Quality Improvement

HM2018 Abstract Number: 203

EFFECTIVENESS OF CLINICAL DECISION SUPPORT FOR REDUCING UNNECESSARY HYPERCOAGULABILITY EVALUATIONS IN A LARGE COMMUNITY HOSPITAL

Background: Venous Thromboembolism (VTE) is a potentially life-threatening disorder and in some cases, is related to underlying hypercoagulability which may be congenital or acquired. Guidelines suggest performing extensive work -up for hypercoagulability only in select [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on EFFECTIVENESS OF CLINICAL DECISION SUPPORT FOR REDUCING UNNECESSARY HYPERCOAGULABILITY EVALUATIONS IN A LARGE COMMUNITY HOSPITAL

HM2018 Abstract Number: 228

THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

HM2018 Abstract Number: 269

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

HM2018 Abstract Number: 209

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

HM2018 Abstract Number: 282

Primum non nocere: Is Measuring Daily BNP Harmless?

Background: Serum B-type natriuretic peptide (BNP) levels, measured on admission and discharge, have been a prudent predictor of outcomes among patients with heart failure. However, daily BNP measurements have no benefits for the management of [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Primum non nocere: Is Measuring Daily BNP Harmless?

HM2018 Abstract Number: 255

Improving Oncology Handoffs with Standardized Elements

Background: Standardizing inter-shift handoff procedures enhances continuity of care and quality with an associated reduction in preventable medical errors. This is particularly relevant in the inpatient oncology population where patients have a relatively high morbidity/mortality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Improving Oncology Handoffs with Standardized Elements

HM2018 Abstract Number: 12

HOSPITALIST DIRECTED TRANSFERS IMPROVE EMERGENCY ROOM LENGTH OF STAY

Background: Emergency room (ER) crowding remains a widespread problem. Hospitalist led transfers for stable patients may be one intervention to improve patient flow and ER overcrowding. There are no prior studies assessing the impact of [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Quality Improvement, Research, Uncategorized|Comments Off on HOSPITALIST DIRECTED TRANSFERS IMPROVE EMERGENCY ROOM LENGTH OF STAY

HM2018 Abstract Number: 275

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

HM2018 Abstract Number: 204

EDUCATIONAL INTERVENTION TO SIGNIFICANTLY REDUCE HEALTH CARE COST IN MEDICAL INTENSIVE CARE UNIT

Background: The diagnostic yield and therapeutic consequences of daily routine chest x-rays are very low. Several studies show discontinuation of daily routine chest x-rays does not affect ICU length of stay, readmission rate, or hospital [...]

By | 2018-03-19T13:23:35+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on EDUCATIONAL INTERVENTION TO SIGNIFICANTLY REDUCE HEALTH CARE COST IN MEDICAL INTENSIVE CARE UNIT

HM2018 Abstract Number: 205

NPO STATUS WITH CARDIAC STRESS TESTING: AN OUTCOME-BASED APPROACH

Background: It has been routine practice to keep patients undergoing cardiac stress testing nil per os (NPO) until the results of the test were reported. The rationale is to enable left heart catheterization the same [...]

By | 2018-03-19T13:20:50+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on NPO STATUS WITH CARDIAC STRESS TESTING: AN OUTCOME-BASED APPROACH

HM2018 Abstract Number: 277

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

HM2018 Abstract Number: 219

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

HM2018 Abstract Number: 272

IMPROVING MOBILIZATION OF HOSPITALIZED ELDERLY MEDICAL PATIENTS

Background: The benefits of early ambulation for patients admitted to a hospital are well recognized. Our hospital has a “Nurse Driven Progressive Mobility Protocol” which is intended to guide bedside practitioners in implementing individualized progressive [...]

By | 2018-03-19T13:16:57+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on IMPROVING MOBILIZATION OF HOSPITALIZED ELDERLY MEDICAL PATIENTS

HM2018 Abstract Number: 265

ACCURACY OF A PATIENT’S PCP IN THE EMR

Background: Insufficient communication, particularly at transitions in patient care, is a common and accepted cause of negative outcomes. Handoffs between hospitalists and primary care physicians (PCPs) are infrequent, occurring in 3-20% of cases (2). Many [...]

By | 2018-03-19T13:16:38+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ACCURACY OF A PATIENT’S PCP IN THE EMR

HM2018 Abstract Number: 234

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

HM2018 Abstract Number: 218

What to Expect That You’re Not Expecting – Video Education to Improve Patient Self-Efficacy Surrounding Discharge Medication Barriers

Background: Preventable hospital readmissions are a common problem for medical centers in the United States. Recent studies have focused on what patients perceive as causes for their return to the hospital. One factor driving readmissions [...]

By | 2018-03-19T13:15:21+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on What to Expect That You’re Not Expecting – Video Education to Improve Patient Self-Efficacy Surrounding Discharge Medication Barriers

HM2018 Abstract Number: 252

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

HM2018 Abstract Number: 216

REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

Background: COPD exacerbations are among the leading causes of hospital readmissions. According to the COPD Foundation, in 2013, 22% patients admitted for COPD exacerbation required readmission within 30 days of discharge. This represents a significant [...]

