Quality Improvement

‘WHAT’S IN A NAME?’ A HOSPITALIST BY ANY OTHER NAME DOESN’T SMELL AS SWEET

Background: Patients are frequently unable to identify their primary hospitalist in the complex hospital environment. Patients may have multiple primary inpatient physicians due to handoffs, may be seen by multiple specialists, and may see housestaff [...]

By | 2018-03-19T13:06:28+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ‘WHAT’S IN A NAME?’ A HOSPITALIST BY ANY OTHER NAME DOESN’T SMELL AS SWEET

A QUALITY IMPROVEMENT INTERVENTION: A HIGH-VALUE APPROACH TO HEPARIN-INDUCED THROMBOCYTOPENIA

Background: Heparin-Induced Thrombocytopenia (HIT) is an antibody-mediated pro-thrombotic disorder which occurs after exposure to heparin product. Diagnosis of HIT type II is rather challenging as affected individual often has other causes of thrombocytopenia and a [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on A QUALITY IMPROVEMENT INTERVENTION: A HIGH-VALUE APPROACH TO HEPARIN-INDUCED THROMBOCYTOPENIA

A Retrospective Study on the Effect of Inpatient Diabetes Self-Management Support on 30-day Re-admission Rates

Background: The high prevalence of diabetes makes it a common co-morbid condition in hospitalized patients. Healthcare systems have increasingly focused on 30-day readmission rates to improve quality and reduce costs. Readmission rates for patients with [...]

By | 2018-03-19T13:15:30+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on A Retrospective Study on the Effect of Inpatient Diabetes Self-Management Support on 30-day Re-admission Rates

Abdominal Aortic Aneurysm Screening in A Resident-Run Clinic – A Commonly Underutilized Screening Test

Background: Abdominal aortic aneurysm (AAA), defined as aortic diameter ≥ 3.0 cm, affects an estimated 1.5% to 1.7% of men aged 65 or older. It was estimated that a ruptured AAA has a mortality rate [...]

By | 2018-03-19T13:24:38+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Abdominal Aortic Aneurysm Screening in A Resident-Run Clinic – A Commonly Underutilized Screening Test

Analysis of Code Status Discussions and Documentation among a Hospitalist Medicine Group

Background: Hospitalists have an increasing role in caring for patients with advanced illness. Due to time constraints, lack of experience and the sensitivity of the topic, it is challenging for Hospitalists to engage in adequate [...]

By | 2018-03-19T12:58:08+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Analysis of Code Status Discussions and Documentation among a Hospitalist Medicine Group

ANTIBIOTIC STEWARDSHIP FOR UNCOMPLICATED URINARY TRACT INFECTIONS IN THE INPATIENT SETTING

Background: Uncomplicated Urinary Tract Infections (UTIs) account for more than 100,000 inpatient admissions yearly. IDSA guidelines recommend Nitrofurantoin as first line therapy and recent FDA guidelines recommend against Fluoroquinolone (FQ) use due their side effects [...]

By | 2018-03-19T12:57:29+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ANTIBIOTIC STEWARDSHIP FOR UNCOMPLICATED URINARY TRACT INFECTIONS IN THE INPATIENT SETTING

Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

Background: The use of IV insulin is one of the primary therapeutic options for the treatment of hyperkalemia. Unfortunately the available literature reports that hypoglycemia is a common occurrence as a result of the treatment [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

BARRIERS TO DISCHARGE FOR LENGTH OF STAY OUTLIERS: A REVIEW OF GENERAL MEDICINE PATIENTS IN A UNIVERSITY HOSPITAL

Background: As healthcare costs continue to burgeon and grow at an unprecedented rate, cost utilization is an increasingly important field of research. In-hospital costs are one of the most expensive contributors to healthcare costs in [...]

By | 2018-03-19T13:18:30+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on BARRIERS TO DISCHARGE FOR LENGTH OF STAY OUTLIERS: A REVIEW OF GENERAL MEDICINE PATIENTS IN A UNIVERSITY HOSPITAL

BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

Background: The prevalence of delirium among hospitalized patients ranges up to 56% and results in increased hospital mortality and duration of hospitalization. Symptoms of delirium may be subtle in early stages and may present clinically [...]

By | 2018-03-19T13:07:12+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

CARE RE-DESIGN BY GEOGRAPHICAL ROUNDING IN ACADEMIC MEDICAL CENTER

Background: Geographical rounding can improve provider to nurse communication as well as between other members of healthcare team resulting in improved efficiency of care. Better communication enables improvement in patient safety and decrease adverse events. [...]

By | 2018-03-19T12:53:49+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on CARE RE-DESIGN BY GEOGRAPHICAL ROUNDING IN ACADEMIC MEDICAL CENTER

Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

Background: Skin and soft tissue infection (SSTI) is a common pediatric diagnosis with substantial economic cost. SSTIs vary in severity and clinical presentation. Providers often fear missing serious systemic infection, causing potential overtesting. However, recent [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

Choosing Wisely: Optimizing Telemetry Utilization With Integrated Multidisciplinary Approach Leveraging Electronic Order Entry And Analytics Within A Community Based Hospital

Background: Telemetry is utilized on high risk cardiac patients for monitoring of arrthymias. Guidelines providing clear monitoring indications have been published by AHA to reduce overuse of this resource, which can lead to increased care [...]

By | 2018-03-19T12:54:23+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Choosing Wisely: Optimizing Telemetry Utilization With Integrated Multidisciplinary Approach Leveraging Electronic Order Entry And Analytics Within A Community Based Hospital

CREATION AND IMPLEMENTATION OF A CLINICAL DECISION SUPPORT TOOL TO DECREASE VOLUME OF INPATIENT STRESS TESTS AT A PUBLIC ACADEMIC HOSPITAL

Background: Patients admitted to our hospital with chest pain concerning for Acute Coronary Syndrome (ACS) have a length of stay exceeding the community average. We postulated that unnecessary stress test orders in some cases may [...]

By | 2018-03-19T13:17:14+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on CREATION AND IMPLEMENTATION OF A CLINICAL DECISION SUPPORT TOOL TO DECREASE VOLUME OF INPATIENT STRESS TESTS AT A PUBLIC ACADEMIC HOSPITAL

DELIVERING HIGH VALUE CARE FOR DIABETIC KETOACIDOSIS (DKA) THROUGH IMPLEMENTATION OF AN EVIDENCE-BASED MULTI-DISCIPLINARY CLINICAL PATHWAY

Background: At our urban, academic hospital, use of outdated protocols and unnecessary variations in the care of DKA patients treated with ICU requiring IV insulin protocols have led to multiple safety events, delays in care [...]

By | 2018-03-19T13:15:17+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on DELIVERING HIGH VALUE CARE FOR DIABETIC KETOACIDOSIS (DKA) THROUGH IMPLEMENTATION OF AN EVIDENCE-BASED MULTI-DISCIPLINARY CLINICAL PATHWAY