A5041225717- Hospital Admissions and Outcomes
- Clinical Reasoning and Diagnostic Skills
- Primary Care and Health Outcomes
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- COVID-19 and healthcare impacts
- Patient Satisfaction in Healthcare
- Healthcare professionals’ stress and burnout
- Healthcare Policy and Management
- Innovations in Medical Education
- Health Policy Implementation Science
- Interprofessional Education and Collaboration
- Healthcare cost, quality, practices
- Disaster Response and Management
- Emergency and Acute Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Electronic Health Records Systems
- Radiology practices and education
- Heart Failure Treatment and Management
- Diversity and Career in Medicine
- Medical Coding and Health Information
- Sleep and Work-Related Fatigue
- Congenital Anomalies and Fetal Surgery
- Tuberculosis Research and Epidemiology
- Workplace Violence and Bullying
Northwestern University
2017-2024
Colorado School of Public Health
2024
University of Colorado Anschutz Medical Campus
2024
Woman's Hospital
2021
University of Missouri–Kansas City
2010
Truman Medical Center
2010
Saint Luke's Hospital
2010
Diagnostic errors contribute to patient harm, though few data exist describe their prevalence or underlying causes among medical inpatients.
Abstract Background The hospitalist workforce has been at the forefront of pandemic and stretched in both clinical nonclinical domains. We aimed to understand current future concerns, as well strategies cultivate a thriving hospital medicine workforce. Design, Setting, Participants conducted qualitative, semistructured focus groups with practicing hospitalists via video conferencing (Zoom). Utilizing components from Brainwriting Premortem Approach, attendees were split into small listed...
We assessed how hospitalists frame workplace safety, health, and well-being (SHW); their perception of hospital supports for SHW; whether they are sharing leadership responsibility each other’s SHW. Our findings highlight the important role local support hospitalist SHW reveal systemic, hospital-wide problems that may impede believe positioning as leaders will result in systems-wide changes practices to all care team members. ( Am J Public Health. 2024;114(S2):S162–S166....
Abstract Background Medicare previously announced plans for new billing reforms inpatient visits that are shared by physicians and advanced practice providers (APPs) whereby the clinician spending most time on patient visit would bill visit. Objective To understand how hospital medicine teams utilize APPs in care proposed policies might impact future APP utilization. Design, Setting Participants We conducted focus groups with hospitalist physicians, APPs, other leaders from 21 academic...
Abstract Background The COVID-19 pandemic required clinicians to care for a disease with evolving characteristics while also adhering changes (e.g., physical distancing practices) that might lead diagnostic errors (DEs). Objective To determine the frequency of DEs and their causes among patients hospitalized under investigation (PUI) COVID-19. Design Retrospective cohort. Setting Eight medical centers affiliated Hospital Medicine ReEngineering Network (HOMERuN). Target population Adults...
Medical centers across the country have had to rapidly adapt clinician staffing strategies accommodate large influxes of patients with coronavirus disease 2019 (COVID-19). We sought understand adaptations and that US academic medical employed in inpatient setting early spread COVID-19, assess whether those changes were sustained during first phase pandemic. Cross-sectional survey assessing organization-level, team-level, clinician-level workforce adaptations. Hospital medicine leadership at...
Abstract Patients who reside in areas of high neighborhood disadvantage have poorer health outcomes; the mechanisms for this disparity are complex. We sought to determine if there was an association between and diagnostic error among a cohort adult inpatients experienced either ICU transfer or in‐hospital death. Using sample 527 patients from seven geographically diverse academic medical systems, we compared rates patients' levels as measured by Area Deprivation Index, validated composite...
Hospital medicine groups vary staffing models to match available workforce with expected patient volumes and acuity. Larger often assign a single hospitalist triage pager duty which can be burdensome due frequent interruptions multitasking. We introduced new role, the Triage nurse, hold distribute patients. sought determine effect of this Nurse on perceived workload hospitalists frequency pages.We partnered our throughput department implement role who took responsibility tracking...
Dr. Auerbach is supported by funding from the Agency for Healthcare Research and Quality (R18 HS29366, R01 HS027369-01). Leykum receives salary support Health Services Development service in Department of Veterans Affairs. royalties UpToDate (not related to this work) founder Kuretic Inc., which has no relationship work. Burden Keniston have received Quality, Total Worker Grant, American Medical Association (none work). Matthew Sakumoto reports personal fees or honoraria following companies...
Abstract Background Academic medical centers are experiencing rapid clinical growth which has outpaced traditional teaching services. Learners such as students, advanced practice provider fellows, and residents may be placed onto direct care services (i.e., inpatient where attendings provide both to patients supervise learners) creating potential challenges for attending physicians due demands. Objective Characterize the hospitalist experience with Methods Embedded mixed methods study a...
Clinician electronic actions within the health record (EHR) are captured seamlessly in real-time during regular work activities all major EHRs. Analysis of this EHR use metadata, such as audit log data, is increasingly used to understand impact design on critical patient, workforce, and organizational outcomes.
Background Clinical documentation quality is an important way to facilitate clinical communication, improve patient safety metrics and optimise hospital coding public reporting. However, the monitoring of clinicians by external individuals (ie, those outside profession or emanating from teams) raises difficult questions relating autonomy organisation’s control over work. Typically, improvement initiatives have relied solely on electronic systems vet clinician documentation. In such systems,...
To improve the timeliness and quality of discharge for patients by creating role attending nurse.Discharge time affects hospital throughput patient satisfaction. Bedside nurses hospitalists have competing priorities that can hinder performing timely, high-quality discharges.This retrospective analysis evaluated effect an nurse paired with a medicine physician on quality. A total 8329 discharges were eligible study, propensity score matching yielded 2715 matched pairs.In post-intervention...
Purpose: Chest pain is experienced by 25% of people in the United States and accounts for 1-2% visits to physicians. Of this 25%, 30% noncardiac origin. Gastric volvulus a potentially life-threatening condition that can easily be misdiagnosed unless symptoms are recognized. A 75 year old male presented evaluation chest possible non-ST elevation myocardial infarction (NSTEMI). He had normal electrocardiogram with mildly elevated troponin. Physical exam revealed an uncomfortable stable vital...
Purpose: The gastrointestinal tract can be involved in a multiplicity of medical conditions creating formidable diagnostic challenge. It is one the most common locations for extra-pulmonary tuberculosis and also where multiple malignancies occur. Gastric adenocarcinoma usually occurs patients between their fifth seventh decade life. Approximately two to five percent cases are diagnosed less than 40 years age. We present complex case diagnosis gastric young patient was delayed due concurrent...