Background: The transition from adolescent to adult care has been associated with worse outcomes including increased mortality (1). Improved patient experience (PEX) correlates with decreased inpatient mortality rates and better adherence to quality guidelines (2) as well as lower 30- day readmission rates for patients with heart failure, acute MI and pneumonia (3). Hospitalized adolescents [...]

Background: E-cigarette or vaping-associated lung injury (EVALI) was first reported in 2019 in the United States (1-2). Reported lung findings in this disease include acute respiratory distress syndrome, acute eosinophilic pneumonia, hypersensitivity pneumonia, and giant cell interstitial pneumonitis (3-5). Considering the additional reports of diffuse alveolar hemorrhage and hemoptysis (6-11), we obtained coagulation studies prior [...]

Background: Despite the growing emphasis on high-quality HCT, there remains a paucity of evidence to guide inpatient providers in transitioning adolescents to adult medical care. An inter-professional team at our institution created a video incorporating Self-Determination Theory (SDT) concepts as the educational construct emphasizing key elements of HCT.   The objectives were to determine the effect [...]

Background: Improved outcomes in pediatric to adult-oriented HCT especially for children with special health care needs (SHCN) are a national objective of Healthy People 2020, with only 40% of adolescents with SHCN currently meeting the national core outcomes in pediatric to adult-oriented HCT. Despite the potential of hospitalized AYA being higher utilizers of the health [...]

Background: Confidentiality within adolescent medicine is imperative in establishing a trusting patient-physician relationship. In April 2021, the 21st Century Cures Act granted patients’ guardians immediate access to select patient electronic medical records. Whereas Pediatric Hospital Medicine (PHM) history and physical (H&P) notes are visible to guardians, adolescent sensitive notes (ASN) remain confidential. At our institution, [...]