• Sheila Swartz, Joseph R Puetz, Devin Madenberg, Lara Voigt, Nikola Cuzovic, Matthew Bielecki, and Adrian Umpierrez De Reguero.
• Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
• J Hosp Med. 2023 Jan 1; 18 (1): 152015-20.

BackgroundBone marrow aspiration and biopsies (BMAB) are a relatively frequent procedure needed in the inpatient setting, especially in a tertiary care center.ObjectiveProcedure-focused hospitalists can provide an excellent option for doing inpatient BMAB. Here we present five years of experience with a hospitalist bedside procedure service (BPS) performing BMAB.DesignIn 2016, the BPS partnered with the oncology service to begin performing inpatient BMAB.Settings And ParticipantsWe evaluated internally collected data from the procedures performed by the BPS from 2016-2020.InterventionFrom 2015-2016, faculty members on the BPS team were trained by the oncology department to do a BMAB, which was then offered as an inpatient procedure by the BPS from 2016-2021.Main Outcome And MeasuresTotal number of BMAB performed, success rates, bleeding risk profiles of patients, rate of trainee participation, and complication rates.ResultsThe BPS performed a total of 432 BMAB from 2016-2021. Forty-six (10.6%) were unsuccessful and required referral for CT guidance. Elevated bleeding risk was present in 88 (20.4%) of patients. Trainees assisted in 62 (14.4%) of the procedures.There was one complication (0.2%).© 2022 Society of Hospital Medicine.

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