Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Multicenter Study
Morning Discharges and Patient Length of Stay in Inpatient General Internal Medicine.
Many initiatives seek to increase the number of morning hospital discharges to improve patient flow, but little evidence supports this practice. ⋯ The number of morning discharges was not significantly associated with shorter ED LOS or hospital LOS in GIM. Our findings suggest that increasing the number of morning discharges alone is unlikely to substantially improve patient throughput in GIM, but further research is needed to determine the effectiveness of specific interventions.
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Hospitalized patients with opioid use disorder (OUD) are rarely started on buprenorphine or methadone maintenance despite evidence that these medications reduce all-cause mortality, overdoses, and hospital readmissions. ⋯ Internal medicine resident teams were more likely to start patients on buprenorphine maintenance after clinician education and implementation of a Buprenorphine Bridge Team.