Quality Improvement

‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to [...]

By | 2019-03-11T14:23:05+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

‘TAKE 5’ TO IMPROVE RESIDENT SATISFACTION WITH CDI

Background: The Accreditation Council for Graduate Medical Education (ACGME) includes “Systems Based Practice” as part of its six core competencies for resident education. Clinical documentation is a primary resource of patient safety and quality metrics [...]

By | 2019-03-11T14:23:39+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘TAKE 5’ TO IMPROVE RESIDENT SATISFACTION WITH CDI

A BUNDLED INTERVENTION TO REDUCE INAPPROPRIATE PRESCRIBING OF PROTON PUMP INHIBITORS IN AN ACADEMIC URBAN HOSPITAL MEDICINE GROUP

Background: Proton pump inhibitors (PPIs) are one of the most prescribed medications in the United States. Long-term PPI use is increasingly being associated with many adverse health consequences such as Clostridium difficile infections, osteoporosis, impaired [...]

By | 2019-03-11T14:23:17+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A BUNDLED INTERVENTION TO REDUCE INAPPROPRIATE PRESCRIBING OF PROTON PUMP INHIBITORS IN AN ACADEMIC URBAN HOSPITAL MEDICINE GROUP

A MULTIFACETED HOSPITALIST LED QUALITY ASSURANCE COMMITTEE TO CREATE A CULTURE OF CONTINOUS IMPROVEMENT

Background: In an attempt to enhance the quality of the care we deliver as a Group in the hospital, we undertook the formation of a Quality Assurance Committee. It is composed of 3 MD’s, one [...]

By | 2019-03-11T14:23:23+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A MULTIFACETED HOSPITALIST LED QUALITY ASSURANCE COMMITTEE TO CREATE A CULTURE OF CONTINOUS IMPROVEMENT

A PATIENT-CENTRIC APPROACH TO IMPROVING COMMUNICATION ABOUT MEDICATIONS IN THE IN-PATIENT ENVIRONMENT

Background: Discharge from an in-patient hospital stay is a critical opportunity to teach patients about their medications. Communication about medications and appropriate transition of care are two domains of the Hospital Consumer Assessment of Healthcare [...]

By | 2019-03-11T14:22:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A PATIENT-CENTRIC APPROACH TO IMPROVING COMMUNICATION ABOUT MEDICATIONS IN THE IN-PATIENT ENVIRONMENT

A PROCESS APPROACH TO DECREASING HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS

Background: Stony Brook University Hospital (SBUH) identified an opportunity to develop and implement prevention strategies to reduce hospital onset C. difficile infections (CDI). Hospital Onset (HO) CDI are included in National Healthcare Safety Network (NHSN) [...]

By | 2019-03-18T13:27:00+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A PROCESS APPROACH TO DECREASING HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS

A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

Background: Sepsis is a leading cause of death in US hospitals, and is a major contributor to hospital mortality and length of stay. Much has been done in hospitals nationwide to identify and treat sepsis [...]

By | 2019-03-11T14:23:51+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

Background: Vaso-occlusive acute pain crises are the leading cause for hospitalization in adult sickle cell patients. For our academic hospitalist group at a quaternary care center in New York, acute pain crises in 2017 accounted [...]

By | 2019-03-11T14:23:19+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

ACCOUNTABLE CARE UNIT: AN INPATIENT STRUCTURE FOR SUSTAINED IMPROVEMENT

Background: Financial incentives motivate hospitals to focus on improving patient experience, quality indicators, and efficiency metrics. Efforts to geographically staff hospitalists have renewed the focus on quality improvement efforts at the inpatient unit level. However, [...]

By | 2019-03-11T14:22:37+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ACCOUNTABLE CARE UNIT: AN INPATIENT STRUCTURE FOR SUSTAINED IMPROVEMENT

ACTIVE LEARNING QUALITY IMPROVEMENT TRAINING CURRICULUM FOR FACULTY IN HOSPITAL MEDICINE

Background: There is a growing emphasis on teaching Quality Improvement (QI) to resident physicians and medical students. Successful QI training for residents and students requires faculty role models, teachers and mentors. However, faculty with QI [...]

By | 2019-03-11T14:23:48+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ACTIVE LEARNING QUALITY IMPROVEMENT TRAINING CURRICULUM FOR FACULTY IN HOSPITAL MEDICINE

AN INNOVATIVE ALCOHOL WITHDRAWAL PROTOCOL REDUCES LENGTH OF STAY, RESTRAINT USE, AND TRANSFERS TO INTENSIVE CARE

Background: Alcohol withdrawal is a common disorder faced by hospitalists. The pharmacologic standard of care involves the use of benzodiazepines, administered either as fixed doses or with doses adjusted per patient symptoms. At our institution, [...]

By | 2019-03-18T13:41:35+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on AN INNOVATIVE ALCOHOL WITHDRAWAL PROTOCOL REDUCES LENGTH OF STAY, RESTRAINT USE, AND TRANSFERS TO INTENSIVE CARE

AN INTERDISCIPLINARY APPROACH TO IMPROVING ADVANCE CARE PLANNING IN INTERNAL MEDICINE

Background: While Medicare data demonstrates that healthcare spending is up to four times higher in yearly decedents than survivors, studies demonstrate that early advance care planning (ACP) leads to improved clinical outcomes and reduces cost [...]

By | 2019-03-11T14:24:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on AN INTERDISCIPLINARY APPROACH TO IMPROVING ADVANCE CARE PLANNING IN INTERNAL MEDICINE

BACK TO THE BEDSIDE: UNITING MEDICAL EDUCATION AND INTERPROFESSIONAL ROUNDS

Background: Interprofessional rounding has improved patient safety and provider engagement (1). Our institution implemented interdisciplinary patient rounds (IPR) similarly described in the literature (2). Despite praise for our nursing safety checklist, declining emphasis on bedside [...]

By | 2019-03-11T14:24:53+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on BACK TO THE BEDSIDE: UNITING MEDICAL EDUCATION AND INTERPROFESSIONAL ROUNDS

BEE QUIET: AN INNOVATIVE STRATEGY TO IMPROVE SLEEP QUALITY AND REDUCE FALLS

Background: Sleep disturbance has negative impact on physical coordination, metabolism, cognitive performance, immune function, coagulation cascade, cardiac risk and is associated with an increased risk of falls in hospitalized patients. The number of adverse events [...]

By | 2019-03-11T14:22:08+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on BEE QUIET: AN INNOVATIVE STRATEGY TO IMPROVE SLEEP QUALITY AND REDUCE FALLS