospital, compliance with the 30 mL/kg fluid requirement for severe sepsis and septic shock patients lagged behind national benchmarks, driven by inconsistent documentation, variable order set use, and lack of confidence in assessing fluid responsiveness. Standardized bundles [...]

Background: Despite decades of standardized sepsis protocols, fluid resuscitation practices remain variable across hospital settings. At our community hospital, compliance with the 30 mL/kg fluid requirement for severe sepsis and septic shock patients lagged behind national benchmarks, driven by inconsistent documentation, variable order set use, and lack of confidence in assessing fluid responsiveness. Standardized bundles [...]

Background: Clinical documentation is a major contributor to hospitalist burnout due to the time spent on note writing and chart review. Generative artificial intelligence (AI) may help reduce this burden, yet most tools offer limited control over source information or output structure. Additionally, little is known about how clinicians actually use these tools in practice [...]

Background: Clinical documentation is a major contributor to hospitalist burnout due to the time spent on note writing and chart review. Generative artificial intelligence (AI) may help reduce this burden, yet most tools offer limited control over source information or output structure. Additionally, little is known about how clinicians actually use these tools in practice [...]

Background: A large academic safety-net hospital has experienced surges in hospital patient volumes resulting in inpatient strain. Strain is defined as a mismatch between supply and demand of hospital resources1. Inpatient strain led to a growing number of admitted patients boarding in the Emergency Department (ED) for several days, physically distant from their inpatient providers [...]

Background: A large academic safety-net hospital has experienced surges in hospital patient volumes resulting in inpatient strain. Strain is defined as a mismatch between supply and demand of hospital resources1. Inpatient strain led to a growing number of admitted patients boarding in the Emergency Department (ED) for several days, physically distant from their inpatient providers [...]

Background: Hospitals nationwide increasingly shoulder the cost of unaddressed social determinants of health (SDOH). Preventable readmissions and prolonged hospital stays among patients experiencing homelessness increase healthcare expenditures and highlight unmet social needs linked to poorer outcomes. Every county in the United States administers housing assistance – including Permanent Supportive Housing, rapid rehousing, and emergency shelter [...]