By | 2018-03-19T13:12:03+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 268

NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A FOR-PROFIT COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING COST OR LENGTH OF STAY

Background: Opening new residency programs in community hospitals is one strategy to address physician shortage. Previous reports showed better outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting well- established [...]

By | 2018-03-19T13:11:59+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A FOR-PROFIT COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING COST OR LENGTH OF STAY

HM2018 Abstract Number: 221

PRACTICE PATTERN OF LOWER EXTREMITY VENOUS ULTRASOUNDS IN ONE UNIVERSITY HOSPITAL

Background: The venous thromboembolism (VTE) rate in patients with current or recent hospitalization is 330/100,000 person-year vs. 8/100,000 in outpatients. Hence, hospitalists often assess risk and pursue a diagnosis of VTE in their patients. Lower [...]

By | 2018-03-19T13:11:53+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on PRACTICE PATTERN OF LOWER EXTREMITY VENOUS ULTRASOUNDS IN ONE UNIVERSITY HOSPITAL

HM2018 Abstract Number: 281

HEALTH CARE PROXY OR ADVANCED DIRECTIVES IMPACT ON LENGTH OF TIME FROM INITIAL PALLIATIVE CONSULT TO CAREGIVER DECISION TO PROCEED WITH VENTILATOR WITHDRAWAL OF INTUBATED PATIENTS IN AN URBAN MINORITY COMMUNITY HOSPITAL

Background: Health care proxies (HCP), decision-making surrogates and involved family members often struggle with indecision when offered the option of went withdrawal (VW) for a patient who is intubated. A VW is a procedure offered [...]

By | 2018-03-19T13:10:41+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on HEALTH CARE PROXY OR ADVANCED DIRECTIVES IMPACT ON LENGTH OF TIME FROM INITIAL PALLIATIVE CONSULT TO CAREGIVER DECISION TO PROCEED WITH VENTILATOR WITHDRAWAL OF INTUBATED PATIENTS IN AN URBAN MINORITY COMMUNITY HOSPITAL

HM2018 Abstract Number: 246

INCREASING ADOPTION OF AIDET: A STUDENT LED QUALITY IMPROVEMENT RESEARCH PROJECT

Background: Many hospitalized patients do not understand their treatment and care plans [1] and research shows that better physician communication skills improve patient outcomes [2]. Since these communication skills are teachable, many institutions implement a [...]

By | 2018-03-19T13:10:18+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on INCREASING ADOPTION OF AIDET: A STUDENT LED QUALITY IMPROVEMENT RESEARCH PROJECT

HM2018 Abstract Number: 212

MULTIDISCIPLINARY EVALUATION OF THE EFFECTIVENESS OF PEDIATRIC FAMILY CENTERED ROUNDS

Background: Family centered rounds (FCR) are used in pediatric hospital settings as a multidisciplinary method to communicate with families and involve them in medical decisions. This study is intended to evaluate how medical providers and [...]

By | 2018-03-19T13:09:41+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on MULTIDISCIPLINARY EVALUATION OF THE EFFECTIVENESS OF PEDIATRIC FAMILY CENTERED ROUNDS

HM2018 Abstract Number: 241

DELTA: Changing the Way to Accurately and Promptly Identify Patient Deterioration

Background: Failure to promptly recognize and intervene upon patient deterioration leads to morbidity and mortality. Numerous “early warning scores” (EWS) intend to identify such patients but their performances lack adequate sensitivity and specificity. “DELTA” was [...]

By | 2018-03-19T13:09:13+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on DELTA: Changing the Way to Accurately and Promptly Identify Patient Deterioration

HM2018 Abstract Number: 206

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.

HM2018 Abstract Number: 264

‘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

HM2018 Abstract Number: 261

MEASURING TELEMETRY OVERUSE AND TARGETING APPROPRIATE UTILIZATION: QUALITY IMPROVEMENT IN A COMMUNITY HOSPITAL

Background: Telemetry is an often overused and expensive medical monitoring device designed to measure cardiac disease, arrhythmias or suspected heart abnormalities. In an effort to describe appropriate electrocardiographic monitoring in the hospital setting, the American [...]

By | 2018-03-19T13:05:44+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on MEASURING TELEMETRY OVERUSE AND TARGETING APPROPRIATE UTILIZATION: QUALITY IMPROVEMENT IN A COMMUNITY HOSPITAL

HM2018 Abstract Number: 263

PALLIATIVE CARE SCREENING TOOL IDENTIFIES HOSPITALIZED PATIENTS AT INCREASED RISK OF MORTALITY

Background: Palliative care (PC) has been shown to be cost-effective and improve the quality of life for patients facing incurable and life-threatening illness. However, identifying patients benefiting from PC consultation remains a challenge in the [...]

