Research Abstracts

//Research Abstracts

HM2017 Abstract Number:

TRANSFORMING MORTALITY REVIEW: DEBRIEFING FRONTLINE PROVIDERS IDENTIFIES MORE QUALITY OPPORTUNITIES THAN ELECTRONIC PROVIDER SURVEYS

Background: Structured mortality review can help identify care issues and focus quality efforts, but existing methods have limitations. In the Department of Medicine at UCLA, we developed a novel in-person, near real-time, interdisciplinary rapid mortality [...]

By | 2017-04-20T14:11:24+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on TRANSFORMING MORTALITY REVIEW: DEBRIEFING FRONTLINE PROVIDERS IDENTIFIES MORE QUALITY OPPORTUNITIES THAN ELECTRONIC PROVIDER SURVEYS

HM2016 Abstract Number: 390

Clinical Utility of Routine Cbc Testing in Patients with Community Acquired Pneumonia

Background: Avoiding repeated complete blood count (CBC) tests in the face of clinical and lab stability is a focus of the Choosing Wisely initiatives endorsed by the Society of Hospital Medicine. The goal of this [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Clinical Utility of Routine Cbc Testing in Patients with Community Acquired Pneumonia

HM2016 Abstract Number: 389

Towards Accurate Value-Based Care Metrics: Failings of Medicare Reporting

Background: Increasing the value of health care, typically regarded as maximizing quality of care while minimizing unnecessary costs, has been an increasing focus of hospitals nationwide.  Ways of reliably measuring unnecessary utilization, however, have not [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Towards Accurate Value-Based Care Metrics: Failings of Medicare Reporting

HM2016 Abstract Number: 385

Sustainability of a Hospitalist Led Intervention to Reduce Length of Stay on Telemetry

Background: As part of the Choosing Wisely campaign, the Society of Hospital Medicine highlights use of telemetry monitoring as one of the top interventions that physicians and patients should use judiciously.  While telemetry is invaluable [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Sustainability of a Hospitalist Led Intervention to Reduce Length of Stay on Telemetry

HM2016 Abstract Number: 383

Site Related Bleeding and Health Outcome Metrics in Patients Admitted with Bleeding to a Large Academic Medical Center

Background: Patients who are admitted through the emergency department with a primary diagnosis of bleeding represent a group with significant morbidity and mortality. Of those patients admitted with a primary bleeding diagnosis, those on anticoagulants [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Site Related Bleeding and Health Outcome Metrics in Patients Admitted with Bleeding to a Large Academic Medical Center

HM2016 Abstract Number: 382

Unsurprise the Surprise: Prognosticate Chronically Ill Hospitalized Patients

Background: As chronic illnesses are claiming majority of deaths in United States, it is very important that we identify patients with chronic illnesses who have shortened life expectancy and prioritize their needs for palliative care. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Unsurprise the Surprise: Prognosticate Chronically Ill Hospitalized Patients

HM2016 Abstract Number: 380

Making Every Drop Count: Drivers of Laboratory Overutilization

Background: As health systems focus on providing high-value, cost-conscious care, efforts to optimize laboratory testing are increasing.  In order to improve safe and effective utilization of the laboratory, it is informative to understand the prevalence [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Making Every Drop Count: Drivers of Laboratory Overutilization

HM2016 Abstract Number: 381

30-Day Readmission Rate for Patients Discharged with Sickle Cell Crisis: An Analysis of 369,103 Admissions

Background: Sickle cell crisis is a acute medical emergency, which may require management in the ICU. Sickle cell anemias are remarkable in their clinical heterogeneity. Some people remain asymptomatic in their adult life, whereas others [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on 30-Day Readmission Rate for Patients Discharged with Sickle Cell Crisis: An Analysis of 369,103 Admissions

HM2016 Abstract Number: 376

Syncope Evaluation: Overuse of Head Ct, Underuse of Orthostatics

Background: Syncope is a common diagnosis for hospitalists and often accompanied by extensive and unnecessary diagnostic workup. Neurally-mediated syncope and orthostatic hypotension account for over 75% of causes. Most causes of syncope can be diagnosed [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Syncope Evaluation: Overuse of Head Ct, Underuse of Orthostatics

HM2016 Abstract Number: 372

Hospital Based Restrictive Blood Transfusion Program Proves to Be Effective in Reducing Healthcare Costs by Limiting Blood Product Usage

Background: It is known that blood product transfusions can be harmful to some patients and should be administered only in medically justified circumstances (Ferraris, et al. 2015). In keeping with current recommendations set forth by [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Hospital Based Restrictive Blood Transfusion Program Proves to Be Effective in Reducing Healthcare Costs by Limiting Blood Product Usage

HM2016 Abstract Number: 369

Development of a High-Value Care Culture Survey

Background: Efforts to improve value within hospitals must engage frontline clinicians to enhance organizational culture. Culture surveys have been used to drive improvements, but currently no such tool exists for measuring high-value care culture. We [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Development of a High-Value Care Culture Survey

HM2016 Abstract Number: 368

Can We Be Smarter About Ordering Renal Ultrasounds for Acute Kidney Injury Patients?

Background: Renal ultrasound (RUS) is frequently used as part of the routine work-up for acute kidney injury (AKI) for the hospitalized patient.  Society guidelines and previous literature suggest that RUS should be ordered when an [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Can We Be Smarter About Ordering Renal Ultrasounds for Acute Kidney Injury Patients?

HM2016 Abstract Number: 367

Overlooked and Under-Appreciated? A Retrospective Study on Sleep Disordered Breathing and Its Effect on Cardiovascular Risks

Background: In the outpatient setting, untreated obstructive sleep apnea (OSA) is associated with myriad adverse clinical outcomes including myocardial infarction, heart failure, arrhythmias, and cerebrovascular disease.  However, little is known about the impact of treated [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Overlooked and Under-Appreciated? A Retrospective Study on Sleep Disordered Breathing and Its Effect on Cardiovascular Risks

HM2016 Abstract Number: 366

Differences in Routine Laboratory Ordering Between a Teaching Service and a Hospitalist Service at a Single Academic Medical Center – a Survey and Retrospective Data Analysis

Background: Studies have shown that overutilization of labs is common and can cause adverse health outcomes.  No study to date has compared whether variation in lab ordering tendencies exists between different services within the same [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Differences in Routine Laboratory Ordering Between a Teaching Service and a Hospitalist Service at a Single Academic Medical Center – a Survey and Retrospective Data Analysis

HM2016 Abstract Number: 363

Reducing Overutilization of Cardiac Telemetry Through Targeted Education

Background: Cardiac telemetry allows hospitalists to monitor for dangerous arrhythmias. The American Heart Association has published indications on which patients are likely to benefit from telemetry.  The Society of Hospital Medicine highlighted this issue through [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Reducing Overutilization of Cardiac Telemetry Through Targeted Education

HM2016 Abstract Number: 364

Not so Fast- Discharge Bias on a Teaching Hospital Inpatient Service

Background: Many institutions struggle with educational structure in the wake of ACGME duty hour restrictions, and concerns have been raised that there has been a net negative impact on quality of education. Efforts to balance [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Not so Fast- Discharge Bias on a Teaching Hospital Inpatient Service

HM2016 Abstract Number: 360

Effect of Intravenous Route of Administration on Corticosteroid Dosage in Aecopd

Background: Consensus supports the use of corticosteroids in acute exacerbation of COPD (AECOPD), but route of administration and dosage still vary considerably. In one study comparing lower dose oral (PO) prednisone to higher dose intravenous [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Effect of Intravenous Route of Administration on Corticosteroid Dosage in Aecopd

HM2016 Abstract Number: 359

Identification and Referral of Emergency Department Patients with a Presentation Suspicious for Underlying Malignancy

Background: A large percentage of cancer diagnoses emerge from the emergency setting yet limited literature is published describing this phenomenon in detail. Our study aims to identify the number of patients who present to a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Identification and Referral of Emergency Department Patients with a Presentation Suspicious for Underlying Malignancy

HM2016 Abstract Number: 358

Predictors of Length of Stay in Patients Admitted in the Hospital with Community-Acquired Pneumonia: A Nationwide Study

Background: Pneumonia remains the foremost cause for hospitalization.  The objective of our study was to look at the predictors of longer length of stay (LOS) in patients admitted in the hospital with community acquired pneumonia [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Predictors of Length of Stay in Patients Admitted in the Hospital with Community-Acquired Pneumonia: A Nationwide Study

HM2016 Abstract Number: 357

Appropriately Ordered Brain Mris Based on the American College of Radiology Appropriateness Criteria Often Did Not Lead to a Change in Management

Background: The United States has the highest expenditure per capita and fastest growth when it comes to health care. Imaging is one of the fastest growing services in medicine reaching approximately $100 billion annually. There [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Appropriately Ordered Brain Mris Based on the American College of Radiology Appropriateness Criteria Often Did Not Lead to a Change in Management

HM2016 Abstract Number: 356

Attitudes and Knowledge Regarding Procalcitonin Guided Antibiotic Utilization at a Single, Tertiary Care Academic Center: A Survey of Providers

Background: Inappropriate use of antibiotics can lead to resistance, increased cost, and adverse outcomes and complications (Clostridium difficile infection, intravenous catheter-related, etc.). Procalcitonin (PCT) is a biomarker that has shown specificity for bacterial infection and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Translating Research into Practice|Comments Off on Attitudes and Knowledge Regarding Procalcitonin Guided Antibiotic Utilization at a Single, Tertiary Care Academic Center: A Survey of Providers

HM2016 Abstract Number: 354

Opioid Use in Patients with Sickle Cell Disease: Recent Clinical Study Findings Counter Common Misconceptions

Background: Adults with sickle cell disease (SCD) seeking treatment for vaso-occlusive crises (VOCs) often encounter barriers based on health care provider (HCP) concerns regarding opioid abuse and addiction. Consensus treatment guidelines for painful VOCs in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Translating Research into Practice|Comments Off on Opioid Use in Patients with Sickle Cell Disease: Recent Clinical Study Findings Counter Common Misconceptions

HM2016 Abstract Number: 350

A National Assessment of Shift Handoff Characteristics and Their Association with Program Director Satisfaction and Hospitalized Patient Experience Scores

Background: Inpatient handoffs have been recognized as a vulnerable time during a patient’s hospitalization and are widely associated with adverse events and near misses. A variety of strategies have been implemented in order to improve [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on A National Assessment of Shift Handoff Characteristics and Their Association with Program Director Satisfaction and Hospitalized Patient Experience Scores

HM2016 Abstract Number: 349

Are We on the Same Team? Interprofessional Perceptions of Discharge Delay Causes and Occurrence Frequency

Background: Unintentional discharge delays account for up to 20% of total patient hospital days. Previous studies identified bed availability, scheduling logistics for studies, and poor communication as causes of delay factors. Although discharge requires a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Are We on the Same Team? Interprofessional Perceptions of Discharge Delay Causes and Occurrence Frequency

HM2016 Abstract Number: 348

R-Va-Marquis: Implementing Best Practices in Medication Reconciliation for Rural Veterans

Background: High-quality medication reconciliation is key to reducing medication errors during care transitions. This concept is of paramount importance to Veterans living in rural areas due to less access to clinical pharmacy services. We adapted [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Research Abstracts, Transitions of Care|Comments Off on R-Va-Marquis: Implementing Best Practices in Medication Reconciliation for Rural Veterans

HM2016 Abstract Number: 346

Impact of Electronic Health Records Interoperability on Inter-Hospital Transfer Outcomes

Background:  As electronic health records (EHR) become ubiquitous, the impact on patient outcomes remains largely unknown.  One major communication barrier during patient transfers is the lack of interoperability between EHR systems.  Inter-hospital transfers involve transitioning [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Impact of Electronic Health Records Interoperability on Inter-Hospital Transfer Outcomes

HM2016 Abstract Number: 343

Discharges Against Medical Advice at a County Hospital: Who Is Leaving and Why?

Background: The principle that patients have the right to make choices about their healthcare, including the decision to leave the hospital against the advice of the medical staff, is a foundation of medical ethics.  Consistently, studies have found disproportionately higher rates of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Discharges Against Medical Advice at a County Hospital: Who Is Leaving and Why?

