Background: Situated in coastal Florida, the four hospitals/1,000 beds in the Health First Integrated delivery network are located right in hurricane alley. Our hospitalist program had to plan for, communicate, and execute our hurricane staffing [...]
Background: Due to the complexity of patient discharge needs leading to increased length of stay within a large academic medical center, a specialized inpatient unit became a priority. Purpose: The University of Kentucky Healthcare created [...]
Background: There is an estimated 160,000 individuals that have been diagnosed with Hepatitis C Virus (HCV) in New Jersey. HCV is a well-known and widespread challenge to personal, societal, and governmental resources and ultimately, human [...]
Background: Feedback on clinical management and diagnostic accuracy may enhance physicians’ learning and reduce diagnostic error. Residents on night admitting rotations rarely receive feedback on their clinical management and seldom have the opportunity to reflect [...]
Background: Interdisciplinary rounds (IDR) have become widely implemented in hospital settings in recent years due to proposed positive impact on various outcome measures such as length of stay, frequency of adverse effects, patient and team [...]
Background: The process by which medical residents apply for subspecialty fellowship is a rigorous one that often involves multiple interviews per day. Data regarding the preparedness of residents who go through the interview process is [...]
Background: CSD’s are an integral component of the inpatient admission process. However, despite their importance, CSD’s are not performed during all admissions. Residents physicians, who are at the forefront of the admission process, are rarely [...]
Background: Evidence-based medicine and research are the backdrops to our everyday practice of medicine. Although there are defined steps in carrying research project to publication, there is paucity in the translation of research to practice.(1,2) [...]
Background: The care of surgical patients is becoming more complex as patients with increasing comorbidities require surgical procedures. In adult hospital medicine, co-management of complex medical patients by hospital medicine and surgery has been shown [...]
Background: On the 2016 ACGME survey, our Internal Medicine residents indicated that our service vs. education rating was at 47% compared to the national average of 69%.Purpose: To decrease resident physician workload to improve our [...]
Background: Preventing readmissions of patients with chronic illness can improve healthcare outcomes and decrease costs. Previously reported Medicare claims data from 2003 to 2004 showed that 19.6% of Medicare beneficiaries discharged from the hospital were [...]
Background: Identifying system failures and contributing to a culture of safety and improvement has been recognized by the AAMC as a Core Entrustable Professional Activity (EPA) for entering residency. The AAMC has endorsed increased quality [...]
Background: Hospital length of stay has been an important measure of hospital efficiency and resource utilization. Increase length of stay results in higher cost and increased morbidity to patients. Length of stay outliers or “long [...]
Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, [...]
Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious public health problem causing over 90,000 deaths each year. VTE rates at our institution have been high and costly, with insurer [...]
Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content [...]
Background: Medication errors occur frequently at transitions of care and lead to significant patient harm. Robust medication reconciliation practices can mitigate these errors, but this process is complex and time-consuming. One of the conclusions of [...]
Background: Opiates, frequently used to provide analgesia, are associated with post-analgesia related tolerance effects such as hyperalgesia and hyperkatifeia, which lead to worsening of the pain experience. Patients can subsequently experience dissatisfaction with their care [...]
Background: Respiratory rate (RR) is a predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalized adults. Despite its clinical value, RRs are often inaccurate and may lead to misclassification [...]
Background: The high volume of handoffs between the Emergency Department (ED) team and the inpatient team on a daily basis makes this a ripe area for care improvement. Effective, safe and organized transitions facilitate high [...]
Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours [...]
Background: Inadequate access to seven-day inpatient medicine services, particularly at weekends, can lead to poor outcomes. Most evidence in this area is from North America and Europe but there is little or no evidence from [...]
Background: In 2016, the United States resettled 96,900 refugees. In addition to its share of US resettled refugees, New Mexico was among the 10 states with the largest share of undocumented migrants (85,000) in 2014. [...]
Background: As a group of medical students in a five-week leadership program, we were charged with making a medicine inpatient unit at an urban quaternary care academic medical center the best unit in the hospital. [...]
