Quality Improvement

A HOSPITALIST-LED TEAM TO MANAGE ADMITTED PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT – IMPACT ON DISCHARGES AND CHANGES IN THE LEVEL OF CARE

Background: As many other hospitals of its size, our tertiary academic care center frequently operates at greater than 100% capacity. Medical admissions boarding in the Emergency Department (ED) while awaiting inpatient beds represent a bottleneck [...]

By | 2018-03-19T13:02:38+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A HOSPITALIST-LED TEAM TO MANAGE ADMITTED PATIENTS BOARDING IN THE EMERGENCY DEPARTMENT – IMPACT ON DISCHARGES AND CHANGES IN THE LEVEL OF CARE

A LESS INVASIVE MODIFICATION TO THE BEDSIDE PARACENTESIS FOR HOSPITALIZED PATIENTS AT HIGH RISK FOR BLEEDING COMPLICATIONS

Background: Paracentesis is a commonly performed bedside procedure in hospitalized patients. It is often necessary for patients who are taking anticoagulant therapies and/or have disorders of hemostasis. Concerns about bleeding complications often lead to care [...]

By | 2018-03-19T13:09:49+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A LESS INVASIVE MODIFICATION TO THE BEDSIDE PARACENTESIS FOR HOSPITALIZED PATIENTS AT HIGH RISK FOR BLEEDING COMPLICATIONS

A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

Background: CSD’s are an integral component of the inpatient admission process. However, despite their importance, CSD’s are not performed during all admissions. Residents physicians, who are at the forefront of the admission process, are rarely [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

A SUSTAINED REDUCTION IN AMYLASE OVERUTILIZATION WITHIN THE EMERGENCY DEPARTMENT AT AN ACADEMIC MEDICAL CENTER: A QUALITY IMPROVEMENT PROJECT GUIDED BY LOCAL DRIVERS OF OVERUSE

Background: Choosing Wisely recommends against testing for amylase in the diagnosis and management of acute pancreatitis; however, national CMS data shows over $19 million in charges for amylase laboratory testing per year. Our hospital spent [...]

By | 2018-03-19T13:04:34+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A SUSTAINED REDUCTION IN AMYLASE OVERUTILIZATION WITHIN THE EMERGENCY DEPARTMENT AT AN ACADEMIC MEDICAL CENTER: A QUALITY IMPROVEMENT PROJECT GUIDED BY LOCAL DRIVERS OF OVERUSE

An Innovative Approach to the Management of Sickle Cell Disease at Johns Hopkins Aramco Health in The Kingdom of Saudi Arabia.

Background: Patients with SCD have frequent hospitalizations due to repeated vascular occlusion resulting in multiple organ damage, acute on chronic pain, fatigue, and frequent infections2. Sickle cell pain crisis challenges patients and health professionals in [...]

By | 2018-03-19T12:52:58+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on An Innovative Approach to the Management of Sickle Cell Disease at Johns Hopkins Aramco Health in The Kingdom of Saudi Arabia.

APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious public health problem causing over 90,000 deaths each year. VTE rates at our institution have been high and costly, with insurer [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

BRINGING PHARMACISTS AND HOSPTIALISTS TOGETHER IN THE EMERGENCY DEPARTMENT TO IMPROVE ADMISSION MEDICATION RECONCILIATION

Background: Adverse drug events (ADEs) result in more than 770,000 injuries and deaths each year and cost up to $5.6 million per hospital, depending on size. The hospital admission is often where the patient is [...]

By | 2018-03-19T12:53:08+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on BRINGING PHARMACISTS AND HOSPTIALISTS TOGETHER IN THE EMERGENCY DEPARTMENT TO IMPROVE ADMISSION MEDICATION RECONCILIATION

Development and Implementation of an Electronic Health Record based Medication Reconciliation Risk Stratification Tool to Optimally Deploy Limited Pharmacy Resources

Background: Medication errors occur frequently at transitions of care and lead to significant patient harm. Robust medication reconciliation practices can mitigate these errors, but this process is complex and time-consuming. One of the conclusions of [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Development and Implementation of an Electronic Health Record based Medication Reconciliation Risk Stratification Tool to Optimally Deploy Limited Pharmacy Resources

Effect of Unit-Level Cessation of Intravenous Push Opiate Use on Patients’ Pain Experience and Hospital Length of Stay

Background: Opiates, frequently used to provide analgesia, are associated with post-analgesia related tolerance effects such as hyperalgesia and hyperkatifeia, which lead to worsening of the pain experience. Patients can subsequently experience dissatisfaction with their care [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Effect of Unit-Level Cessation of Intravenous Push Opiate Use on Patients’ Pain Experience and Hospital Length of Stay

EMPOWERING MEDICINE RESIDENTS TO THINK BEFORE ORDERING DAILY LABS. A QUALITY IMPROVEMENT STUDY.

Background: Healthcare costs are a challenge; for the greatest impact, high-value care education should begin early in residency training. Routine lab ordering for hospitalized patients is a well-known cause of high costs. This study utilized [...]

By | 2018-03-19T13:24:52+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on EMPOWERING MEDICINE RESIDENTS TO THINK BEFORE ORDERING DAILY LABS. A QUALITY IMPROVEMENT STUDY.