Apr 1, 2026

The surgical co-management program (Surgical Hospitalist Assisted REcovery, or SHARE Team) at Children's Hospital Colorado has become one of the flagship enterprises for this endeavor nationally. Patients with extreme medical complexity are admitted post-operatively to a Hospitalist service, where surgical and medical providers collaborate to optimize care. This system has increased nursing and patient satisfaction, augmented communication amongst clinical staff and improved overall outcomes. The IHQSE program was instrumental in creating SHARE Team. With its official roll-out in September 2022, the program has received national acclaim, with recent publication by CHCO providers Adriana Martin, Shannon Acker, Todd Hankinson and Jason Zamkoff highlighting SHARE Team.

Mar 25, 2026

Penicillin allergy labels are frequently inaccurate and can increase hospital costs, contribute to overuse of broad-spectrum antibiotics, and impact length of stay. A quality improvement initiative, led by Anita Moudgal MD (recipient of IHQSE CEPS Grant 2023 and participant of IHQSE Improvement Academy 2024 and QWIG 2025), Tara Ward MSN, RN, AGACNP-BC, and Anjeli Kalra MD, aimed to improve penicillin allergy delabeling among hospitalized patients admitted to primary hospital medicine services. A protocol was developed and integrated into the electronic health record to guide hospitalist clinicians to delabel low-risk penicillin allergies. Risk stratification was determined by a validated screening tool known as PEN-FAST. In one year, our quality improvement initiative delabeled penicillin allergy in 8% of hospital medicine patients in one year, exceeding our 5% goal.

Feb 1, 2026

In a new study by IHQSE faculty and QIWG participant, Dr. Michele Loi, featured in Critical Care Nurse, a multidisciplinary team demonstrated a 46.5% reduction in health care-associated conditions with a protocol of targeted pediatric intensive care unit rounds at Children's Hospital Colorado. The approach involved interprofessional teams focusing on patients at high risk for conditions such as central line-associated bloodstream infections and pressure injuries.

Jan 26, 2026

In a new study published in the Journal of General Internal Medicine, Drs. Michelle Knees and Katie Raffel (IHQSE faculty) and their co-authors found that diagnostic error risk varied by inpatient care team model among high-risk medical patients. While the causal mechanisms are unknown, this may be related to number of clinicians caring and thinking about a patient, or due to differences in workload. As hospitals rethink staffing approaches, these findings underscore the importance of considering how team design supports clinical reasoning and diagnostic safety!