Background: Many patients and their surrogates have a poor understanding of the process of cardiopulmonary resuscitation (CPR), its limitations, and its complications. Lack of knowledge about CPR may lead patients to choose a code status [...]
Background: Nationally, the number of adult patients (18+ years of age) with chronic congenital and childhood conditions being admitted to children’s hospitals has been increasing, and in some cases outpacing the rate of increase in [...]
Background: Academic hospital medicine faculty often seek career paths in medical education, quality improvement, and/or research. However, few have formal training to develop scholarship in those domains. In recognition of the desire from faculty within [...]
Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. [...]
Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting [...]
Background: Healthcare costs are a challenge; for the greatest impact, high-value care education should begin early in residency training. Routine lab ordering for hospitalized patients is a well-known cause of high costs. This study utilized [...]
Background: Implementing technology with the goal of eliminating preventable hospital-acquired conditions (e.g., CAUTI, CLABSI, etc.) in the acute care setting is an ongoing challenge, but it is crucial to creating a safer healthcare system. Increasingly, [...]
Background: Since the advent of Electronic Health Record(EHR) and subsequent workload of clinical documentation, Hospital Medicine physicians are finding themselves spending more time in front of the computer and less with their patients. The implementation [...]
Background: The Joint Commission (TJC) included medication reconciliation (MedRec) as a 2005 National Patient Safety Goal to reduce errors related to medication omissions, duplications and interactions. Medication errors and harms continue to be one of [...]
Background: Quality improvement (QI) has been recognized as a core component of medical resident training and progressive engagement with QI is required by the American Council of Graduate Medical Education’s Clinical Learning Environment Review. Prior [...]
Background: Mortality is the first quality metric reported by CMS, and historically a key measure for evidence based medicine since the 1800’s. THINK: John Snow removing the handle from the Broad street well pump [...]
Background: The hospital discharge is one of the most important aspects of a patient’s hospitalization, yet in residency training, this process often goes overlooked. Most residents are never properly taught how to effectively discharge a [...]
Background: Interdisciplinary communication, quality improvment, and patient safety, are integral components to providing quality healthcare. Furthermore, the ACGME recognizes the importance of the learning and working environment, a culture of safety, and providing opportunities for [...]
Background: The aging population along with increasing multi-morbidity and stricter regulations on house staff duty hours have played an integral role in fueling the drive for medical co-management of surgical patients. Parallel to these trends [...]
Background: Medical housestaff must participate in a handoff process when transitioning between rotations on hospital services. During this time, a new team of residents assumes care for multiple patients. A prior study demonstrated that this [...]
Background: Small-bore pulmonary drains (PD) have been proven effective at replacing the previous large-bore chest tubes for resolution of pneumothorax (PTX), and management of complicated (CPEs) and recurrent pleural effusions (RPEs). The placement of these [...]
Background: Implantable cardiac monitors (ICM) have continued to gain acceptance since its introduction into clinical practice to help physician accurately detect cardiac causes of syncope that may need further intervention. Their cost-effectiveness in the evaluation [...]
Background: Burnout is the syndrome of emotional exhaustion, depersonalization and reduced personal efficacy that occurs in individuals working in the human services field. Recent data suggests that 50% of physicians are experiencing at least one [...]
Background: The Choosing Wisely campaign aims to engage clinicians and public in addressing overuse in healthcare. Through adoption in 20 countries and 75 organizations, clinician engagement is largely successful. However, patient and public engagement remains [...]
Background: Clinical Documentation Improvement programs have been present in adult hospitals for many years. These programs strive to promote clinicians working together with nurse specialists to appropriately depict the care delivered and increase coding accuracy. [...]
Background: The Hospitalist Division at Washington University in St. Louis provides coverage for multiple different services at Barnes-Jewish Hospital. At the present time, there are a total of 68 MDs and 6 NPs caring for [...]
Background: Hospitals are compelled by a variety of factors to optimize patient satisfaction. Pain management has been identified as an important determinant of overall inpatient satisfaction. However, effective pain management may be more challenging in [...]
Background: Time with learners is a finite resource on the teaching wards. As patient care becomes progressively more complex and clinical demands increase, it can be easy for teaching to get deferred to the next [...]
