Research Abstracts

//Research Abstracts

HM2017 Abstract Number: 52

GERIATRICS EDUCATIONAL INTERVENTIONS FOR HOSPITALISTS: A SYSTEMATIC REVIEW

Background: With nearly 12.3 million inpatient discharges per year attributed to geriatric patients, hospitalists need to be proficient in the practice of geriatric medicine. Our objective was to conduct a systematic literature review to identify [...]

By | 2018-03-15T20:51:00+00:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on GERIATRICS EDUCATIONAL INTERVENTIONS FOR HOSPITALISTS: A SYSTEMATIC REVIEW

HM2017 Abstract Number: 51

FACTORS ASSOCIATED WITH DNR ORDERS ON ADMISSION IN JAPAN

Background: Although code status discussion does not routinely happen at hospitals in Japan, many people reportedly start to think of their end of life issue and would like to express it, according to questionnaire survey [...]

By | 2018-03-15T20:51:00+00:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on FACTORS ASSOCIATED WITH DNR ORDERS ON ADMISSION IN JAPAN

HM2017 Abstract Number: 50

DELIRIUM DETECTION BY A SIMPLIFIED EEG DEVICE IN GENERAL MEDICINE HOSPITALIST SERVICE AND ORTHOPEDIC SERVICE

Background: Delirium is a prevalent and dangerous state of confusion that affects millions >65 years of age (1-3). Delirium is underdiagnosed and undertreated due to lack of effective screening methods (4, 5).  Undetected delirium in [...]

By | 2018-03-15T20:51:00+00:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on DELIRIUM DETECTION BY A SIMPLIFIED EEG DEVICE IN GENERAL MEDICINE HOSPITALIST SERVICE AND ORTHOPEDIC SERVICE

HM2017 Abstract Number: 48

SURVIVAL AFTER ADJUVANT AND NEOADJUVANT CHEMOTHERAPY IN ELDERLY PATIENTS WITH TRIPLE NEGATIVE BREAST CANCER: A CLEVELAND CLINIC EXPERIENCE

Background: Triple negative breast cancer (TNBC) comprises of approximately 15% of the total breast cancers. There is limited data on treatment outcome of these patients in elderly population. We report our experience with elderly patients [...]

By | 2018-03-15T20:51:00+00:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on SURVIVAL AFTER ADJUVANT AND NEOADJUVANT CHEMOTHERAPY IN ELDERLY PATIENTS WITH TRIPLE NEGATIVE BREAST CANCER: A CLEVELAND CLINIC EXPERIENCE

HM2017 Abstract Number: 47

CHARLSON COMORBIDITY INDEX FOR PREDICTING SHORT-TERM OUTCOMES IN HOSPITALIZED OLDER ADULTS

Background: The Charlson comorbidity index (CCI) has been one of the most commonly used and validated prognostication tools. In addition to being a valuable resource for health services researchers, the CCI is being used in [...]

By | 2018-03-15T20:51:00+00:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on CHARLSON COMORBIDITY INDEX FOR PREDICTING SHORT-TERM OUTCOMES IN HOSPITALIZED OLDER ADULTS

HM2017 Abstract Number: 285

EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

Background: Earlier discharge time is an important satisfaction metric for patients, maximizes the utilization of hospital beds, and reduces waste and capacity issues in EDs /PACUs. Overall, early discharge represents high-value care and responsible stewardship [...]

By | 2018-03-15T20:51:00+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

HM2017 Abstract Number: 246

IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

Background: Hospital admissions are the majority contributor to the cost in caring for diabetes, accounting for about 40% of the costs. As most hospital reimbursements are based upon diagnosis-related groups, hospitals have strong financial incentives [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

HM2017 Abstract Number: 241

“BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

Background: Hospitalized older adults are increasingly referred to skilled nursing facilities (SNFs) for post-acute care following hospitalization. However, whether hospitalized older adults are enabled to make high-quality decisions about different post-acute care options is unclear. [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on “BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

HM2017 Abstract Number: 313

DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

Background: As part of the ABIM Foundation’s Choosing Wisely campaign the Society of Hospital Medicine recommended providers avoid performing repetitive CBC and chemistry testing in the face of clinical and lab stability. In 2014 as [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

HM2017 Abstract Number: 311

THE DEVELOPMENT AND VALIDATION OF A HIGH VALUE CARE ROUNDING TOOL USING THE DELPHI METHOD

Background: In response to skyrocketing healthcare costs, providing high value care is an increasing priority for health care systems. Physicians are responsible for translating high value care (HVC) to the bedside, however there is a [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THE DEVELOPMENT AND VALIDATION OF A HIGH VALUE CARE ROUNDING TOOL USING THE DELPHI METHOD

HM2017 Abstract Number: 310

PHYSICIAN REIMBURSEMENT MODELS AND VALUE-BASED PAYMENTS: A SURVEY OF FACULTY AND TRAINEE KNOWLEDGE AND INTEREST

Background: Guiding health care delivery towards patient-centered value can be accelerated by reforming physician reimbursement. Recent legislation including the Medicare Access and CHIP Reauthorization Act (MACRA) and the Affordable Care Act have created frameworks for value-based [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on PHYSICIAN REIMBURSEMENT MODELS AND VALUE-BASED PAYMENTS: A SURVEY OF FACULTY AND TRAINEE KNOWLEDGE AND INTEREST

HM2017 Abstract Number: 308

WHY ORDER TWO WHEN YOU CAN GET ONE FOR HALF THE PRICE?: EVALUATING THE RELIABILITY OF POINT OF CARE ARTERIAL BLOOD GAS ELECTROLYTE MEASUREMENTS FOR USE IN STANDARD SUPPLEMENTATION PROTOCOLS

Background: Frequent blood draws are implicated in hospital-acquired anemia as well as rising costs. Critically ill patients undergo frequent venous and arterial blood sampling, both providing electrolyte concentrations. In this study, we sought to examine [...]

By | 2018-03-15T20:50:28+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on WHY ORDER TWO WHEN YOU CAN GET ONE FOR HALF THE PRICE?: EVALUATING THE RELIABILITY OF POINT OF CARE ARTERIAL BLOOD GAS ELECTROLYTE MEASUREMENTS FOR USE IN STANDARD SUPPLEMENTATION PROTOCOLS

HM2017 Abstract Number: 307

THRESHOLDS FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS IN HOSPITALIZED MEDICAL PATIENTS — A COST-EFFECTIVENESS ANALYSIS

Background: Venous thromboembolism (VTE) is a common preventable condition in hospitalized medical patients. Chemoprophylaxis with heparin or fondaparinux has been recommended for all hospitalized patients who are not at low risk, and appropriate thromboprophylaxis is [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THRESHOLDS FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS IN HOSPITALIZED MEDICAL PATIENTS — A COST-EFFECTIVENESS ANALYSIS

HM2017 Abstract Number: 305

DRAWING WISELY BEYOND EDUCATIONAL SESSIONS: THE IMPACT OF ADMISSION ORDER SET ADJUSTMENT ON INPATIENT LABORATORY ORDERING PRACTICES

Background: In an era where the cost of healthcare in the United States is rising at an unsustainable rate, promoting high value care has never been more important. As highlighted by the Society of Hospital [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DRAWING WISELY BEYOND EDUCATIONAL SESSIONS: THE IMPACT OF ADMISSION ORDER SET ADJUSTMENT ON INPATIENT LABORATORY ORDERING PRACTICES

HM2017 Abstract Number: 304

CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

Background: Inappropriate laboratory utilization in hospitalized patients is a significant contributing factor to health care expenditures, iatrogenic anemia, downstream testing, and poor patient satisfaction. For these reasons, the Society of Hospital Medicine has recommended through [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 303

REPETITIVE CBC TESTING IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA: A MULTICENTER STUDY

Background: Avoiding repeated complete blood count (CBC) testing in the face of clinical and laboratory stability is a Choosing Wisely initiative recommendation endorsed by the Society of Hospital Medicine. We investigated the prevalence and clinical [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on REPETITIVE CBC TESTING IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA: A MULTICENTER STUDY

HM2017 Abstract Number: 301

EVALUATION OF TELEMETRY USE IN THE PATIENT AT RISK FOR ALCOHOL WITHDRAWAL

Background: Cardiac telemetry is frequently overused in the hospital. Our institution requires telemetry while patients are on the Clinical Institute Withdrawal Assessment (CIWA) protocol, regardless of the presence or severity of alcohol withdrawal (AW).  Telemetry use [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EVALUATION OF TELEMETRY USE IN THE PATIENT AT RISK FOR ALCOHOL WITHDRAWAL

HM2017 Abstract Number: 300

IF YOU BUILD IT, THEY WILL ORDER IT…APPROPRIATELY: USE OF A TELEMETRY ORDER SET IMPROVES ADHERENCE TO EVIDENCE-BASED PRACTICE

Background: Inappropriate telemetry use has been associated with increased health care cost and unnecessary diagnostic procedures. For these reasons, the Society of Hospital Medicine’s Choosing Wisely campaign promoted use of both American Heart Association (AHA) [...]

By | 2018-03-15T20:50:29+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on IF YOU BUILD IT, THEY WILL ORDER IT…APPROPRIATELY: USE OF A TELEMETRY ORDER SET IMPROVES ADHERENCE TO EVIDENCE-BASED PRACTICE

HM2017 Abstract Number: 298

OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

Background: Misuse of laboratory tests can be difficult to determine unless tests are clearly overused or repeated routinely. However, excessive testing of chronically critically ill patients treated in long-term acute care hospitals (LTACHs) can be [...]

By | 2018-03-15T20:50:08+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

HM2017 Abstract Number: 297

DRIVERS OF OVERUSE OF PANCREATIC ENZYME LAB TESTING AT AN ACADEMIC MEDICAL CENTER

Background: Decades-old clinical data and practice guidelines support the use of lipase over amylase in the workup and management of acute pancreatitis. Yet, laboratory testing for amylase continues to cost the Center for Medicare and [...]

By | 2018-03-15T20:50:08+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DRIVERS OF OVERUSE OF PANCREATIC ENZYME LAB TESTING AT AN ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 296

DERIVATION OF A CLINICAL PREDICTION MODEL TO PREDICT UNCHANGED INPATIENT ECHOCARDIOGRAMS

Background:  Transthoracic echocardiography (TTE) is one of the most popular tests in healthcare. Studies of Medicare beneficiaries for example have shown that each year approximately 20% undergo at least one TTE. Repeat TTE defined as [...]

By | 2018-03-15T20:50:09+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DERIVATION OF A CLINICAL PREDICTION MODEL TO PREDICT UNCHANGED INPATIENT ECHOCARDIOGRAMS

HM2017 Abstract Number: 295

UTILIZATION AND COST EFFECTIVENESS OF A RISK STRATIFIED DIAGNOSTIC APPROACH TO PATIENTS WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA

Background: Thrombotic thrombocytopenic purpura (TTP) is a rare but deadly thrombotic microangiopathy (TMA) that is caused by ADAMTS13 deficiency. The PLASMIC clinical scoring system was developed and validated to determine the pretest probability of severe [...]

By | 2018-03-15T20:50:09+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on UTILIZATION AND COST EFFECTIVENESS OF A RISK STRATIFIED DIAGNOSTIC APPROACH TO PATIENTS WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA

HM2017 Abstract Number: 294

AN INNOVATIVE HOSPITAL MEDICINE ELECTIVE: NOT JUST ANOTHER FLOOR MONTH

Background: Hospital Medicine is a rapidly growing specialty and a higher percentage of patients are under the care of hospitalists across the country.  Like other internal medicine subspecialties, an increasing number of residents have expressed [...]

By | 2018-03-15T20:50:09+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on AN INNOVATIVE HOSPITAL MEDICINE ELECTIVE: NOT JUST ANOTHER FLOOR MONTH

HM2017 Abstract Number: 292

THE INCIDENCE RATE AND CAUSE OF NON-COMPLIANCE OF THE DNR ORDERS

Background: End of life discussion is very important for preventing undesired cardiopulmonary resuscitation (CPR). It is reportedly associated with less aggressive medical care near death and better quality of life. Its importance has been gradually [...]

By | 2018-03-15T20:50:09+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THE INCIDENCE RATE AND CAUSE OF NON-COMPLIANCE OF THE DNR ORDERS

HM2017 Abstract Number: 291

A QUANTITATIVE ASSESSMENT OF REDUNDANT LAB ORDERS AT AN ACADEMIC MEDICAL CENTER

Background: The Choosing Wisely Campaign encourages physicians to avoid over-utilizing routine labs in hospitalized patients with clinical and laboratory stability.  A number of studies have shown adverse effects on hospitalized patients from lab overutilization.  In [...]

By | 2018-03-15T20:50:09+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on A QUANTITATIVE ASSESSMENT OF REDUNDANT LAB ORDERS AT AN ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 290

EFFECT OF ADMISSION LOCATION ON COST AND CLINICAL AND SAFETY OUTCOMES IN PATIENTS WITH DIABETIC KETOACIDOSIS

Background: Diabetic ketoacidosis (DKA) is a serious, acute complication of diabetes mellitus caused by a state of insulin deficiency requiring exogenous insulin administration.  Significant variation in intensive care unit (ICU) admission rates for DKA exists [...]

By | 2017-04-25T22:21:25+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EFFECT OF ADMISSION LOCATION ON COST AND CLINICAL AND SAFETY OUTCOMES IN PATIENTS WITH DIABETIC KETOACIDOSIS

HM2017 Abstract Number: 288

CONSULTATION TO A CARDIOLOGIST PRIOR TO LOW RISK PROCEDURES SIGNIFICANTLY INCREASES INPATIENT LENGTH OF STAY WITHOUT AFFECTING OUTCOMES

Background: The healthcare system in the United States is often times costly and inefficient. Some estimates suggest that 20-34% of healthcare dollars are spent ineffectively. Despite efforts such as the Choosing Wisely Campaign to limit [...]

By | 2017-04-25T22:22:44+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on CONSULTATION TO A CARDIOLOGIST PRIOR TO LOW RISK PROCEDURES SIGNIFICANTLY INCREASES INPATIENT LENGTH OF STAY WITHOUT AFFECTING OUTCOMES

HM2017 Abstract Number: 284

RESIDENT PERSPECTIVES ON LABORATORY OVER-UTILIZATION: DIFFERENCES BETWEEN RESIDENCY PROGRAM SITES

Background: Unnecessary diagnostic testing contributes to the escalating cost of health care in the US and can cause harm to patients. Daily blood work has become a routine part of care for hospitalized adults though [...]

By | 2017-04-25T22:23:24+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on RESIDENT PERSPECTIVES ON LABORATORY OVER-UTILIZATION: DIFFERENCES BETWEEN RESIDENCY PROGRAM SITES

HM2017 Abstract Number: 283

TEST, PATIENT, AND PHYSICIAN CHARACTERISTICS ASSOCIATED WITH ACTIONABLE TESTS PENDING AT DISCHARGE: CAN WE ORDER TESTS MORE WISELY?

Background: Previous studies have determined that a small subset (~10%) of the results of tests pending at discharge (TPADs) require action. Challenges for hospitalists in dealing with actionable TPADs include identifying TPADs that are truly [...]

By | 2017-04-26T01:06:24+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on TEST, PATIENT, AND PHYSICIAN CHARACTERISTICS ASSOCIATED WITH ACTIONABLE TESTS PENDING AT DISCHARGE: CAN WE ORDER TESTS MORE WISELY?

HM2017 Abstract Number: H

HOSPITALISTS BREAK WITH CONVENTION TO DRIVE DISCHARGE THROUGHPUT AND MAKING HUGE IMPACT

Background: We identified a number of quality, patient satisfaction, and staff satisfaction issues that all seemed to be linked to throughput challenges. We had trouble getting patients out of the hospital on discharge day, which [...]

By | 2017-04-26T01:07:21+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on HOSPITALISTS BREAK WITH CONVENTION TO DRIVE DISCHARGE THROUGHPUT AND MAKING HUGE IMPACT

HM2017 Abstract Number: 281

PROCALCITONIN UTILIZATION IN PATIENTS HOSPITALIZED WITH PNEUMONIA IN MICHIGAN HOSPITALS: A COHORT STUDY

Background: Inappropriate antibiotic use is associated with bacterial resistance, adverse events, and an increased risk of Clostridium difficileinfection. However, providers often prescribe antibiotics for viral respiratory infections and treat infections such as bacterial pneumonia for [...]

