Quality Improvement

A FULL HOUSE: RE-SHUFFLING PATIENTS TO MANAGE CAPACITY ACROSS A HEALTH SYSTEM

Background: Capacity constraints are a common problem at many academic institutions.  At Duke University Hospital (DUH) , capacity constraints continue to result in critical bed shortages.  Our affiliated hospital, Duke Regional Hospital (DRH) which is [...]

By | 2017-04-25T23:01:13+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on A FULL HOUSE: RE-SHUFFLING PATIENTS TO MANAGE CAPACITY ACROSS A HEALTH SYSTEM

A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part [...]

By | 2017-04-20T17:35:49+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

Background: Practical and financial pressures have placed a renewed focus on improving the human experience of healthcare from both the patient and provider perspective. Despite this, aligning patients and interdisciplinary providers around meaningful experience improvement [...]

By | 2017-04-20T17:35:52+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

Background : As part of the Choosing Wisely campaign, the Society of Hospital Medicine recommends against performing "repetitive complete blood count [CBC] and chemistry testing in the face of clinical and lab stability.” This recommendation [...]

By | 2017-04-20T17:34:38+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

BUILDING A DASHBOARD TO IDENTIFY PATIENTS AT HIGH RISK FOR ADVERSE DRUG EVENTS RELATED TO OPIOIDS

Background: In the inpatient setting, opioids are the most commonly prescribed medication and the 2nd most frequent cause of adverse drug events (ADE).  Identifying patients at high risk for ADEs related to narcotics is essential. [...]

By | 2017-04-20T17:36:01+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BUILDING A DASHBOARD TO IDENTIFY PATIENTS AT HIGH RISK FOR ADVERSE DRUG EVENTS RELATED TO OPIOIDS

CAN WE DO BETTER? IMPLEMENTATION OF A HOSPITALIST-PSYCHIATRY COLLABORATIVE FOR THE IMPROVEMENT OF CARE FOR BEHAVIORALLY AND MEDICALLY COMPLEX PATIENTS

Background: Medical patients with comorbid psychiatric illness comprise 20-40% of general medicine inpatient admissions. These patients often have multiple providers involved in their care which can lead to poor communication, longer lengths of stay, and [...]

By | 2017-04-20T17:35:44+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on CAN WE DO BETTER? IMPLEMENTATION OF A HOSPITALIST-PSYCHIATRY COLLABORATIVE FOR THE IMPROVEMENT OF CARE FOR BEHAVIORALLY AND MEDICALLY COMPLEX PATIENTS

CELLULITIS: MEDICAL RESPONSIBILITY IN SELECTING ANTIBIOTICS

Background: Despite detailed Infectious Disease Society of America (IDSA) skin and soft tissue infection guidelines, patients with cellulitis at our institution consistently receive antibiotics with high local resistance or that are inappropriate based on IDSA [...]

By | 2017-04-20T17:37:04+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on CELLULITIS: MEDICAL RESPONSIBILITY IN SELECTING ANTIBIOTICS

DEVELOPMENT AND IMPLEMENTATION OF AN ALCOHOL WITHDRAWAL PROTOCOL USING A 5-ITEM BRIEF ALCOHOL WITHDRAWAL SCALE (BAWS)

Background: The standard of care for the treatment of alcohol withdrawal is symptom triggered treatment using the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale. However, this 10-item scale is cumbersome to use.   Purpose: [...]

By | 2017-04-20T17:34:58+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on DEVELOPMENT AND IMPLEMENTATION OF AN ALCOHOL WITHDRAWAL PROTOCOL USING A 5-ITEM BRIEF ALCOHOL WITHDRAWAL SCALE (BAWS)

DIAGNOSING OUR DOCUMENTATION: A NOVEL ELECTRONIC PEER-FEEDBACK PROGRAM TO IMPROVE THE QUALITY OF HOSPITALISTS’ NOTES AT A LARGE TERTIARY CARE MEDICAL CENTER

Background: The advent of the Electronic Health Record (EHR) has changed the face of medical documentation. Illegibility and absence of data have all but disappeared, and EHRs can foster thoughtful assessments by providing a platform [...]

By | 2017-04-20T17:35:42+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on DIAGNOSING OUR DOCUMENTATION: A NOVEL ELECTRONIC PEER-FEEDBACK PROGRAM TO IMPROVE THE QUALITY OF HOSPITALISTS’ NOTES AT A LARGE TERTIARY CARE MEDICAL CENTER

ELECTRONIC MEDICAL RECORD SIGN OUT TOOL IMPROVEMENT PROJECT: A NARRATIVE DESCRIPTION OF THE EFFECTIVENESS OF THE UNIVERSITY OF MICHIGAN’S HOUSE OFFICER QUALITY AND SAFETY COUNCIL.  

Background: The American College of Graduate Medical Education requires resident involvement in patient safety and quality improvement (PS/QI) but it remains difficult to engage house officers (HOs) in meaningful and sustainable projects. In 2011, the [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on ELECTRONIC MEDICAL RECORD SIGN OUT TOOL IMPROVEMENT PROJECT: A NARRATIVE DESCRIPTION OF THE EFFECTIVENESS OF THE UNIVERSITY OF MICHIGAN’S HOUSE OFFICER QUALITY AND SAFETY COUNCIL.  

HIGH-RELIABILITY ACADEMIC HOSPITALIST PROGRAMS: A LIFECYCLE OF ASSESSMENT AND FEEDBACK INTEGRATING NEW AND VETERAN FACULTY

Background: Hospital medicine programs have a responsibility to maintain high standards of clinical excellence, patient safety, and efficiency for all hospitalists within their program.  Organizational change, program growth, and faculty turnover make this endeavor challenging.  [...]

By | 2017-04-20T17:36:57+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on HIGH-RELIABILITY ACADEMIC HOSPITALIST PROGRAMS: A LIFECYCLE OF ASSESSMENT AND FEEDBACK INTEGRATING NEW AND VETERAN FACULTY

IMPROVING HOSPITALIST SATISFACTION THROUGH CLINICAL SCHEDULE REDESIGN

Background: Control over work hours and schedule flexibility are important predictors of clinicians’ career satisfaction, work-life balance, and burnout, which are in turn linked to quality of patient care, recruitment, and retention.  In our rapidly [...]

By | 2017-04-20T17:34:54+00:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on IMPROVING HOSPITALIST SATISFACTION THROUGH CLINICAL SCHEDULE REDESIGN