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: 　 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: 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: The Agency for Healthcare Research and Quality recommends a structured, patient-centered discharge communication process. To create patient-centered discharge communication, it is vital to understand the information that patients value upon discharge. Little is known about how patients prioritize discharge information; therefore, our objective was to determine the perceptions of hospitalized patients about the relative [...]

Background: Unplanned hospital readmissions are a burden on patients and cost taxpayers tens of billions of dollars each year in the United States1. Multi-component interventions have been the most effective at readmission reduction.2. But with hospital resources spread thin, it may not be necessary or even feasible to provide a multicomponent intervention for all discharging [...]

Background: The Bronx has the highest rate of people living with HIV among New York City boroughs, with South Bronx zip codes exceeding the statewide average by over four times. Despite this, pre-exposure prophylaxis (PrEP) utilization in the Bronx significantly lags, with a PrEP-to-need ratio over nine times lower than Manhattan’s and four times lower [...]