By | 2017-04-26T01:08:08+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on PROCALCITONIN UTILIZATION IN PATIENTS HOSPITALIZED WITH PNEUMONIA IN MICHIGAN HOSPITALS: A COHORT STUDY

HM2017 Abstract Number: 280

IDENTIFYING PERCEIVED BARRIERS TO CONTINUATION AFTER COMPLETING A WHOLE FOODS PLANT-BASED DIET WORKSHOP

Background: Amanda Guay, outreach coordinator at North Country HealthCare in Flagstaff, Arizona, believes that affordable nutrition based meals are an important issue in the Flagstaff community, especially for underserved populations. Diabetes, obesity, hypertension, and hyperlipidemia [...]

By | 2017-04-26T01:08:54+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on IDENTIFYING PERCEIVED BARRIERS TO CONTINUATION AFTER COMPLETING A WHOLE FOODS PLANT-BASED DIET WORKSHOP

HM2017 Abstract Number: 279

INPATIENT PALLIATIVE CARE CONSULTATIONS AND THE IMPACT ON LENGTH OF STAY

Background: Reducing LOS promotes value, and when aligned with patient preferences, can improve care. Patients referred for palliative care (PC) generally have longer length of stay (LOS) due to their serious illness, multiple complex management [...]

By | 2017-04-26T01:09:38+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on INPATIENT PALLIATIVE CARE CONSULTATIONS AND THE IMPACT ON LENGTH OF STAY

HM2017 Abstract Number: 278

MRSA SWAB AS A PREDICTOR OF MRSA INFECTION

Background: Septic patients that require ICU level of care are treated empirically with vancomycin. Although this treatment is effective for MRSA infections, prolonged vancomycin exposure can cause nephrotoxicity and antibiotic resistance. A test to identify [...]

By | 2017-04-26T01:12:44+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on MRSA SWAB AS A PREDICTOR OF MRSA INFECTION

HM2017 Abstract Number: 277

IS PICC LINE RELATED THROMBOEMBOLISM ASSOCIATED WITH ABO BLOOD GROUP? RESULTS OF CASE-CONTROL STUDY

Background: Peripherally inserted peripheral catheter (PICC) use is associated with many complications including line related thromboembolism. Several studies and meta- analyses confirmed the increased risk to develop venous thromboembolism in non-O blood group patients. We [...]

By | 2017-04-26T01:13:32+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on IS PICC LINE RELATED THROMBOEMBOLISM ASSOCIATED WITH ABO BLOOD GROUP? RESULTS OF CASE-CONTROL STUDY

HM2017 Abstract Number: 276

PREDICTORS OF RECURRENT HOSPITAL ADMISSIONS AMONG PROSTATE CANCER SURVIVORS

Background:  By 2026 the number of prostate cancer survivors is expected to reach 4.5 million. Although the mortality from prostate cancer has been steadily decreasing, cancer survivors usually have poor outcomes compared to their peers [...]

By | 2017-04-20T20:43:00+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on PREDICTORS OF RECURRENT HOSPITAL ADMISSIONS AMONG PROSTATE CANCER SURVIVORS

HM2017 Abstract Number: 275

HOW MANY OUTPATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA BECOME INPATIENTS? A U.S. HEALTH INSURANCE CLAIM ANALYSIS FROM 2011-2015

Background: Approximately 1-2% of the U.S. population gets community-acquired pneumonia (CAP) annually in the U.S. and CAP is associated with substantial mortality, morbidity and costs.  While the incidence of CAP is well-defined, the incidence of [...]

By | 2017-04-26T01:14:27+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on HOW MANY OUTPATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA BECOME INPATIENTS? A U.S. HEALTH INSURANCE CLAIM ANALYSIS FROM 2011-2015

HM2017 Abstract Number: 274

PICC LINE- RELATED THROMBOSIS; DOES PHARMACOLOGICAL DEEP VEIN THROMBOSIS HELP?

Background: Peripherally inserted center catheter (PICC) use is associated with many complications including thromboembolism. The role of pharmacological prophylaxis in prevention of PICC line related thromboembolism is controversial. In our study,we assessed the role of pharmacological [...]

By | 2017-04-26T02:30:37+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on PICC LINE- RELATED THROMBOSIS; DOES PHARMACOLOGICAL DEEP VEIN THROMBOSIS HELP?

HM2017 Abstract Number: G

ACCURACY AND THE PROPER USE OF THE POINT-OF-CARE ANALYSIS IN HEMOGLOBIN A1C MEASUREMENT

Background: Diabetes Mellitus is one of the most common chronic diseases in the United States and worldwide.1-2 Hemoglobin A1C is a surrogate marker for the average blood glucose level over the previous 3 months.3 In [...]

By | 2017-04-26T02:31:20+00:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on ACCURACY AND THE PROPER USE OF THE POINT-OF-CARE ANALYSIS IN HEMOGLOBIN A1C MEASUREMENT

HM2017 Abstract Number: 272

FACTORS ASSOCIATED WITH THE ABILITY OF INPATIENTS TO RECALL THEIR OUTPATIENT PRESCRIPTION MEDICATION LIST

Background: Patient understanding of prescription medication regimens is an important aspect of health literacy and inpatient medication reconciliation. There is a lack of data regarding patient knowledge of their own outpatient prescription medications. This study [...]

By | 2017-04-26T02:32:32+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on FACTORS ASSOCIATED WITH THE ABILITY OF INPATIENTS TO RECALL THEIR OUTPATIENT PRESCRIPTION MEDICATION LIST

HM2017 Abstract Number: 269

IMPROVEMENT IN 24-HOUR DISCHARGE SUMMARY COMPLETION RATE DOES NOT CORRELATE WITH REDUCED READMISSIONS

Background: Multiple studies have established that delays in discharge summary transmission were associated with higher rates of all-cause hospital readmissions.    It has been recently shown that delaying the completion of discharge summaries beyond 72 hours [...]

By | 2017-04-26T02:33:32+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPROVEMENT IN 24-HOUR DISCHARGE SUMMARY COMPLETION RATE DOES NOT CORRELATE WITH REDUCED READMISSIONS

HM2017 Abstract Number: 267

IMPROVING TRANSITIONS OF CARE: IMPLEMENTING A TRAINING PROGRAM FOR INCOMING RESIDENTS

Background: Transition of care between physicians remains a vulnerability in providing optimal patient care. The Clinical Learning Environment Review (CLER) program identifies Care Transitions as a core pathway for evaluation. Specifically, they assess a program’s [...]

By | 2017-04-26T02:34:10+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPROVING TRANSITIONS OF CARE: IMPLEMENTING A TRAINING PROGRAM FOR INCOMING RESIDENTS

HM2017 Abstract Number: 265

BARRIERS TO IMPLEMENTATION OF A TRANSTIONAL CARE INTERVENTION: A QUALITATIVE ANALYSIS

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. Many interventions have been tried, with varying degrees of success, and often the problem has been with implementation rather than theoretical [...]

By | 2017-04-26T02:34:47+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on BARRIERS TO IMPLEMENTATION OF A TRANSTIONAL CARE INTERVENTION: A QUALITATIVE ANALYSIS

HM2017 Abstract Number: 264

WARM HANDOFFS: A STRATEGY TO IMPROVE END-OF-ROTATION CARE TRANSITIONS AMONG HOUSESTAFF

Background: Hospitalized medical patients transitioning to new house staff at the end of an inpatient resident rotation are associated with an increased risk of mortality as compared with patients not exposed to such handoffs, yet [...]

By | 2017-04-26T02:35:19+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on WARM HANDOFFS: A STRATEGY TO IMPROVE END-OF-ROTATION CARE TRANSITIONS AMONG HOUSESTAFF

HM2017 Abstract Number: 261

PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

Background: U.S. healthcare costs are rising due to the increase in polypharmacy, which is a potential risk factor for hospital readmission.1 In a cohort study of 5,507 patients with ≥10 discharge medications, more than 25% of [...]

By | 2017-04-26T02:36:27+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

HM2017 Abstract Number: 260

EDUCATION OF RESIDENTS TO IMPROVE DISCHARGE SUMMARY VARIABILITY AND OUTPATIENT PRIMARY CARE PROVIDER SATISFACTION

Background: Discharge summaries (DS) play a large role in transition of care from the inpatient to outpatient setting. At academic centers DS are largely completed by house staff, though few residency programs and medical schools [...]

By | 2017-04-20T20:30:55+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on EDUCATION OF RESIDENTS TO IMPROVE DISCHARGE SUMMARY VARIABILITY AND OUTPATIENT PRIMARY CARE PROVIDER SATISFACTION

HM2017 Abstract Number: 259

ARE PATIENTS TRANSFERRED TO HOSPITALS THAT CAN APPROPRIATELY TREAT THEM?

Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In [...]

By | 2017-04-26T02:37:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ARE PATIENTS TRANSFERRED TO HOSPITALS THAT CAN APPROPRIATELY TREAT THEM?

HM2017 Abstract Number: 258

PATIENT EXPERIENCE WITH INTER-HOSPITAL TRANSFER: A QUALITATIVE STUDY

Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate [...]

By | 2017-04-26T02:37:34+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PATIENT EXPERIENCE WITH INTER-HOSPITAL TRANSFER: A QUALITATIVE STUDY

HM2017 Abstract Number: 257

IMPACT OF POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

Background: According to Medicare Payment Advisory Commission, about 75% of hospital readmissions are potentially preventable, representing an estimated $12 billion in Medicare spending. Prompt follow-up of hospital patients before primary care and subspecialist appointment may decrease [...]

By | 2017-04-26T02:38:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPACT OF POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

HM2017 Abstract Number: 256

AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): INTERIM RESULTS FROM A RANDOMIZED CONTROLLED QUALITY IMPROVEMENT TRIAL

Background: Hospital readmissions remain highly prevalent despite being the target of policies and financial penalties.  Evidence comparing effectiveness and costs of interventions to reduce readmissions is lacking, leaving healthcare systems with little guidance on how [...]

By | 2017-04-26T02:38:33+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): INTERIM RESULTS FROM A RANDOMIZED CONTROLLED QUALITY IMPROVEMENT TRIAL

HM2017 Abstract Number: 255

TRANSITIONS OF CARE: ASSESSING SATISFACTION OF DISCHARGE COMMUNICATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS

Background: Poor communication between healthcare providers has been identified as an important contributor to poor patient outcomes and adverse events. The transition period from inpatient to outpatient care is a particularly high risk time for [...]

By | 2017-04-26T02:39:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on TRANSITIONS OF CARE: ASSESSING SATISFACTION OF DISCHARGE COMMUNICATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS

HM2017 Abstract Number: 253

COGNITIVE IMPAIRMENT AMONG HOSPITALIZED HOMELESS PATIENTS

Background: Homeless patients have a higher incidence of medical and psychiatric diagnoses, which often necessitate hospitalization. Studies show that homeless persons have increased lengths of stay with an average excess of 4.1 days, accounting for [...]

By | 2017-04-26T02:39:34+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on COGNITIVE IMPAIRMENT AMONG HOSPITALIZED HOMELESS PATIENTS

HM2017 Abstract Number: 252

A PILOT STUDY OF READMISSIONS WITHIN 28 DAYS TO AN AMAU (ACUTE MEDICAL ASSESSMENT UNIT) IN THE MIDDLE EAST REGION

Background: Readmissions after hospitalisation are a healthcare quality indicator and carry considerable financial penalties in some healthcare systems. Internationally, readmission rates at 28 – 30 days for medical inpatients range between 10 - 22%. However [...]

By | 2017-04-25T23:21:38+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on A PILOT STUDY OF READMISSIONS WITHIN 28 DAYS TO AN AMAU (ACUTE MEDICAL ASSESSMENT UNIT) IN THE MIDDLE EAST REGION

HM2017 Abstract Number: 250

ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

Background: Financial readmission penalties hold hospitals responsible for 30-day readmissions regardless of whether the patient was readmitted to another hospital.  Emerging evidence suggests patients readmitted to non-index hospitals may experience higher mortality rates.  Hospitals with [...]

By | 2017-04-26T02:40:24+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

HM2017 Abstract Number: 249

IMPLEMENTING A HOSPITAL BASED TRANSITIONAL CARE MANAGEMENT INITIATIVE REDUCES READMISSION RATES

Background: National readmission rates for all-cause hospitalizations are as high as 14 readmits per 100 index admissions and have been relatively unchanged for at least the last 5 years (Fingar K, et al. Agency for [...]

By | 2017-04-26T02:40:55+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPLEMENTING A HOSPITAL BASED TRANSITIONAL CARE MANAGEMENT INITIATIVE REDUCES READMISSION RATES

HM2017 Abstract Number: 245

WHEN ARE WE TOO BUSY TO SUMMARIZE? ASSOCIATION OF PRACTICE CHARACTERISTICS WITH HOSPITALISTS’ PERCEIVED BURDEN OF PREPARING HOSPITAL DISCHARGE SUMMARIES

Background: Patients admitted to inpatient hospital services are increasingly cared for by hospitalists rather than their primary care providers. When transitioning from hospital-based to ambulatory care, suboptimal information transfer can lead to serious adverse events [...]

By | 2017-04-26T02:41:30+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on WHEN ARE WE TOO BUSY TO SUMMARIZE? ASSOCIATION OF PRACTICE CHARACTERISTICS WITH HOSPITALISTS’ PERCEIVED BURDEN OF PREPARING HOSPITAL DISCHARGE SUMMARIES

HM2017 Abstract Number: 244

PROTECTING THE VULNERABLE: PRACTICE PATTERNS OF PROVIDERS WHO DISCHARGE PATIENTS AGAINST MEDICAL ADVICE

Background: Patients discharged against medical advice (AMA) have disproportionately high healthcare costs and increased morbidity, mortality, and hospital readmissions. While patient risk factors for discharge AMA are known, there is little data regarding providers’ practice [...]

By | 2017-04-26T02:42:02+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PROTECTING THE VULNERABLE: PRACTICE PATTERNS OF PROVIDERS WHO DISCHARGE PATIENTS AGAINST MEDICAL ADVICE

HM2017 Abstract Number: 243

ASSESSING PERCEPTIONS AND EXPERIENCES OF ADULT-CARE PROVIDERS WITH TRANSITION FROM PEDIATRIC TO ADULT MEDICAL CARE

Background: With advances in medical care, there is a growing population with childhood-onset chronic health conditions reaching adulthood. A 2011 consensus statement by the AAP, AAFP and ACP identified an algorithm for transition from pediatric [...]

By | 2017-04-26T02:42:32+00:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ASSESSING PERCEPTIONS AND EXPERIENCES OF ADULT-CARE PROVIDERS WITH TRANSITION FROM PEDIATRIC TO ADULT MEDICAL CARE

HM2017 Abstract Number: 239

HOW ORIGINAL: CHARACTERIZING THE SOURCE OF TEXT IN PROGRESS NOTES

Background: The original goal of progress notes is to provide a concise, up-to-date reflection of the patient’s condition and the provider’s thought processes.  Electronic health records (EHRs) allow physicians to supplement traditional manual data entry [...]

By | 2017-04-26T02:42:59+00:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on HOW ORIGINAL: CHARACTERIZING THE SOURCE OF TEXT IN PROGRESS NOTES

HM2017 Abstract Number: 234

PROBLEM BASED CHARTING: A METHOD FOR IMPROVING PROBLEM LIST UTILIZATION AND COMPLETENESS

Background: Accurate problem lists linked to the electronic medical record (EMR) can be a source of structured clinical data useful for communication among clinicians for patient care, clinical decision support design, and EMR phenotyping.  Nevertheless, [...]

By | 2017-04-26T02:43:30+00:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on PROBLEM BASED CHARTING: A METHOD FOR IMPROVING PROBLEM LIST UTILIZATION AND COMPLETENESS

HM2017 Abstract Number: 232

CLINICIAN PERCEPTION OF THE EFFECTIVENESS OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

Background: Sepsis is a leading cause of mortality among hospitalized patients. Early detection and intervention reduces sepsis-related mortality. We implemented a novel early warning system (EWS 2.0) based on a machine-learning algorithm to prospectively identify [...]

By | 2017-04-26T02:44:03+00:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on CLINICIAN PERCEPTION OF THE EFFECTIVENESS OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

HM2017 Abstract Number: 231

IMPLEMENTATION AND IMPACT OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

Background: Sepsis is a leading cause of death among hospitalized patients. Early detection of sepsis has the potential to reduce mortality by facilitating timely evidence-based interventions. Past studies have used electronic health records (EHR) to [...]