HM2016 Abstract Number: 344

Prehospital Communication and Clinical Decompensation Following Direct Hospital Admission

Background:  Direct hospital admissions from outside emergency departments and hospitals comprise a large proportion of admissions to tertiary medical centers. Clinical stability in these acutely ill patients can fluctuate, even during transport to a receiving [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Prehospital Communication and Clinical Decompensation Following Direct Hospital Admission

HM2016 Abstract Number: 342

Association of Hospital Admission Service Structure with Early Transfer to Critical Care, Hospital Readmission, and Length of Stay

Background: Hospital medical groups use various staffing models which systematically affect care continuity during the admission process. Our service changed models of care from a "general model", where hospitalists who perform hospital rounds and discharges [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Research Abstracts, Transitions of Care|Comments Off on Association of Hospital Admission Service Structure with Early Transfer to Critical Care, Hospital Readmission, and Length of Stay

HM2016 Abstract Number: 340

Quantifying Post Hospital Syndrome: Sleeping Longer and Physically Stronger?

Background: “Post hospital” syndrome is a critical period after discharge when patients are at risk of functional decline and re-admission. Two factors implicated in the development of this syndrome are sleep disturbance and low physical [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Quantifying Post Hospital Syndrome: Sleeping Longer and Physically Stronger?

HM2016 Abstract Number: 341

Patients Vs Providers: Perspectives of 30-Day Hospital Readmissions

Background: Since the roll out of the Affordable Care Act in 2012 there has been an increased financial pressure to prevent 30-day hospital readmissions. Yet the readmissions rate has remained relatively unchanged despite myriad of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Patients Vs Providers: Perspectives of 30-Day Hospital Readmissions

HM2016 Abstract Number: 339

Preventing Pain Crisis & Hospitalizations: Are Patients with Sickle Cell Anemia Prescribed Hydroxyurea When Appropriate?

Background: Hydroxyurea is an FDA approved medication for use in adults with sickle cell disease. Clinical guidelines, based on high quality evidence, recommend its use in all adults with sickle cell anemia and 3 or [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Preventing Pain Crisis & Hospitalizations: Are Patients with Sickle Cell Anemia Prescribed Hydroxyurea When Appropriate?

HM2016 Abstract Number: 337

Effects of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The advent of the Patient-Centered Medical Home (PCMH) and Accountable Care Organizations (ACOs) provide an opportunity for true collaboration in which [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Effects of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

HM2016 Abstract Number: 338

Are Hospitalized Patients with Hematuria Appropriately Cared for After Hospital Discharge?

Background: High-risk patients with hematuria often warrant an outpatient evaluation for bladder cancer; however the presence of microscopic hematuria may often be missed by primary care physicians after hospital discharge. Whether outpatient physician’s routinely follow-up [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Are Hospitalized Patients with Hematuria Appropriately Cared for After Hospital Discharge?

HM2016 Abstract Number: 336

Evaluation of the Yale New Haven Readmission Risk Score for Pneumonia in a General Hospital Population

Background: Pneumonia readmission rates are publicly reported and included as quality indicators in Medicare Value-Based Purchasing programs. The Yale New Haven Readmission Risk Score (YNHRRS) for Pneumonia is a tool that uses 25 variables including [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Evaluation of the Yale New Haven Readmission Risk Score for Pneumonia in a General Hospital Population

HM2016 Abstract Number: 335

Against Our Advice: Provider Perspectives on Against Medical Advice Discharges at a County Hospital

Background: Against medical advice (AMA) discharges are often emotionally charged for healthcare providers. Complicated capacity assessments, confusion regarding legal and ethical obligations to patients, and limited resources may strain providers. This cross-sectional survey study explored [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Against Our Advice: Provider Perspectives on Against Medical Advice Discharges at a County Hospital

HM2016 Abstract Number: 333

Bridges to Care: Assessing the Effectiveness of a Behavioral Health Intervention in High Utilizers of Health Care

Background: Patients who are high utilizers of the health care system pose a significant burden to health care in the United States. These patients have higher rates of emergency department (ED) use, hospital readmission and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Bridges to Care: Assessing the Effectiveness of a Behavioral Health Intervention in High Utilizers of Health Care

HM2016 Abstract Number: 332

National Evaluation of Interhospital Transfers

Background: Care transitions expose hospitalized patients to risks of discontinuity of care. Although various forms of care transitions have been widely studied, little is known about inter-hospital transfers (IHT, the transfer of patients between acute [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on National Evaluation of Interhospital Transfers

HM2016 Abstract Number: 331

Effect of a Web-Based Handoff Tool and Provider Training on Preventable Adverse Events

Background: Failures in communication among healthcare personnel are known threats to patient safety. Communication is particularly vulnerable to error when patient care responsibility is transferred from one provider to another (i.e., handoff). In this study [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Effect of a Web-Based Handoff Tool and Provider Training on Preventable Adverse Events

HM2016 Abstract Number: 330

Improving Nurse-Physician Communication Around Discharge Education: A Discharge Timeout

Background: Nurse-Physician communication around discharge ensures that essential information is conveyed to patients when they leave the hospital. Yet nurses and physicians report poor communication during this critical time. The aim of this study was [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Improving Nurse-Physician Communication Around Discharge Education: A Discharge Timeout

HM2016 Abstract Number: 326

Blind Sided: Missing Poor Visual Acuity and Decreased Self-Efficacy in Hospitalized Patients with Diabetes

Background: One in five hospitalized patients has diabetes. Despite guideline recommendations for regular outpatient vision care, studies show gaps in outpatient vision assessments. The hospital setting may be an opportunity to identify patients with diabetes [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Research Abstracts, Transitions of Care|Comments Off on Blind Sided: Missing Poor Visual Acuity and Decreased Self-Efficacy in Hospitalized Patients with Diabetes

HM2016 Abstract Number: 324

Association of Health Literacy and Social Support with Readmission Risk

Background: The period following hospital discharge is a vulnerable time for patients when increased self-care requirements are common. Low levels of health literacy and social support are thought to contribute to poor post-discharge outcomes. However, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Association of Health Literacy and Social Support with Readmission Risk

HM2016 Abstract Number: 322

“Getting Ahold of a Physician Is Kind of a Fruitless Effort…we Don’t Get Call Backs Frequently”: Home Health Care Nurse Perspectives on Care Coordination for Recently Discharged Patients

Background: In 2012, nearly one-third of older adults (>65 years) with Medicare discharged to home after hospitalization were referred for home health care (HHC) services. Care coordination between healthcare settings is frequently inadequate. We sought [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on “Getting Ahold of a Physician Is Kind of a Fruitless Effort…we Don’t Get Call Backs Frequently”: Home Health Care Nurse Perspectives on Care Coordination for Recently Discharged Patients

HM2016 Abstract Number: 321

Results from a Multidisciplinary Transitions of Care Pilot for Medicine and Heart Failure Patients at High Risk of Readmission

Background: Patients who are at risk for readmissions and emergency department visits following hospital discharge frequently have multiple medical comorbidities and a history of multiple prior hospitalizations. Over the past five years, reducing hospital readmissions [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Results from a Multidisciplinary Transitions of Care Pilot for Medicine and Heart Failure Patients at High Risk of Readmission

HM2016 Abstract Number: 320

Patient Experience with Dishcarge Instructions in Post-Discharge Recovery

Background: The role of discharge instructions in post-discharge recovery remains unexplored.  We examined the role of discharge instructions in post-discharge care for patients undergoing colorectal surgery and report themes related to patient perceptions of discharge [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Patient Experience with Dishcarge Instructions in Post-Discharge Recovery

HM2016 Abstract Number: 319

This Is What Is Stopping Me from Leaving the Hospital: Does Daily Feedback to Physicians of Patient-Reported Readiness for Discharge Improve Discharge?

Background: Improving patients’ readiness for discharge is an important aspect of care transitions. Eliciting barriers to discharge from patients and providing daily feedback to their physicians may provide an approach to identifying and addressing problems [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on This Is What Is Stopping Me from Leaving the Hospital: Does Daily Feedback to Physicians of Patient-Reported Readiness for Discharge Improve Discharge?

HM2016 Abstract Number: 318

Helping Housestaff with Handoffs: Impact of Direct Observation and a Novel Handoff Tool on Resident General Medicine Team Handoff Performance

Background: Day-to-night inpatient handoff is a high-risk moment, with potential for miscommunication. A novel handoff program recently reduced medical errors and preventable adverse events. Historically, handoffs performed by Internal Medicine residents at our institution were [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Helping Housestaff with Handoffs: Impact of Direct Observation and a Novel Handoff Tool on Resident General Medicine Team Handoff Performance

HM2016 Abstract Number: 317

Improving Peer to Peer Handoff Process at Service Change

Background: Handoffs are a part of inpatient medical care and can lead to patient care errors and threats to their safety.  Incomplete care transitions during service changes are associated with uncertainty of patient care plans. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Improving Peer to Peer Handoff Process at Service Change

HM2016 Abstract Number: 316

Parent and Caregiver Perceptions of Essential Discharage Information

Background:   There is increasing recognition that high quality transitions of care are essential to ensuring patient safety. While no universal standard has been identified, using available literature and data from provider surveys, Project Impact identified [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Parent and Caregiver Perceptions of Essential Discharage Information

HM2016 Abstract Number: 314

Parental Preferences for Discharge Education Support Individualization, Early Onset and Use of Teach-Back

Background: Discharge education initiated early and performed with teach-back has been shown to improve transition outcomes. However, little is known about parental discharge education preferences.  Our objective was to understand parental preferences regarding discharge education learning [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Parental Preferences for Discharge Education Support Individualization, Early Onset and Use of Teach-Back

HM2016 Abstract Number: 315

Parental Concerns About Discharge Warrant Early Introduction of Discharge Education

Background: Accumulating literature promotes early discharge education and transparency about hospitalization goals and discharge criteria as a key element of effective care transitions. However, little is known about the prevalence or nature of parental concerns [...]

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HM2016 Abstract Number: 313

Hospitalists Are Essential in Improving Prescriptions of Nicotine Replacement Therapy Among Hospitalized Tobacco Users and at Discharge

Background: The role of a hospitalist in treating nicotine withdrawal using counseling and medications during hospitalization can improve cessation rates of tobacco users. Clinical decision support and drug-condition alerts within the electronic medical record prompt [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Hospitalists Are Essential in Improving Prescriptions of Nicotine Replacement Therapy Among Hospitalized Tobacco Users and at Discharge

HM2016 Abstract Number: 308

Prospective Validation of the “Hospital” Score to Predict Patients at High Risk of Unplanned Readmission

Background: In order to most efficiently improve transition of care, hospitals need to target intensive discharge interventions at those patients at high risk of unplanned readmission. The “HOSPITAL” score, derived previously in the US, is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Prospective Validation of the “Hospital” Score to Predict Patients at High Risk of Unplanned Readmission

HM2016 Abstract Number: 307

Modified Early Warning Score (Mews) in the Emergency Department and Its Association with Admission Disposition

Background: The Modified Early Warning Score (MEWS) was validated in 2001. In recent years hospitals across the US have implemented the MEWS as a Rapid Response Team activation trigger. In Geisinger Medical Center the MEWS [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Modified Early Warning Score (Mews) in the Emergency Department and Its Association with Admission Disposition

HM2016 Abstract Number: 305

Outcomes of a Post-Discharge Physician Home Visit Intervention to Reduce Hospital Readmissions for High-Risk Patients

Background: Healthcare organizations are currently devoting significant resources to efforts to reduce hospital readmission after discharge.  Multiple factors have been linked to readmission, including an absence of outpatient follow-up care, inadequate understanding of discharge instructions [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Outcomes of a Post-Discharge Physician Home Visit Intervention to Reduce Hospital Readmissions for High-Risk Patients

HM2016 Abstract Number: 304

Improving Decision-Making and Outcomes in Transitions to Post-Acute Care Facilities

Background: The number of older adults discharged to post-acute care (PAC) facilities (such as skilled nursing facilities) after hospitalization is increasing rapidly, but their clinical course in PAC is uncertain.  More than 25% will be [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Improving Decision-Making and Outcomes in Transitions to Post-Acute Care Facilities

HM2016 Abstract Number: 303

Evaluation of Patient Characteristics Associated with Duration of Discharge Services

Background: The Hospital Discharge Day Management Service (CPT code 99238 or 99239) is a face-to-face evaluation and management (E/M) service provided to the patient by his/her attending physician on the day of discharge. The two [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Evaluation of Patient Characteristics Associated with Duration of Discharge Services

HM2016 Abstract Number: 301

Incidental Pulmonary Nodules Found on Ct Abdominal Imaging: Prevalence and Inclusion in the Discharge Hospital Summary

Background: While CT imaging has become an invaluable tool for expedited medical evaluation, its use has been associated with an increasing number of incidental findings, the handling of which creates both medical and logistical challenges.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Incidental Pulmonary Nodules Found on Ct Abdominal Imaging: Prevalence and Inclusion in the Discharge Hospital Summary

HM2016 Abstract Number: 300

Does Certification in Vascular Access Matter? Insights from the National Picc 1 Survey

