Background: Microaggressions are subtle, indirect words or actions that create hostility, communicate disrespect, or imply a sense of exclusion. Over time, these microaggressions can contribute to physician burn-out and negatively impact well-being. Although studies have found that a majority of physicians have been subjected to these deleterious comments by patients, many physicians have never received […]

Case Presentation: A 79-year-old female with a history of metastatic cholangiocarcinoma treated with chemotherapy and a Whipple procedure 17 years before admission presents with deconditioning and weakness secondary to peri-prandial abdominal pain and poor oral intake. This problem existed since her Whipple but progressed over the last year, complicated by cachexia, weakness, and inability to […]

Background: Quality Improvement (QI) is a methodology for solving complex systems problems, and QI methods have been adapted from industry and spread widely across healthcare over the past two decades. QI methods are particularly well-suited for examining clinical processes for effectiveness, reliability, and efficiency. However, Design Thinking (DT) is a problem solving methodology that applies […]

Background: Accurate documentation of the patient’s diagnoses helps to reflect the severity of illness which has several downstream impacts: clinical outcomes data, risk stratification, hospital quality metrics data such as readmission and mortality index, hospital reimbursement. For this reason, our health system has various ongoing initiatives on clinical documentation to improve the specification of certain […]