Research

‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

Background: Many hospitalized patients spend most of their time in bed leading to increased complications. For elderly patients, hospitalization results in decreased post-hospital independence up to 1 month after discharge, which can be prevented with [...]

By | 2019-03-11T14:24:39+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

Background: Several studies have shown increased mortality and readmission rate in patients admitted to hospitals over the weekend. This “weekend effect” has been well-described for several medical conditions and has been attributed to several factors. [...]

By | 2019-03-11T14:20:31+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

“DON’T LET THE GOWN GET YOU DOWN”: HOW PATIENTS AND PROVIDERS PERCEIVE HOSPITAL GOWNS

Background: Although the intended purpose of the hospital gown is not to cause harm, it reinforces the role of being subordinate to the physician. Gowns put patients in a vulnerable position because they can be [...]

By | 2019-03-11T14:23:36+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on “DON’T LET THE GOWN GET YOU DOWN”: HOW PATIENTS AND PROVIDERS PERCEIVE HOSPITAL GOWNS

“LESS IS MORE WHEN MORE IS TOO MUCH”: REDUCTION OF UNNECESSARY LAB ORDERS ON INPATIENT MEDICAL SERVICES

Background: The practice of routinely ordering daily labs not based on clinical indication on patients in the hospital is a wasteful clinical practice. Routine daily labs can also lead to patient harm by causing pain [...]

By | 2019-03-11T14:22:40+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on “LESS IS MORE WHEN MORE IS TOO MUCH”: REDUCTION OF UNNECESSARY LAB ORDERS ON INPATIENT MEDICAL SERVICES

30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who [...]

By | 2019-03-11T14:20:04+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on 30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

5 STAR HOSPITALS BASED ON PATIENT EXPERIENCE PROVIDE FEWER CLINICAL SERVICES

Background: Centers for Medicare and Medicaid Service (CMS) publicly report patient experience star ratings for hospitals generated from their performance on the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) survey. The objective was [...]

By | 2019-03-18T13:23:57+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Other, Research|Comments Off on 5 STAR HOSPITALS BASED ON PATIENT EXPERIENCE PROVIDE FEWER CLINICAL SERVICES

A COMPARISON OF BAWS (BRIEF ALCOHOL WITHDRAWAL SCALE) WITH CIWA-AR TO DIAGNOSE THE SEVERITY OF ALCOHOL WITHDRAWAL IN HOSPITALIZED MEDICAL PATIENTS

Background: Treating alcohol withdrawal in the inpatient medical setting requires timely identification of the severity of alcohol withdrawal so appropriate treatment can be administered. Delayed or missed diagnosis can lead to increased morbidity and mortality, [...]

By | 2019-03-11T14:19:03+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on A COMPARISON OF BAWS (BRIEF ALCOHOL WITHDRAWAL SCALE) WITH CIWA-AR TO DIAGNOSE THE SEVERITY OF ALCOHOL WITHDRAWAL IN HOSPITALIZED MEDICAL PATIENTS

A COST-MINIMIZATION ANALYSIS OF STANDARD APPROACHES TO STAFFING HOSPITAL MEDICINE SERVICES IN AN ACADEMIC MEDICAL CENTER

Background: Academic Medical Centers (AMC) have utilized teams comprised of an attending, resident, interns and medical students to care for hospitalized patients. ACGME work restrictions have reduced the capacity of teaching services. Consequently, most AMCs [...]

By | 2019-03-11T14:26:33+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on A COST-MINIMIZATION ANALYSIS OF STANDARD APPROACHES TO STAFFING HOSPITAL MEDICINE SERVICES IN AN ACADEMIC MEDICAL CENTER

A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an [...]

By | 2019-03-11T14:25:38+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

A QUALITY IMPROVEMENT PROJECT TO REDUCE HIGH-RISK MEDICATION USE FOR SLEEP IN HOSPITALIZED PATIENTS AT RISK OF DELIRIUM

Background: Hospitalized elderly patients are at risk for delirium. Despite the widely recognized importance of avoiding potentially inappropriate medications on the BEERS list, hospitalized patients often receive high-risk medications such as benzodiazepines for insomnia. This [...]

By | 2019-03-11T14:23:21+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on A QUALITY IMPROVEMENT PROJECT TO REDUCE HIGH-RISK MEDICATION USE FOR SLEEP IN HOSPITALIZED PATIENTS AT RISK OF DELIRIUM

A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost [...]

By | 2019-03-11T14:25:26+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

A STUDY ON INTERNET USE FOR HEALTH INFORMATION IN THE HOSPITALIZED PATIENT

Background: Hospitalized patients often crave information about their illness. As many as 70% of outpatients use the internet for this purpose. However, little is known about how often hospitalized patients search for medical information online.Methods: [...]

By | 2019-03-11T14:16:44+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on A STUDY ON INTERNET USE FOR HEALTH INFORMATION IN THE HOSPITALIZED PATIENT

ACCELEROMETER MEASURED HOSPITAL ACTIVITY AND THE ASSOCIATION WITH HOSPITAL ACQUIRED DISABILITY IN OLDER ADULTS

Background: Hospital-acquired disability (HAD) is common, and a key contributor to this process is low hospital physical activity. This study examines whether objective measures of hospital physical activity from wearable accelerometers can be used to [...]

By | 2019-03-11T14:18:20+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on ACCELEROMETER MEASURED HOSPITAL ACTIVITY AND THE ASSOCIATION WITH HOSPITAL ACQUIRED DISABILITY IN OLDER ADULTS

ACCURACY OF ADMINISTRATIVE BILLING CODES IN IDENTIFYING NEONATAL ABSTINENCE SYNDROME (NAS) AND OTHER EXPOSURES TO DRUGS OF ABUSE

Background: Neonatal abstinence syndrome (NAS) occurs when an infant is exposed to licit or illicit chemical substances in utero and manifests symptoms of withdrawal from the substance(s) after birth. NAS is a clinical diagnosis, but [...]

By | 2019-03-11T14:21:42+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on ACCURACY OF ADMINISTRATIVE BILLING CODES IN IDENTIFYING NEONATAL ABSTINENCE SYNDROME (NAS) AND OTHER EXPOSURES TO DRUGS OF ABUSE

ACUITY-BASED NIGHTTIME VITAL SIGN ASSESSMENTS: A RANDOMIZED CONTROLLED TRIAL

Background: Sleep disruptions for routine care, such as vital sign assessments, are common during hospitalization and are associated with negative health outcomes and patient satisfaction. While higher risk patients may benefit from increased monitoring at [...]

By | 2019-03-12T15:47:11+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Outcomes Research, Research|Comments Off on ACUITY-BASED NIGHTTIME VITAL SIGN ASSESSMENTS: A RANDOMIZED CONTROLLED TRIAL