Background: Growing use of peripherally inserted central catheters (PICCs) has led to the development of certification programs for PICC operators. Much like the debate regarding certification in medicine, whether such certification influences clinical care is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Technology in Hospital Medicine|Comments Off on Does Certification in Vascular Access Matter? Insights from the National Picc 1 Survey

HM2016 Abstract Number: 298

Validation of Test Performance and Clinical Time Zero for an Electronic Health Record-Embedded Severe Sepsis Alert

Background: Increasing use of EHRs has generated widespread interest in the potential of computerized clinical decision support to improve treatment of sepsis. Electronic sepsis alerts have thus far had mixed results due to poor test [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Research Abstracts, Technology in Hospital Medicine|Comments Off on Validation of Test Performance and Clinical Time Zero for an Electronic Health Record-Embedded Severe Sepsis Alert

HM2016 Abstract Number: 297

The Role and Efficacy of Cardiac Telemetry in Hospitalized Patients

Background: Cardiac telemetry was originally designed to help detect and provide early intervention in arrhythmic complications of myocardial infarction. Today, however, telemetry use continues to expand beyond the critical and coronary care units, despite adequate [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Technology in Hospital Medicine|Comments Off on The Role and Efficacy of Cardiac Telemetry in Hospitalized Patients

HM2016 Abstract Number: 296

The Automated 2Ts Score – a Decision Support System for the Evaluation of Hit

Background: Heparin-Induced Thrombocytopenia (HIT) is a rare (0.1-1% of heparinized medical patients) but devastating (up to 10% mortality) side-effect of heparin administration[1].  In thrombocytopenic patients, the pre-test probability of HIT is estimated by the validated [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Technology in Hospital Medicine|Comments Off on The Automated 2Ts Score – a Decision Support System for the Evaluation of Hit

HM2016 Abstract Number: 294

The Performance of the Rothman Index in the Prediction of In-Hospital Cardio-Pulmonary Arrest in Adults

Background: About 209,000 adults experience an in-hospital cardio-pulmonary arrest (IHCA) every year in the US. Known early warning scoring systems (e.g., MEWS, eCART) have shown low efficiency in predicting a patient’s risk of deterioration. We assessed the possibility of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Technology in Hospital Medicine|Comments Off on The Performance of the Rothman Index in the Prediction of In-Hospital Cardio-Pulmonary Arrest in Adults

HM2016 Abstract Number: 292

Evaluating the Effectiveness of Problem Based Charting in Utilizing the Problem List to Structure Clinical Data in the Intensive Care Unit: A Retrospective Time Series Study

Background: Accurate problem lists linked to electronic medical record (EMR) clinical data can be useful for chart review by clinicians for patient care, clinical decision support design, and data extraction for clinical research.  The EMR [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Technology in Hospital Medicine|Comments Off on Evaluating the Effectiveness of Problem Based Charting in Utilizing the Problem List to Structure Clinical Data in the Intensive Care Unit: A Retrospective Time Series Study

HM2016 Abstract Number: 285

Potential Impact of an Acute Care Patient Portal on Improving Care Plan Concordance Among Patients and Providers

Background: Improving patient-provider communication is crucial for promoting a shared understanding of the care plan among patients and providers. Increasingly, hospitals are focusing on efforts to engage patients in establishing recovery goals and understanding their [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Technology in Hospital Medicine|Comments Off on Potential Impact of an Acute Care Patient Portal on Improving Care Plan Concordance Among Patients and Providers

HM2016 Abstract Number: 284

A Burden Without Benefit? The Predictive Accuracy of Inpatient Telemetry Alarms for Ward Patient Outcomes

Background: Previous studies examining continuous patient monitoring in the ICU and emergency department suggest that substantial telemetry alarm burden combined with a high proportion of false positive alerts may jeopardize patient outcomes. Currently, little is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on A Burden Without Benefit? The Predictive Accuracy of Inpatient Telemetry Alarms for Ward Patient Outcomes

HM2016 Abstract Number: 283

Quantifying Telemetry Alerts: Identifying Local Solutions to Alarm Fatigue

Background: While telemetry was designed to improve patient safety, the volume and low positive predictive value of telemetry alarms can endanger patients by desensitizing healthcare providers to those alerts. To address this safety concern, the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Quantifying Telemetry Alerts: Identifying Local Solutions to Alarm Fatigue

HM2016 Abstract Number: 281

Padua Score and Braden Scale Correlation for Immobility

Background: Hospitalized patients are at an increased risk of Venous Thromboembolism (VTE) and guidelines recommend risk assessment for all patients. The Padua score is one of several VTE risk assessment models and has 11 clinical [...]

By | 2016-02-29T13:12:22+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Padua Score and Braden Scale Correlation for Immobility

HM2016 Abstract Number: 277

A Quality Improvement Project to Increase the Rate of Age Appropriate Dxa Screening for Female Patients in a Harris Health Internal Medicine Resident Clinic

Background: Osteoporosis is common and carries a significant burden of morbidity and mortality. Early pharmacologic therapy for osteoporosis can reduce osteoporotic fractures. Thus, the USPSTF recommends dual energy x-ray absorptiometry (DXA) screening for osteoporosis in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on A Quality Improvement Project to Increase the Rate of Age Appropriate Dxa Screening for Female Patients in a Harris Health Internal Medicine Resident Clinic

HM2016 Abstract Number: 275

Diabetes Case Identification from Emr-Derived Data

Background: The ability to accurately identify diabetic patients from electronic data can be a critical component of quality improvement (QI), performance measurement, and research applications. Poor case-finding definitions may produce unreliable reports and inaccurate information. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Diabetes Case Identification from Emr-Derived Data

HM2016 Abstract Number: 274

Characteristics of Hospital Deaths Deemed Potentially Preventable by Frontline Providers

Background: Since the 1999 IOM report To Err is Humanhighlighted that up to 98,000 preventable deaths occur annually in U.S. hospitals, efforts have intensified to understand and eliminate preventable mortality. At our institution, we developed [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Characteristics of Hospital Deaths Deemed Potentially Preventable by Frontline Providers

HM2016 Abstract Number: 273

Does Provider Self-Reporting of Etiquette Behaviors Improve Patient Satisfaction?

Background: There is a glaring lack of published evidence based strategies to improve HCAHPS patient satisfaction scores on the physician domain. Anecdotally, various hospitals have improved their physician domain scores through training programs to improve [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Does Provider Self-Reporting of Etiquette Behaviors Improve Patient Satisfaction?

HM2016 Abstract Number: 272

Patient Perspectives on Unplanned Hospital Readmissions

Background: Defined approaches to reducing rates of hospital readmissions rates assume that patients are invested in their healthcare and in preventing readmissions. However, the extent to which patients believe that readmission is a “bad” outcome [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Patient Perspectives on Unplanned Hospital Readmissions

HM2016 Abstract Number: 270

Comparing Characteristics of Patients Requiring Inpatient Admission Versus Discharge from the Observation Unit

Background: The observation unit functions to care for patients requiring problem focused management for a variety of conditions requiring less than 48 hours of care. Patients are selected based on conditions that will likely resolve [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Comparing Characteristics of Patients Requiring Inpatient Admission Versus Discharge from the Observation Unit

HM2016 Abstract Number: 269

Decreasing Use of Continuous Pulse Oximetry in Pediatric Inpatients

Decreasing Use of Continuous Pulse Oximetry in Pediatric InpatientsLavanya G. Shankar, MD, Lurie Children's at Northwestern Medicine Central DuPage Hospital. Abstract Text:Background: Pediatric inpatients with simple respiratory diagnoses and hypoxia do not have clear guidelines on [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Decreasing Use of Continuous Pulse Oximetry in Pediatric Inpatients

HM2016 Abstract Number: 268

Improving Patient Satisfaction with Physician Communication on an Academic Inpatient Unit

Background: : Low patient satisfaction can result in financial loss for hospitals, and potentially for individual physicians or groups and patient satisfaction is known to be lower on academic services.1 Increasingly, Medicare funds will be [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Improving Patient Satisfaction with Physician Communication on an Academic Inpatient Unit

HM2016 Abstract Number: 267

Repeated Large Volume Paracentesis for Refractory Ascites

Background: Patients with refractory ascites often require large volume paracentesis (LVP) on a frequent basis. Most of the studies examining the clinical effects of LVPs, however, have looked only at one-time procedures. In addition, patients [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Repeated Large Volume Paracentesis for Refractory Ascites

HM2016 Abstract Number: 266

Health-System Evaluation of Phytonadione (Vitamin K) Effect on Inr in Accordance with the Anticoagulation Reversal Guidelines

Background: Strategies to reverse the effect of warfarin, a vitamin K antagonist (VKA), may be necessary for patients who are actively bleeding, asymptomatic with markedly elevated INR values, or requiring urgent invasive procedures. The purpose [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Health-System Evaluation of Phytonadione (Vitamin K) Effect on Inr in Accordance with the Anticoagulation Reversal Guidelines

HM2016 Abstract Number: 264

Improving Hospitalists’ Documentation of Medication Reconciliation Upon Admission

Background: Medication discrepancies, such as incorrect doses, schedules or omitted medications, during hospital admission are common, with studies indicating they occur in over half of admissions.   Such errors can result in serious consequences during hospitalization [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Improving Hospitalists’ Documentation of Medication Reconciliation Upon Admission

HM2016 Abstract Number: 263

No More Butts: An Automated System for Inpatient Smoking Cessation Team Consults

Background: Inpatient hospitalization represents a key time for patients who use tobacco to quit smoking, and inpatients who receive smoking cessation counseling, nicotine replacement, and referral to outpatient resources have increased quit rates six weeks [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on No More Butts: An Automated System for Inpatient Smoking Cessation Team Consults

HM2016 Abstract Number: 261

Utilization of 4T Score to Determine the Pretest Probability of Heparin Induced Thrombocytopenia at Unity Hospital

Background: Thrombocytopenia is common in hospitalized patients. Heparin Induced thrombocytopenia (HIT) is a life threatening condition which can lead to extensive thrombosis. Diagnosis of HIT relies on clinical suspicion determined by 4T score, and the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Utilization of 4T Score to Determine the Pretest Probability of Heparin Induced Thrombocytopenia at Unity Hospital

HM2016 Abstract Number: 257

Comparison of Time-Trends in Patient Satisfaction Between Teaching and Nonteaching Hospital

Background:   The overall national patient satisfaction scores have improved since the HCAHPS reporting began. However, it is unknown whether the improvement trends are different between teaching and non-teaching hospitals. Therefore, our objective was to [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Quality Improvement, Research Abstracts|Comments Off on Comparison of Time-Trends in Patient Satisfaction Between Teaching and Nonteaching Hospital

HM2016 Abstract Number: 254

Upper Gastrointestinal Bleeding (Ugib): Can We Improve Our Management?

Background: UGIB is a common cause of inpatient admissions often associated with morbidity and an overall mortality rate approaching 10%. Since therapy is different, it is important to differentiate between variceal and non-variceal GI bleeding. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Upper Gastrointestinal Bleeding (Ugib): Can We Improve Our Management?