Background: There are approximately 7,000 Physician Assistants (PAs) and 10,000 Nurse Practitioners (NPs) working as hospitalists nationally. About 63% of hospitalist groups utilize NPs/PAs. The demand for hospitalists continues to exceed the supply and has [...]
Background: Heart failure is a deadly epidemic with over 37 million people affected worldwide with a multitude of physical, psychological and financial implications on patients and the healthcare system. The progression of heart failure can [...]
Background: Centers for Medicare & Medicaid Services (CMS) reimbursement increasingly depends on patient satisfaction scores and readmission rates to incentivize high-quality inpatient hospital care. Providers are continuously implementing complementary interventions to improve patient satisfaction and [...]
Background: Repetitive morning laboratory orders are a well-known contributor to healthcare cost. Initial data collected in a related project on high-value care showed that 35% of our Internal Medicine residents identified “fear of attendings” as [...]
Background: Consultative Medicine is one of the fastest growing branches of Hospital Medicine. We believe that residents require adequate exposure and appropriate level of training to provide excellent care to patients.Purpose: The goal of the [...]
Background: Vascular access is an integral part of inpatient care. Difficult access can result in delays and inappropriate access selection or technical placement can have quality and financial implications, particularly those associated with catheter-line associated [...]
Background: High quality discharges improve patients’ health outcomes and experience and are a vital component of resident education. Our internal medicine residency program has had challenges in sustaining our efforts to improve discharge planning and [...]
Background: Paracentesis is a commonly performed bedside procedure in hospitalized patients. It is often necessary for patients who are taking anticoagulant therapies and/or have disorders of hemostasis. Concerns about bleeding complications often lead to care [...]
Background: Inpatient physicians often spend 30-60 minutes daily creating a “rounding list,” a process that requires reviewing the electronic health record (EHR) and transcribing data to paper. Previous studies have described automated rounding-lists leveraging EHR [...]
Background: Residents in Internal Medicine have traditionally taken electives that prepare or position them well for fellowships. Another purpose of elective time during residency is to expose the learner to career opportunities. As Hospital Medicine [...]
Background: Both inappropriate hospital admissions and inappropriate discharges from the ED are associated with adverse patient outcomes. Little is known about the accuracy (sensitivity and specificity) of the hospital admission triage process. Purpose: We sought [...]
Background: The Saturday Neighborhood Health Clinic (SNHC) is a volunteer physician and medical student-staffed clinic that provides episodic care for uninsured St. Louis residents and connects them with long term primary care providers. An estimated [...]
Background: Intensive Care Unit (ICU) beds are limited, so effective triage is important for resource utilization. However, inappropriate triage of critically ill patients to non ICU settings can lead to poor patient outcomes, as early [...]
Background: Hospitalists today are tasked with maintaining quality care while also lowering health care costs. Length of stay and excess day reduction are surrogate markers of the efficiency of a hospitalist group by measuring lower [...]
Background: Transitions of care are known to be high-risk times in healthcare, largely due to communication errors between providers. Prior studies have shown a direct relationship between poor signout practices and adverse events. Verbal handoff [...]
Background: Throughput is a challenge for many hospitals. Discharging patients impacts throughput, but is time-consuming and competes with other physician and nurse tasks, often being left on the “back burner” while attending to sicker patients. [...]
Background: Role of physician assistants (PA) is well established in United States healthcare system. Hospitalist teams are utilizing PA services in various roles and in many different capacities. Demand of hospitalists is constantly increasing and [...]
Background: Research using the inpatient setting for interprofessional education (IPE) is sparse. At Duke Regional Hospital, the interprofessional team caring for general medicine teaching service patients includes residents, interns, medical students, physician assistant (PA) students, [...]
Background: Driven by the current opioid epidemic, drug overdose has become the leading cause of unintentional death nationwide. Efforts are underway to decrease unnecessary opioid prescribing. Hospitalists care for many patients with preexisting opioid prescriptions [...]
