Background: Clinical decision support tools based on predictive analytics can provide actionable information and improve clinical outcomes for patients at risk of developing sepsis. Scoring systems such as Systemic Inflammatory Response Syndrome (SIRS) and National Early Warning Score (NEWS) that were not specifically trained to detect sepsis tend to have high false alarm rates, leading [...]

Background: Clinical decision support tools based on predictive analytics can provide actionable information and improve clinical outcomes for patients at risk of developing sepsis. Scoring systems such as Systemic Inflammatory Response Syndrome (SIRS) and National Early Warning Score (NEWS) that were not specifically trained to detect sepsis tend to have high false alarm rates, leading [...]

Background: Delirium is a prevalent and dangerous state of confusion that affects millions >65 years of age (1-3). Delirium is underdiagnosed and undertreated due to lack of effective screening methods (4, 5).  Undetected delirium in hospitalized elderly patients substantially increases mortality, length of stay, and post-discharge institutionalization rates (1-3). Beyond being a very dangerous condition [...]

Background: There is a significant impact of influenza on the individuals, families, and societies, both economically and clinically, in terms of hospital admissions, medication expenses and side effects, secondary bacterial infections and more days off from work or other forms of reduced productivity for the patients or their caretakers. Our objective is to present the [...]

Background: Imaging exams performed on hospitalized patients commonly reveal findings representing possible cancer and requiring follow-up. Our objective was to quantify how often indeterminate or suspicious masses are detected on inpatient abdominal and pelvic imaging exams by exam type and organ. Methods: Our health system uses a standardized coding scheme, similar to the Breast Imaging [...]

Background: Early identification of sepsis is the main driver for patient survival. Roughly 30% of patients diagnosed with severe sepsis do not survive. To drive the desired clinical behavior, it is crucial to identify appropriate sensitivity and specificity of a sepsis early detection system. At our institution, we saw a 515% increase in Sepsis Alerts [...]

Case Presentation: A 34-year-old male smoker with no significant medical history presented to the ED with fever and bilateral inguinal lymph node swelling and pain for one week duration. Patient recently emigrated from China two months prior and traveled through the rainforests of Colombia, where he resided for two days, then El Salvador, Honduras, Nicaragua, [...]