By | 2017-04-26T02:44:35+00:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on IMPLEMENTATION AND IMPACT OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

HM2017 Abstract Number: 227

PROVIDER PERCEIVED BARRIERS TO EARLY HOSPITAL DISCHARGE: A CROSS-SECTIONAL STUDY AT FIVE ACADEMIC HOSPITALS

Background: Increased Emergency Department (ED) boarding times have been linked to increased patient length of stay, increased mortality and lower patient satisfaction scores. Discharging hospitalized patients earlier in the day has been proposed as one [...]

By | 2017-04-26T02:45:08+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PROVIDER PERCEIVED BARRIERS TO EARLY HOSPITAL DISCHARGE: A CROSS-SECTIONAL STUDY AT FIVE ACADEMIC HOSPITALS

HM2017 Abstract Number: 225

FOLLOW-UP OF INCIDENTAL PULMONARY NODULES: A SURVEY OF HOSPITALISTS NATIONWIDE

Background: Incidental pulmonary nodules are prevalent in hospital medicine, and many require follow-up imaging to exclude lung cancer. The Fleischner Society Guidelines were developed to guide practitioners in their management of these nodules. The purpose [...]

By | 2017-04-26T02:45:40+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on FOLLOW-UP OF INCIDENTAL PULMONARY NODULES: A SURVEY OF HOSPITALISTS NATIONWIDE

HM2017 Abstract Number: 224

HOW SWEET IT IS…REDUCING DUPLICATE HEMOGLOBIN A1C

Background: A widely used test for glucose control is the hemoglobin A1c, which correlates with the patient’s mean blood glucose levels over the previous 2-3 months.  To evaluate long-term glycemic control during an inpatient hospitalization, [...]

By | 2017-04-26T02:46:10+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on HOW SWEET IT IS…REDUCING DUPLICATE HEMOGLOBIN A1C

HM2017 Abstract Number: 223

DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

Background: A “safe” hospitalist workload - that is, the point at which caring for too many patients leads to poorer outcomes for each individual patient – has not been defined.  We sought to understand whether [...]

By | 2017-04-26T02:46:42+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

HM2017 Abstract Number: 221

REASSESSING THE FLUID REQUIREMENT IN PATIENTS WITH SEPSIS

Background: It has long been recognized that a comprehensive bundled and coordinated care affects sepsis mortality.   The Center for Medicare and Medicaid Service’s (CMS) has mandated reporting of severe sepsis/septic shock management with emphasis on [...]

By | 2017-04-26T02:47:19+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on REASSESSING THE FLUID REQUIREMENT IN PATIENTS WITH SEPSIS

HM2017 Abstract Number: 220

CREATING CONTINUITY ON A 7 ON 7 OFF HOSPITALIST STAFFING MODEL

Background: Hospital medicine has significantly grown over the last two decades with increasing focus on providing improved quality of care while also reducing cost.  A recent focus has been on transitions of care and handoffs, [...]

By | 2017-04-26T02:48:17+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on CREATING CONTINUITY ON A 7 ON 7 OFF HOSPITALIST STAFFING MODEL

HM2017 Abstract Number: 219

IMPROVING HEPATITIS C SCREENING IN A RESIDENT BASED CLINIC: RESULTS OF INDIVIDUAL VERSUS SYSTEMS BASED INTERVENTIONS

Background: Approximately 75% of patients with hepatitis C virus (HCV) are born in the years 1945 to 1965. The CDC recommends a one-time screen for patients within that age range, regardless of risk factors. The [...]

By | 2017-04-26T02:48:46+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IMPROVING HEPATITIS C SCREENING IN A RESIDENT BASED CLINIC: RESULTS OF INDIVIDUAL VERSUS SYSTEMS BASED INTERVENTIONS

HM2017 Abstract Number: 216

USEFULNESS OF THE SURPRISE QUESTION ON AN INPATIENT ONCOLOGY SERVICE

Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding.  Prognostic disagreement occurs even amongst providers and is a less studied phenomenon.  We introduced the Surprise Question (SQ), [...]

By | 2017-04-26T02:49:51+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USEFULNESS OF THE SURPRISE QUESTION ON AN INPATIENT ONCOLOGY SERVICE

HM2017 Abstract Number: 215

PLEASE ‘THINK’ BEFORE YOU ORDER: A MULTIDISCIPLINARY APPROACH TO DECREASING OVERUTILIZATION OF DAILY LABS

Background: The Society of Hospital Medicine and the ABIM Foundation‘s Choosing Wisely Campaign have made tackling overutilization of routine labs part of their mission.  Based on the literature, 30-50% of routine labs ordered for hospitalized [...]

By | 2017-04-26T02:50:23+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PLEASE ‘THINK’ BEFORE YOU ORDER: A MULTIDISCIPLINARY APPROACH TO DECREASING OVERUTILIZATION OF DAILY LABS

HM2017 Abstract Number: 214

OPTIMIZING THE STANFORD INTERNAL MEDICINE DISCHARGE FOLLOW-UP APPOINTMENT PROCESS

Background: Hospital discharge handover is a primary metric for measuring healthcare quality and patient safety. Effective post-discharge follow-up (FUPD) reduces costly readmissions, adverse medical events, and preventable deaths. Despite the importance of hospital discharge follow [...]

By | 2017-04-26T02:50:55+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on OPTIMIZING THE STANFORD INTERNAL MEDICINE DISCHARGE FOLLOW-UP APPOINTMENT PROCESS

HM2017 Abstract Number: 213

A MULTI-DISCIPLINARY APPROACH WITH MULTI-LEVEL INTERVENTIONS TO REDUCE HOSPITAL READMISSIONS

Background: Frequent readmissions pose a challenge to hospitals across the country. They are associated with increasing healthcare costs and display a failure to effectively care for certain groups of patients. The Centers for Medicare and [...]

By | 2017-04-25T23:18:03+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on A MULTI-DISCIPLINARY APPROACH WITH MULTI-LEVEL INTERVENTIONS TO REDUCE HOSPITAL READMISSIONS

HM2017 Abstract Number: 211

COMMUNICATING POSITIVE CT PE RESULTS-A TEAM BASED SOLUTION TO A COMMON PROBLEM AT OUR INSTITUTION

Background: Regulatory agencies have set a 60-minute window to communicate positive CT PE (computed tomography pulmonary embolism) results to ordering providers. Improving the effectiveness of communication among caregivers for critical results of tests is a [...]

By | 2017-04-26T02:51:48+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on COMMUNICATING POSITIVE CT PE RESULTS-A TEAM BASED SOLUTION TO A COMMON PROBLEM AT OUR INSTITUTION

HM2017 Abstract Number: 209

SAVE THE BLOOD: REDUCING INPATIENT PHLEBOTOMY AT AN ACADEMIC HOSPITAL

Background: The majority of patients on medicine wards are phlebotomized daily. This is particularly problematic in academic centers where trainees are primarily responsible for patient care. Unnecessary phlebotomy is not only costly, but can lead [...]

By | 2017-04-26T02:52:20+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on SAVE THE BLOOD: REDUCING INPATIENT PHLEBOTOMY AT AN ACADEMIC HOSPITAL

HM2017 Abstract Number: 207

ONE DAY AT A TIME: SUSTAINED CHANGES IN LABORATORY ORDERING PRACTICES ON HOSPITALIST SERVICES AT AN ACADEMIC MEDICAL CENTER

Background: Unnecessary laboratory (lab) testing contributes to excess health care expenditures and patient harm.  Multiple professional societies have recommended avoiding repetitive lab testing in the absence of clinical indications and some institutions have reduced lab [...]

By | 2017-04-26T02:52:50+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on ONE DAY AT A TIME: SUSTAINED CHANGES IN LABORATORY ORDERING PRACTICES ON HOSPITALIST SERVICES AT AN ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 205

STRATEGIES FOR GUIDELINE ADHERENCE IN SYNCOPE DIAGNOSIS

Background: Evidence-based medicine is inconsistently used in the evaluation of syncope, leading to misutilization of resources. We studied the effect of a multifaceted intervention on the adherence to evidence based recommendations. Methods: A multidisciplinary group [...]

By | 2017-04-26T02:53:28+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on STRATEGIES FOR GUIDELINE ADHERENCE IN SYNCOPE DIAGNOSIS

HM2017 Abstract Number: 203

AVOIDABLE DAYS: IDENTIFYING AND QUANTIFYING DELAYS IN INPATIENT CARE

Background: Delays in care may lead to increased length of stay and cost. Identifying and quantifying the reasons for these delays could help target interventions and reduce unnecessary hospital days. Methods: We conducted a cross-sectional [...]

By | 2017-04-26T02:53:57+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on AVOIDABLE DAYS: IDENTIFYING AND QUANTIFYING DELAYS IN INPATIENT CARE

HM2017 Abstract Number: 202

THE DATA TRIAL: A RANDOMIZED CONTROLLED TRIAL OF NEXT GENERATION AUDIT AND FEEDBACK

Background: Audit and feedback improves clinical care by highlighting the gap between current and ideal practice.  Electronic health record (EHR) data can provide contemporaneous data for quality improvement but has not yet been studied extensively.  [...]

By | 2017-04-26T02:54:25+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE DATA TRIAL: A RANDOMIZED CONTROLLED TRIAL OF NEXT GENERATION AUDIT AND FEEDBACK

HM2017 Abstract Number: 199

USE OF UNIT-BASED INTERVENTIONS TO IMPROVE THE QUALITY OF CARE FOR HOSPITALIZED MEDICAL PATIENTS: A NATIONAL SURVEY

Background: Evidence is equivocal that unit-based interventions improve quality on inpatient medical services, but most studies have reported their effect in isolation. These interventions may be better conceptualized as complementary components of a redesigned clinical [...]

By | 2017-04-26T02:54:54+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USE OF UNIT-BASED INTERVENTIONS TO IMPROVE THE QUALITY OF CARE FOR HOSPITALIZED MEDICAL PATIENTS: A NATIONAL SURVEY

HM2017 Abstract Number: 198

EVALUATING THE UTILITY OF ROUTINE BLOOD CULTURES IN HOSPITALIZED CHILDREN WITH COMMUNITY ACQUIRED PNEUMONIA

Background: The 2011 the updated IDSA guideline on Community Acquired Pneumonia (CAP) in children recommends a blood culture in children with moderate to severe bacterial CAP requiring hospitalization.  This recommendation was included in the Seattle [...]

By | 2017-04-26T02:55:41+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on EVALUATING THE UTILITY OF ROUTINE BLOOD CULTURES IN HOSPITALIZED CHILDREN WITH COMMUNITY ACQUIRED PNEUMONIA

HM2017 Abstract Number: 196

IMPACT OF SOCIOECONOMIC STATUS ON HOSPITAL READMISSION AND HEALTHCARE ACCESS IN URBAN HISPANIC COMMUNITIES

Background: It has been detailed in the literature that a patient’s socioeconomic status (SES) may play a role in their risk of readmission for specific diseases. For instance, factors such as low income, low educational [...]

By | 2017-04-26T02:56:16+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IMPACT OF SOCIOECONOMIC STATUS ON HOSPITAL READMISSION AND HEALTHCARE ACCESS IN URBAN HISPANIC COMMUNITIES

HM2017 Abstract Number: 195

PATIENT-CENTERED PERSPECTIVE OF READMISSIONS AMONG HISPANIC POPULATION

Background: In 2016, the Centers for Medicare & Medicaid Services (CMS) released a guide to preventing readmissions among diverse patient populations. According to CMS, once the health system effectively picks up the root causes and [...]

By | 2017-04-26T02:56:51+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PATIENT-CENTERED PERSPECTIVE OF READMISSIONS AMONG HISPANIC POPULATION

HM2017 Abstract Number: 194

GENDER DISPARITIES IN RESEARCH PRODUCTIVITY IN A STUDENT AND RESIDENT SCHOLARLY COMPETITION

Background: With gender inequalities decreasing in the Western Hemisphere, the number of women physicians has increased. However, women are not equally represented in leadership roles in academic medicine. One heoryabstract?te referenc es  isubmissionseukocytosiser'petition were selected. [...]

By | 2017-04-26T02:57:22+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on GENDER DISPARITIES IN RESEARCH PRODUCTIVITY IN A STUDENT AND RESIDENT SCHOLARLY COMPETITION

HM2017 Abstract Number: 193

USING QUALITY IMPROVEMENT METHODOLOGY TO ANALYZE AND OPTIMIZE THE INPATIENT PEDIATRIC DISCHARGE PROCESS

Background: Inpatient hospital care cost $971.8 billion in 2014 and costs are projected to rise by 5.8% per year. Inpatient operational efficiency and waste reduction have become the focus of cost-reduction measures. A recent study [...]

By | 2017-04-26T02:57:57+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USING QUALITY IMPROVEMENT METHODOLOGY TO ANALYZE AND OPTIMIZE THE INPATIENT PEDIATRIC DISCHARGE PROCESS

HM2017 Abstract Number: 192

RISK FACTORS FOR ADVERSE DRUG EVENTS AND 30-DAY READMISSIONS IN AN INPATIENT GENERAL MEDICINE WARD

Background: Adverse drug events (ADE's) are a major problem in healthcare and can lead to increased hospital admissions, length of stay, and healthcare costs. With appropriate intervention, ADE's are largely preventable. The purpose of this [...]

By | 2017-04-26T02:58:34+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on RISK FACTORS FOR ADVERSE DRUG EVENTS AND 30-DAY READMISSIONS IN AN INPATIENT GENERAL MEDICINE WARD

HM2017 Abstract Number: 189

WHO FIBS ON A-FIB?: RATE CONTROL OF INPATIENTS WITH PERMANENT ATRIAL FIBRILLATION

Background: Atrial Fibrillation is the most common cardiac arrhythmia in medical practice. In 2010, the RACE II trial demonstrated that lenient rate control (resting bpm < 110) in patients with permanent A-fib was just as [...]

By | 2017-04-26T02:59:03+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on WHO FIBS ON A-FIB?: RATE CONTROL OF INPATIENTS WITH PERMANENT ATRIAL FIBRILLATION

HM2017 Abstract Number: 188

TIER OPIATES FOR POTENT PAIN MANAGEMENT

Background: Administering opiates safely in hospitalized patients with acute on chronic pain is challenging. There is limited data to guide pain management in this population due to high prevalence of opiate tolerance and variance in daily opiate exposure. There [...]

By | 2017-04-26T02:59:32+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on TIER OPIATES FOR POTENT PAIN MANAGEMENT

HM2017 Abstract Number: 187

NOVEL METHODS FOR REDUCING LENGTH OF STAY AT THE ALBUQUERQUE VA MEDICAL CENTER

Background: The development of systems that optimize quality of care, reduce costs, and enhance safety is vital to patient care. The VA healthcare system utilizes 27 quality metrics which allow for institutions to assess their [...]

By | 2017-04-26T03:00:02+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on NOVEL METHODS FOR REDUCING LENGTH OF STAY AT THE ALBUQUERQUE VA MEDICAL CENTER

HM2017 Abstract Number: 184

LABORATORY TESTING IN A RESIDENT-RUN CLINIC: THE IMPACT OF AN EDUCATIONAL INTERVENTION PROGRAM ON RESOURCE CONSERVATION

Background: Laboratory testing is an integral part of modern medicine with an estimated 4-5 billion tests performed in the United States each year, and accounts for 3-5% of healthcare spending. At our resident-run clinic in [...]

By | 2017-04-26T03:00:35+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on LABORATORY TESTING IN A RESIDENT-RUN CLINIC: THE IMPACT OF AN EDUCATIONAL INTERVENTION PROGRAM ON RESOURCE CONSERVATION

HM2017 Abstract Number: 183

UTILITY OF POWER PLAN IN STANDARDIZING CARE OF HOSPITALIZED COPD PATIENT

Background: Several studies attest the effectiveness of physician order set, also known as Power Plan (PP) in standardizing patient care and improving outcomes. In general, PP use is suboptimal. We hypothesized that PP use in [...]

By | 2017-04-26T03:01:06+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on UTILITY OF POWER PLAN IN STANDARDIZING CARE OF HOSPITALIZED COPD PATIENT

HM2017 Abstract Number: 182

HOSPITAL-ACQUIRED VTE: AN ANALYSIS OF ADEQUACY OF THROMBOPROPHYLAXIS

Background: Compared with patients in the community, patients acutely hospitalized are at higher risk of developing venous thromboembolism (VTE), contributing to patient morbidity and mortality and healthcare costs. The need for thromboprophylaxis for post-surgical patients [...]