Background: Unimpeded patient flow enhances quality, patient experience and access, while reducing costs. Our hospital has an in house discharge pharmacy, which allows us to send patients home with their imperative medications prior to discharge. [...]
Background: Healthcare research has traditionally relied upon data collected from clinical trials and data generated from patient registries and insurance claims to drive analyses. As electronic health records (EHR) and computerized physician order entry have [...]
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 [...]
Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay (LOS), cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% [...]
Background: Hospitalists increasingly rely upon electronic handoff tools to communicate important patient care information. Our institution transitioned from a paper/verbal handoff process to a completely electronic system in April 2017 for day-to-night patient care handoff. [...]
Background: Baystate Children’s Hospital serves a population that is vulnerable to unsafe sleep practices. By July 2017, there were 6 cases of accidental infant deaths in Hampden County MA, attributed to unsafe sleeping practices, primarily [...]
Background: Dedicated hospitalists are associated with improvements in healthcare quality and patient outcomes, but are not feasible for small-volume critical access hospitals (CAHs). A telemedicine “virtual hospitalist” model may expand the capabilities of a CAH [...]
Background: The 2016 State of Hospital Medicine report showed that the average hospitalist compensation model is composed of 80% base pay, 15% productivity, and 5% performance. Much variation exists by region in the make-up of [...]
Background: In 2014, the organization created the RRT, a multidisciplinary team that reviews care of frequently admitted patients, strategizes how to help these patients, and coordinates care to develop a treatment plan. Of the patients [...]
Background: The 2001 Institute of Medicine Report Crossing the Quality Chasm cited a lack of care coordination as a contributing factor to the “chasm” between evidence-based and delivered care and suggests team-based models of care [...]
Background: Medication alerts are one of the touted safety features with the electronic health record (EHR). With time, users tend to override the alerts, which leads to patient harm. The phenomenon of “alert fatigue” is [...]
Background: Choosing Wisely recommends against testing for amylase in the diagnosis and management of acute pancreatitis; however, national CMS data shows over $19 million in charges for amylase laboratory testing per year. Our hospital spent [...]
Background: Discharge from the hospital can be overwhelming for patients. Prior to May 2016, discharge phone calls were made by inpatient bedside nurses who seldom had the resources or time to resolve patient’s unmet needs. [...]
Background: Hypertensive crisis is classified as either hypertensive emergency or hypertensive urgency, distinguished by presence or absence of end-organ damage, respectively. Guidelines recommend treating hypertensive emergency with intravenous (IV) antihypertensive medications for immediate blood pressure [...]
Background: It is challenging for patients to navigate through complex healthcare systems after-hours. This leads to delays in patient care, patient/provider dissatisfaction, inappropriate resource utilization, readmissions, and higher healthcare costs. Prior to August 2015, non-medical [...]
Background: The Advanced Practice Fellowship at the University of Colorado Hospital is a 13-month post-graduate program designed to provide Nurse Practitioners and Physician Assistants with the medical knowledge and clinical skills necessary to practice hospital [...]
Background: An effective patient safety and quality improvement (QI) curriculum is imperative for graduate medical education (GME) training programs. Yet many health systems are lacking pedagogical training in these methods. Learning often takes the form [...]
Background: Electronic health record (EHR) systems are used by a majority of US hospitals. EHR use has been associated with increased task complexity, clinical data volume and provider documentation demands. Studies of multiple specialties suggest [...]
Background: The rate of burnout among health care providers is unacceptably high and recent scholarship has advocated for organization-facing interventions to tackle this problem. To that end, our large academic hospital medicine group has developed [...]
Background: As hospitals are increasingly reimbursed for value-based care, quality improvement projects addressing overutilization of routine “daily labs” have become commonplace. Although there are many published studies of daily labs reduction initiatives, there is little [...]
Background: New ACGME Core requirements require active resident engagement in patient safety. Our institution’s most recent AHRQ Culture of Safety survey revealed poor ratings from residents for closed-loop feedback on event reports they had submitted. [...]
Background: Optimal patient care requires excellent patient communication skills. These skills are associated with improved patient satisfaction and adherence and may positively impact overall patient care and reduction in readmissions. Standardized patients (SPs) are commonly [...]
