Background: Community acquired severity scores are well known and used routinely in predicting mortality and risk of inpatient and ICU admission in suspected bacterial pneumonia patients. However such scores have not been studied in patients with influenza infection and influenza pneumonia. We attempted to validate one such score, CURB65 and and identify other scores that [...]

Background: Community acquired severity scores are well known and used routinely in predicting mortality and risk of inpatient and ICU admission in suspected bacterial pneumonia patients. However such scores have not been studied in patients with influenza infection and influenza pneumonia. We attempted to validate one such score, CURB65 and and identify other scores that [...]

Background: Obtaining the Best Possible Medication History (BPMH) is the protocolized gold standard in obtaining medication histories and well known to decrease the total number of medication errors during transitions in care. Trained technicians require an average of 15-30 minutes to collect a BPMH [2]. Our facility conducted a categorical analysis and within subject study [...]

Background: Medication reconciliation programs are a well-recognized important tool in reducing medication discrepancies and subsequently decreasing patient harm, particularly at transitions of care. Medication reconciliation programs have demonstrated error reductions upward of 66% [1-4]. 39% of prescription medication history errors have the potential to cause moderate or severe discomfort or deterioration in a patient’s condition [...]

Background: To address the risk of missed or delayed diagnoses, organizations need to identify and learn from their diagnostic opportunities. However, current approaches to identifying diagnostic opportunities are insensitive, resource intensive and often have low yield.(1,2) Evaluation of diagnostic trajectories can highlight diagnostic opportunities. For example, a patient may re-present to the healthcare system with [...]

A RARE CASE OF REGRESSION OF TESTICULAR GERM CELL TUMOR Sirish Dharmapuri MD, Jeffrey Gryn MD, Manasa Kandula MD, Qi Shi MD, Margie Host MD Case Presentation: This is a 53 year-old man who presented to his family physician with dull aching left testicular pain for a week, associated with back pain which was progressively [...]

Case Presentation: A term 8-month-old infant was admitted to the hospital for concerns of inconsolable crying and diffuse hypertonicity in all four extremities. Birth history was unremarkable and newborn screens were negative. Her history was significant for loss of developmental milestones at 6-7 months of age, characterized by inability to sit without support or to [...]