Background: During the initial COVID-19 surge in the Spring of 2020, adequate inpatient bed availability was a key factor in determining the quality of the care provided to our patients. Timely and efficient daily discharges were vital to creating bed capacity and decompressing access points. At our institution, an 800-bed tertiary care medical center outside [...]

Background: Hospitalists today are tasked with maintaining quality care while also lowering health care costs. Length of stay and excess day reduction are surrogate markers of the efficiency of a hospitalist group by measuring lower utilization of resources. Despite this metric being attributed to hospitalists, there are many other departments that have key roles in [...]

Background: Unintentional discharge delays account for up to 20% of total patient hospital days. Previous studies identified bed availability, scheduling logistics for studies, and poor communication as causes of delay factors. Although discharge requires a team approach, no single study has examinedperceptions of discharge delays among interprofessional team members, including residents and hospitalists, at an [...]

Case Presentation: A 73-year-old man with a past medical history of pancreatic adenosquamous carcinoma, biventricular heart failure with reduced ejection fraction (30-35%), and paroxysmal atrial fibrillation presented to the hospital with a 2-day history of bilateral lower extremity edema and 5-pound weight gain. Physical exam was notable for tachycardia, jugular venous distension, scleral icterus, and [...]

Case Presentation: A 70-year-old male who presented to us with worsening dyspnea on exertion and non-productive cough. Review of systems was negative. Vitals were unremarkable; physical examination was significant for bilateral basilar rales which were corroborated by his chest x-ray that revealed bilateral pleural effusions. Laboratory findings were notable for normocytic anemia and elevated liver [...]