HM2016 Abstract Number: 255

Risk of Venous Thromboembolism in Hospitalized Patients with Inflammatory Bowel Disease

Background: Current guidelines and most experts recommend pharmacologic venous thromboembolism (VTE) prophylaxis for patients hospitalized with an acute inflammatory bowel disease (IBD) exacerbation.  Quality measures of physician performance further expand this mandate to include patients [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Quality Improvement, Research Abstracts|Comments Off on Risk of Venous Thromboembolism in Hospitalized Patients with Inflammatory Bowel Disease

HM2016 Abstract Number: 252

Differences in Use of the Antibiotic Timeout Between Hospitalists and Housestaff at an Academic Medical Center

Background: Curbing antibiotic overutilization has become a priority in hospitals attempting to address the growing problem of antimicrobial resistance.  One strategy being endorsed by Antibiotic Stewardship Programs is the adoption of an “antibiotic timeout,” during [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Differences in Use of the Antibiotic Timeout Between Hospitalists and Housestaff at an Academic Medical Center

HM2016 Abstract Number: 251

The Value of Quality Improvement Interventions for Catheter-Associated Urinary and Blood Stream Infections: A Systematic Review

Background: Little is known about the economic value of quality improvement (QI) interventions, including those related to central-line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI). Methods: We searched MEDLINE, Econlit, the Centre for [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on The Value of Quality Improvement Interventions for Catheter-Associated Urinary and Blood Stream Infections: A Systematic Review

HM2016 Abstract Number: 250

Improving Documentation Leads to Improve Screening for Sexually Transmitted Infections (Stis) Screening for Adolescents in Pediatric Inpatient Units

Background: The Center for Disease Control (CDC) and US Preventative Services Task force recommend screening of all females younger than 25 years annually. The CDC estimates about 20 million cases of sexually transmitted infections (STIs) [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Improving Documentation Leads to Improve Screening for Sexually Transmitted Infections (Stis) Screening for Adolescents in Pediatric Inpatient Units

HM2016 Abstract Number: 249

Understanding Documentation of Advanced Care Planning in Electronic Health Records: Deficits and Opportunities

Background: Clearly documented patient preferences for treatment at the end-of-life may help inform clinical decision-making during future hospitalizations. The electronic health record (EHR) could facilitate easier access to this information. However, little is known about [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Understanding Documentation of Advanced Care Planning in Electronic Health Records: Deficits and Opportunities

HM2016 Abstract Number: 247

Increasing High-Value Venous Thromboembolism Prophylaxis: A Win-Win Situation

Background: Venous thromboembolism (VTE) is a preventable and potentially fatal condition for which hospitalized medical patients are at risk. Compared with the more traditional option of unfractionated heparin, low molecular weight heparin (LMWH) has been [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Increasing High-Value Venous Thromboembolism Prophylaxis: A Win-Win Situation

HM2016 Abstract Number: 248

Evaluation of Decisional Conflict As a Marker of Patient Engagement in Outpatient Health Care Resources

Background: In shared decision making models, decisional conflict is a measure of uncertainty and readiness and comfort level in making a decision. The literature examining decisional conflict is currently relatively immature. The act of a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Evaluation of Decisional Conflict As a Marker of Patient Engagement in Outpatient Health Care Resources

HM2016 Abstract Number: 246

Sepsis Outcomes and Bundle Compliance: Nights and Weekends

Background: Sepsis is a systemic host response to infection that may result in significant morbidity with mortality rates from severe sepsis or septic shock reaching over 20% in most studies.  Research on sepsis has focused [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Sepsis Outcomes and Bundle Compliance: Nights and Weekends

HM2016 Abstract Number: 245

Pocket Card Education Effect on Physicians for Patient Vaccination with the Zoster and Tdap/td Vaccines

Background: Adult patient populations are not effectively vaccinated in United States, which contributes to increased rates of hospitalization, cost of medical care and disease complications. Though physicians' understanding of vaccination measures should be comprehensive, many [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Pocket Card Education Effect on Physicians for Patient Vaccination with the Zoster and Tdap/td Vaccines

HM2016 Abstract Number: 244

Mortality: Investigating Preventability

Background:   The Institute of Medicine estimates that there are 44,000-98,000 preventable deaths per year.  However, there is a paucity of literature regarding preventable death rates, despite its importance as a quality measure.  Methods:   [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Mortality: Investigating Preventability

HM2016 Abstract Number: 243

Ways to Reduce Incidence of Hospital Ward-Acquired Delirium; a Quality Improvement Project

Background: Delirium is an acute decline in attention and cognition that is potentially preventable among elderly population. Occurrence of delirium is followed by a sequence of events including loss of independence, increased risk of morbidity [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Ways to Reduce Incidence of Hospital Ward-Acquired Delirium; a Quality Improvement Project

HM2016 Abstract Number: 239

Piloting a Physician-Centered Discharge Checklist in the Electronic Medical Record

Background: Discharge checklists may reduce medical errors. Traditional paper checklists do not fit into the current workflow in centers that utilize electronic medical records (EMRs). In an era where team-based care is becoming widespread, defining [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Piloting a Physician-Centered Discharge Checklist in the Electronic Medical Record

HM2016 Abstract Number: 238

Predictors of Patient Satisfaction- a Retrospective Analysis of Top Box Hcahps Scores

Background: Hospitals across the country struggle with improving patient experience and there is limited data on factors that drive positive or negative scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) survey.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Predictors of Patient Satisfaction- a Retrospective Analysis of Top Box Hcahps Scores

HM2016 Abstract Number: 234

Developing a Comportment and Communication Score for Use in Hospital Medicine

Background: All hospitals strive for service excellence. In 2014, there were more than 40,000 hospitalists delivering the lion’s share of inpatient care in our nation’s hospitals. No empiric research has characterized hospitalist comportment and communication [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Developing a Comportment and Communication Score for Use in Hospital Medicine

HM2016 Abstract Number: 233

Identifying and Managing Sepsis Utilizing Emr and Rn Based Screening: Improving Early Detection of Sepsis

Background: Sepsis remains a serious worldwide health condition directly associated with high mortality rates, despite improvements in the ability to treat and manage infections.  Since 2002, the Surviving Sepsis Campaign (SSC) has been a global [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Identifying and Managing Sepsis Utilizing Emr and Rn Based Screening: Improving Early Detection of Sepsis

HM2016 Abstract Number: 232

The Association Between Noise and Crowd Control and Outcomes of In-Hospital Cardiac Arrest

Background: In-hospital cardiac arrest (IHCA) is a devastating medical event that affects 200,000 patients every year and carries a high mortality rate, with only 54% surviving their arrest and 22% surviving to discharge.  Current research [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on The Association Between Noise and Crowd Control and Outcomes of In-Hospital Cardiac Arrest

HM2016 Abstract Number: 231

An Intervention to Increase at Risk Patients’ Access to Geriatric and Palliative Care Services: Integrated Hospitalist and Specialist Care Rounds

Background: Palliative care and geriatrics in hospital medicine have an established positive impact on patient experience and outcomes, however, these specialist care services remain underutilized. Recognizing an opportunity to improve the appropriateness of inpatient consultation [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on An Intervention to Increase at Risk Patients’ Access to Geriatric and Palliative Care Services: Integrated Hospitalist and Specialist Care Rounds

HM2016 Abstract Number: 229

Outcomes of an ‘Attending-Only’ Hospitalist Bedside Procedure Service

Outcomes of an ‘Attending-Only’ Hospitalist Bedside Procedure Service Background: Patients admitted to the hospital frequently require bedside procedures including central venous catheter placement, paracentesis, thoracentesis, and lumbar puncture.  Procedure training varies across residency programs resulting [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Outcomes of an ‘Attending-Only’ Hospitalist Bedside Procedure Service

HM2016 Abstract Number: 228

Rethinking Quality Programs: Near-Perfect Compliance with the Joint Commission’s Scip-9 Had No Effect on Catheter Utilization, Urinary Tract Infections, or Urinary Retention at a Major Academic Medical Center

Background: The Joint Commission’s Surgical Care Improvement Project (SCIP)-9 recommended removing indwelling urinary catheters (IUC) before postoperative day 2 to decrease urinary infection (UTI) risk. Our center implemented a best practice alert (BPA) in the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Rethinking Quality Programs: Near-Perfect Compliance with the Joint Commission’s Scip-9 Had No Effect on Catheter Utilization, Urinary Tract Infections, or Urinary Retention at a Major Academic Medical Center

HM2016 Abstract Number: 223

The Overuse of Stress Ulcer Prophylaxis on Admission and Discharge at a Tertiary Care Teaching Hospital: An Observational Study

Background: Studies have linked the use of anti-secretory agents to nosocomial complications including Clostridium difficile–induced pseudomembranous colitis and hospital acquired pneumonia. In the outpatient setting, the Federal Drug Administration has issued warnings regarding increased risk [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on The Overuse of Stress Ulcer Prophylaxis on Admission and Discharge at a Tertiary Care Teaching Hospital: An Observational Study

HM2016 Abstract Number: 222

Hospitalist-Vascular Surgery Comanagement: Reduction in Complications and Mortality

Background: Hospitalized vascular surgery patients typically have multiple severe comorbidities, poor functional status, and high perioperative cardiac risk and thus may be ideal patients for a collaborative care model.  Methods: During the 2-year pre-post study, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Hospitalist-Vascular Surgery Comanagement: Reduction in Complications and Mortality

HM2016 Abstract Number: 221

Retrospective Analysis of Compliance in Guideline-Based Management of Neutropenic Fever

Background: Neutropenic Fever (NF) is a common complication for patients on myelosuppressive chemotherapy. Despite guidelines by the Infectious Diseases Society of America (IDSA), however, there is variability in physician compliance. There are limited prior studies assessing compliance [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Retrospective Analysis of Compliance in Guideline-Based Management of Neutropenic Fever

HM2016 Abstract Number: 220

What Is the True Definition of a “Do-Not-Resuscitate” Order?

Background: A do-not resuscitate (DNR) order prohibits use of cardiopulmonary resuscitation (CPR) in the event of cardiopulmonary arrest. It should not be applied to any other interventions other than CPR. However, we reported that DNR [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on What Is the True Definition of a “Do-Not-Resuscitate” Order?

HM2016 Abstract Number: 219

Effect of Internal Medicine Versus Emergency Medicine Staffing of an Observation Unit on Patient Outcomes

Background: Approximately one-third of hospitals in the United States have observation units, which are increasingly being staffed by internists rather than emergency medicine physicians. However, there is limited understanding of this effect on patient outcomes.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Effect of Internal Medicine Versus Emergency Medicine Staffing of an Observation Unit on Patient Outcomes

HM2016 Abstract Number: 218

An Educational Intervention to Improve the Documentation of Code Status Discussions

Background: Discussing and determining a patient’s code status is an integral part of the initial patient encounter upon admission to the hospital.  Code status orders are frequently integrated into admission order sets and direct critical [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on An Educational Intervention to Improve the Documentation of Code Status Discussions

HM2016 Abstract Number: 216

Awakenings? Patient and Hospital Staff Perceptions of Nighttime Disruptions and Their Impact on Patient Sleep

Background: Despite the importance of sleep to recovery from acute illness and the patient experience, hospitalizations are far from restful. Currently, Medicare focuses on noise, but other disruptions to patient sleep such as lab draws, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Awakenings? Patient and Hospital Staff Perceptions of Nighttime Disruptions and Their Impact on Patient Sleep

HM2016 Abstract Number: 214

Hospital Use of Mechanical Prophylaxis for Venous Thromboembolism: Is the Juice Worth the Squeeze?

Background: Current national guidelines recommend using mechanical methods for venous thromboembolism (VTE) prophylaxis in hospitalized medical patients at elevated risk for thrombosis who have a contraindication to pharmacologic prophylaxis. Additionally, it is recommended to avoid [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Hospital Use of Mechanical Prophylaxis for Venous Thromboembolism: Is the Juice Worth the Squeeze?

HM2016 Abstract Number: 215

Assessing Mobility As a Risk Factor for Venous Thromboembolism: Are Nurses and Physicians in Step?

Background: It is widely accepted that hospitalized patients warrant risk assessment for venous thromboembolism (VTE) upon hospital admission. Although many VTE risk assessment models include a patient mobility element for calculating risk, a standardized method [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Assessing Mobility As a Risk Factor for Venous Thromboembolism: Are Nurses and Physicians in Step?

