Quality Improvement

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 | 2017-04-26T02:45:08-04:00 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 | 2017-04-26T02:45:40-04:00 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 | 2017-04-26T02:46:10-04:00 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 | 2017-04-26T02:46:42-04:00 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 | 2017-04-26T02:47:19-04:00 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 | 2017-04-26T02:48:17-04:00 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 | 2017-04-26T02:48:46-04:00 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 | 2017-04-26T02:49:51-04:00 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 | 2017-04-26T02:50:23-04:00 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 | 2017-04-26T02:50:55-04:00 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 | 2017-04-25T23:18:03-04:00 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 | 2017-04-26T02:51:48-04:00 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 | 2017-04-26T02:52:20-04:00 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 | 2017-04-26T02:52:50-04:00 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 | 2017-04-26T02:53:28-04:00 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 | 2017-04-26T02:53:57-04:00 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 | 2017-04-26T02:54:25-04:00 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 | 2017-04-26T02:54:54-04:00 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 | 2017-04-26T02:55:41-04:00 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 | 2017-04-26T02:56:16-04:00 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 | 2017-04-26T02:56:51-04:00 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 | 2017-04-26T02:57:22-04:00 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 | 2017-04-26T02:57:57-04:00 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 | 2017-04-26T02:58:34-04:00 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 | 2017-04-26T02:59:03-04:00 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 | 2017-04-26T02:59:32-04:00 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 | 2017-04-26T03:00:02-04:00 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 | 2017-04-26T03:00:35-04:00 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 | 2017-04-26T03:01:06-04:00 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 | 2017-04-26T03:01:39-04:00 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 | 2017-04-26T03:02:20-04:00 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 | 2017-04-26T03:02:54-04:00 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 | 2017-04-26T03:03:25-04:00 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 | 2017-04-26T03:04:10-04:00 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 | 2017-04-26T03:04:36-04:00 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 | 2017-04-26T03:05:36-04:00 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 | 2017-04-26T03:06:06-04:00 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 | 2017-04-26T03:06:34-04:00 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 | 2017-04-26T03:07:03-04:00 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 | 2017-04-26T03:07:34-04:00 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 | 2017-04-26T03:08:13-04:00 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 | 2017-04-26T03:08:46-04:00 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 | 2017-04-26T03:09:18-04:00 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 | 2017-04-26T03:09:46-04:00 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 | 2017-04-26T03:10:21-04:00 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 | 2017-04-26T03:10:57-04:00 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: 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 | 2017-04-26T03:11:56-04:00 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 | 2017-04-26T03:12:27-04:00 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 | 2017-04-26T03:12:54-04:00 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 | 2017-04-26T03:13:21-04:00 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 | 2017-04-26T03:13:49-04:00 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 | 2017-04-26T03:15:28-04:00 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 | 2017-04-26T03:15:55-04:00 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 | 2017-04-26T03:16:21-04:00 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 | 2017-04-26T03:16:52-04:00 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 | 2017-04-26T03:17:21-04:00 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 | 2017-04-26T03:17:51-04:00 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 | 2017-04-26T03:18:20-04:00 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 | 2017-04-26T03:18:49-04:00 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 | 2017-04-26T03:19:22-04:00 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 | 2017-04-26T03:19:59-04:00 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 | 2017-04-26T03:20:49-04:00 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