Background: As many other hospitals of its size, our tertiary academic care center frequently operates at greater than 100% capacity. Medical admissions boarding in the Emergency Department (ED) while awaiting inpatient beds represent a bottleneck [...]
Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden [...]
Background: The healthcare workforce suffers from high levels of burnout, disengagement, and perceived isolation due to constant and unpredictable stresses. While multifactorial, the extent to which clinicians’ experience wellness and maintain resilience in a complex [...]
Background: Peripherally inserted central catheters (PICCs) are routinely placed in hospitalized patients who are receiving long-term IV antibiotics or who have poor venous access. In our hospital, 1 in 12 patients on the Medicine service [...]
Background: Hospital Medicine groups are often called upon to lead initiatives that require access to high-quality data from their local health system. These include quality and value improvement (QI) efforts as well as health services [...]
Background: Transition home after hospitalization carries significant risk of adverse patient events, readmissions and increased costs. Despite significant organizational efforts to improve care transitions, there continue to be challenges in implementing consistent interventions that impact [...]
Background: With over 50% of hospitalists affected by burnout cited in the literature, it is imperative to evaluate tools and techniques to abate the downstream consequences. Recent work on resiliency has focused on how to [...]
Background: Hospital Medicine is a relatively new medical speciality that dedicates to the care of hospitalized patients and experienced an exponential growth in the United States (US) during the last years. Nowadays there are more [...]
Background: Medical errors commonly occur during transitions of care, but medical trainees receive little formal education in how to recognize and address those patients most at risk. Teaching third year medical students to identify risk [...]
Background: Electronic prescribing (eRx) at discharge enhances safety and quality of care transitions. It results in improved medication adherence and a decreased chance of readmission. Stage 3 Meaningful Use goals include discharge eRx rates of [...]
Background: Obtaining blood work through venipuncture is an important part of the diagnosis and management of hospitalized patients. Through formal and informal patient complaints, we found that patients admitted to the University of Colorado Hospital [...]
Background: Early development of clinical reasoning and problem-solving competencies are essential in generating individualized, outcome-based, and cost-effective patient care plans (Nat Acad Press 2015). However, few medical schools and residency programs have an explicit curriculum [...]
Background: The University of Colorado Hospital (UCH) fails to meet the National Healthcare Safety Network (NHSN) benchmarks for central line utilization rates and central line-associated bloodstream infections (CLABSI). Peripherally inserted central catheters (PICCs) are central [...]
Background: Effective communication and care coordination between inpatient and outpatient teams are essential for safe care transitions. Currently there is infrequent communication between PCPs and Hospitalists around the time of discharge. Often, the PCPs are [...]
Background: Mortality review committees are charged with identifying areas of potential improvement, with the goal of decreasing preventable death. This laudable aim is accompanied by secondary goals of interest to the organization like improving diagnostic [...]
Background: Adverse drug events are common during transitions of care and often due to patient misunderstanding of the medication regimen or non-adherence. Challenges exist that may influence the ability of new interventions to address this [...]
Background: The first Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased unintentional medication discrepancies with potential for harm in five hospitals. Purpose: For MARQUIS2 we [...]
Background: Ultrasonography has been used for the last decades as a diagnostic tool. In recent years has been used in internal medicine at the bedside as a safe method that can easily detect abnormalities and [...]
Background: In October 2016, the American Board of Medical Specialties (ABMS) officially recognized subspecialty certification for Pediatric Hospital Medicine (PHM). The American Board of Pediatrics (ABP), which sponsored the subspecialty application, has established Training and [...]
Background: Medicare patients account for over 50% of hospital days at a cost of over $1 trillion per year. Yet, hospitalization of older adults often results in poor outcomes. Furthermore, the number of geriatric healthcare [...]
Background: Multidisciplinary rounds (MDRs) or discharge huddles in the hospital were developed to enhance safety and streamline discharge by improving communication between members of the patient care team. Despite efforts to coordinate care around a [...]
Background: Electronic health applications that aim to share personalized medical information with patients are not frequently found in hospital settings. These inpatient applications can empower patients and caregivers to review and monitor their most updated [...]