By | 2018-03-19T13:05:32+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on PALLIATIVE CARE SCREENING TOOL IDENTIFIES HOSPITALIZED PATIENTS AT INCREASED RISK OF MORTALITY

HM2018 Abstract Number: 233

THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION

Background: Elevated blood pressure (BP) is common among hospitalized patients, with prevalence estimates between 50-70%. Many factors may contribute to this, such as pain, nausea, anxiety, or volume overload. However, true hypertensive emergency requiring rapid [...]

By | 2018-03-19T13:04:26+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION

HM2018 Abstract Number: 16

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

HM2018 Abstract Number: 256

The Resident is in Charge! A Novel Approach to Improve Early Hospital Discharge Rates

Background: Late discharges are associated with hospital overcrowding, delayed inter-unit patient transfers, lower patient satisfaction scores and longer length of stay. At our hospital, there has been a consistent discordance between the teaching and non-teaching [...]

By | 2018-03-19T13:01:56+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on The Resident is in Charge! A Novel Approach to Improve Early Hospital Discharge Rates

HM2018 Abstract Number: 239

INSULIN PENS AND PEN NEEDLES: AN ANALYSIS OF PRESCRIBING ERRORS ON DISCHARGE

Background: Insulin is considered a high-alert medication due to frequent prescription or administration errors and severe adverse events. Insulin prescription errors during hospital discharge may lead to increased re-admissions and increased emergency department visits. We [...]

By | 2018-03-19T12:59:30+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on INSULIN PENS AND PEN NEEDLES: AN ANALYSIS OF PRESCRIBING ERRORS ON DISCHARGE

HM2018 Abstract Number: 258

Improvising Telemetry Use in a Rural Teaching Hospital: A Choosing Wisely Initiative

Background: Cardiac telemetry use has expanded in the last 30 years. Inappropriate telemetry use leads to prolonged hospital stays, patient discomfort, and increased healthcare costs. As part of SHM’s choosing wisely campaign, we designed and [...]

By | 2018-03-19T12:58:50+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Improvising Telemetry Use in a Rural Teaching Hospital: A Choosing Wisely Initiative

HM2018 Abstract Number: 249

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

HM2018 Abstract Number: 276

REDUCING UNNECESSARY PERIPHERALLY INSERTED CENTRAL CATHETERS IN A TERTIARY REFERRAL HOSPITAL

Background: Peripherally inserted central catheters (PICCs) are increasingly used for vascular access in hospitalized patients due to convenience and long term viability. PICC lines are known to have complications such as deep venous thromboses and [...]

By | 2018-03-19T12:57:54+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on REDUCING UNNECESSARY PERIPHERALLY INSERTED CENTRAL CATHETERS IN A TERTIARY REFERRAL HOSPITAL

HM2018 Abstract Number: 271

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

HM2018 Abstract Number: 225

OPIOID-INDUCED CONSTIPATION: AN EDUCATIONAL INTERVENTION TO IMPROVE AN OVERLOOKED CAUSE OF PATIENT DISCOMFORT!

Background: Opioids are the most commonly used analgesics for pain management in hospitalized patients. Approximately 40% to 81% of patient on opioid analgesics experience opioid induced constipation (OIC) which is associated with significant patient discomfort. [...]

By | 2018-03-19T12:55:11+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on OPIOID-INDUCED CONSTIPATION: AN EDUCATIONAL INTERVENTION TO IMPROVE AN OVERLOOKED CAUSE OF PATIENT DISCOMFORT!

HM2018 Abstract Number: 279

Potential Cost Savings of Decreasing Inappropriate Level of Care Assignments

Background: Currently, patients admitted to the hospital are assigned specific levels of care such as intermediate intensive care or acute care. Differences among care at these levels largely differ through nursing ratio as well as [...]

By | 2018-03-19T12:54:50+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Potential Cost Savings of Decreasing Inappropriate Level of Care Assignments

HM2018 Abstract Number: 242

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

HM2018 Abstract Number: 253

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

HM2018 Abstract Number: 226

TRANSFER WITHIN 12 HOURS OF HOSPITALIST ADMISSION TO THE MEDICAL INTENSIVE CARE UNIT (MICU): A LOOK AT THE HOSPITALIST, EMERGENCY DEPARTMENT AND ICU PROVIDERS PERCEPTION OF INITIAL TRIAGE

Background: Our goal was to evaluate the group of patients that are admitted to the Medicine service under the care of our hospitalist team and then transferred to the medical intensive care unit (MICU) within [...]

By | 2018-03-19T12:53:24+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on TRANSFER WITHIN 12 HOURS OF HOSPITALIST ADMISSION TO THE MEDICAL INTENSIVE CARE UNIT (MICU): A LOOK AT THE HOSPITALIST, EMERGENCY DEPARTMENT AND ICU PROVIDERS PERCEPTION OF INITIAL TRIAGE

HM2018 Abstract Number: 280

RETHINKING CONTACT PRECAUTIONS

Background: The use of contact precautions (CP) for patients with colonized or infected (endemic) methicillin-resistant staphylococcus aureus (MRSA) is common in many hospitals, but emerging literature does not support CP over standard precautions in preventing [...]

By | 2018-03-19T12:52:28+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on RETHINKING CONTACT PRECAUTIONS