Quality Improvement

‘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.

“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

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

ARE HOSPITALISTS READY, WILLING AND ABLE TO RESPOND TO CARDIAC ARREST? A MULTI-CENTER SURVEY

Background: In-hospital cardiac arrest (IHCA) is an unpredictable, catastrophic event affecting approximately 200,000 US adults annually. Best outcomes during IHCA result from focused training and credentialing by AHA (ACLS, BLS). Although hospitalists supervise IHCA, best [...]

By | 2019-03-11T14:24:40+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ARE HOSPITALISTS READY, WILLING AND ABLE TO RESPOND TO CARDIAC ARREST? A MULTI-CENTER SURVEY

ASSESSING CONFUSION: AN INVESTIGATION INTO HEALTHCARE PROVIDERS PERCEPTION OF AMMONIA TESTING.

Background: Hepatic encephalopathy (HE) is a common complication in patients with end stage liver disease. Variability in presentation can be a source of clinical uncertainty for medical providers. Ammonia levels have historically been used to [...]

By | 2019-03-11T14:24:05+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ASSESSING CONFUSION: AN INVESTIGATION INTO HEALTHCARE PROVIDERS PERCEPTION OF AMMONIA TESTING.

ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

Background: Hypertension is a significant risk factor for cardiovascular disease. According to the Centers for Disease Control and Prevention (CDC) half of all United States citizens with hypertension (HTN) do not have their blood pressure [...]

By | 2019-03-11T14:22:29+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

CARDIOVASCULAR EMERGENCIES IN HOSPITAL PRIMARY CARE: ROLE FOR THE INITIAL NURSE TRIAGE SYSTEM

Background: Emergency medicine doctors should take care of patients with a wide range of illnesses at various emergency levels from non-urgent level to that requiring immediate medical attention. Among those, cardiovascular emergencies are not so [...]

By | 2019-03-11T14:24:54+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CARDIOVASCULAR EMERGENCIES IN HOSPITAL PRIMARY CARE: ROLE FOR THE INITIAL NURSE TRIAGE SYSTEM

CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any [...]

By | 2019-03-11T14:23:45+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

COMPLICATION RATES WITH MIDLINE CATHETERS (MLS) VERSUS PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS)

Background: Vascular access devices (VADs) play an integral role in the treatment of patients, since they can be utilized for the administration of intravenous medications (including antibiotics and chemotherapy), and often on a long term [...]

By | 2019-03-11T14:22:32+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on COMPLICATION RATES WITH MIDLINE CATHETERS (MLS) VERSUS PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS)

COPD AUTOSUBSTITUTION OF INHALERS TO NEBULIZER THERAPY EFFECT IN HOSPITALIZED PATIENTS

Background: COPD is associated with high morbidity and mortality. It is the third-ranked cause of death in the United States, killing more than 120,000 individuals each year. As a consequence of its high prevalence and [...]

By | 2019-03-12T15:46:54+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Quality Improvement, Research|Comments Off on COPD AUTOSUBSTITUTION OF INHALERS TO NEBULIZER THERAPY EFFECT IN HOSPITALIZED PATIENTS

DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

Background: The Society of Hospital Medicine identified questioning the necessity of repeat labs in stable patients as a Choosing Wisely goal to improve overall value of care. Implications of unnecessary blood draws include over-testing, pain, [...]

By | 2019-03-11T14:24:45+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

DECREASING ICU LENGTH OF STAY BY IMPROVING PATIENT TRANSFER PRACTICES TO TELEMETRY UNITS

Background: Prolonged intensive care unit (ICU) length of stay (LOS) has been shown to delay patients’ recovery, increase their exposure to the risk of infections, upsurge healthcare costs, and reduce care availability to other critically [...]

By | 2019-03-11T14:22:25+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DECREASING ICU LENGTH OF STAY BY IMPROVING PATIENT TRANSFER PRACTICES TO TELEMETRY UNITS