HM2016 Abstract Number: 212

Implementation of a Cardiac Stress Test Decision Support Tool at an Academic Teaching Hospital

Background: Patients admitted to our hospital with possible Acute Coronary Syndrome (ACS) have a length of stay exceeding the community average. We postulated that the admitting residents were deferring the decision to order a stress [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Implementation of a Cardiac Stress Test Decision Support Tool at an Academic Teaching Hospital

HM2016 Abstract Number: 211

Third Troponin Order Overuse in the Setting of Clinical Stability

Background: Troponin assays are an important diagnostic tool, often for the evaluation of potential acute coronary syndrome.  Current guidelines recommend using the assay a maximum of twice in the initial triage period if both values [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Quality Improvement, Research Abstracts|Comments Off on Third Troponin Order Overuse in the Setting of Clinical Stability

HM2016 Abstract Number: 207

Improving Rates of Vte Prophylaxis Administration: A Front-Line Approach

Background: Venous thromboembolism (VTE) prophylaxis is an important aspect of patient safety for the hospitalized population; however prophylaxis administration is hindered by a variety of factors, including patient refusal. Bedside nurses have the opportunity to educate [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Improving Rates of Vte Prophylaxis Administration: A Front-Line Approach

HM2016 Abstract Number: 205

Vascular Access Nursing Experience, Practice, Knowledge and Beliefs: Results from the National Picc1 Survey

Background: Peripherally inserted central catheters (PICCs) are essential devices used to provide central venous access. However, they are often placed inappropriately, leading to unnecessary risk of PICC-related complications. Vascular access operators typically place the majority [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Vascular Access Nursing Experience, Practice, Knowledge and Beliefs: Results from the National Picc1 Survey

HM2016 Abstract Number: 204

Characterizing the Safety of Paracentesis in Hospitalized Patients with Cirrhosis and Ascites from 2004-2012 in the United States

Background: Paracentesis is associated with decreased mortality in patients with advanced liver disease. The prevalence of paracentesis related complications is not well characterized, but prior studies suggest improved safety outcomes when ultrasound guidance is employed.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Characterizing the Safety of Paracentesis in Hospitalized Patients with Cirrhosis and Ascites from 2004-2012 in the United States

HM2016 Abstract Number: 203

Physician Responses to Technically Challenging Blood Draws

Background: Clinical situations require the timely acquisition of venous blood samples. For certain patients, acquisition of venous blood samples is technically challenging and phlebotomists are unsuccessful. Physicians are then responsible for sample acquisition. The response [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Physician Responses to Technically Challenging Blood Draws

HM2016 Abstract Number: 202

The Uncertainty of Observation: Diagnosis Specification from Presentation to Discharge

Background: The observation unit is frequently a destination for patients with yet undifferentiated conditions.  The goal of the observation stay is to complete a crucial diagnostic test or treatment trial that should help specify the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on The Uncertainty of Observation: Diagnosis Specification from Presentation to Discharge

HM2016 Abstract Number: 200

Saving Time: A Time-Motion Analysis of the Impact of Regionalization and Daily Admitting on Intern Workflow

Background: Regionalization of medical teams has the potential to improve interdisciplinary communication and efficiency but this must outweigh any logistical downsides and resource requirements. For example, full regionalization must be paired with some method of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Quality Improvement, Research Abstracts|Comments Off on Saving Time: A Time-Motion Analysis of the Impact of Regionalization and Daily Admitting on Intern Workflow

HM2016 Abstract Number: 198

Impact of Standardized Admission Process on Patient Experience/satisfaction

Background: The need to improve patient satisfaction (or patient experience) is increasing dramatically. Patient satisfaction is not only a direct indicator of quality of care but it is also an important component of pay for [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Impact of Standardized Admission Process on Patient Experience/satisfaction

HM2016 Abstract Number: 192

Impact of a 2-Step Algorithm for Clostridium Difficile Detection on Isolation Resource Utilization and Antimicrobial Use at an Urban Hospital Center

Background: The incidence of Clostridium difficile infection (CDI) and its associated mortality have increased markedly across North America and Europe during the last decade; making CDI one of the most common preventable healthcare-associated conditions. In [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Impact of a 2-Step Algorithm for Clostridium Difficile Detection on Isolation Resource Utilization and Antimicrobial Use at an Urban Hospital Center

HM2016 Abstract Number: 188

Venous Thromboembolism After Hospitalization in Trauma Patients: Does Prophylaxis Matter?

Background: Venous thromboembolism (VTE), both pulmonary embolism (PE) and deep vein thrombosis (DVT), causes morbidity and mortality in hospitalized patients. The duration of VTE risk in trauma, particularly after discharge, is not well understood, especially [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Perioperative, Research Abstracts|Comments Off on Venous Thromboembolism After Hospitalization in Trauma Patients: Does Prophylaxis Matter?

HM2016 Abstract Number: 187

Assessing Patient Safety Through Blood Transfusions: A Retrospective Application of Poise-2 Trial Outcomes

Background: Worldwide, 200 million adults undergo non-cardiac surgery annually, and completing pre-operative assessments is a major role of today’s hospitalists. In previous years, decisions regarding anti-platelet agents were less evidence-based and often fell to provider [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Perioperative, Research Abstracts|Comments Off on Assessing Patient Safety Through Blood Transfusions: A Retrospective Application of Poise-2 Trial Outcomes

HM2016 Abstract Number: 186

Cost-Effectiveness of Bridging Anticoagulation Among Patients with Non-Valvular Atrial Fibrillation

Background: Bridging anticoagulation is commonly prescribed to patients with atrial fibrillation who are initiating therapy or require interruption of anticoagulation for procedures. Current guidelines recommend bridging for patients at high risk of stroke, but no [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Perioperative, Research Abstracts|Comments Off on Cost-Effectiveness of Bridging Anticoagulation Among Patients with Non-Valvular Atrial Fibrillation

HM2016 Abstract Number: 185

Impact of Recent Guideline Changes on Aspirin Prescribing After Knee Arthroplasty: Implications for Co-Management

Background: Choice of agent for venous thromboembolism prophylaxis (VTEP) after joint arthroplasty is a complex decision, the difficulty of which has been compounded by divergent guidelines. Specifically, the adequacy of aspirin monotherapy (ASA) for VTEP [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Perioperative, Research Abstracts|Comments Off on Impact of Recent Guideline Changes on Aspirin Prescribing After Knee Arthroplasty: Implications for Co-Management

HM2016 Abstract Number: 184

Comparison of 4 Risk Calculators in Predicting Postoperative Cardiac Complications

Background: The 2014 ACC/AHA Perioperative Guidelines suggest using the Revised Cardiac Risk Index (RCRI), myocardial infarction or cardiac arrest (MICA), or American College of Surgeons (ACS)-NSQIP calculators for combined patient-surgical risk assessment. However, there is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Perioperative, Research Abstracts|Comments Off on Comparison of 4 Risk Calculators in Predicting Postoperative Cardiac Complications

HM2016 Abstract Number: 183

Hospitalist-Comanagement in Orthopedic Surgery in Spain: Experience of an Academic Medical Center

Background: Hospitalist-comanagement model in surgical patients has demonstrated good results in terms of length of hospital stay, readmissions, quality of care and costs in the American Medical System. However, results from international cohorts are very [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Perioperative, Research Abstracts|Comments Off on Hospitalist-Comanagement in Orthopedic Surgery in Spain: Experience of an Academic Medical Center

HM2016 Abstract Number: 182

Risk Factors for Overnight Desaturation Following Sedation for Non-Invasive Radiology Studies in Children with Sleep Apnea

Background: Children with sleep apnea are at increased risk for adverse respiratory events following surgical procedures involving the airway such as tonsillectomy. Risk following sedation for non-invasive procedures is unclear. The objective of this study [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Risk Factors for Overnight Desaturation Following Sedation for Non-Invasive Radiology Studies in Children with Sleep Apnea

HM2016 Abstract Number: 181

Constipation-Related Healthcare Utilization in Children Before and After Hospitalization for Constipation

Background: While constipation is largely addressed in the outpatient setting, children are sometimes hospitalized for this issue.  The impact of hospitalization for constipation on subsequent constipation-related healthcare utilization is poorly understood. Methods: First admissions for [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Constipation-Related Healthcare Utilization in Children Before and After Hospitalization for Constipation

HM2016 Abstract Number: 179

Recurring Orders for Laboratory Tests in Critically Ill Children Are Common, but Are They Necessary?

Background:  Healthcare delivery has become more expensive, with a portion of the elevated cost due to increased utilization of laboratory studies. The Choosing Wisely campaign is an initiative of the American Board of Internal Medicine [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Recurring Orders for Laboratory Tests in Critically Ill Children Are Common, but Are They Necessary?

HM2016 Abstract Number: 180

Variation in Physician Discharge Order Time at an Academic Children’s Hospital

Background: Hospital discharges early in the day help facilitate patient throughput and improve capacity.  A key step in the discharge process is the entry of the physician discharge order.  The degree of variation in physician [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Variation in Physician Discharge Order Time at an Academic Children’s Hospital

HM2016 Abstract Number: 177

Pediatric Post Discharge Follow-Up Calls

Background: Post discharge (d/c) follow-up calls are utilized for many reasons: monitoring patient (pt) status, understanding of d/c instructions including medications and appointments, and satisfaction with hospital care. Adult data suggests such calls improve satisfaction [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Pediatric Post Discharge Follow-Up Calls

HM2016 Abstract Number: 176

Improving Pediatric Patient-Centered Care Transitions (Impact): Outpatient Providers’ Perceptions of Hospitalist Handoff at Discharge

Background: To address safety risks with transitions from hospital to home, the IMPACT collaborative designed, tested and implemented the Pediatric Patient Centered Care Transition (PACT) Bundle. The bundle element “perfect” handoff (timely and complete) aimed [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Improving Pediatric Patient-Centered Care Transitions (Impact): Outpatient Providers’ Perceptions of Hospitalist Handoff at Discharge

HM2016 Abstract Number: 174

Improving Pediatric Patient-Centered Care Transitions (Impact): Outcomes for Technology-Supported Patients

Background: The transition from hospital to home presents a safety risk to pediatric patients. Literature suggests the needs and outcomes of technology-supported patients (TSP) differ from other patients. Objective: To determine differences between TSP and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Improving Pediatric Patient-Centered Care Transitions (Impact): Outcomes for Technology-Supported Patients

HM2016 Abstract Number: 175

Scheduling Follow-Up Appointments Prior to Discharge: Analysis of Project Impact Pilot Data

Background: Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-center quality improvement collaborative aiming to improve hospital to home transitions. As part of this project, providers attempt to schedule follow-up visits prior to discharge [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Scheduling Follow-Up Appointments Prior to Discharge: Analysis of Project Impact Pilot Data

HM2016 Abstract Number: 173

National Pediatric Bed Occupancy

Background: We previously reported an estimate of the national pediatric (ped) bed census that demonstrated a 4% loss of total med/surg/PICU beds from 2002 to 2011. A deeper look revealed -7% med/surg beds, +12% PICU [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on National Pediatric Bed Occupancy

HM2016 Abstract Number: 172

Pediatric to Adult-Oriented Health Care Transition(Hct) Preparedness Among Hospitalized Adolescents and Young Adults (Aya)

Background: Improved outcomes in pediatric to adult-oriented HCT especially for children with special health care needs (SHCN) are a national objective of Healthy People 2020, with only 40% of adolescents with SHCN currently meeting the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on Pediatric to Adult-Oriented Health Care Transition(Hct) Preparedness Among Hospitalized Adolescents and Young Adults (Aya)

HM2016 Abstract Number: 171

A Randomized Trial of a Video-Based Educational Intervention on Adult-Oriented Health Care Transition (Hct) in the Hospitalized Adolescent and Young Adult (Aya)

Background: Despite the growing emphasis on high-quality HCT, there remains a paucity of evidence to guide inpatient providers in transitioning adolescents to adult medical care. An inter-professional team at our institution created a video incorporating [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Pediatrics, Research Abstracts|Comments Off on A Randomized Trial of a Video-Based Educational Intervention on Adult-Oriented Health Care Transition (Hct) in the Hospitalized Adolescent and Young Adult (Aya)

HM2016 Abstract Number: 169

Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

Background: Clinicians rely on physiologic monitor alarms to notify them of their patients’ changing vital signs. Currently, alarms occur very frequently and usually do not warrant clinical intervention. High alarm burden can lead to alarm [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency

HM2016 Abstract Number: 167

Management of Laboratory Tests Pending at Discharge: A Systematic Review

Background: Failure to follow-up results of laboratory tests pending at discharge (TPADs) can lead to patient harm. Numerous interventions have been proposed to improve follow-up. The Laboratory Medicine Best Practices (LMBP™) workgroup, sponsored by the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Management of Laboratory Tests Pending at Discharge: A Systematic Review

HM2016 Abstract Number: 163

Predictors of Occlusion in Peripherally Inserted Central Catheters: Evidence from the Michigan Hospital Safety Consortium

Background: Catheter occlusion is often encountered when using peripherally inserted central catheters (PICCs). Patients who experience catheter occlusion are at risk of interruption of therapy, thrombolytic instillment, and complications such as VTE. Whether rates of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Predictors of Occlusion in Peripherally Inserted Central Catheters: Evidence from the Michigan Hospital Safety Consortium

HM2016 Abstract Number: 162

Change in Prescription Habits After Federal Rescheduling of Hydrocodone Combination Products

Background: According to the most recent data released by the Centers for Disease Control, forty-six Americans die every day due to narcotic prescription drug overdose. Nationally, health care providers wrote two hundred and fifty-nine million [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Change in Prescription Habits After Federal Rescheduling of Hydrocodone Combination Products

HM2016 Abstract Number: 160

Reinitiation of Antithrombotic Therapy After Emergency Procedures or After an Emergent Bleeding Event: Additional Interim Experience from the Re-Verse Ad Trial

Background: Oral anticoagulation is effective for reduction of risk for stroke and systemic embolism in patients with nonvalvular atrial fibrillation, but there may be uncertainty about how to manage anticoagulation in and following an emergency [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Patient Safety, Research Abstracts|Comments Off on Reinitiation of Antithrombotic Therapy After Emergency Procedures or After an Emergent Bleeding Event: Additional Interim Experience from the Re-Verse Ad Trial

HM2016 Abstract Number: 159

Delayed Paracentesis and Spontaneous Bacterial Peritonitis – No Increase in Mortality

