Innovations Abstracts

//Innovations Abstracts

‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

Background:  Most patient discharges(DC) from hospitals occur in the afternoons, thus creating patient flow and potentially patient safety issues. This creates increased ER boarding hours and delays interunit patient transfers between ICU, stepdown and medical units. Sick patients may [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on ‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

A Comprehensive, Multidisciplinary Approach to Reducing Excessive Telemetry Alarms on Med-Surg Units

Background: Alarm fatigue is a serious patient safety issue and represents a 2015 National Patient Safety Goal.  False alarms can mask true alarms, and may contribute to suboptimal patient care practices.  Cardiac telemetry monitoring in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on A Comprehensive, Multidisciplinary Approach to Reducing Excessive Telemetry Alarms on Med-Surg Units

A Framework for Improving Safety, Efficiency, and Education in Holdover Signout

Background: Multiple tools have been developed to improve the quality of signout from daytime clinicians to night covering clinicians. However, despite the frequency of holdover signout (new overnight admissions whose care is transferred to a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on A Framework for Improving Safety, Efficiency, and Education in Holdover Signout

A Multidisciplinary Approach to High Value Cardiac Biomarkers

Background: Cardiac biomarkers, such as myoglobin and B-type natriuretic peptide (BNP), are frequently ordered in the emergency room and inpatient settings. Newer studies and guidelines have called into question the value of these tests in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Value in Hospital Medicine|Comments Off on A Multidisciplinary Approach to High Value Cardiac Biomarkers

A Multidisciplinary Approach to Improving Congestive Heart Failure (Chf) Specificity Documentation

Background: Appropriate documentation of Congestive Heart Failure (CHF) specificity is still a major documentation problem in most hospitals in the United States despite the frequent presence of Clinical Documentation Improvement Specialists (CDIs) to assist with [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on A Multidisciplinary Approach to Improving Congestive Heart Failure (Chf) Specificity Documentation

A Multidisciplinary Care Coordination and Continuity Intervention for High Utilizers on a Hospitalist Service

Background: Patients recurrently admitted to the hospital account for a disproportionate percentage of hospital costs and frequently experience fragmentation of care and poor health outcomes. On our hospitalist service at a large academic medical center, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on A Multidisciplinary Care Coordination and Continuity Intervention for High Utilizers on a Hospitalist Service

A New “Model”: Simulator-Based Faculty Procedure Training & Privileging

Background: Simulation-based procedural training has been shown to improve provider competency and confidence in number of medical specialties, including hospital medicine. To the present, simulation training has largely focused on medical students and residents. Attending [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on A New “Model”: Simulator-Based Faculty Procedure Training & Privileging

A Novel Md-Rn Collaborative Protocol to Prevent and Manage Acute Delirium in Inpatient Wards

Background:  Delirium affects 20-60% of the general hospitalized patients, and up to 85% of intensive care unit (ICU) patients. Its occurrence is associated with higher morbidity and mortality, long-term institutionalization, worse long-term cognitive outcomes, and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Innovations Abstracts, Quality Improvement|Comments Off on A Novel Md-Rn Collaborative Protocol to Prevent and Manage Acute Delirium in Inpatient Wards

A Web-Based Application to Help Hospitalized Patients: If You Build It, Will They Come?

Background: Mobile health and health related applications have largely focused on outpatient tools with little development intended for an inpatient setting where the acute need for timely and easy to access information may be greater. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on A Web-Based Application to Help Hospitalized Patients: If You Build It, Will They Come?

Acute and Post-Acute Care Collaboration: Front Line Approach to Reduce Readmissions

Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on Acute and Post-Acute Care Collaboration: Front Line Approach to Reduce Readmissions

Acute Care Curriculum: Examining the Effectiveness of 30 Minute, Focused, High-Yield Workshops for Internal Medicine Residents

Background: The Accreditation Council for Graduate Medical Education (ACGME) realizes the importance of ambulatory medicine as an integral part of internal medicine (IM) training. Therefore, program requirements specify that at least one third of the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Acute Care Curriculum: Examining the Effectiveness of 30 Minute, Focused, High-Yield Workshops for Internal Medicine Residents

Afternoon Discharge Huddles to Increase Early Discharges

Background: Late discharges are a known barrier to patient flow.  Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams.   Purpose:  "Daily afternoon multidisciplinary team huddles [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Afternoon Discharge Huddles to Increase Early Discharges

An Innovative Educational Program for Hospital-Based Nurse Practitioners

Background: The transition of an experienced Registered Nurse into a novice hospital-based Nurse Practitioner (NP) is frequently met with trepidation. The novice NP is often uncertain if s/he possesses the level of clinical competency and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on An Innovative Educational Program for Hospital-Based Nurse Practitioners