Background: Self-reflection is an essential tool to foster professional and personal development during medical training. The inpatient setting presents specific challenges to developing physicians, as housestaff grapple to negotiate death and dying, difficult patient interactions, [...]
Background: The US healthcare system is under increasing pressure to improve value and affordability. Acute care is responsible for a large proportion of overall health costs, but the complexities and pace in this environment have [...]
Background: During 2016, the total billed cost of cardiac monitoring neared 4 million dollars at our institution and many patients were observed on the monitor without approved indication as published by the American Heart Association’s [...]
Background: Our institution is a Level 1 regional trauma center with a large inpatient volume. A large percentage of these patients are elderly, with the traumatic events occurring as sequelae of their age, debility or [...]
Background: Many hospitalized patients have difficulty understanding what their care team tells them about medications and how to comply with medications. Communication failures about medications can have devastating consequences for hospitalized patients. Patients who report [...]
Background: Accurate, high-quality data is critical for work in quality improvement, research, and clinical operations. With an electronic health record (EHR), vast amounts of observational data are collected on patients every day. This data can [...]
Background: Readmissions continue to be a significant burden on health systems and in 2017 nearly 80% of all hospitals face financial penalties for 30-day readmissions. There are limited examples of standardized processes for notifying discharging [...]
Background: Residents, because they are on the frontlines of the provision of care, are integral to improving care. Yet the Accreditation Council for Graduate Medical Education (ACGME) has reported residents are not as engaged in [...]
Background: We are a large academic Hospital Medicine Group comprised of over 100 hospitalists at two tertiary care hospitals in an urban-suburban setting. Our group serves as the inpatient attendings for a large internal medicine [...]
Background: Medication reconciliation is a critical component of the hospital admission process, however data has shown that greater than 50% of patients have at least 1 unintended discrepancy at admission. Of these discrepancies, 6% had [...]
Background: Many end stage renal disease (ESRD) patients present with complaints related to missed or incomplete hemodialysis (HD). Inpatient HD units often are not credentialed for outpatient use which results in extra cost and consumes [...]
Background: Adverse drug events (ADEs) result in more than 770,000 injuries and deaths each year and cost up to $5.6 million per hospital, depending on size. The hospital admission is often where the patient is [...]
Background: Accurate medication reconciliation during transitions of care can decrease medication related adverse drug events. The Joint Commission has prioritized medication reconciliation as one of the national patient safety goals. Effective pharmacist-physician-patient collaboration can improve [...]
Background: Multiple recent studies have demonstrated a link between effective clinician communication and patient experience of care in the hospital. Additionally, at a time of unprecedented rates of clinician burnout, communication challenges can negatively impact [...]
Background: Patients with SCD have frequent hospitalizations due to repeated vascular occlusion resulting in multiple organ damage, acute on chronic pain, fatigue, and frequent infections2. Sickle cell pain crisis challenges patients and health professionals in [...]
Background: The Pediatric Hospital Medicine (PHM) service at Medical College of Wisconsin/Children’s Hospital of Wisconsin has historically consisted of patient care teams with an attending pediatric hospitalist, pediatric residents, rotating family medicine residents and medical [...]
Background: Hospital Medicine continues to grow as a specialty and hospital medicine programs are rapidly expanding to meet this demand. One of the challenges of a rapidly growing program is how to onboard our new hires in a [...]
Background: Patients recurrently admitted to the hospital frequently experience fragmentation of care and poor health outcomes, with discontinuity between hospital admissions resulting in unnecessary testing, ineffective or inconsistent treatment plans, patient/provider frustration, and inability to [...]
Background: Medical errors in hospitals are a significant threat to patient safety and often result from poor communication or poorly-activated interprofessional teams. Despite a recent focus on interprofessional education (IPE) in pre-clinical years and simulation [...]
Background: There is no consensus on the management of asymptomatic inpatient hypertension. This is alarming as the prevalence of inpatient hypertension may be as high as 72%. Hypertension treatment guidelines focus on chronic hypertension in [...]