Background: The COVID-19 pandemic has necessitated rapid changes in healthcare delivery in the United States, including changes in the care of hospitalized children. Our study aimed to identify the major changes in inpatient pediatric healthcare delivery and potential learnings from these changes. Methods: We conducted semi-structured interviews for this qualitative study. We purposefully sampled hospitals [...]

Background: Many hospitals do not have the means to supervise daily physical therapy (PT) for elderly inpatients. PT delivered in a group setting has the potential to allow hospitals to consolidate resources and extend PT services to more elderly patients within the hospital. However, little to no efforts have been made in implementing the delivery [...]

Background: Non-Alcoholic Fatty Liver Disease (NAFLD) is defined as the presence of ≥5% of hepatic steatosis (HS) in the absence of other liver disorders, such as chronic viral or autoimmune hepatitis, steatosis induced by drugs, significant alcohol consumption, hemochromatosis, or Wilson’s disease. There is limited literature describing national prevalence and epidemiological characteristics of NAFLD in [...]

Background: The Acute Care for Elders (ACE) unit is an evidence-based system of acute hospital care starting from admission, designed to maintain or achieve independence and avoid preventable adverse events for older adults. However, little is known about how many ACE units exist and the variety of ways hospitals have implemented this evidence-based clinical model. [...]

Background: Hepatic artery pseudoaneurysm (HAP) is a rare entity, potentially life threatening and associated with high mortality. The aim of this study was to evaluate Mayo Clinic enterprise’s clinical experience with HAP occurrence, clinical features and outcome in the last 20 years, and to compare our results with what the literature. Methods: This retrospective analysis [...]

Background: Hospitalists, rather than primary oncologists, are increasingly caring for hospitalized patients with cancer. High medical acuity, complex psycho-social issues, rapidly evolving cancer treatments, advanced care planning, and end-of-life care make management of this patient population especially challenging. The impact of the oncology hospitalist model of care delivery on clinical quality and oncologists’ work satisfaction [...]

Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours for a medicine inpatient bed at our large urban academic center. In July 2016, we deployed a 24-hour hospital medicine [...]

Background: Internal medicine and hospital medicine providers are under pressure to move patients quickly through the hospital and decrease length of stay. Providers spend most of their clinical time seeing patients, documenting or coordinating care and have minimal time to disrupt workflow to perform common bedside procedures such as paracentesis, lumbar punctures, central lines, arthrocentesis [...]

Background: Bedside medication delivery (BMD) and teaching by pharmacy is gaining popularity as an important component of safe hospital discharge. Having medications in hand at time of discharge and education with home medications has been shown to reduce medication administration errors and decrease readmission rates in pediatric patients with asthma. As part of Project IMPACT [...]

Background: Rising healthcare costs have driven both the government and the private sector to seek cost-saving innovations in health care delivery. The Center for Medicare and Medicaid Innovation (CMMI) is leading this charge from a federal level, with burgeoning efforts coming from universities and private foundations. The Stanford Clinical Excellence Research Center (CERC) was established [...]