Background: Spontaneous Bacterial Peritonitis (SBP) is associated with high mortality.  A recent article[1] showed that, in the setting of SBP, delayed paracentesis was associated with increased mortality.  Because of the clinical ramifications of this association, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Delayed Paracentesis and Spontaneous Bacterial Peritonitis – No Increase in Mortality

HM2016 Abstract Number: 158

Analysis of Severe Gastrointestinal Bleed in Patients on Anticoagulation for Atrial Fibrillation and Abnormal Endoscopic Evaluation

Background: Widespread use of new oral anticoagulants (NOAG) for Atrial Fibrillation (A-Fib) has increased the annual incidence of gastrointestinal bleed (GIB) in recent years. These NOAG agents in our study include Rivaroxaban, Apixaban and Dabigatran. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Analysis of Severe Gastrointestinal Bleed in Patients on Anticoagulation for Atrial Fibrillation and Abnormal Endoscopic Evaluation

HM2016 Abstract Number: 156

Statin Use and the Risk of New Onset Diabetes Mellitus: An Evidence Based Review

Background: It is estimated that nearly 20 million people are taking Statins (HMG-CoA Reductase Inhibitors) currently in the United States. The benefits of statins to treat and prevent cardiovascular disease are accepted universally. However, recent [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Statin Use and the Risk of New Onset Diabetes Mellitus: An Evidence Based Review

HM2016 Abstract Number: 155

Severe Hypophosphatemia: Its Prevalence and Predictors Associated with In-Hospital Mortality

Background: It has been unclear about prevalence and in-hospital mortality of severe hypophosphatemia among hospitalized medical patients. Predictors for in-hospital mortality have not yet been determined in terms those may include serum nadir phosphate level, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Severe Hypophosphatemia: Its Prevalence and Predictors Associated with In-Hospital Mortality

HM2016 Abstract Number: 154

Teamstepps®-Based Daily Safety Briefs: A Common Denominator for Improving Patient Safety

Background: Quality and patient safety initiatives are often role-specific with minimal emphasis on cross-discipline collaboration and communication. Prior to project implementation, each discipline’s patient care plans were made in silos without an aligned emphasis on [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Teamstepps®-Based Daily Safety Briefs: A Common Denominator for Improving Patient Safety

HM2016 Abstract Number: 153

Assessing Staff Utilization of the Braden Scale Score As a Risk Stratification Tool at a Tertiary Care Teaching Hospital: An Observational Study

Background: The total cost for treatment of pressure ulcers in the United States is estimated at more than $11 billion annually. The Braden Scale is a risk stratification tool that assesses a patient's risk of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Assessing Staff Utilization of the Braden Scale Score As a Risk Stratification Tool at a Tertiary Care Teaching Hospital: An Observational Study

HM2016 Abstract Number: 152

Kick-Starting a Culture of Safety: How Teamstepps and Simulation Transformed Attitudes on the Medicine Service

Background: TeamSTEPPS (Strategies and Tools to Enhance Performance and Patient Safety) has been shown to improve patient safety by improving teamwork and communication skills amongst all members of the interdisciplinary team. Methods: We developed a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Kick-Starting a Culture of Safety: How Teamstepps and Simulation Transformed Attitudes on the Medicine Service

HM2016 Abstract Number: 149

Should Patients Be Able to Activate Rapid Response Teams?

Background: Active patient engagement improves patient  outcomes.  Patient activated rapid response teams are one potential method to encourage patient involvement, however outcomes of this intervention have not been evaluated.  The University of Pittsburgh Medical Center [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Should Patients Be Able to Activate Rapid Response Teams?

HM2016 Abstract Number: 148

An Electronic Health Record-Based Severe Sepsis Alert to Improve Sepsis Treatment Performance: Randomized Evaluation

Background: Sepsis, severe sepsis, and septic shock combined, are estimated to affect between 650,000 and 750,000 Americans annually, and has an associated mortality rate between 20 to 50%.  Early identification of patients with sepsis is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Patient Safety, Research Abstracts|Comments Off on An Electronic Health Record-Based Severe Sepsis Alert to Improve Sepsis Treatment Performance: Randomized Evaluation

HM2016 Abstract Number: 146

Do Antimicrobial Peripherally Inserted Central Catheters Reduce the Risk of Central Line-Associated Bloodstream Infection? A Systematic Review and Meta-Analysis

Background: While peripherally inserted central catheters (PICCs) are important in caring for patients, they are associated with central line-associated bloodstream infection (CLABSI). Antimicrobial PICCs are novel devices that may reduce the risk of CLABSI, but [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Do Antimicrobial Peripherally Inserted Central Catheters Reduce the Risk of Central Line-Associated Bloodstream Infection? A Systematic Review and Meta-Analysis

HM2016 Abstract Number: 145

Limiting the Number of Lumens in Peripherally Inserted Central Catheters to Improve Outcomes and Reduce Cost: A Simulation Study

Background: The number of peripherally inserted central catheter (PICC) lumens has been associated with thrombotic and infectious complications. Policies that limit use of multi-lumen PICCs may improve safety and reduce cost. In this simulation-based study, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Patient Safety, Research Abstracts|Comments Off on Limiting the Number of Lumens in Peripherally Inserted Central Catheters to Improve Outcomes and Reduce Cost: A Simulation Study

HM2016 Abstract Number: 141

Discharging a Patient Ama, What Do You Do?

Background: Discharge against medical advice (AMA) occurs in up to 2% of all medical admissions.  These patients risk morbidity and mortality when being discharged AMA.  Given the frequency of AMA discharges and their potential consequences, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Discharging a Patient Ama, What Do You Do?

HM2016 Abstract Number: 140

Incidence of Venous Thromboembolism (Vte) in Patients Prescribed Megestrol for Appetite Stimulation

Background: Cachexia and anorexia occur in 50-80% of cancer patients. In cancer patients, it is associated with shorter survival, treatment failure, early treatment termination, declining functional status, and reduced quality of life. Megestrol acetate is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Incidence of Venous Thromboembolism (Vte) in Patients Prescribed Megestrol for Appetite Stimulation

HM2016 Abstract Number: 139

External Validation of Prognostic Rules for In-Hospital Post-Pulmonary Embolism Mortality: Assessment of a Claims-Based and Three Clinical-Based Approaches

Background: The In-hospital Mortality for Pulmonary embolism using Claims daTa (IMPACT) rule has been validated in a number of commercial and all-payer claims databases; classifying pulmonary embolism (PE) patients into low- and higher-risk in-hospital all-cause [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on External Validation of Prognostic Rules for In-Hospital Post-Pulmonary Embolism Mortality: Assessment of a Claims-Based and Three Clinical-Based Approaches

HM2016 Abstract Number: 138

Does Early Feeding Reduce Length of Hospital Stay in Acute Pancreatitis? A Systematic Review and Meta-Analysis

Background: Acute pancreatitis is among the most common and costly reasons for hospitalization in the United States. While bowel rest, pain control, and intravenous fluids are the cornerstone of treatment, recent evidence suggests that early [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Does Early Feeding Reduce Length of Hospital Stay in Acute Pancreatitis? A Systematic Review and Meta-Analysis

HM2016 Abstract Number: 137

Diagnostic Discordance and Inter-Hospital Transfer Outcomes

Background:  Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs.  Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Diagnostic Discordance and Inter-Hospital Transfer Outcomes

HM2016 Abstract Number: 136

Is the Grass Really Greener? Impact of Inter-Hospital Transfer on the Outcomes of Super-Utilizers

Background:  A small population of patients disproportionately consume an increasing share of medical resources.  These super-utilizers often have complex medical and psychosocial conditions that require carefully coordinated, individualized care.  As this population drives unplanned readmissions, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Is the Grass Really Greener? Impact of Inter-Hospital Transfer on the Outcomes of Super-Utilizers

HM2016 Abstract Number: 135

Analyses of Real-World Treatment Patterns Among Hospitalized Chronic Obstructive Pulmonary Disease (Copd) Patients with Low Peak Inspiratory Flow: Interim Findings from a Prospective Observational Study

Background: Research suggests that COPD patients with low peak inspiratory flow rate (PIFR,

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Analyses of Real-World Treatment Patterns Among Hospitalized Chronic Obstructive Pulmonary Disease (Copd) Patients with Low Peak Inspiratory Flow: Interim Findings from a Prospective Observational Study

HM2016 Abstract Number: 134

A Comparison of Occlusion Rates in Peripherally Inserted Central Catheters and Other Intravenous Devices: A Systematic Review and Meta-Analysis

Background: Peripherally inserted central catheters (PICCs) are increasingly used in the care of hospitalized patients. While major complications such as venous thromboembolism and central line-associated bloodstream infection related to PICCs have been well reported, comparatively [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on A Comparison of Occlusion Rates in Peripherally Inserted Central Catheters and Other Intravenous Devices: A Systematic Review and Meta-Analysis

HM2016 Abstract Number: 133

Characterizing Fatigue in Hospitalized Patients with Anemia

Background: Multiple professional societies recommend red blood cell transfusions for hospitalized patients based on the presence of symptoms of anemia, like fatigue. These recommendations endorse the idea that the severity of anemia symptoms are due [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Characterizing Fatigue in Hospitalized Patients with Anemia

HM2016 Abstract Number: 131

Impact of Nurse Practitioners on Hospitalized Patient Outcomes

Background: Recently, the role of non-physician extenders such as nurse practitioners has expanded in the hospital setting. However, there are few data examining the consequences of adding these providers to the care provision team.  The [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Impact of Nurse Practitioners on Hospitalized Patient Outcomes

HM2016 Abstract Number: 132

Increasing Use of Home Health Care Services Among Patients Admitted with Heart Failure in the United States

Background: Despite recent advancements in the medical management of acute and chronic Heart Failure (HF), smooth transitions of care for patients hospitalized with HF remain elusive for most health care systems. Use of home health [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Increasing Use of Home Health Care Services Among Patients Admitted with Heart Failure in the United States

HM2016 Abstract Number: 130

Impact of a Best Practice Alert on Transfusion Practices for Solid Tumor Oncology Patients

Background: Recent evidence supports a restrictive transfusion strategy in the majority of hospitalized patients, though transfusion practices for oncology patients remain highly variable.  We evaluated whether use of a best practice alert for solid tumor [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Impact of a Best Practice Alert on Transfusion Practices for Solid Tumor Oncology Patients

HM2016 Abstract Number: 129

Role of Early Outpatient Follow-Up Appointments on Decreasing Copd Readmission Rates

Background: Chronic Obstructive Pulmonary Disease (COPD) is the third most common cause of hospital readmission within 30 days of discharge. These readmissions increase the overall healthcare cost burden. We examined the effect of early follow-up [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Role of Early Outpatient Follow-Up Appointments on Decreasing Copd Readmission Rates

HM2016 Abstract Number: 128

Have You Met Your Patient? Performance of a Brief Bedside Assessment of Physical Function

Background: Functional decline during hospitalization of older adults is well-recognized and potentially preventable.  Recent studies have suggested that clinically significant functional decline also affects hospitalized adults under 65 years of age, and that physical function [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Have You Met Your Patient? Performance of a Brief Bedside Assessment of Physical Function

HM2016 Abstract Number: 126

Survival Outcomes of Patients with Gastrointestinal Cancer Who Experienced Unplanned Readmissions

Background: Unplanned readmissions among cancer patients are common and gastrointestinal (GI) cancer has some of the highest readmission volumes. Under the Affordable Care Act, hospitals have been getting penalized for excessive readmission rates. For now, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Survival Outcomes of Patients with Gastrointestinal Cancer Who Experienced Unplanned Readmissions

HM2016 Abstract Number: 122

Blood Transfusion Pattern in Acute Gastrointestinal Bleeding: A Us Population Based Study

Background: Over the last two decades concerns have been raised about the potential risk of blood transfusion over the benefits. General restrictive red blood cell (RBC) transfusion approach for anemic hospitalized patients (thresh hold of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Blood Transfusion Pattern in Acute Gastrointestinal Bleeding: A Us Population Based Study

HM2016 Abstract Number: 123

Shock Index As a Predictor for In-Hospital Mortality in Patients with Non-St-Segment Elevation Myocardial Infarction

Background: Shock index (SI), a ratio of heart rate/systolic blood pressure, has been reported to predict increased mortality in patients with ST-segment elevation myocardial infarction. However, the prognostic value of SI has not been fully [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Shock Index As a Predictor for In-Hospital Mortality in Patients with Non-St-Segment Elevation Myocardial Infarction

HM2016 Abstract Number: 121

Investigation Into One-Size-Fits-All Diuretic Strategy for Heart Failure Exacerbation Admissions

