Background: Accurate attribution of quality metrics to individual hospitalists is crucial for quality improvement and value-based care initiatives. However, the collaborative nature of inpatient care with frequent patient handoffs makes fair attribution challenging. The current understanding of variation in hospitalist quality metrics comes primarily from studies using attribution methods based on who oversaw the majority [...]

Background: With increasing integration of technology in healthcare, understanding factors influencing older adults’ willingness to adopt mobile health (mHealth) applications is crucial. This study aims to investigate the demographic, clinical, and behavioral factors associated with willingness to try an mHealth app among older adults. Methods: We conducted a mixed methods study at a large tertiary [...]

Background: Physical activity is crucial for the health and well-being of older adults. This study aims to investigate physical activity goals, expectations, and barriers among older adult patients to improve interventions and health outcomes. Methods: We conducted a mixed methods study at a large tertiary academic medical center from July to August 2024. We screened [...]

Background: Geographic localization is the practice of assigning physician and advanced practice provider teams to patients located in the same inpatient unit. Poor localization of hospital medicine teams at our institution was identified as a top cause of increased Emergency Department boarding and Length Of Stay (LOS). The purpose of our process improvement project is [...]

Background: Central line-associated blood stream infections (CLABSIs) are a substantial source of morbidity and mortality. A previous meta-analysis of 1,976 CLABSI cases showed an odds ratio for in-hospital death of 2.75 (CI 1.86-4.07).[1] CLABSIs have also been associated with higher hospital costs and longer length of stay (LOS).[2] Methods: Data was collected from all CLABSI [...]

Background: “Geographic rounding” describes physicians focusing on patient care in a single hospital unit. Studies have suggested that geographic rounding may improve efficiency and communication. Prior to our pilot, physicians at EUHM were seeing patients distributed across 13 units making rounding inefficient and care coordination challenging. Methods: We designed a geographic-based rounding system on unit [...]

Background: Point-of-care ultrasound (POCUS) has become an invaluable tool for quickly diagnosing numerous diseases and procedural guidance. Implementation of POCUS in emergency departments has resulted in reduced length of stay, mortality, and costs. Many applications of POCUS may apply to hospital medicine, yet how well data from other settings applies to inpatient medicine remains unclear. [...]

Background: For the clinician-educator, balancing patient care duties with educational responsibilities can be challenging.1 New methods are needed to augment the current toolkit of time-efficient teaching methods, which include strategies like the “one-minute preceptor” or bedside rounds.2 One educational strategy of interest is task-based learning (TBL), which structures learning around a clinical task.3,4 Rather than [...]

Background: Inequitable healthcare is delivered to those who are incarcerated and have a history of incarceration. Incarceration has a significant multiplicative impact on the health of those who experience it – worsening outcomes related to chronic illness and shortening life expectancy. Hospital based providers tend to interact sporadically with individuals who are incarcerated, limiting the [...]

Case Presentation: A 65-year-old Vietnamese man presented to the Emergency Department after a scleral defect was noted in his right eye by optometry. He reported four months of floaters and one month of worsening vision and light sensitivity in the right eye. No recent trauma.Ophthalmology exam showed visual acuity of 20/25 in the right eye [...]