Preventability of 30-Day Hospital Revisits Following Admission with COVID-19 at an Academic Medical Center.

Background: The coronavirus disease 2019 (COVID-19) pandemic may have affected the preventability of 30-day hospital revisits, including readmissions and emergency department (ED) visits without admission. This study was conducted to examine the preventability of 30-day revisits for patients admitted with COVID-19 in order to inform the design of interventions that may decrease preventable revisits in the future.

Methods: The study team retrospectively reviewed a cohort of adults admitted to an academic medical center with COVID-19 between March 21 and June 29, 2020, and discharged alive.

A Model for Electronic Handoff Between the Emergency Department and Inpatient Units.

Background: Patient handoffs between units can introduce risk and time delays. Verbal communication is the most common mode of handoff, but requires coordination between different parties.

Objective: We present an asynchronous patient handoff process supported by a structured electronic signout for admissions from the emergency department (ED) to the inpatient medicine service.

Patient care transitions from the emergency department to the medicine ward: evaluation of a standardized electronic signout tool.

Objective: To evaluate the impact of a new electronic handoff tool for emergency department to medicine ward patient transfers over a 1-year period.

Design: Prospective mixed-methods analysis of data submitted by medicine residents following admitting shifts before and after eSignout implementation.

Setting: University-based, tertiary-care hospital.

Accuracy of residents' retrospective perceptions of 16-hour call admitting shift compliance and characteristics.

Background: The Accreditation Council for Graduate Medical Education Resident-Fellow Survey measurement of compliance with duty hours uses remote retrospective resident report, the accuracy of which has not been studied. We investigated residents' remote recall of 16-hour call-shift compliance and workload characteristics at 1 institution.

Methods: We sent daily surveys to second- and third-year internal medicine residents immediately after call shifts from July 2011 to June 2012 to assess compliance with 16-hour shift length and workload characteristics.

Systems-based content in medical morbidity and mortality conferences: a decade of change.

Background: Following the Accreditation Council for Graduate Medical Education recommendations in 1999 to foster education in the systems-based practice (SBP) competency by examining adverse clinical events, institutions have modified the morbidity and mortality conference (MMC) to increase SBP-related discussion. We sought to examine the extent to which SBP-related content has increased in our department's MMCs compared with MMCs 10 years prior.

Method: We qualitatively analyzed audio recordings of our MMCs during 2 academic years, 1999-2000 (n  =  30) and 2010-2011 (n  =  30).

Combining clinical microsystems and an experiential quality improvement curriculum to improve residency education in internal medicine.

Beth Israel Deaconess Medical Center's internal medicine residency program was admitted to the new Education Innovation Project accreditation pathway of the Accreditation Council of Graduate Medical Education to begin in July 2006. The authors restructured the inpatient medical service to create clinical microsystems in which residents practice throughout residency. Program leadership then mandated an active curriculum in quality improvement based in those microsystems.