Background: Excessive laboratory use has been associated with increased hospital costs, increased incidence of anemia, and unnecessary additional testing and procedures. Previous studies have focused on resident interventions within teaching hospitals amongst other residents, but few studies have had residents intervene on non-teaching faculty. A quality improvement initiative was implemented at our institution to reduce [...]

Background: Multiple safety reports were reviewed for missed doses of critical medications on admission to the inpatient rehabilitation units at a large academic medical center. It was found that providers were inconsistently or incorrectly using the admission medication reconciliation (AdmMedRec) functionality in EHR that could have prevented these errors.Many hospitals struggle with AdmMedRec due to [...]

Background: Patient-centered care has recently attained the spotlight in the healthcare delivery model. An essential aspect of it depends on the patient’s perception of the care the healthcare team provides, and it’s a challenge for the healthcare community to provide a high-level patient care experience. Methods: This is a prospective study conducted in a Medicine [...]

Background: There are over 35 million discharges from inpatient hospitalizations annually in the US. During these transitions of care, patients are at risk for adverse events. It is crucial for patient safety to have accurate communication between the inpatient physician and the provider assuming care.The main conduit for this communication is the hospital discharge summary. [...]

Background: Medical education regarding health systems science and health equity is variable, often with limited opportunities for students to apply foundational concepts and skills in quality improvement and health equity. Equipping future hospitalists with critical skills and change frameworks is one way to meet the needs of both patients and health systems. Purpose: To create [...]

Background: Health systems science (HSS) is a burgeoning field in medical education, a movement spearheaded by the American Medical Association (AMA). Proposed as the Third Pillar of Medical Education alongside the two existing Pillars of Basic and Clinical Sciences, this field focuses education on how health care is delivered and improved on every level of [...]

Background: Interprofessional Education (IPE) is an accreditation requirement for pharmacy, nursing, physician assistant (PA), and medical schools. Developing quality IPE learning activities that are meaningful and relevant to all learners can be challenging due to different levels of exposure and training in the discipline-specific curriculum. Purpose: We developed an interprofessional quality improvement/patient safety (QI/PS) workshop [...]

Background: Prolonged hospitalizations of patients who are medically ready for discharge are highly prevalent in the current acute care environment.1 Patients who remain in the hospital beyond resolution of their acute medical needs often have high medical, social and psychiatric complexity and are poorly served remaining in an environment that is not designed for their [...]

Background: Although hospitals and hospitalists often engage in work to improve patient care and quality, rarely does such work directly seek engagement from patients and communities. Even when direct to patient surveys are distributed, historically marginalized populations are often underrepresented. Understanding how to authentically engage with communities is integral to improving patient experience and ensuring [...]

Background: Communication failures, particularly when patients transition between care settings, are leading causes of medical errors and sentinel events.1-2 The perception of inadequate intradisciplinary communication have been demonstrated to be a key driver in low patient satisfaction scores. Efforts to standardize handoffs have led to improvements in patient safety and experience.3 Purpose: To improve the [...]