Background: Risk of having a major adverse cardiac event in the perioperative period is known to be raised among those with underlying cardiovascular disease undergoing noncardiac surgery. ACC/AHA 2014 guideline is an excellent tool for the physicians to evaluate perioperative cardiac risk. However, the evidence-based set of algorithms are often under- or inappropriately utilized due [...]

Background: Patients, physicians and health technology developers are increasingly interested in mobile health applications. However, there are few examples of partnerships between hospitalists and the private companies to test novel health technologies in the inpatient setting.   Purpose: To test the feasibility and uptake of a Hospital-Medicine based program for prescribing mobile health applications to hospitalized [...]

Background: Clinical practice guidelines (CPG) are a constructive response to the clinical situations providing systematically developed statements that include recommendations intended to optimize patient care. Despite their value, inadequate dissemination and implementation of the CPGs derail quality improvements in patient care. Traditionally, static documents (PDF, HTML pages) have been used to deliver CPGs incorporated into [...]

Background: Traditional measures of workload such as wRVUs may not be adequate to understand the impact of work design on key patient, workforce, and organizational outcomes. In this study, we developed a workforce application to capture clinician perception of workload and environment and then paired this data with electronic workload measures in the EHR in [...]

Background: Rapid response teams (RRT) are critical to the timely and appropriate management of acutely decompensating patients within many hospital systems. In the academic setting, the vital role of RRT leader is often filled by a resident physician who may lack the necessary medical knowledge and experience to initiate timely management for these patients. 100% [...]