By | 2017-04-26T03:01:39+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on HOSPITAL-ACQUIRED VTE: AN ANALYSIS OF ADEQUACY OF THROMBOPROPHYLAXIS

HM2017 Abstract Number: 181

THROMBOPHILIA TESTING IN THE INPATIENT SETTING: AN EDUCATIONAL INTERVENTION

Background: Thrombophilia testing is frequently ordered in the inpatient setting. However, testing is costly and can be misleading in the setting of acute thromboembolism or concurrent anticoagulation use. Furthermore, hereditary thrombophilias do not predict a [...]

By | 2017-04-26T03:02:20+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THROMBOPHILIA TESTING IN THE INPATIENT SETTING: AN EDUCATIONAL INTERVENTION

HM2017 Abstract Number: 180

APPROPRIATENESS OF PREOPERATIVE EVALUATION- A QUALITY ASSESSMENT

Background: Preoperative assessment is a common medical practice, with latest guidelines emphasizing use of additional diagnostic testing only in patients to whom it would bring substantial change in management. The objective of our study is [...]

By | 2017-04-26T03:02:54+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on APPROPRIATENESS OF PREOPERATIVE EVALUATION- A QUALITY ASSESSMENT

HM2017 Abstract Number: 179

THE EFFECT OF AN IMPACT COLLABORATIVE CARE MODEL ON LENGTH OF STAY AND THE PATIENT EXPERIENCES

Background: Interprofessional rounds have the potential to improve patient safety, quality, and experience.  Although increasingly implemented, significant variation in rounding practice patterns exist and few data are available to evaluate impact on patients’ experiences. We [...]

By | 2017-04-26T03:03:25+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE EFFECT OF AN IMPACT COLLABORATIVE CARE MODEL ON LENGTH OF STAY AND THE PATIENT EXPERIENCES

HM2017 Abstract Number: 177

DOES DO-NOT-RESUSCITATION ORDERS AFFECT THE QUALITY OF CLINICAL PERFORMANCE IN PATIENTS HOSPITALIZED WITH ACUTE HEART FAILURE?

Background: Do-not-resuscitate (DNR) orders are intended to allow patients to forgo cardiopulmonary resuscitate (CPR) in the event of cardiac arrest. They are applied to cases of cardiac arrest, and they cannot be applied to any [...]

By | 2017-04-26T03:04:10+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES DO-NOT-RESUSCITATION ORDERS AFFECT THE QUALITY OF CLINICAL PERFORMANCE IN PATIENTS HOSPITALIZED WITH ACUTE HEART FAILURE?

HM2017 Abstract Number: 175

DETAILED RAPID RESPONSE PAGER MESSAGES DO NOT IMPROVE RESPONDENTS PERCEPTION OF TEAM PERFORMANCE

Background: Although controversy exists regarding the effectiveness of rapid response teams (RRTs), they are an essential tool in most hospitals to address rapid patient deterioration and ideally optimize patient safety (1-5). The utility of RRTs is [...]

By | 2017-04-26T03:04:36+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DETAILED RAPID RESPONSE PAGER MESSAGES DO NOT IMPROVE RESPONDENTS PERCEPTION OF TEAM PERFORMANCE

HM2017 Abstract Number: 172

TRANSFUSING WISELY: CLINICAL DECISION SUPPORT IMPROVES BLOOD TRANSFUSION PRACTICES

Background: Many red blood cell transfusions (RBCT) are unnecessary or harmful according to clinical trials and guidelines. These RBCT put patients at risk and waste scarce healthcare resources. Clinical decision support (CDS) using the Epic™ [...]

By | 2017-04-26T03:05:36+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on TRANSFUSING WISELY: CLINICAL DECISION SUPPORT IMPROVES BLOOD TRANSFUSION PRACTICES

HM2017 Abstract Number: 171

PROTON PUMP INHIBITOR OVERUSE: LEVERAGING TECHNOLOGY TO DEPRESCRIBE

Background: Proton pump inhibitors (PPIs) are commonly started inpatient for stress ulcer prophylaxis and wrongly continued on discharge. But in addition to polypharmacy and patient cost, there are significant adverse events associated with chronic use [...]

By | 2017-04-26T03:06:06+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PROTON PUMP INHIBITOR OVERUSE: LEVERAGING TECHNOLOGY TO DEPRESCRIBE

HM2017 Abstract Number: 170

IMPLEMENTING EVIDENCE-BASED, HEALTH SYSTEM-WIDE PATIENT BLOOD MANAGEMENT PROGRAM

Background: Blood transfusion is the most common procedure performed in US hospitals.1 The Joint Commission recently determined that transfusion is among the top five overused procedures,2 and now five societies have Choosing Wisely aims to [...]

By | 2017-04-26T03:06:34+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IMPLEMENTING EVIDENCE-BASED, HEALTH SYSTEM-WIDE PATIENT BLOOD MANAGEMENT PROGRAM

HM2017 Abstract Number: 169

MULTIDISCIPLINARY PROCESS ANALYSIS TO IMPROVE MANAGEMENT OF OSTEOPOROSIS RELATED HIP FRACTURES

Background: One year all-cause mortality rates after a fragility fracture are as high as 24%. Treatment of osteoporosis following fracture reduces mortality, recurrent fractures rates, and healthcare costs. Without endocrinology involvement, clinicians often fail to [...]

By | 2017-04-26T03:07:03+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on MULTIDISCIPLINARY PROCESS ANALYSIS TO IMPROVE MANAGEMENT OF OSTEOPOROSIS RELATED HIP FRACTURES

HM2017 Abstract Number: 168

VALIDATION OF THE PRINCIPAL DIAGNOSIS IN THE 30-DAY RISK STANDARDIZED READMISSION RATE IN A LARGE ACADEMIC TERTIARY CARE HOSPITAL

Background: CMS and other entities have focused on reduction of readmissions as a national quality improvement goal. The 30-day risk standardized readmission rate is derived from administrative data and requires the accurate coding of a [...]

By | 2017-04-26T03:07:34+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on VALIDATION OF THE PRINCIPAL DIAGNOSIS IN THE 30-DAY RISK STANDARDIZED READMISSION RATE IN A LARGE ACADEMIC TERTIARY CARE HOSPITAL

HM2017 Abstract Number: 167

THE ED HOSPITALIST TEAM – A COORDINATED STRATEGY FOR CARING FOR ADMITTED PATIENTS WHO ARE STILL IN THE EMERGENCY DEPARTMENT

Background: Patients admitted to the Medicine Service from the Emergency Department (ED) at times when no beds are available pose a particular challenge to workflow, staffing and patient care. Due to the expansion of our [...]

By | 2017-04-26T03:08:13+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE ED HOSPITALIST TEAM – A COORDINATED STRATEGY FOR CARING FOR ADMITTED PATIENTS WHO ARE STILL IN THE EMERGENCY DEPARTMENT

HM2017 Abstract Number: 166

COMPLEX CARE ROUNDS – A COORDINATED INTERDISCIPLINARY STRATEGY FOR CARING FOR OUR SICKEST PATIENTS

Background: Extended stay (> 30 day stay) cases strain hospital resources, psychologically burden staff, increase average length of stay (ALOS) and ultimately are not patient-centric. In 2008, extended stay patients represented 15% of the average daily [...]

By | 2017-04-26T03:08:46+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on COMPLEX CARE ROUNDS – A COORDINATED INTERDISCIPLINARY STRATEGY FOR CARING FOR OUR SICKEST PATIENTS

HM2017 Abstract Number: 165

AN EVALUATION OF THE UTILITY OF TELEMETRY MONITORING FOR SYNCOPE IN AN OBSERVATION UNIT

Background: The number of hospitals with dedicated observation units has grown in recent years to one-third of all United States hospitals and 80% of academic medical centers, though much is still unknown about how to [...]

By | 2017-04-26T03:09:18+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on AN EVALUATION OF THE UTILITY OF TELEMETRY MONITORING FOR SYNCOPE IN AN OBSERVATION UNIT

HM2017 Abstract Number: 162

NOT A REFLECTION OF THE QUALITY OF MY CARE: RESIDENT AND ATTENDING PERCEPTIONS OF BI-MONTHLY TEAM

Background: With the advent of the electronic health records an increasing amount of data is available for feedback to physicians. However, the impact of regular team-based feedback is unknown particularly physician perceptions of the relevance [...]

By | 2017-04-26T03:09:46+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on NOT A REFLECTION OF THE QUALITY OF MY CARE: RESIDENT AND ATTENDING PERCEPTIONS OF BI-MONTHLY TEAM

HM2017 Abstract Number: 161

DRAWING BLOOD IN THE LIGHT OF DAY TO INCREASE SLEEP FOR HOSPITALIZED PATIENTS

Background: Sleep is generally poor in hospitalized patients and sleep deprivation has many harmful effects, including delirium, insulin resistance, hypertension, and impaired function of the immune system. In this quality improvement (QI) project, our goal [...]

By | 2017-04-26T03:10:21+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DRAWING BLOOD IN THE LIGHT OF DAY TO INCREASE SLEEP FOR HOSPITALIZED PATIENTS

HM2017 Abstract Number: 159

DO BEDSIDE VISUAL TOOLS IMPROVE PATIENT AND CAREGIVER SATISFACTION? A SYSTEMATIC REVIEW OF THE LITERATURE

Background: Communication failure between patients and providers in hospital settings lead to patient dissatisfaction. Simple, low-cost interventions, (e.g., bedside whiteboards and face cards), have been used to enhance communication between patients, families and medical teams. [...]

By | 2017-04-26T03:10:57+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DO BEDSIDE VISUAL TOOLS IMPROVE PATIENT AND CAREGIVER SATISFACTION? A SYSTEMATIC REVIEW OF THE LITERATURE

HM2017 Abstract Number: 156

PATIENT EDUCATION TO REDUCE COLSTRIDIUM DIFFICILE RELATED READMISSIONS

Background: Kaiser Permanente Roseville Medical Center is a 340 bed facility in Northern California.  Reducing readmissions has been a focus, and the current observed over expected rate is 0.77.  Starting from this relatively low readmission [...]

By | 2017-04-26T03:11:26+00:00 April 20th, 2017|Research Abstracts|Comments Off on PATIENT EDUCATION TO REDUCE COLSTRIDIUM DIFFICILE RELATED READMISSIONS

HM2017 Abstract Number: 155

THE INFECTION IN INFLAMMATION: DIAGNOSING CLOSTRIDIUM DIFFICILE INFECTION IN INFLAMMATORY BOWEL DISEASE

Background: The overall incidence of Clostridium difficile infection (CDI) is higher among patients with inflammatory bowel disease (IBD). The nature of this disease association is unknown but likely involves an altered gut microbiome and impaired [...]

By | 2017-04-26T03:11:56+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE INFECTION IN INFLAMMATION: DIAGNOSING CLOSTRIDIUM DIFFICILE INFECTION IN INFLAMMATORY BOWEL DISEASE

HM2017 Abstract Number: 154

MULTIDISCIPLINARY HUDDLE IMPROVES ADMISSION MEDICATION RECONCILIATION COMPLETION AND ACCURACY

Background: Up to 67% of patients have at least one medication error on admission to the hospital with over a quarter of hospital prescribing errors attributed to incomplete medication histories at admission. Key aspects of [...]

By | 2017-04-26T03:12:27+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on MULTIDISCIPLINARY HUDDLE IMPROVES ADMISSION MEDICATION RECONCILIATION COMPLETION AND ACCURACY

HM2017 Abstract Number: 153

THE VALUE OF NEGATIVE STUDIES IN QUALITY IMPROVEMENT: A CASE STUDY OF MINI-COG AND PERI-HOSPITALIZATION INTERVENTIONS TO REDUCE CARDIAC READMISSIONS

Background: Cardiac readmissions are an ever expanding burden spanning from patients, to hospitals, all the way up to the national healthcare system. Currently, there is a lack of consensus regarding appropriate inpatient screening tests for [...]

By | 2017-04-26T03:12:54+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE VALUE OF NEGATIVE STUDIES IN QUALITY IMPROVEMENT: A CASE STUDY OF MINI-COG AND PERI-HOSPITALIZATION INTERVENTIONS TO REDUCE CARDIAC READMISSIONS

HM2017 Abstract Number: 152

SLEEPLESS IN THE HOSPITAL: PREVALENCE & SIGNIFICANCE OF INSOMNIA AND SLEEP LOSS IN HOSPITALIZED ADULTS

Background: Although 1 in 10 people suffer from chronic insomnia, the prevalence among hospitalized patients is likely higher, due to common comorbidities such as depression and chronic pain in this population. We aimed to assess [...]

By | 2017-04-26T03:13:21+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on SLEEPLESS IN THE HOSPITAL: PREVALENCE & SIGNIFICANCE OF INSOMNIA AND SLEEP LOSS IN HOSPITALIZED ADULTS

HM2017 Abstract Number: 150

FREQUENCY OF IMAGING FINDINGS INDETERMINATE OR SUSPICIOUS FOR MALIGNANCY IN HOSPITALIZED PATIENTS

Background: Imaging exams performed on hospitalized patients commonly reveal findings representing possible cancer and requiring follow-up. Our objective was to quantify how often indeterminate or suspicious masses are detected on inpatient abdominal and pelvic imaging [...]

By | 2017-04-26T03:13:49+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on FREQUENCY OF IMAGING FINDINGS INDETERMINATE OR SUSPICIOUS FOR MALIGNANCY IN HOSPITALIZED PATIENTS

HM2017 Abstract Number: 145

MISSED AND REFUSED CHEMOPROPHYLAXIS: WHAT IS THE IMPACT ON VTE?

Background: Chemoprophylaxis with subcutaneous heparin or low-molecular weight heparin is recommended for venous thromboembolism (VTE) prevention in appropriate medical patients.  However, all doses are not always administered and the consequences are unclear.  We sought to [...]

By | 2017-04-26T03:15:28+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on MISSED AND REFUSED CHEMOPROPHYLAXIS: WHAT IS THE IMPACT ON VTE?

HM2017 Abstract Number: 144

HOSPITAL READMISSIONS FROM PATIENTS’ PERSPECTIVES

Background: Health care expenditures in the United States have been increasing exponentially while hospital care accounts for one-third of the costs. Approximately 18% of hospitalized Medicare beneficiaries are being readmitted within 30 days following their [...]

By | 2017-04-26T03:15:55+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on HOSPITAL READMISSIONS FROM PATIENTS’ PERSPECTIVES

HM2017 Abstract Number: 142

STOPPING THINGS WE DO FOR NO REASON: REDUCING UNNECESSARY NPO ORDERS PRIOR TO THORACENTESIS AND PARACENTESIS

Background: Ultrasound-guided thoracentesis and paracentesis are frequently performed for both diagnostic and therapeutic indications. While the risk of aspiration is low, our institution has historically required patients to be fasting for 4 hours prior to [...]

By | 2017-04-26T03:16:21+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on STOPPING THINGS WE DO FOR NO REASON: REDUCING UNNECESSARY NPO ORDERS PRIOR TO THORACENTESIS AND PARACENTESIS

HM2017 Abstract Number: 140

USING A DECISION-SUPPORT TOOL TO IMPROVE COGNITIVE AWARENESS OF UNNECESSARY TELEMETRY AND URINARY CATHETERS

Background: The Society of Hospital Medicine’s Choosing Wisely guidelines recommend regular assessment of inpatients’ need for urinary catheters and telemetry monitoring. Since studies suggest clinicians are not aware which patients have an indwelling catheter or [...]

By | 2017-04-26T03:16:52+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USING A DECISION-SUPPORT TOOL TO IMPROVE COGNITIVE AWARENESS OF UNNECESSARY TELEMETRY AND URINARY CATHETERS

HM2017 Abstract Number: 139

DIAGNOSTIC UTILITY OF ULTRASOUND IN THE MANAGEMENT OF AN AKI IN A COMMUNITY HOSPITAL; A RETROSPECTIVE CROSS SECTIONAL STUDY

Background: AKI occurs in 10% of hospitalized patients and the incidence is rising. Renal Ultrasound (US) is frequently performed but its clinical utility has been questioned. The goal of this study was to evalaute US diagnostic yield in [...]