Background: Diuretic therapy is the mainstay of treatment for heart failure exacerbations but its optimal dosing strategy remains unclear. In 2011, the DOSE trial exhibited a trend toward improvement in patients’ global symptom assessments when [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Investigation Into One-Size-Fits-All Diuretic Strategy for Heart Failure Exacerbation Admissions

HM2016 Abstract Number: 120

Spreading Best Practices in Inpatient Medicine: An Acute Medical Assessment Unit in the Middle East Region

Background: Acute Medical Assessment Units (AMAU) in the United Kingdom, Australia and New Zealand improve inpatient flow and quality. It is critical to spread such best practices. Qatar, a GCC state (Bahrain, Kuwait, Oman, Saudi [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Spreading Best Practices in Inpatient Medicine: An Acute Medical Assessment Unit in the Middle East Region

HM2016 Abstract Number: 118

Relationship of Major Bleeding to Pharmacologic Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients

Background: Guidelines recommend pharmacologic venous thromboembolism (VTE) prophylaxis for high risk hospitalized medical patients that do not have an elevated bleeding risk.  A systematic review of randomized trials estimates the overall bleeding risk with pharmacologic [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Relationship of Major Bleeding to Pharmacologic Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients

HM2016 Abstract Number: 119

Low Risk of Venous Thromboembolism in Hospitalized Stroke Patients

Background: Guidelines and quality performance measures recommend venous thromboembolism (VTE) prophylaxis in patients hospitalized with stroke if they have paralysis or are confined to bed and also recommend that all hospitalized medical patients have VTE [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Low Risk of Venous Thromboembolism in Hospitalized Stroke Patients

HM2016 Abstract Number: 117

Contrast-Induced Nephropathy in Stemi Patients with and Without Chronic Kidney Disease

Background: Contrast-induced nephropathy (CIN) following percutaneous coronary intervention (PCI) is associated with adverse outcomes; however, there is scarce data comparing clinical outcomes of post-PCI CIN in STEMI patients with and without chronic kidney disease (CKD). [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Outcomes Research, Research Abstracts|Comments Off on Contrast-Induced Nephropathy in Stemi Patients with and Without Chronic Kidney Disease

HM2016 Abstract Number: 116

Survival in Hospitalized Dialysis Patients

Background: End Stage Renal Disease carries a poor prognosis. Only half of dialysis patients are still alive three years after the initiation of renal replacement therapy. Furthermore, dialysis patients are hospitalized more often compared to [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Survival in Hospitalized Dialysis Patients

HM2016 Abstract Number: 115

Hypoglycemia As a Marker of Mortality in Non-Diabetic Hospitalized Patients

Background: Though previous studies have demonstrated that hypoglycemia is a risk factor for inpatient mortality among hospitalized patients, many clinicians may not be aware of the seriousness of this finding. The purpose of this study [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Hypoglycemia As a Marker of Mortality in Non-Diabetic Hospitalized Patients

HM2016 Abstract Number: 114

Weight Loss Comparisons of Hospitalized Obese Patients with and Without Hospitalists’ Intervention

Background: Obesity affects a large majority of the U.S. population, and hospitalizations may represent opportunities to intervene and promote weight loss.  We sought to determine if multidisciplinary patient-centered inpatient weight loss consults, post-discharge telephone text [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Weight Loss Comparisons of Hospitalized Obese Patients with and Without Hospitalists’ Intervention

HM2016 Abstract Number: 113

Impact of Admission Nursing Team on Timely Inpatient Discharge in Acute Hospital Care Setting

Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Impact of Admission Nursing Team on Timely Inpatient Discharge in Acute Hospital Care Setting

HM2016 Abstract Number: 112

Risk Factors Associated with Hospitalization of Prostate Cancer Survivors: Effect of Body Mass Index and Prostate Cancer Treatment

Background: Prostate cancer is the most commonly diagnosed cancer and second leading cause of cancer death among men in the US. Approximately three million prostate cancer survivors are living in the US according to 2014 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Risk Factors Associated with Hospitalization of Prostate Cancer Survivors: Effect of Body Mass Index and Prostate Cancer Treatment

HM2016 Abstract Number: 111

A Comparison of Day Vs. Night In-Patient Cardiopulmonary Arrest Outcomes in a Large Academic Hospital

Background: Code Blues, or in-hospital cardiopulmonary arrests, are high intensity, often fatal events occurring frequently within the hospital. National data reviews estimate that survival to discharge following an in-hospital cardiac event is about 24.4%. Further [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on A Comparison of Day Vs. Night In-Patient Cardiopulmonary Arrest Outcomes in a Large Academic Hospital

HM2016 Abstract Number: 110

Association of Doctor-Patient Relationship Strength with Advance Care Planning

Background: Advance care planning (ACP) is recommended to improve compliance with patient end-of-life wishes and to ensure appropriate use of healthcare resources. However, most American adults have neither living wills nor advance directives. Hospital physicians [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Association of Doctor-Patient Relationship Strength with Advance Care Planning

HM2016 Abstract Number: 109

Predictors of Length of Stay in a Large National Cohort of Hospitalized Patients

Background: Factors that impact the length of stay (LOS) in hospitalized patients have not been well characterized. We used a dataset from a large national cohort of hospitalized patients to determine if patient demographics, admission [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Predictors of Length of Stay in a Large National Cohort of Hospitalized Patients

HM2016 Abstract Number: 108

The Weekend Effect: An Assessment of Mortality During Emergent Hepatocellular Carcinoma Hospitalizations

Background: Patients with hepatocellular carcinoma (HCC) are frequently hospitalized emergently. Studies that describe the factors associated with HCC-related mortality during hospitalizations are limited. We sought to use a nationally representative database to investigate whether a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on The Weekend Effect: An Assessment of Mortality During Emergent Hepatocellular Carcinoma Hospitalizations

HM2016 Abstract Number: 107

Impact of Hospital Teaching Status on Out-of-Hospital Cardiac Arrest Outcomes and Resource Utilization in the United States: 2000-2012

Background:  Teaching status has often been studied as a potential systems-level variable associated with patient outcomes; however, limited information regarding the relationship between out-of-hospital cardiac arrest (OHCA) outcomes and teaching status exist. Methods: Using the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Outcomes Research, Research Abstracts|Comments Off on Impact of Hospital Teaching Status on Out-of-Hospital Cardiac Arrest Outcomes and Resource Utilization in the United States: 2000-2012

HM2016 Abstract Number: 106

Total Hospitalization Expenditures for Venous Thromboembolism Among Patients Receiving Rivaroxaban or Warfarin

Background: Reducing the economic and healthcare system burden of venous thromboembolism (VTE) is critical, given the estimated annual costs in the US ranging from $13.5-$27.2 billion (2011 US dollars). The EINSTEIN clinical trials showed rivaroxaban [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Total Hospitalization Expenditures for Venous Thromboembolism Among Patients Receiving Rivaroxaban or Warfarin

HM2016 Abstract Number: 105

Short Term Use of Peripherally Inserted Central Catheters in Michigan Hospitals: Prevalence, Patterns and Outcomes

Background: Peripherally inserted central catheters [PICCs] are often used for venous access in hospitalized patients. Prevalence and outcomes of short-term PICC use (

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Short Term Use of Peripherally Inserted Central Catheters in Michigan Hospitals: Prevalence, Patterns and Outcomes

HM2016 Abstract Number: 104

The Influence of Red Blood Cell Transfusion on Venous Thromboembolism in Patients with Peripherally-Inserted Central Catheters

Background: We previously found that red blood cell (RBC) transfusion was a trigger for hospitalization for venous thromboembolism (VTE) in a Medicare population. As peripherally inserted central catheters (PICCs) are both associated with VTE and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Outcomes Research, Research Abstracts|Comments Off on The Influence of Red Blood Cell Transfusion on Venous Thromboembolism in Patients with Peripherally-Inserted Central Catheters

HM2016 Abstract Number: 103

Vascular Nursing Experience, Practice Knowledge and Beliefs: Results from the Michigan Picc1 Survey

Background: Peripherally inserted central catheters (PICCs) are increasingly used in hospitalized patients. Yet, little is known about the vascular access nurses who often place them.  Methods: We conducted a web-based survey to assess vascular access [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Vascular Nursing Experience, Practice Knowledge and Beliefs: Results from the Michigan Picc1 Survey

HM2016 Abstract Number: 102

Variation in Prevalence and Patterns of Peripherally Inserted Central Catheter Use in Pneumonia

Background: Successful treatment of bacterial pneumonia often requires intravenous antibiotic therapy. Although peripherally inserted central catheters (PICCs) are often used to deliver such treatment, hospital practice patterns related to PICC use have previously not been [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Variation in Prevalence and Patterns of Peripherally Inserted Central Catheter Use in Pneumonia

HM2016 Abstract Number: 101

Length of Stay Is Reduced by Converting Intravenous Corticosteroids to Oral in Aecopd Hospitalizations

Background: The 2015 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommend the use of systemic corticosteroids in the treatment of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Although prior guidelines did not [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Length of Stay Is Reduced by Converting Intravenous Corticosteroids to Oral in Aecopd Hospitalizations

HM2016 Abstract Number: 100

Ferumoxytol Enhancement of Osteomyelitis on Mri May Improve Diagnostic Precision

Background: Diagnostic MR imaging of osteomyelitis in the hospital setting continues to guide patient care and treatment when plain films are inconclusive. However, even MRI with gadolinium can be non-specific in patients with other forms [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Ferumoxytol Enhancement of Osteomyelitis on Mri May Improve Diagnostic Precision

HM2016 Abstract Number: 99

Inverse Associations Between Hospital-Wide Readmission Rates and Mortality Measures at the Hospital Level

Background: The Centers for Medicare & Medicaid Services (CMS) have sought to reduce readmissions through penalties applied to hospitals with readmission rates that are higher than expected, as calculated from models that use patient-level administrative [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Inverse Associations Between Hospital-Wide Readmission Rates and Mortality Measures at the Hospital Level

HM2016 Abstract Number: 98

Detecting Sepsis: Are Two Opinions Better Than One?

Background: Early diagnosis and treatment of sepsis improves patient outcomes. Diagnosis requires an objective component (currently at least two Systemic Inflammatory Response Criteria, SIRS) and a subjective, clinical suspicion of infection.  While much attention has [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Outcomes Research, Research Abstracts|Comments Off on Detecting Sepsis: Are Two Opinions Better Than One?

HM2016 Abstract Number: 97

Fluoroquinolone Resistance in Urinary Catheterization and Antibiotic Optimization

Background: Urinary tract infection (UTI) is the most common infection associated with antibiotic misuse. Catheter-associated UTI (CAUTI) is the largest reservoir of nosocomial antibiotic-resistant pathogens, including Pseudomonas aeruginosa. Health-care associated urinary tract infection is also [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Fluoroquinolone Resistance in Urinary Catheterization and Antibiotic Optimization

HM2016 Abstract Number: 96

Use of Hand Carried Ultrasound Inferior Vena Cava Measurements As a Motivational Tool to Improve Adherence and Prevent Readmissions After Hospitalization for Acute Decompensated Heart Failure

Background: Heart failure is a common condition characterized by recurrent exacerbations. Medication and dietary nonadherence are associated with readmissions. Telling smokers their lung age significantly improves the likelihood of successful smoking cessation.  We hypothesized that [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Use of Hand Carried Ultrasound Inferior Vena Cava Measurements As a Motivational Tool to Improve Adherence and Prevent Readmissions After Hospitalization for Acute Decompensated Heart Failure

HM2016 Abstract Number: 95

Impact of State Medicaid Expansion Status on Length of Stay and In-Hospital Mortality for General Medicine Patients at U.S. Academic Medical Centers

Background:  The Affordable Care Act (ACA) has recently enabled millions of U.S. adults to acquire healthcare coverage.  The differential shift in payer mix in Medicaid-expansion versus non-expansion states after ACA implementation may be relevant to [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Impact of State Medicaid Expansion Status on Length of Stay and In-Hospital Mortality for General Medicine Patients at U.S. Academic Medical Centers

HM2016 Abstract Number: 94

Confidence in Correct Inhaler Device Technique and Its Association with Health Status and Patient Satisfaction: An Analysis of Real-World Us Chronic Obstructive Pulmonary Disease (Copd) Patients

Background: Correct inhaler technique for COPD medications is essential to achieving optimum delivery into the lungs. Evidence suggests that poor technique is widespread and linked to poor efficacy and adherence. However, the direct relationship between [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Confidence in Correct Inhaler Device Technique and Its Association with Health Status and Patient Satisfaction: An Analysis of Real-World Us Chronic Obstructive Pulmonary Disease (Copd) Patients

