Quality Improvement

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

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

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

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

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

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

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

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

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?

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?

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