By | 2017-04-26T03:17:21+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DIAGNOSTIC UTILITY OF ULTRASOUND IN THE MANAGEMENT OF AN AKI IN A COMMUNITY HOSPITAL; A RETROSPECTIVE CROSS SECTIONAL STUDY

HM2017 Abstract Number: 138

WHY SO DELIRIOUS? THE IMPLEMENTATION OF A DELIRIUM PREVENTION PROTOCOL IN HOSPITALIZED ELDERLY PATIENTS

Background: Hospital-acquired delirium is a common cause of increased morbidity and mortality. In an earlier pilot study, we identified through surveys that adult medicine inpatients slept an average of 4 hours. Also, multiple factors including [...]

By | 2017-04-26T03:17:51+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on WHY SO DELIRIOUS? THE IMPLEMENTATION OF A DELIRIUM PREVENTION PROTOCOL IN HOSPITALIZED ELDERLY PATIENTS

HM2017 Abstract Number: 137

DOES SITTING ENHANCE PATIENT SATISFACTION IN THE HOSPITAL?

Background: Patient experience scores are now widely accepted as a measure of healthcare quality and contribute to Medicare’s value-based purchasing quality reimbursement program. In order to enhance the patient’s experience, we must first seek to [...]

By | 2017-04-26T03:18:20+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES SITTING ENHANCE PATIENT SATISFACTION IN THE HOSPITAL?

HM2017 Abstract Number: D

IGNORING THE ELEPHANT IN THE ROOM: SUBSTANCE USE DISORDERS IN PATIENTS WITH INTRAVENOUS DRUG USE AND INFECTIVE ENDOCARDITIS

Background: The opioid epidemic continues to exert a significant impact on our health care system. Patients with intravenous drug use (IVDU) often develop life threating infections leading to prolonged hospitalizations with poor outcomes. Traditionally, the [...]

By | 2017-04-26T03:18:49+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IGNORING THE ELEPHANT IN THE ROOM: SUBSTANCE USE DISORDERS IN PATIENTS WITH INTRAVENOUS DRUG USE AND INFECTIVE ENDOCARDITIS

HM2017 Abstract Number: E

NEW WORK IMPROVEMENT METHOD: TRAINING FOR EFFECTIVE & EFFICIENT ACTION IN MEDICAL SERVICE (TEAMS) TO REDUCE DOOR-TO-BALLOON TIME IN JAPAN

Background: Although the national quality improvement campaigns are implemented to reduce Door-to-Balloon (DTB) time in the U.S.A., the community hospitals in Japan lack human resources and appear to be particularly challenging to implement these strategies [...]

By | 2017-04-26T03:19:22+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on NEW WORK IMPROVEMENT METHOD: TRAINING FOR EFFECTIVE & EFFICIENT ACTION IN MEDICAL SERVICE (TEAMS) TO REDUCE DOOR-TO-BALLOON TIME IN JAPAN

HM2017 Abstract Number: F

EFFECTIVENESS OF MULTIPLE OBSERVATION UNITS IN REDUCING LENGTH OF STAY

Background:   Observation care has evolved significantly since its original inception by the Centers for Medicare and Medicaid Services (CMS).  Originally intended to span less than 48 hours in the majority of cases, the Office of [...]

By | 2017-04-26T03:19:59+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on EFFECTIVENESS OF MULTIPLE OBSERVATION UNITS IN REDUCING LENGTH OF STAY

HM2017 Abstract Number: C

COMPUTER-BASED PIXILATION OF PLEURAL FLUID ECHOGENICITY BY ULTRASOUND TO DIFFERENTIATE TRANSUDATIVE VS. EXUDATIVE EFFUSIONS

Background: National guidelines recommend sampling unilateral pleural effusions to characterize the fluid as either transudative or exudative.  Currently, the only method to characterize pleural fluid is by collecting a sample through an invasive drainage procedure [...]

By | 2017-04-26T03:20:49+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on COMPUTER-BASED PIXILATION OF PLEURAL FLUID ECHOGENICITY BY ULTRASOUND TO DIFFERENTIATE TRANSUDATIVE VS. EXUDATIVE EFFUSIONS

HM2017 Abstract Number: 135

CHARACTERISTICS AND OUTCOMES OF PATIENTS OF HIP FRACTURE SURGERY WITH SEVERE AORTIC STENOSIS

Background: Severe aortic stenosis (SAS) had been identified as being at elevated risk for non-cardiac surgery. However, two reports demonstrated that SAS did not increase mortality of intermediate to high risk non-cardiac surgery. The European [...]

By | 2017-04-26T03:21:43+00:00 April 20th, 2017|Perioperative, Research Abstracts|Comments Off on CHARACTERISTICS AND OUTCOMES OF PATIENTS OF HIP FRACTURE SURGERY WITH SEVERE AORTIC STENOSIS

HM2017 Abstract Number: 134

PREOPERATIVE ANTIBIOTIC KNOWLEDGE AND PRESCRIBING PRACTICES: A CASE FOR A CENTRALIZED AND STANDARDIZED APPROACH

Background: Surgical site infections (SSI) can complicate any operative procedure although this risk is mitigated through the use of preoperative antibiotic prophylaxis.  While antibiotic prophylaxis can provide great benefit, inappropriate use can lead to the [...]

By | 2017-04-26T03:22:16+00:00 April 20th, 2017|Perioperative, Research Abstracts|Comments Off on PREOPERATIVE ANTIBIOTIC KNOWLEDGE AND PRESCRIBING PRACTICES: A CASE FOR A CENTRALIZED AND STANDARDIZED APPROACH

HM2017 Abstract Number: 133

IMPROVING PHYSICIAN-PATIENT CONTINUITY IN THE GENERAL PEDIATRIC UNIT

Background: Many pediatric hospitalist programs in community hospitals around the country function with a 24-hour shift model for 24/7 coverage. This creates significant discontinuity and daily inefficiencies in patient care. Furthermore, there is a robust [...]

By | 2017-04-26T03:22:50+00:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on IMPROVING PHYSICIAN-PATIENT CONTINUITY IN THE GENERAL PEDIATRIC UNIT

HM2017 Abstract Number: 132

RESOURCE UTILIZATION AFTER DISCHARGE OF BABIES ADMITTED TO THE NICU FOR MATERNAL CHORIOAMNIONITIS

Background: Maternal chorioamnionitis usually means an otherwise healthy appearing newborn gets cultured and treated for presumptive bacterial infection pending culture results. This is often done in a NICU setting. These babies are overwhelmingly well and [...]

By | 2017-04-26T03:23:20+00:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on RESOURCE UTILIZATION AFTER DISCHARGE OF BABIES ADMITTED TO THE NICU FOR MATERNAL CHORIOAMNIONITIS

HM2017 Abstract Number: 130

TRENDS IN NATIONAL PEDIATRIC BED CENSUS RELATIVE TO PEDIATRIC POPULATION: A POTENTIAL TOOL TO IDENTIFY UNDERSERVED AREAS

Background: Nationally, there has been a loss of pediatric inpatient beds (-4.3%), and large swings in ward (-7.2%) and pediatric (non-neonatal) intensive care (PICU; +15.8%) beds.  These shifts have important implications for access, safety and [...]

By | 2017-04-26T03:23:56+00:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on TRENDS IN NATIONAL PEDIATRIC BED CENSUS RELATIVE TO PEDIATRIC POPULATION: A POTENTIAL TOOL TO IDENTIFY UNDERSERVED AREAS

HM2017 Abstract Number: 129

IT’S NOT ME; IT’S YOU! PHYSICIAN PERCEPTIONS ABOUT VIRAL TESTING IN BRONCHIOLITIS

Background: Bronchiolitis is a clinical diagnosis, with growing research supporting limited use of diagnostic tests and interventions. Hospitals have reduced use of bronchodilators and imaging, but the national average of respiratory viral testing (RVT) in [...]

By | 2017-04-26T03:24:31+00:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on IT’S NOT ME; IT’S YOU! PHYSICIAN PERCEPTIONS ABOUT VIRAL TESTING IN BRONCHIOLITIS

HM2017 Abstract Number: 128

ROLE OF OBESITY IN ASTHMA RELATED HOSPITAL UTILIZATION AND ADMISSION IN AN INNER CITY COHORT

Background: Increased asthma and obesity prevalence are independently associated with health disparities.  This study sought to examine the relationship between these two conditions, particularly within the pediatric population at a major inner city teaching hospital. [...]

By | 2017-04-26T03:25:18+00:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on ROLE OF OBESITY IN ASTHMA RELATED HOSPITAL UTILIZATION AND ADMISSION IN AN INNER CITY COHORT

HM2017 Abstract Number: 127

THE RESULTS OF A PROCEDURE TEAM IN A TEACHING HOSPITAL AT BRAZIL

Background: The systematization of the teaching and training of internal medicine residents should be done with the standardization of techniques, simulations, use of manikins and theoretical lessons. A procedure team was created in a tertiary [...]

By | 2017-04-26T03:26:09+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on THE RESULTS OF A PROCEDURE TEAM IN A TEACHING HOSPITAL AT BRAZIL

HM2017 Abstract Number: 126

COMPUTERIZED ORDERS AS A PROXY FOR PATIENT CLINICAL ACUITY

Background: Given the widespread adoption of electronic health record systems, the majority of patient orders are now enacted through electronic orders. We aimed to describe the average number of electronic orders entered for medicine patients [...]

By | 2017-04-20T19:17:52+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on COMPUTERIZED ORDERS AS A PROXY FOR PATIENT CLINICAL ACUITY

HM2017 Abstract Number: 125

RELATIONSHIP BETWEEN PSYCHOLOGICAL WELL-BEING AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION

Background: While studies in the ambulatory care setting have found that patients with high level of psychological well-being have high satisfaction with their physicians, no study has evaluated the relationship between psychological well-being and satisfaction [...]

By | 2017-05-02T17:09:10+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on RELATIONSHIP BETWEEN PSYCHOLOGICAL WELL-BEING AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION

HM2017 Abstract Number: 123

REDUCING INAPPROPRIATE USE OF QT PROLONGING MEDICATION IN HIGH RISK PATIENTS

Background: Drug-induced prolonged QT syndrome significantly increases the risk of fatal arrhythmias such as torsades de pointes.  Patients with baseline QTc prolongation are particularly vulnerable.  Limiting administration of QT-prolonging medications to high-risk individuals is important [...]

By | 2017-04-20T19:17:56+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on REDUCING INAPPROPRIATE USE OF QT PROLONGING MEDICATION IN HIGH RISK PATIENTS

HM2017 Abstract Number: 121

DON’T BE ATYPICAL – RETHINK QUETIAPINE: REDUCING QUETIAPINE FOR ICU DELIRIUM AT TRANSITIONS OF CARE

Background: Delirium is associated with increased duration of mechanical ventilation, longer intensive care unit (ICU) length of stay, increased mortality and cognitive impairment after discharge. Quetiapine has been associated with faster resolution but long-term use [...]

By | 2017-04-20T19:17:57+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on DON’T BE ATYPICAL – RETHINK QUETIAPINE: REDUCING QUETIAPINE FOR ICU DELIRIUM AT TRANSITIONS OF CARE

HM2017 Abstract Number: 120

DO USERS OF TECHNOLOGY DIFFER FROM NON-USERS IN PERIPHERALLY INSERTED CENTRAL CATHETER PRACTICE? AN ANALYSIS OF THE PICC1 SURVEY

Background: While use of technologies such as ultrasound and electrocardiographic (EKG) guidance systems to place peripherally inserted central catheters (PICCs) has grown, little is known about the setting, experience or practice of providers that use [...]

By | 2017-04-20T19:17:59+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on DO USERS OF TECHNOLOGY DIFFER FROM NON-USERS IN PERIPHERALLY INSERTED CENTRAL CATHETER PRACTICE? AN ANALYSIS OF THE PICC1 SURVEY

HM2017 Abstract Number: 119

SHOULD WE MODIFY ANTICOAGULANT VENOUS THROMBOEMBOLISM PROPHYLAXIS FOR UNDERWEIGHT PATIENTS?

Background: Prophylactic anticoagulation is effective at reducing the risk of venous thromboembolism (VTE), but can also increase the risk of bleeding. Whether anticoagulant prophylaxis should be modified for underweight patients to minimize bleeding complications is [...]

By | 2017-04-20T19:18:01+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on SHOULD WE MODIFY ANTICOAGULANT VENOUS THROMBOEMBOLISM PROPHYLAXIS FOR UNDERWEIGHT PATIENTS?

HM2017 Abstract Number: 118

PATTERNS AND PREDICTORS OF SHORT-TERM USE OF PERIPHERALLY INSERTED CENTRAL CATHETERS, A MULTI-SITE PROSPECTIVE STUDY

Background: Guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated use is 5 or fewer days.  However, short-term PICC use is common in hospitals. We sought to identify patient-, provider- and [...]

By | 2017-04-20T19:18:03+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on PATTERNS AND PREDICTORS OF SHORT-TERM USE OF PERIPHERALLY INSERTED CENTRAL CATHETERS, A MULTI-SITE PROSPECTIVE STUDY

HM2017 Abstract Number: 115

TOLERANCE OF INTRAVENOUS IRON DEXTRAN AT A SINGLE ACADEMIC FACILITY

Background: Intravenous low-molecular weight iron dextran is indicated for patients with iron deficiency who are unable to take oral iron or experience insufficient efficacy with oral replacement. Adverse effects have been reported, including anaphylaxis and [...]

By | 2017-04-20T19:18:06+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on TOLERANCE OF INTRAVENOUS IRON DEXTRAN AT A SINGLE ACADEMIC FACILITY

HM2017 Abstract Number: 114

OPIATE PRESCRIBING IN HOSPITALIZED OLDER ADULTS: PATTERNS AND OUTCOMES

Background: As of December 2015, 49 states initiated the CMS mandated legislation on “Prescription Drug Monitoring Programs.” Yet opiates continue to be commonly prescribed in older adults, despite their well-known risks. This study aims to [...]

By | 2017-04-20T19:18:08+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on OPIATE PRESCRIBING IN HOSPITALIZED OLDER ADULTS: PATTERNS AND OUTCOMES

HM2017 Abstract Number: 113

THE EFFECT OF SIMULATION-BASED TRAINING ON THE INCIDENCE RATE OF CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS

Background: Central line-associated bloodstream infection (CLABSI) is a preventable complication. In the United States, there are more than 20,000 CLABSI per year, resulting in a cost of about $30,000 per infection. A number of interventions [...]

By | 2017-04-20T19:19:58+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on THE EFFECT OF SIMULATION-BASED TRAINING ON THE INCIDENCE RATE OF CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS

HM2017 Abstract Number: 111

IS THE NEW ORLEANS CRITERIA FOR HEAD CT USEFUL FOR INPATIENT FALLS?

Background: Inpatient falls are a patient safety concern in all healthcare facilities. There is currently limited data on the utility of head computed tomography (CT) for inpatient falls. The New Orleans Criteria (NOC) is a [...]

By | 2017-04-20T19:20:00+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on IS THE NEW ORLEANS CRITERIA FOR HEAD CT USEFUL FOR INPATIENT FALLS?

HM2017 Abstract Number: 108

PREDICTORS FOR SHORT TERM CARDIAC ARREST FROM SEVERE AORTIC STENOSIS

Background: Clinicians encounter sudden death among aortic stenosis (AS) patients especially after they become symptomatic. Mortality is 50% at 1 year and 70 to 80% at 2 years without aortic valve replacement. However, there have [...]

By | 2017-04-20T19:20:01+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on PREDICTORS FOR SHORT TERM CARDIAC ARREST FROM SEVERE AORTIC STENOSIS

HM2017 Abstract Number: 107

ASSOCIATIONS BETWEEN TELEMETRY USE AND MORTALITY RISK, HOSPITAL LENGTH OF STAY AND READMISSION RATES IN PATIENTS WITH RESPIRATORY ILLNESS: A RETROSPECTIVE ANAYSIS OF 765 PATIENTS

Background: Advancements in technology have expanded accessibility to telemetry via remote monitoring and resulted in increased application in hospitalized patients. The American Heart Association (AHA) telemetry guidelines restrict use to patients with sepsis, severe electrolyte [...]

By | 2017-04-20T19:20:03+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on ASSOCIATIONS BETWEEN TELEMETRY USE AND MORTALITY RISK, HOSPITAL LENGTH OF STAY AND READMISSION RATES IN PATIENTS WITH RESPIRATORY ILLNESS: A RETROSPECTIVE ANAYSIS OF 765 PATIENTS

HM2017 Abstract Number: 104

CLOSING THE COMMUNICATION LOOP FOR CLINICALLY SIGNIFICANT TESTS PENDING AT DISCHARGE: DOES AUTOMATED EMAIL NOTIFICATION IMPACT ACKNOWLEDGMENT AND ACTION?

