Background: Healthcare expenditures in the US have been increasing at an unsustainable rate, and thus there is a strong interest in resource stewardship of low-value diagnostic tests. At our institution, internal data, as well as The Vizient™ Clinical Data Base, showed high utilization of inpatient daily labs (complete blood count (CBC), basic metabolic panel (BMP) [...]

Background: Emergency Department (ED) boarding is associated with increased patient morbidity and mortality and low patient and provider satisfaction. Reducing inpatient Length of Stay (LOS) is one strategy to increase inpatient capacity and reduce ED boarding. Delay in obtaining Magnetic Resonance Imaging (MRI) results is associated with an increase in LOS in the inpatient setting. [...]

Case Presentation: A 57-year-old male comorbid with hypertension and benign prostatic hyperplasia presented to the emergency department with a 1-month history of worsening bifrontal headaches and progressive cognitive decline. The headaches were increasing in both frequency and severity, occurring throughout the day and night. He also endorsed nausea, light sensitivity, word-finding difficulty, and new memory [...]

Case Presentation: 69 y/o female presents to the emergency department with acute on subacute low back pain in the setting of fall 12 weeks prior. Treated outpatient with conservative therapy including topicals, NSAIDs, tramadol, Flexeril and physical therapy. PMH of asthma, migraines, breast cancer in remission (s/p lumpectomy, chemotherapy and radiation in 2015, last annual [...]