Background: In an academic center, a physician team may be comprised of medical students, interns, residents, fellows and an attending. Patients encounter multiple members from the same physician team and this often leads to confusion in regards to their individual care. It is evident that this leads to patient confusion and misunderstandings can ensue. A [...]

Background: Multidisciplinary (MDR) team rounds were established at Halifax hospital as daily, dedicated interactions between varying members of the care team on each inpatient floor. Members of the care team include physicians, nurses, physical therapists, pharmacists, and case managers. These multidisciplinary interactions allow for smooth, real-time, and accurate information that facilitate communication and enhance the [...]

Background: With the widespread implementation of rapid response system aimed at improving patient outcomes, providers are expected to perform the early detection, manage clinically deteriorating patients, and communicate effectively with rapid response teams (RRTs). Prior literature has reported that users of RRT described uncomfortable interactions, reduced clinical autonomy, role ambiguity, and a desire for improved [...]

Background: The 2016 and 2023 AABB international red blood cell (RBC) transfusion guidelines recommend, in addition to restrictive transfusion practices, that clinicians also consider the patient’s overall clinical context when making transfusion decisions (1). However, there is little empiric data on which specific clinical factors, other than Hb, should inform transfusion decisions in hospitalized patients [...]

Background: Bronchiolitis is a clinical diagnosis, with growing research supporting limited use of diagnostic tests and interventions. Hospitals have reduced use of bronchodilators and imaging, but the national average of respiratory viral testing (RVT) in these children continues to be high at 33%. Over the past three years, RCHSD’s rate has persisted at 31-35%, despite [...]

Background: Artificial intelligence (AI) is increasingly being integrated into healthcare, but there is limited data on clinicians’ perceptions and preparedness regarding AI in medical practice. This survey aimed to understand clinicians’ knowledge, attitudes, and experiences of healthcare providers with AI tools in healthcare. This is crucial as the adoption of AI in healthcare can enhance [...]

Background: 　 There is increasing recognition that high quality transitions of care are essential to ensuring patient safety.　While no universal standard has been identified, using available literature and data from provider surveys, Project Impact identified key elements for acute care discharge education.  However, no studies have focused on the parent perspective.　 Objective: To determine parental [...]

Background: Hepatic encephalopathy (HE) is a common complication in patients with end stage liver disease. Variability in presentation can be a source of clinical uncertainty for medical providers. Ammonia levels have historically been used to aid in the diagnosis of HE despite low positive and negative predictive values. Our primary objective was to determine the [...]

Background: Physician Assistants (PAs) and Nurse Practitioners (NPs) play a growing role within hospital medicine groups. We studied physician perceptions of NPs and PAs in Hospital Medicine and identified factors that impact these perceptions. Methods: Data was collected through a mixed methodology survey with both open and closed-ended questions on a 6 point Likert scale. [...]

Background: By 2022 health care spending is expected to climb to 19.9% of the US GDP and is forecasted to continue rising with no end in sight[1]. The patient (or consumer) is completely detached from the reimbursement system and thus unaware of the distribution of health care dollars. The purpose of this study is to [...]