Background:  Physician awareness of the finalized results of tests pending at discharge (TPAD) is poor (~40%). We previously designed and implemented a system that automatically notifies the inpatient attending and primary care physician (PCP) of [...]

By | 2017-04-20T19:20:05+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on CLOSING THE COMMUNICATION LOOP FOR CLINICALLY SIGNIFICANT TESTS PENDING AT DISCHARGE: DOES AUTOMATED EMAIL NOTIFICATION IMPACT ACKNOWLEDGMENT AND ACTION?

HM2017 Abstract Number: 103

WHY IS EVERYONE BREATHING 20 TIMES A MINUTE? PATTERNS OF RESPIRATORY RATES IN HOSPITALIZED ADULTS

Background: Respiratory rate (RR) is an independent predictor of in-patient mortality, intensive care unit admission and cardiac arrest across a variety of conditions. It is also an integral component of many risk prediction calculators (such [...]

By | 2017-04-20T19:20:07+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on WHY IS EVERYONE BREATHING 20 TIMES A MINUTE? PATTERNS OF RESPIRATORY RATES IN HOSPITALIZED ADULTS

HM2017 Abstract Number: 102

SAFETY AND EFFICACY OF THROMBOPOIETIN RECEPTOR AGONISTS IN PATIENTS WITH PREVIOUSLY TREATED CHRONIC IMMUNE THROMBOCYTOPENIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: The current American Society of Hematology (ASH) guideline recommends the use of thrombopoietin receptor agonists, eltrombopag or romiplostim as one of the second-line therapies for chronic immune thrombocytopenia (ITP). The efficacy and safety of [...]

By | 2017-04-20T19:04:59+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on SAFETY AND EFFICACY OF THROMBOPOIETIN RECEPTOR AGONISTS IN PATIENTS WITH PREVIOUSLY TREATED CHRONIC IMMUNE THROMBOCYTOPENIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2017 Abstract Number: 101

EFFECTIVENESS OF AN ADVANCED PRACTICE MODEL OF CARE ON POST-ACUTE OUTCOMES IN A TRANSITIONAL CARE UNIT

Background: The convergence of rising post-acute health care costs with incomparable outcomes havemade reform a priority resulting in the development of new models of care that often extend the scope of practice andjob duties among [...]

By | 2017-04-20T19:05:10+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on EFFECTIVENESS OF AN ADVANCED PRACTICE MODEL OF CARE ON POST-ACUTE OUTCOMES IN A TRANSITIONAL CARE UNIT

HM2017 Abstract Number: 100

A CROSS SECTIONAL STUDY REVEALS AN ASSOCIATION BETWEEN ELECTRONIC CIGARETTE USE AND MYOCARDIAL INFARCTION

Background:  Electronic cigarettes (E-cigarettes) have grown in popularity as an alternative to traditional cigarettes especially among consumers who want to reduce the risk of morbidity and mortality associated with smoking. Nonetheless, a recent study showed that [...]

By | 2017-04-20T19:05:28+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on A CROSS SECTIONAL STUDY REVEALS AN ASSOCIATION BETWEEN ELECTRONIC CIGARETTE USE AND MYOCARDIAL INFARCTION

HM2017 Abstract Number: 98

NUTRITION BASED INTERVENTIONS DECREASE READMISSION RATES AND LENGTH OF STAY AMONG MALNOURISHED HOSPITALIZED ADULT PATIENTS WITH CARDIOVASCULAR, ONCOLOGICAL, AND GASTROINTESTINAL DIAGNOSES

Background: Limited research exists exploring the impact of nutrition interventions, including oral nutritional supplement (ONS) usage, on clinical outcomes of patients at risk/with malnutrition. We aimed to assess the impact of a hospital-based, comprehensive nutrition-focused [...]

By | 2017-04-20T18:59:41+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on NUTRITION BASED INTERVENTIONS DECREASE READMISSION RATES AND LENGTH OF STAY AMONG MALNOURISHED HOSPITALIZED ADULT PATIENTS WITH CARDIOVASCULAR, ONCOLOGICAL, AND GASTROINTESTINAL DIAGNOSES

HM2017 Abstract Number: 97

OUTCOME OF TIMELY PALLIATIVE CARE CONSULTATION ON ICU PATIENTS WITH SEVERE SEPSIS/SEPTIC SHOCK

Background: In 2011, sepsis accounted for more than $20 billion (5.2%) of total US hospital costs.  The CDC estimates that hospitalizations for sepsis or septicemia increased from 621,000 to 1,141,000 in 2000 and 2008 respectively. [...]

By | 2017-04-20T19:05:41+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on OUTCOME OF TIMELY PALLIATIVE CARE CONSULTATION ON ICU PATIENTS WITH SEVERE SEPSIS/SEPTIC SHOCK

HM2017 Abstract Number: 96

CODE BLUE OUTCOMES: RELATION TO THE MODIFIED EARLY WARNING SCORE

Background: The Modified Early Warning Score (MEWS) is a physiological scoring system developed to identify patients in early stages of clinical deterioration and prevent delays in proper care. It consists of systolic blood pressure, heart [...]

By | 2017-04-20T19:05:53+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on CODE BLUE OUTCOMES: RELATION TO THE MODIFIED EARLY WARNING SCORE

HM2017 Abstract Number: 95

THE USE OF A PATIENT SAFETY CHECKLIST REDUCES HOSPITAL-ASSOCIATED INFECTIONS

Background: The Center for Disease Control and Prevention estimates that 1.7 million patients per year develop hospital-associated infections (HAI), of whom 99,000 die. HAIs financially impact the United States healthcare system with an estimated cost [...]

By | 2017-04-20T19:06:09+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on THE USE OF A PATIENT SAFETY CHECKLIST REDUCES HOSPITAL-ASSOCIATED INFECTIONS

HM2017 Abstract Number: 94

PREOPERATIVE STATIN THERAPY IN CARDIAC SURGERY AND ACUTE KIDNEY INJURY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CLINICAL TRIALS

Background: Acute kidney injury (AKI) following cardiac surgery occurs in 30% of cases with 1% requiring dialysis resulting in significant morbidity and mortality.  HMG-CoA Reductase Inhibitors (“statins”) have been postulated to be of benefit in [...]

By | 2017-04-20T19:06:24+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREOPERATIVE STATIN THERAPY IN CARDIAC SURGERY AND ACUTE KIDNEY INJURY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CLINICAL TRIALS

HM2017 Abstract Number: 93

IMPACT OF INPATIENT PENICILLIN ALLERGY TESTING ON ANTIBIOTIC SELECTION DURING HOSPITALIZATION

Background: A documented penicillin allergy is associated with increased length of hospital stay and an increased incidence of Clostridium difficile, methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterocci. These findings are attributed to use of broader-spectrum ‘second-line’ [...]

By | 2017-04-20T18:59:51+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IMPACT OF INPATIENT PENICILLIN ALLERGY TESTING ON ANTIBIOTIC SELECTION DURING HOSPITALIZATION

HM2017 Abstract Number: 92

READMISSIONS, REDEFINED: A PATIENT-CENTRIC DEFINITION INCLUSIVE OF OUTPATIENT OBSERVATION AND INPATIENT STAYS

Background: Hospitals are incentivized to reduce 30-day readmissions under the Affordable Care Act. Medicare payments can be reduced when inpatient readmissions are excessive. The Centers for Medicare & Medicaid Services (CMS) readmission measure is defined [...]

By | 2017-04-20T19:06:39+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on READMISSIONS, REDEFINED: A PATIENT-CENTRIC DEFINITION INCLUSIVE OF OUTPATIENT OBSERVATION AND INPATIENT STAYS

HM2017 Abstract Number: 91

INFLUENCE OF PUBLIC OR PRIVATE ASSISTANCE IN THE CLINICAL CHARACTERISTICS AND OUTCOMES OF PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION

Background: Previous studies suggest that the type of healthcare is associated with distinct clinical characteristics and outcomes,  but there are few studies addressing this in patients with a ST-elevation myocardial infarction (STEMI) in our country. Methods: [...]

By | 2017-04-20T19:00:58+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on INFLUENCE OF PUBLIC OR PRIVATE ASSISTANCE IN THE CLINICAL CHARACTERISTICS AND OUTCOMES OF PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION

HM2017 Abstract Number: 90

FACTORS AFFECTING HOSPITAL VISITS AND LENGTH OF STAY IN ADULT PATIENTS WITH SICKLE CELL DISEASE

Background: Sickle cell disease (SCD) affects about 100,000 people in the US. The disease causes significant mortality, morbidity and frequent hospitalizations secondary to primary manifestations of the disease and its complications. We conducted a retrospective, [...]

By | 2017-04-20T19:06:56+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on FACTORS AFFECTING HOSPITAL VISITS AND LENGTH OF STAY IN ADULT PATIENTS WITH SICKLE CELL DISEASE

HM2017 Abstract Number: 88

REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the [...]

By | 2017-04-20T19:07:09+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

HM2017 Abstract Number: 87

THE REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the [...]

By | 2017-04-20T19:07:22+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on THE REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

HM2017 Abstract Number: 86

MISSING THE YELLOW FLAGS: DOES A TARDY RESPONSE TRIGGER THE RAPID RESPONSE?

Background: A Rapid Response (RR) Team is activated when there is an acute change in a patient’s condition. Rapid responses are called when certain criteria are met. A delay in activation of the rapid response [...]

By | 2017-04-20T19:07:35+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on MISSING THE YELLOW FLAGS: DOES A TARDY RESPONSE TRIGGER THE RAPID RESPONSE?

HM2017 Abstract Number: 85

IMPACTS OF ANXIOLYTIC MEDICATION TYPE ON INTENSIVE CARE UNIT LENGTH OF STAY

Background: Mechanically ventilated patients are often administered analgesic medications such as dexmedetomidine (DEX) and lorazepam (LZP) to reduce pain and anxiety. Studies have suggested that benzodiazepines may increase the risk of developing acute brain dysfunction, [...]

By | 2017-04-20T19:07:53+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IMPACTS OF ANXIOLYTIC MEDICATION TYPE ON INTENSIVE CARE UNIT LENGTH OF STAY

HM2017 Abstract Number: 84

ANTIMOTILITY USE IN PATIENTS WITH C DIFFICILE–POTENTIALLY SAFE?

Title: ANTI-MOTILITY USE IN PATIENTS WITH C. DIFFICILE --POTENTIALLY SAFE? Background: Anti-motility agents have typically been avoided in patients with Clostridium difficile diarrheal infections (CDI) due to fear of gastrointestinal complications such as toxic mega-colon. [...]

By | 2017-04-20T19:01:11+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on ANTIMOTILITY USE IN PATIENTS WITH C DIFFICILE–POTENTIALLY SAFE?

HM2017 Abstract Number: 83

PREVALENCE OF CHEMOPREVENTIVE AGENT USE AMONG HOSPITALIZED WOMEN AT HIGH RISK FOR BREAST CANCER: A CROSS-SECTIONAL STUDY

Background: Approximately 15% of women in the United States aged 35-79 year are at high risk for developing breast cancer, however less than 0.2% of these women reported taking chemoprevention to reduce their risk. Objective [...]

By | 2017-04-25T14:52:37+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREVALENCE OF CHEMOPREVENTIVE AGENT USE AMONG HOSPITALIZED WOMEN AT HIGH RISK FOR BREAST CANCER: A CROSS-SECTIONAL STUDY

HM2017 Abstract Number: 82

BURDEN OF 30-DAY READMISSIONS FOLLOWING HOSPITALIZATION FOR PNEUMONIA IN YOUNG AND MIDDLE-AGED ADULTS

Background: While pattern of readmissions in young survivors of acute myocardial infarction and heart failure has been described, burden of 30-day readmissions following hospitalization for pneumonia in young adults is poorly understood. Further, gender differences [...]

By | 2017-04-20T19:01:15+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on BURDEN OF 30-DAY READMISSIONS FOLLOWING HOSPITALIZATION FOR PNEUMONIA IN YOUNG AND MIDDLE-AGED ADULTS

HM2017 Abstract Number: 81

IMPACT OF ADMISSION URINE CULTURE ON ANTIBIOTIC USE AND HOSPTIAL LENGTH OF STAY

Background: Overuse of urine testing may result in downstream events that impact antibiotic use and hospital length of stay (LOS). The aims of this study were to examine the impact of inpatient urine culture testing [...]

By | 2017-04-20T19:08:23+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IMPACT OF ADMISSION URINE CULTURE ON ANTIBIOTIC USE AND HOSPTIAL LENGTH OF STAY

HM2017 Abstract Number: 80

IDENTIFYING GAPS IN CARE OF MALNOURISHED PATIENTS AND THE EFFECTS ON LENGTH OF STAY AND READMISSION IN AN ACUTE CARE SETTING

Background: Malnourished patients compose 25% to 54% of the admitted patient population. Much attention has been given to identifying these malnourished patients. However, few published articles have focused on identifying the gaps in care that [...]

By | 2017-04-20T19:02:04+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IDENTIFYING GAPS IN CARE OF MALNOURISHED PATIENTS AND THE EFFECTS ON LENGTH OF STAY AND READMISSION IN AN ACUTE CARE SETTING

HM2017 Abstract Number: 79

TRENDS IN INCIDENCE AND LIABILITY COSTS FROM DIAGNOSTIC ERROR IN INPATIENT SETTINGS: INSIGHTS FROM THE NATIONAL PRACTITIONER DATA BANK

Background: Although diagnostic errors are common in hospitals, little is known about the resulting economic burden. Whether the increasing attention to patient safety has led to a decrease in diagnostic error-related claims and cost over [...]

By | 2017-04-20T19:08:45+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on TRENDS IN INCIDENCE AND LIABILITY COSTS FROM DIAGNOSTIC ERROR IN INPATIENT SETTINGS: INSIGHTS FROM THE NATIONAL PRACTITIONER DATA BANK

HM2017 Abstract Number: 78

PRIOR STATIN USE MIGHT BE ASSOCIATED WITH LOWER SEPSIS MORTALITY – RESULTS FROM A “BIG DATA” STUDY

Background: The randomized controlled ANZ-STATInS trial demonstrated that de novo statin use did not alter interleukin-6 levels or Sequential Organ Failure Assessment (SOFA) score in of what before SEPSIS-3 was known as severe sepsis. Prospective [...]

By | 2017-04-20T19:08:58+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PRIOR STATIN USE MIGHT BE ASSOCIATED WITH LOWER SEPSIS MORTALITY – RESULTS FROM A “BIG DATA” STUDY

HM2017 Abstract Number: 77

LONG-TERM CLINICAL AND ECONOMIC OUTCOMES OF INTENSIVE VS STANDARD BLOOD PRESSURE REDUCTION IN NON-DIABETICS AT HIGH CARDIOVASCULAR RISK – EXTRAPOLATIONS FROM THE SPRINT TRIAL

Background: Results from the recent SPRINT trial demonstrate lower rates of fatal and non-fatal major cardiovascular events and all-cause mortality in non-diabetics at high cardiovascular risk with intensive versus standard treatment, i.e., less than 120 [...]

By | 2017-04-20T19:09:11+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on LONG-TERM CLINICAL AND ECONOMIC OUTCOMES OF INTENSIVE VS STANDARD BLOOD PRESSURE REDUCTION IN NON-DIABETICS AT HIGH CARDIOVASCULAR RISK – EXTRAPOLATIONS FROM THE SPRINT TRIAL

HM2017 Abstract Number: 76

PREDICTORS OF COPD READMISSIONS – A RETROSPECTIVE STUDY

Background: The Centers for Medicare & Medicaid Services (CMS) started penalizing hospitals with “excess” 30-day readmissions, as determined by observed-to-expected ratio, for patients discharged after treatment for an acute exacerbation of chronic obstructive pulmonary disease [...]

By | 2017-04-20T19:09:22+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREDICTORS OF COPD READMISSIONS – A RETROSPECTIVE STUDY

HM2017 Abstract Number: 75

OUTCOME TRENDS FOLLOWING OUT-OF-HOSPITAL CARDIAC ARREST IN THE UNITED STATES: 1995-2013

Background: In the United States, studies have reported mixed results on outcomes following out–of–hospital cardiac arrest. We postulated that such variation is not only dependent on the populations included or excluded in these studies but [...]

