Rounds Redesign: Our Experience In Splitting Interdisciplinary Rounds.

Our hospital developed and implemented a major redesign of interdisciplinary rounds in order to achieve more efficient interdisciplinary communication in this challenging post-COVID era. The goal was to involve all key participants in a structured initiative to improve discharge planning, review important patient safety indicators, and enhance patient-physician communication. The comprehensive redesign, based on the Institute for Healthcare Improvement model, restructured the rounds into two distinct components: interdisciplinary disposition and clinical rounds.

The Impact of a Machine Learning Early Warning Score on Hospital Mortality: A Multicenter Clinical Intervention Trial.

Objectives: To determine the impact of a machine learning early warning risk score, electronic Cardiac Arrest Risk Triage (eCART), on mortality for elevated-risk adult inpatients.

Design: A pragmatic pre- and post-intervention study conducted over the same 10-month period in 2 consecutive years.

Setting: Four-hospital community-academic health system.

Clinical Analytics Prediction Engine (CAPE): Development, electronic health record integration and prospective validation of hospital mortality, 180-day mortality and 30-day readmission risk prediction models.

Background: Numerous predictive models in the literature stratify patients by risk of mortality and readmission. Few prediction models have been developed to optimize impact while sustaining sufficient performance.

Objective: We aimed to derive models for hospital mortality, 180-day mortality and 30-day readmission, implement these models within our electronic health record and prospectively validate these models for use across an entire health system.

Resident Supervision and Patient Care: A Comparative Time Study in a Community-Academic Versus a Community Emergency Department.

Objective: The objective was to compare attending emergency physician (EP) time spent on direct and indirect patient care activities in emergency departments (EDs) with and without emergency medicine (EM) residents.

Methods: We performed an observational, time-motion study on 25 EPs who worked in a community-academic ED and a nonacademic community ED. Two observations of each EP were performed at each site.

Bilateral luxatio erecta: a case report.

Background: Luxatio erecta humeri or inferior dislocation of the glenohumeral joint is a rare presentation in the emergency department that is typically caused by a direct loading force on a fully abducted arm. This type of shoulder dislocation represents only 0.5% of all shoulder dislocations, making bilateral cases even more unique.