Breaking the bottleneck: A resident‐run initiative to advance care for emergency department patients awaiting medicine admission

This manuscript describes the Medicine Care Advancement Team, a novel solution to address prolonged delays in care for patients awaiting medicine admission at a large teaching hospital. Our Department of Medicine restructured existing inpatient hospitalist and resident teams to create a co-management consult team working with the Emergency Department to provide care for these patients during periods of inpatient capacity constraints. This team decreased time to inpatient care by 1.3 h, increased productivity by 25%, and offered unique learning opportunities for resident house staff.

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Publication Details

Journal
Journal of Hospital Medicine
Published
2026-06-28
DOI
https://doi.org/10.1002/jhm.70375
Primary Topic
Hospital Admissions and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Breaking the bottleneck: A resident‐run initiative to advance care for emergency department patients awaiting medicine admission

Portia Nleya, Andrew Donohoe, Emma Bick, Jacob Amburn et al.
Journal of Hospital Medicine
Hospital Admissions and Outcomes
article

Breaking the bottleneck: A resident‐run initiative to advance care for emergency department patients awaiting medicine admission

Portia Nleya, Andrew Donohoe, Emma Bick, Jacob Amburn, David Hemsey, Cristin Colford, Aaron Fried, Scott Keller
article en

Abstract

This manuscript describes the Medicine Care Advancement Team, a novel solution to address prolonged delays in care for patients awaiting medicine admission at a large teaching hospital. Our Department of Medicine restructured existing inpatient hospitalist and resident teams to create a co-management consult team working with the Emergency Department to provide care for these patients during periods of inpatient capacity constraints. This team decreased time to inpatient care by 1.3 h, increased productivity by 25%, and offered unique learning opportunities for resident house staff.

Journal of Hospital Medicine
University of North Carolina at Chapel Hill (US)
Openalex Percentile: Top 5%
Hospital Admissions and Outcomes
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