By | 2017-04-20T19:02:15+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on OUTCOME TRENDS FOLLOWING OUT-OF-HOSPITAL CARDIAC ARREST IN THE UNITED STATES: 1995-2013

HM2017 Abstract Number: 74

COPING SELF-EFFICACY IN HIV-POSITIVE PATIENTS: WHAT THE NUMBERS LOOK LIKE

Background: As of 2016, there are approximately 36.7 million people living with HIV around the world. HIV infection is associated with tremendous psychological burden. Improvements in coping methods would be highly beneficial in this scenario. [...]

By | 2017-04-20T19:09:38+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on COPING SELF-EFFICACY IN HIV-POSITIVE PATIENTS: WHAT THE NUMBERS LOOK LIKE

HM2017 Abstract Number: 73

CHARACTERISTICS OF MORTALITY CASES WITH ADVANCE CARE PLANNING ISSUES

Background: The UCLA Department of Medicine (DOM) Rapid Mortality Review (RMR) is an innovative in-person, near real-time review of all deaths to capture the unique insight of the care providers into aspects of end-of-life care [...]

By | 2017-04-20T19:09:50+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on CHARACTERISTICS OF MORTALITY CASES WITH ADVANCE CARE PLANNING ISSUES

HM2017 Abstract Number: 72

THE RISK OF VENOUS THROMBOEMBOLISM WITH ASPIRIN COMPARED TO ANTICOAGULANTS AFTER HIP OR KNEE ARTHROPLASTY

Background: Recent guidelines include aspirin as an option to prevent venous thromboembolism (VTE) in selected patients undergoing hip or knee replacement surgery. However, the efficacy of aspirin after arthroplasty has not been well-defined, particularly in [...]

By | 2017-04-20T19:10:05+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on THE RISK OF VENOUS THROMBOEMBOLISM WITH ASPIRIN COMPARED TO ANTICOAGULANTS AFTER HIP OR KNEE ARTHROPLASTY

HM2017 Abstract Number: 71

PICTURE MAKES PERFECT: DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN PARACENTESIS?

Background: Ultrasound-guidance has become the standard for bedside procedures in the Emergency and Inpatient setting due to its perceived impact on first success rate and reduced complications. However, literature data on the rate of complications [...]

By | 2017-04-20T19:02:24+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PICTURE MAKES PERFECT: DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN PARACENTESIS?

HM2017 Abstract Number: 70

A RISK TOOL TO PREDICT CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION IN PATIENTS WITH PICCS

Background: Evidence suggests that risk of central line-associated bloodstream infection (CLABSI) between patients with traditional central venous catheters (CVC) vs. peripherally inserted central catheters (PICC) is similar. However, how best to predict CLABSI in patients [...]

By | 2017-04-20T19:11:39+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on A RISK TOOL TO PREDICT CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION IN PATIENTS WITH PICCS

HM2017 Abstract Number: 69

A COMPARISON OF OUTCOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE AND PNEUMONIA AMONG TEACHING AND NONTEACHING SERVICES

Background:   Congestive heart failure (CHF) and pneumonia are amongst the leading causes of hospitalization in the United States.  Although a growing number of hospitals use both teaching and nonteaching hospitalist services for patient care, [...]

By | 2017-04-20T19:12:08+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on A COMPARISON OF OUTCOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE AND PNEUMONIA AMONG TEACHING AND NONTEACHING SERVICES

HM2017 Abstract Number: 68

OBESE PATIENTS WITH ACUTE BACTERIAL SKIN AND SKIN STRUCTURE INFECTIONS (ABSSSI) HAVE DOUBLE THE RATE OF KEY COMORBIDITIES COMPARED TO NON-OBESE PATIENTS WHICH IMPACTS ANTIBIOTIC SELECTION

Background: The successful management of ABSSSI requires prompt assessment and appropriate antibiotic therapy. Antibiotic selection requires consideration of patient comorbidities to ensure appropriate pathogen coverage and to avoid contraindications related to comorbidities and concomitant medications. [...]

By | 2017-04-20T19:03:14+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on OBESE PATIENTS WITH ACUTE BACTERIAL SKIN AND SKIN STRUCTURE INFECTIONS (ABSSSI) HAVE DOUBLE THE RATE OF KEY COMORBIDITIES COMPARED TO NON-OBESE PATIENTS WHICH IMPACTS ANTIBIOTIC SELECTION

HM2017 Abstract Number: 67

PREDICTORS OF 1 YEAR MORTALITY AMONG PATIENTS ADMITTED IN THE HOSPITAL WITH ACUTE HEART FAILURE

Background: Acute heart failure (AHF) is the major cause of hospital admission and death. Furthermore, patients admitted with AHF have high readmission rates and  postdischarge mortality. Although there have been some reports, which demonstrated the [...]

By | 2017-04-20T19:11:53+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREDICTORS OF 1 YEAR MORTALITY AMONG PATIENTS ADMITTED IN THE HOSPITAL WITH ACUTE HEART FAILURE

HM2017 Abstract Number: 66

MUSIC TO MY EARS: BRIGHTENING THE DAY OF HOSPITALIZED PATIENTS

Background: For most people, music serves as a calming influence or as a pleasurable stimulus that lifts their spirits. Hospitalized patients may experience boredom, fear, and unease while in the hospital, away from the comforts [...]

By | 2017-04-20T18:42:47+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on MUSIC TO MY EARS: BRIGHTENING THE DAY OF HOSPITALIZED PATIENTS

HM2017 Abstract Number: 65

RELATIONSHIP BETWEEN SPIRITUALITY AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION: RESULTS FROM THE SPIRITUALITY AND HOSPITALIZATION EXPERIENCE OF PATIENTS STUDY (SHEPS)

Background: Studies have shown a direct relationship between patient satisfaction and patients following their physician’s recommendations which leads to favorable patient outcomes. While several physician and patient-specific characteristics have been found to be associated with [...]

By | 2017-04-20T18:42:49+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on RELATIONSHIP BETWEEN SPIRITUALITY AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION: RESULTS FROM THE SPIRITUALITY AND HOSPITALIZATION EXPERIENCE OF PATIENTS STUDY (SHEPS)

HM2017 Abstract Number: 64

CLINICAL CHARACTERISTICS OF PATIENTS WITH ISCHEMIC AND NON-ISCHEMIC COMPLETE HEART BLOCK

Background: New onset third degree or complete heart block (CHB) is a medical emergency and usually requires permanent pacemaker. CHB can be caused by cardiac ischemia or non-ischemic conditions such as infiltrative diseases or fibrosis. [...]

By | 2017-04-20T18:42:51+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on CLINICAL CHARACTERISTICS OF PATIENTS WITH ISCHEMIC AND NON-ISCHEMIC COMPLETE HEART BLOCK

HM2017 Abstract Number: 62

CONSISTENTLY INCONSISTENT: VARIABILITY IN CONSENT REQUIREMENTS AMONG INTERNAL MEDICINE JOURNALS THAT PUBLISH CLINICAL IMAGES

Background: Clinical images are photographs that serve as succinct and memorable lessons. Importantly, patient right to privacy dictates appropriate consent be obtained prior to publication. Significant disagreement exists surrounding what makes a photograph identifiable, and [...]

By | 2017-04-20T18:42:53+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on CONSISTENTLY INCONSISTENT: VARIABILITY IN CONSENT REQUIREMENTS AMONG INTERNAL MEDICINE JOURNALS THAT PUBLISH CLINICAL IMAGES

HM2017 Abstract Number: 61

RIFAXIMIN FOR THE PREVENTION OF COMPLICATIONS OF CIRRHOSIS

Background: Cirrhosis-related complications and resulting decompensation are associated with poor prognosis. Reducing the risk of cirrhosis-related complications is an important goal when managing patients with cirrhosis. Bacterial-derived endotoxins are hypothesized to be a major contributor [...]

By | 2017-04-20T18:42:56+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on RIFAXIMIN FOR THE PREVENTION OF COMPLICATIONS OF CIRRHOSIS

HM2017 Abstract Number: 60

PHYSICIAN TRAINEES’ EXPERIENCES OF MORAL DISTRESS REGARDING POTENTIALLY FUTILE TREATMENTS AT THE END OF LIFE IN THE UNITED KINGDOM: A QUALITATIVE STUDY

Background: Moral distress, the inability to act in accordance with one’s ethical beliefs due to hierarchical or institutional constraints, has been associated with burnout and poorer well-being.  Significant moral distress amongst American physician trainees might [...]

By | 2017-04-20T18:42:58+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on PHYSICIAN TRAINEES’ EXPERIENCES OF MORAL DISTRESS REGARDING POTENTIALLY FUTILE TREATMENTS AT THE END OF LIFE IN THE UNITED KINGDOM: A QUALITATIVE STUDY

HM2017 Abstract Number: 59

CONTRAST-INDUCED NEPHROPATHY IN ELDERLY HOSPITALIZED PATIENTS: A SYSTEMATIC REVIEW OF CURRENT LITERATURE

Background: Contrast-induced Nephropathy (CIN) is a major cause of mortality and morbidity among elderly patients. Its occurrence increases with the patient’s age. Elderly patients who suffer from impaired renal function constitute a large percentage of [...]

By | 2017-04-20T18:43:00+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on CONTRAST-INDUCED NEPHROPATHY IN ELDERLY HOSPITALIZED PATIENTS: A SYSTEMATIC REVIEW OF CURRENT LITERATURE

HM2017 Abstract Number: 57

KEYS TO CAREER SUCCESS: RESOURCES AND BARRIERS IDENTIFIED BY ACADEMIC HOSPITALISTS

Background: Prior research in the field of academic hospital medicine has described unique challenges to achieving promotion for academic hospitalists.  A consensus conference identified challenges for academic hospitalist success including alignment of hospitalists with clinical [...]

By | 2017-04-20T18:43:02+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on KEYS TO CAREER SUCCESS: RESOURCES AND BARRIERS IDENTIFIED BY ACADEMIC HOSPITALISTS

HM2017 Abstract Number: 56

ACADEMIC HOSPITALIST PERSPECTIVES ON CAREER SUCCESS

Background: Prior research in the field of academic hospital medicine has used promotion as the measure of success, but little is understood about what motivates individual academic hospitalists or how individuals define career success. Conceptual [...]

By | 2017-04-20T18:43:04+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on ACADEMIC HOSPITALIST PERSPECTIVES ON CAREER SUCCESS

HM2017 Abstract Number: 55

ASSOCIATIONS BETWEEN HOSPITALISTS’ RACE/GENDER AND PATIENT ASSESSMENT OF PHYSICIAN PERFORMANCE

OBJECTIVES:  To study the influence of physician-patient gender and race concordance on patients’ assessment of the hospitalist physician’s performance.  Background: In the United States, there have been numerous studies showing health disparities and inequities in care related [...]

By | 2017-04-20T18:43:06+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on ASSOCIATIONS BETWEEN HOSPITALISTS’ RACE/GENDER AND PATIENT ASSESSMENT OF PHYSICIAN PERFORMANCE

HM2017 Abstract Number: 54

LINKED DNR AND DNI ORDERS AND FACTORS ASSOCIATED WITH DNI ORDERS: A RETROSPECTIVE CHART REVIEW AT AN URBAN TERTIARY CARE CENTER

Background: Code status discussions often link do-not-intubate (DNI) orders with do-not-resuscitate (DNR) orders, although cardiac arrest accounts for less than 2% of endotracheal intubations. DNR orders are more commonly implemented for older patients with more [...]

By | 2017-04-20T18:43:46+00:00 April 20th, 2017|Other, Research Abstracts|Comments Off on LINKED DNR AND DNI ORDERS AND FACTORS ASSOCIATED WITH DNI ORDERS: A RETROSPECTIVE CHART REVIEW AT AN URBAN TERTIARY CARE CENTER

HM2017 Abstract Number: 42

HOSPITALIST PERCEPTION OF THE IMPACT OF AN INPATIENT MEDICINE PHYSICIAN ASSISTANT STUDENT CURRICULUM

Background: The number of physician assistants (PA) practicing hospital medicine is increasing.1 The number of PA schools in the US has also increased from 54 in 1992 to 218 in 2015.2While there is an increasing [...]

By | 2017-04-20T18:36:09+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on HOSPITALIST PERCEPTION OF THE IMPACT OF AN INPATIENT MEDICINE PHYSICIAN ASSISTANT STUDENT CURRICULUM

HM2017 Abstract Number: 40

APPARENT CHANGES IN HEALTHCARE COSTS AND UTILIZATION THAT MAY HAVE BEEN ASSOCIATED WITH DUTY HOUR REFORMS

Background: After Libby Zion died tragically in a teaching hospital, much attention from the medical community, public and government, was directed at resident training and the number of hours worked consecutively. This marked a new [...]

By | 2017-04-20T18:36:10+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on APPARENT CHANGES IN HEALTHCARE COSTS AND UTILIZATION THAT MAY HAVE BEEN ASSOCIATED WITH DUTY HOUR REFORMS

HM2017 Abstract Number: 38

EFFECTS OF AN EDUCATION INITIATIVE ON APPROPRIATE UTILIZATION OF TELEMETRY

Background: Patients at high risk for cardiac events often receive telemetry, however, overutilization of cardiac monitoring leads to unnecessary interventions and increased healthcare costs. The American Heart Association (AHA) recommends classification of cardiac risk via [...]

By | 2017-04-20T18:36:13+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on EFFECTS OF AN EDUCATION INITIATIVE ON APPROPRIATE UTILIZATION OF TELEMETRY

HM2017 Abstract Number: 33

PREDICTORS OF HAND HYGIENE ATTITUDE AND PRACTICE IN MEDICAL SCHOOL

Background: Previous studies demonstrate that hand hygiene compliance among healthcare workers is suboptimal. To better understand drivers of poor compliance, we investigated changes in hand hygiene (HH) attitudes and practices among medical students to determine [...]

By | 2017-04-20T18:36:15+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on PREDICTORS OF HAND HYGIENE ATTITUDE AND PRACTICE IN MEDICAL SCHOOL

HM2017 Abstract Number: 31

TEMPORAL TRENDS IN ADMISSION COMPLEXITY: A 15-YEAR REVIEW OF MEDICAL ADMISSIONS TO A VETERAN’S AFFAIRS HOSPITAL

Background: Duty hour limitations have raised concern that shorter work shifts are compressing resident workload, which may result in a negative learning environment. Increasing patient complexity intensifies workload compression; however, temporal trends in complexity of [...]

By | 2017-04-20T18:36:17+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on TEMPORAL TRENDS IN ADMISSION COMPLEXITY: A 15-YEAR REVIEW OF MEDICAL ADMISSIONS TO A VETERAN’S AFFAIRS HOSPITAL

HM2017 Abstract Number: 29

CLINICAL EXCELLENCE IN HOSPITAL MEDICINE: A QUALITATIVE STUDY

Background: In 2016, there were more than 50,000 hospitalists working in the United States. The Society of Hospital Medicine (SHM) published ‘The Core Competencies in Hospital Medicine’ as a blueprint to standardize expectations of practicing [...]

By | 2017-04-20T18:36:19+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on CLINICAL EXCELLENCE IN HOSPITAL MEDICINE: A QUALITATIVE STUDY

HM2017 Abstract Number: 27

DIFFERENCES IN GOALS DURING RESIDENCY TRAINING BETWEEN THE UNITED STATES AND JAPAN

Background: Medical educators worldwide have been aspiring to transition from time based training to a competency based medical education model. The degree of alignment between competencies, residents’ self-identified training goals, and variations in different countries [...]

By | 2017-04-20T18:36:22+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on DIFFERENCES IN GOALS DURING RESIDENCY TRAINING BETWEEN THE UNITED STATES AND JAPAN

HM2017 Abstract Number: 25

IMPACT OF A ONE MONTH POINT OF CARE ULTRASOUND ELECTIVE ON INTERNAL MEDICINE RESIDENT USE, KNOWLEDGE AND CONFIDENCE

Background: Point-of-care ultrasound (POCUS) is a diagnostic modality that can improve diagnosis, reduce cost, and increase patient satisfaction. POCUS is being increasingly utilized in internal medicine (IM), and IM residents desire training in POCUS. A [...]

By | 2017-04-20T18:36:24+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on IMPACT OF A ONE MONTH POINT OF CARE ULTRASOUND ELECTIVE ON INTERNAL MEDICINE RESIDENT USE, KNOWLEDGE AND CONFIDENCE

HM2017 Abstract Number: 24

A CONTEMPORARY ASSESSMENT OF MECHANICAL COMPLICATION RATES AND TRAINEE PERCEPTIONS OF CENTRAL VENOUS CATHETER INSERTION

Background: Limited data exist regarding rates of mechanical complications associated with placement of non-tunneled acute central venous catheters (CVC) at a training institution. Additionally, trainee perceptions and experiences managing CVC complications are unknown. Our objective [...]

By | 2017-04-20T18:36:26+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on A CONTEMPORARY ASSESSMENT OF MECHANICAL COMPLICATION RATES AND TRAINEE PERCEPTIONS OF CENTRAL VENOUS CATHETER INSERTION

HM2017 Abstract Number: 23

TRAINING FAMILY MEDICINE RESIDENTS FOR HOSPITAL-BASED WORK: A SURVEY OF ADULT INPATIENT MEDICINE CURRICULA

Background: Accreditation Council for Graduate Medical Education (ACGME) program requirements for family medicine permit wide variability in adult inpatient medicine curricula. Family physicians compose a significant percentage of the hospitalist workforce, and the American Board [...]

By | 2017-04-20T18:36:28+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on TRAINING FAMILY MEDICINE RESIDENTS FOR HOSPITAL-BASED WORK: A SURVEY OF ADULT INPATIENT MEDICINE CURRICULA

HM2017 Abstract Number: 22

INTERNAL MEDICINE EDUCATION FOR PSYCHIATRY RESIDENTS: AN UNMET NEED

Background: Patients with serious mental illness die an average of eight years earlier than the general US population, partly related to their higher burden of chronic medical conditions. With the development of patient-centered medical homes, [...]

By | 2017-04-20T18:37:05+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on INTERNAL MEDICINE EDUCATION FOR PSYCHIATRY RESIDENTS: AN UNMET NEED

HM2017 Abstract Number: B

ROSIGLITAZONE AND CARDIOVASCULAR OUTCOME

Background: Rosiglitazone is one of the thiazolidinedione groups which enhance insulin sensitivity through stimulating peroxisome proliferator-activated receptors in the adipose tissue, liver and muscle. Resulted in decrease glucose production and enhances its utilization. Fluid retention [...]

By | 2017-04-20T18:37:08+00:00 April 20th, 2017|Education, Research Abstracts|Comments Off on ROSIGLITAZONE AND CARDIOVASCULAR OUTCOME

HM2017 Abstract Number: 19

IMPACT OF CONSULTATION ON HOSPITAL OUTCOMES AND RESOURCE UTILIZATION FOR PATIENTS WITH ACUTE CHF

Background: Consultation in hospital is an important tool for acquiring subspecialty support when managing patients with acute congestive heart failure (CHF). The effect of consult utilization on hospital outcomes and resource utilization of acute CHF [...]

By | 2017-04-20T18:24:27+00:00 April 20th, 2017|Consultative Medicine, Research Abstracts|Comments Off on IMPACT OF CONSULTATION ON HOSPITAL OUTCOMES AND RESOURCE UTILIZATION FOR PATIENTS WITH ACUTE CHF

HM2017 Abstract Number: 16

IMPROVING ADVANCE CARE PLANNING IN HOSPITALIZED PATIENTS WITH A LETTER PROJECT

Background: Advance care planning is nationally recognized as important for honoring patient wishes at the end of life. Despite this widespread recognition, many patients lack advance care planning and spend their last days in ways [...]

By | 2017-04-20T18:19:16+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on IMPROVING ADVANCE CARE PLANNING IN HOSPITALIZED PATIENTS WITH A LETTER PROJECT

HM2017 Abstract Number: 15

THE EFFECT OF HOSPITALIST GENDER ON PATIENT SATISFACTION SCORES

Background: Patient evaluation of satisfaction with their physician has been utilized for several years and is now being included as a parameter utilized to calculate reimbursement. Despite the routine use of these evaluations by most [...]

By | 2017-04-20T18:19:18+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE EFFECT OF HOSPITALIST GENDER ON PATIENT SATISFACTION SCORES

HM2017 Abstract Number: 14

PRELIMINARY FACTOR ANALYSIS OF PATIENT EVALUATIONS OF HOSPITALIST PERFORMANCE

Background: Patient evaluation of satisfaction with their physician has been utilized for several years and is now being included as a parameter utilized to calculate reimbursement. Despite the routine use of these evaluations by most [...]

By | 2017-04-20T18:19:20+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on PRELIMINARY FACTOR ANALYSIS OF PATIENT EVALUATIONS OF HOSPITALIST PERFORMANCE

HM2017 Abstract Number: 13

A QUALITATIVE APPROACH TO DEFINING PATIENT PERCEPTIONS OF QUALITY OF LIFE IN THE SETTING OF GOALS OF CARE DISCUSSIONS

Background: Effective communication between health-care providers, patients and their families is a key aspect of the discussion surrounding a patient’s goals of care.  One crucial part of this process is reaching a shared understanding of [...]

By | 2017-04-20T18:19:22+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on A QUALITATIVE APPROACH TO DEFINING PATIENT PERCEPTIONS OF QUALITY OF LIFE IN THE SETTING OF GOALS OF CARE DISCUSSIONS

HM2017 Abstract Number: 11

THE SILENT TREATMENT: AN ANALYSIS OF WHY NO-ONE RESPONDED

Background: Lack of urgency indicators and receipt confirmation are two of several known alphanumeric paging limitations. To address absence of urgency indicators, a Priority Structured Paging (PSP) system that allowed nurses to communicate priority was [...]

By | 2017-04-20T18:19:24+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE SILENT TREATMENT: AN ANALYSIS OF WHY NO-ONE RESPONDED

HM2017 Abstract Number: 6

ETHINIC DIFFERENCES IN THE UNDERSTANDING OF DNR(DO-NOT-RESUSCITATE) ORDERS: A COMPARISON OF KOREAN VS. NON-KOREAN POPULATIONS

Background: Understanding of the Do-Not-Resuscitate (DNR) order varies among different ethnic backgrounds. In Korea, the concept of DNR is not well-known. We therefore conducted a questionnaire-based study to explore and characterize ethnic differences (Korean vs. [...]

By | 2017-04-20T18:19:26+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on ETHINIC DIFFERENCES IN THE UNDERSTANDING OF DNR(DO-NOT-RESUSCITATE) ORDERS: A COMPARISON OF KOREAN VS. NON-KOREAN POPULATIONS

HM2017 Abstract Number: 5

THE RELATIONSHIP BETWEEN PROGNOSIS AND PALLIATIVE CARE PRIOR TO CARDIAC ARREST ON THE GENERAL WARDS

Background: Cardiac arrest on the wards may be preceded by unmet palliative care needs, including advance care planning and specialty palliative consultation that can seek to align patients’ prognoses and goals for care. Identification of [...]

By | 2017-04-20T18:19:29+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE RELATIONSHIP BETWEEN PROGNOSIS AND PALLIATIVE CARE PRIOR TO CARDIAC ARREST ON THE GENERAL WARDS

HM2017 Abstract Number: 1

THE IMPACT OF GENERAL MEDICINE SERVICE REGIONALIZATION ON INTERPROFESSIONAL TEAMWORK

Background: Most academic general medical services cover patients across several different care units in the hospital. Studies have shown that de-regionalized care leads to a lack of team cohesion and poor communication between healthcare providers. [...]

By | 2017-04-25T14:42:45+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE IMPACT OF GENERAL MEDICINE SERVICE REGIONALIZATION ON INTERPROFESSIONAL TEAMWORK

HM2017 Abstract Number: A

AT-THE-BEDSIDE WALKING INTERDISCIPLINARY ROUNDS: STREAMLINED COMMUNICATION BUT NOT YET THE ANSWER FOR PATIENT SATISFACTION

Background: Prior To March 2016 interdisciplinary rounds were held in the back of the nurses’ stations on two inpatient medial units. Patients satisfaction scores around the discharge process and communication were consistently low. Medical director [...]

By | 2017-04-20T18:19:34+00:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on AT-THE-BEDSIDE WALKING INTERDISCIPLINARY ROUNDS: STREAMLINED COMMUNICATION BUT NOT YET THE ANSWER FOR PATIENT SATISFACTION

HM2017 Abstract Number:

REDUCING HOSPITAL-ASSOCIATED VTE IN 35 HOSPITALS: A COLLABORATIVE QUALITY IMPROVEMENT PROJECT

Background: Hospital-associated venous thromboembolism (HA-VTE) is a serious condition with controversy regarding ideal risk assessment and VTE prophylaxis (VTEP), especially in medical patients. We conducted a collaborative VTE quality improvement project, supported by a charitable [...]

By | 2017-04-20T14:25:38+00:00 April 20th, 2017|Plenary Presentations, Research Abstracts|Comments Off on REDUCING HOSPITAL-ASSOCIATED VTE IN 35 HOSPITALS: A COLLABORATIVE QUALITY IMPROVEMENT PROJECT

HM2017 Abstract Number:

EFFECTIVENESS OF SIESTA (SLEEP FOR INPATIENTS: EMPOWERING STAFF TO ACT) ON OBJECTIVE AND SUBJECTIVE SLEEP DISRUPTIONS

Background: Due to the importance of rest for inpatients, the American Academy of Nursing recommends preserving patient sleep by reducing unnecessary nocturnal care as part of their Choosing Wisely® campaign. Prior sleep-promotion interventions often fail due [...]

By | 2017-04-20T14:25:40+00:00 April 20th, 2017|Plenary Presentations, Research Abstracts|Comments Off on EFFECTIVENESS OF SIESTA (SLEEP FOR INPATIENTS: EMPOWERING STAFF TO ACT) ON OBJECTIVE AND SUBJECTIVE SLEEP DISRUPTIONS

HM2017 Abstract Number:

SPATIAL AND TEMPORAL MAPPING OF C. DIFFICILE: AN EXPLORATORY BIG DATA ANALYSIS

Background: Hospital-acquired C. difficile colitis is associated with increased length of stay (LOS) and significant morbidity and mortality. During hospitalization, patients visit many procedural, diagnostic, and treatment areas throughout the hospital, presenting opportunities for spore [...]

By | 2017-05-05T19:03:57+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on SPATIAL AND TEMPORAL MAPPING OF C. DIFFICILE: AN EXPLORATORY BIG DATA ANALYSIS

HM2017 Abstract Number:

IMPLEMENTING ACOVE QUALITY INDICATORS AS AN INTERVENTION CHECKLIST TO IMPROVE CARE FOR HOSPITALIZED OLDER ADULTS

Background: Today, Medicare patients account for approximately 50% of hospital days, costing $1 trillion annually. Despite this staggering financial burden, hospitalization often results in poor outcomes for older adults. The objective of the study was [...]

By | 2017-05-05T19:03:07+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on IMPLEMENTING ACOVE QUALITY INDICATORS AS AN INTERVENTION CHECKLIST TO IMPROVE CARE FOR HOSPITALIZED OLDER ADULTS

HM2017 Abstract Number:

MICHIGAN RISK SCORE TO PREDICT PICC-RELATED VENOUS THROMBOEMBOLISM

Background: Peripherally inserted central catheters (PICCs) have been associated with venous thromboembolism (VTE) and are a major cause of upper extremity deep vein thrombosis (DVT).  However, mechanisms to identify patients at greatest risk of PICC-associated [...]

By | 2017-05-05T19:03:40+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on MICHIGAN RISK SCORE TO PREDICT PICC-RELATED VENOUS THROMBOEMBOLISM

HM2017 Abstract Number:

INITIATION OF NALTREXONE FOR MAINTENANCE OF SOBRIETY IN PATIENTS HOSPITAIZED FOR ALCOHOL WITHDRAWAL

Background: Alcohol use disorders (AUDs) are common among hospitalized patients. Naltrexone has been proved to assist patients with AUDs in maintenance of sobriety. The initiation of naltrexone has been studied in outpatient and inpatient settings. [...]

By | 2017-05-05T19:03:32+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on INITIATION OF NALTREXONE FOR MAINTENANCE OF SOBRIETY IN PATIENTS HOSPITAIZED FOR ALCOHOL WITHDRAWAL

HM2017 Abstract Number:

FACTORS ASSOCIATED WITH EXCESS DURATION OF ANTIBIOTIC THERAPY FOR PATIENTS ADMITTED WITH PNEUMONIA IN MICHIGAN HOSPITALS: A COHORT STUDY

Background: Pneumonia is often treated for longer than necessary, yet factors associated with excess duration of treatment are unknown. We sought to: (a) develop an algorithm to determine appropriate antibiotic duration in non-intensive care unit [...]

By | 2017-05-05T19:03:22+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on FACTORS ASSOCIATED WITH EXCESS DURATION OF ANTIBIOTIC THERAPY FOR PATIENTS ADMITTED WITH PNEUMONIA IN MICHIGAN HOSPITALS: A COHORT STUDY

HM2017 Abstract Number:

OPIOID UTILIZATION AND PERCEPTION OF PAIN CONTROL AMONG HOSPITALIZED PATIENTS: A CROSS-SECTIONAL STUDY ACROSS 8 COUNTRIES

Background: Pain is commonly reported by hospitalized patients and may be managed with opioids, which are associated with benefits and harms.  Clinicians’ perceptions of the benefit to harm ratio may differ across countries, which may [...]

By | 2017-05-05T19:03:49+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on OPIOID UTILIZATION AND PERCEPTION OF PAIN CONTROL AMONG HOSPITALIZED PATIENTS: A CROSS-SECTIONAL STUDY ACROSS 8 COUNTRIES

HM2017 Abstract Number:

TEACHING TO TEST? A COMPARISON OF LAB TESTING IN TEACHING VERSUS NON-TEACHING HOSPITALS FOR TWO COMMON MEDICAL CONDITIONS

Background: It is often assumed resident physicians at academic medical centers order more tests for inpatients due to different aspects of the clinical learning environment.  Despite this prevailing notion, there is very little evidence to [...]

By | 2017-05-05T19:04:18+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on TEACHING TO TEST? A COMPARISON OF LAB TESTING IN TEACHING VERSUS NON-TEACHING HOSPITALS FOR TWO COMMON MEDICAL CONDITIONS

HM2017 Abstract Number:

WOULD HOSPITALIST USE OF POINT-OF-CARE ULTRASOUND PAY FOR ITSELF? A RETURN-ON-INVESTMENT PREDICTION MODEL USING UNINCENTIVIZED, ULTRASOUND-TRAINED RESIDENTS

Background: Although point-of-care ultrasound can improve patient care and reduce unnecessary downstream costs, few economic models exist on hospitalist use and whether remuneration for imaging could offset equipment costs.  As the heart and lungs are [...]

By | 2017-05-05T19:04:04+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on WOULD HOSPITALIST USE OF POINT-OF-CARE ULTRASOUND PAY FOR ITSELF? A RETURN-ON-INVESTMENT PREDICTION MODEL USING UNINCENTIVIZED, ULTRASOUND-TRAINED RESIDENTS

HM2017 Abstract Number:

CLINICAL RISK PREDICTION SCORES FOR VENOUS THROMBOEMBOLISM (VTE) IN HOSPITALIZED MEDICAL AND SURGICAL PATIENTS: A SYSTEMATIC REVIEW

Background: A variety of risk prediction scores have been devised to identify patients at increased risk for VTE in different patient populations and settings. Guideline recommendations for VTE risk assessment vary greatly. We performed a [...]

By | 2017-05-05T19:02:56+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on CLINICAL RISK PREDICTION SCORES FOR VENOUS THROMBOEMBOLISM (VTE) IN HOSPITALIZED MEDICAL AND SURGICAL PATIENTS: A SYSTEMATIC REVIEW

HM2017 Abstract Number:

TRANSFORMING MORTALITY REVIEW: DEBRIEFING FRONTLINE PROVIDERS IDENTIFIES MORE QUALITY OPPORTUNITIES THAN ELECTRONIC PROVIDER SURVEYS

Background: Structured mortality review can help identify care issues and focus quality efforts, but existing methods have limitations. In the Department of Medicine at UCLA, we developed a novel in-person, near real-time, interdisciplinary rapid mortality [...]

By | 2017-04-20T14:11:24+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on TRANSFORMING MORTALITY REVIEW: DEBRIEFING FRONTLINE PROVIDERS IDENTIFIES MORE QUALITY OPPORTUNITIES THAN ELECTRONIC PROVIDER SURVEYS