HM2016 Abstract Number: 93

Hospitalist-Based Management of Sepsis in an Intermediate Care Unit. Results and Analysis of Factors Related to Poor Prognosis and Need for Discharge to an Intensive Care Unit

Background: The Emergency Room departments and the Intensive Care Units (ICU) remain the main locations for the treatment of patients with severe sepsis and septic shock. Nevertheless, health-care systems may have limited resources and insufficient [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Hospitalist-Based Management of Sepsis in an Intermediate Care Unit. Results and Analysis of Factors Related to Poor Prognosis and Need for Discharge to an Intensive Care Unit

HM2016 Abstract Number: 92

Assessment of Clinical Practice and Type of Stent Placed in Hiv+ Patients Presenting with St Elevation Myocardial Infarction

Background: Studies have shown that drug eluting stents outperform bare metal stents in the need for revascularization in myocardial infarction patients. We sought to identify the current practice in HIV positive patients presenting with ST [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Assessment of Clinical Practice and Type of Stent Placed in Hiv+ Patients Presenting with St Elevation Myocardial Infarction

HM2016 Abstract Number: 90

Shed-Med: A Hospital-Based Deprescribing Intervention Reduces Drug Burden Among Hospitalized Elders

Background: Polypharmacy is associated with numerous adverse outcomes in the elderly. To date, deprescribing interventions have been implemented in the outpatient setting. We studied the effect of a structured hospital-based patient-centered deprescribing protocol on reducing [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Shed-Med: A Hospital-Based Deprescribing Intervention Reduces Drug Burden Among Hospitalized Elders

HM2016 Abstract Number: 91

Regional Variation in Resources Utilization and Outcomes Following Out-of-Hospital Cardiac Arrest in the United States

Background: Regional differences in health care strategies, resource utilization and outcomes following Out-of-Hospital Cardiac arrest are not well studied. These differences may have significant implications on optimizing health care delivery and allocating expensive resources. Methods: [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Outcomes Research, Research Abstracts|Comments Off on Regional Variation in Resources Utilization and Outcomes Following Out-of-Hospital Cardiac Arrest in the United States

HM2016 Abstract Number: 89

Factors Associated with a Delay for Tuberculosis Isolation in Japanese Acute Care Hospital

Background: Japan has the high incidence of tuberculosis with the rapid population aging in developed county. In acute care hospital, delaying in respiratory isolation for tuberculosis can cause serious hospital-acquired infections and subsequent delay in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Factors Associated with a Delay for Tuberculosis Isolation in Japanese Acute Care Hospital

HM2016 Abstract Number: 88

Role of Testing Cardiac Biomarkers in the Evaluation of Syncope: A Meta-Analysis

Background: The estimated total annual cost of syncope-related hospitalizations in the year 2005 was about $2.4 billion with a mean cost of $5,400 per hospitalization. Syncope of cardiac etiology has 18-33% mortality in comparison to [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Role of Testing Cardiac Biomarkers in the Evaluation of Syncope: A Meta-Analysis

HM2016 Abstract Number: 87

“The Same Thing I Did at Home, but It’s Only Here.” a Qualitative Study of Hospital Experiences of Patients with Chronic Pain

Background: Pain remains a major concern for medically hospitalized adults, and pain treatment is a focus of hospital quality reporting and improvement efforts. Pharmacologic treatment during hospitalization for acute pain and cancer pain rest on [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on “The Same Thing I Did at Home, but It’s Only Here.” a Qualitative Study of Hospital Experiences of Patients with Chronic Pain

HM2016 Abstract Number: 84

Systemic Sclerosis As a Risk Factor of Acute Myocardial Infarction: A Us Population Based Study

Background: Select studies in the past have described significantly increased risk of acute myocardial infarction (AMI) in patients with systemic sclerosis (SSc). Increased atherosclerosis as well as microvascular involvement with recurrent focal ischemia and subsequent [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Other, Research Abstracts|Comments Off on Systemic Sclerosis As a Risk Factor of Acute Myocardial Infarction: A Us Population Based Study

HM2016 Abstract Number: 83

A National Survey Evaluating Early Discharge Initiatives at Academic Medical Centers

Background: Making the hospital discharge process faster and more predictable may help improve patient flow, reduce delays in admitting new patients, and increase hospital capacity. Some hospitals have implemented initiatives to promote timelier discharges as [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on A National Survey Evaluating Early Discharge Initiatives at Academic Medical Centers

HM2016 Abstract Number: 82

A Case Series of Oligella Urethralis Infection

Background: Oligella urethralis is an organism which is normally isolated as a commensal from the genitourinary tract. Clinical infection due to this organism is rarely reported in the literature. We hereby report a case series [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on A Case Series of Oligella Urethralis Infection

HM2016 Abstract Number: 81

Effect of Access on 30 Day All Cause Readmission

Background: Reducing readmission rates may only be successfully realized if all factors that influence readmissions are thoughtfully considered. Beyond medical elements, nontraditional risk factors such as social and environmental variables may be associated with a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Effect of Access on 30 Day All Cause Readmission

HM2016 Abstract Number: 80

Patient Recruitment Experience for Randomized Clinical Trial Evaluating Continuity of Care for Patients at Increased Risk for Hospitalization

Background: Patient recruitment for randomized clinical trials is often challenging, especially when the alternatives being studied may require significant changes or have large consequences for the patient. We describe our experience recruiting patients for a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Patient Recruitment Experience for Randomized Clinical Trial Evaluating Continuity of Care for Patients at Increased Risk for Hospitalization

HM2016 Abstract Number: 78

Direct Cost and the Correlation with Patient Satisfaction

Patient Satisfaction Correlates with Direct Cost per Case for Hospitals Andre D. Kumar MD, Monisha Shah MPH, and Lisa Shieh MD, PhD 1Department of Medicine, Stanford University Healthcare, Stanford, CA 94301 Background: Patient satisfaction scores are directly [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Direct Cost and the Correlation with Patient Satisfaction

HM2016 Abstract Number: 77

Prevalence and Predictors of Non-Adherence to Breast Cancer Screening: Perspective and Preferences of Hospitalized Women

Background: Disparities in screening mammography use persist among low-income women, even those who are insured, despite the proven mortality benefit. We evaluated the prevalence of breast cancer screening non-adherence among hospitalized women and their receptivity [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Other, Research Abstracts|Comments Off on Prevalence and Predictors of Non-Adherence to Breast Cancer Screening: Perspective and Preferences of Hospitalized Women

HM2016 Abstract Number: 76

Liver Imaging After Successful Treatment in Hcv-Infected Patients with Cirrhosis

Background: Patients with cirrhosis and hepatitis C virus (HCV) infection who have achieved sustained virologic response (SVR) currently undergo indefinite imaging every 6-12 months to screen for hepatocellular carcinoma (HCC). Although current research shows there [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Liver Imaging After Successful Treatment in Hcv-Infected Patients with Cirrhosis

HM2016 Abstract Number: 75

Association Between Subclinical Hypothyroidism and Mortality in Patients with Heart Failure with Preserved Ejection Fraction

Background: Subclinical hypothyroidism (SCH) is underdiagnosed in patients with heart disease, however, there has been controversy surrounding whether it is a cardiovascular risk factor or not. To determine the prognostic significance of SCH in Heart [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Association Between Subclinical Hypothyroidism and Mortality in Patients with Heart Failure with Preserved Ejection Fraction

HM2016 Abstract Number: 74

Anthropometric Measurements in Stroke Patients with Low Chads2 Score: Is It Really Significant?

Background: The CHADS2 score is widely used risk stratification model for stroke in patients with atrial fibrillation (AF). The impact of height and other anthropometric measurements on the risk of stroke in patients with low [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Anthropometric Measurements in Stroke Patients with Low Chads2 Score: Is It Really Significant?

HM2016 Abstract Number: 73

Prognostic Significance of Coronary Artery Calcification in Heart Failure with Preserved Ejection Fraction Patients

Background: Coronary artery calcification (CAC) is a strong predictor of cardiovascular events. We aimed to evaluate the prognostic significance of CAC detected by chest CT scan (CT) in heart failure (HF) with preserved ejection fraction [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Prognostic Significance of Coronary Artery Calcification in Heart Failure with Preserved Ejection Fraction Patients

HM2016 Abstract Number: 72

A Qualitative Study Exploring Facilitators and Barriers to Implementing an Inpatient Acupuncture Service for Pain and Symptom Management

Background: Acupuncture offers an inexpensive and safe method for symptom relief and is widely used in the outpatient setting. Given the increased focus on pain control, safety and cost awareness in the inpatient setting, acupuncture is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on A Qualitative Study Exploring Facilitators and Barriers to Implementing an Inpatient Acupuncture Service for Pain and Symptom Management

HM2016 Abstract Number: 68

Linked Dnr and Dni Orders and Factors Associated with Intubation: A Retrospective Chart Review at an Urban Tertiary Care Center

Background: Code status discussions often link do-not-intubate (DNI) orders with do-not-resuscitate (DNR) orders, although cardiac arrest accounts for less than 2% of endotracheal intubations. Furthermore, in-hospital cardiopulmonary resuscitation (CPR) is associated with worse outcomes than [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Linked Dnr and Dni Orders and Factors Associated with Intubation: A Retrospective Chart Review at an Urban Tertiary Care Center

HM2016 Abstract Number: 67

Preventing Venous Thromboembolism: Is This an Achievable Outcome Measure?

Background: Venous thromboembolism (VTE) is a well-known complication in patients who are hospitalized. It is a recommendation of the Joint Commission to prescribe prophylactic anticoagulation to prevent VTE, as prophylaxis is estimated to reduce the [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Preventing Venous Thromboembolism: Is This an Achievable Outcome Measure?

HM2016 Abstract Number: 66

Acute Efficacy and Safety of Sodium Zirconium Cyclosilicate (Zs-9) in Patients with Moderate or Severe Hyperkalemia: A Pooled Analysis from Two Phase 3 Trials

Background:   Hyperkalemia (HK; serum K+ ≥5.0mEq/L) is a common electrolyte imbalance, associated with an increase in all-cause mortality and hospitalization.  Moderate to severe HK (K + levels ≥5.5mEq/L) is often managed in the emergency [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Other, Research Abstracts|Comments Off on Acute Efficacy and Safety of Sodium Zirconium Cyclosilicate (Zs-9) in Patients with Moderate or Severe Hyperkalemia: A Pooled Analysis from Two Phase 3 Trials

HM2016 Abstract Number: 65

Code Status in Japan

Background: Cardiopulmonary resuscitation (CPR) is part of the standard of care for the event of cardiac arrest during hospital admissions. The “do not resuscitate” (DNR) order documents that patients do not wish to pursue CPR [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Geriatrics, Research Abstracts|Comments Off on Code Status in Japan

HM2016 Abstract Number: 63

How Old Is Our Observation Unit? A Review of Observation Patient Characteristics by Decade of Age

Background: Observation units are a growing destination for many patients with a variety of diagnoses.  The elderly represent a large part of the observation population, which will likely grow as baby-boomers age.  Those of advanced [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Geriatrics, Research Abstracts|Comments Off on How Old Is Our Observation Unit? A Review of Observation Patient Characteristics by Decade of Age

HM2016 Abstract Number: 64

Patients Over 75 Years Dying at Night in a Japanese Acute Care Hospital

Background: It is known that more people die during the nighttime compared to daytime in the community setting. Many health care providers are required to care for patients in a critical condition which includes around [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Geriatrics, Research Abstracts|Comments Off on Patients Over 75 Years Dying at Night in a Japanese Acute Care Hospital

HM2016 Abstract Number: 62

Association Between Pain and Functional Independence in Older Adults During and After Inpatient Rehabilitation

Background: Pain is a frequent symptom in patients who require inpatient rehabilitation. For example, 40-50% of patients hospitalized for stroke rehabilitation report pain. Further, 82% of those hospitalized for postsurgical orthopedic rehabilitation complain of at least [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Geriatrics, Research Abstracts|Comments Off on Association Between Pain and Functional Independence in Older Adults During and After Inpatient Rehabilitation

HM2016 Abstract Number: 61

National Trends in the Use of Percutaneous Endoscopic Gastrostomy (Peg) Tube Among Elderly Patients with Dementia in the Us from 2006-2011

Background: Use of Percutaneous Endoscopic Gastrostomy (PEG) tubes among patients with dementia is controversial, with multiple studies showing no clear benefit in terms of risks of aspiration, survival or quality of life. Despite this growing [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Geriatrics, Research Abstracts|Comments Off on National Trends in the Use of Percutaneous Endoscopic Gastrostomy (Peg) Tube Among Elderly Patients with Dementia in the Us from 2006-2011

HM2016 Abstract Number: 56

Training Pa Students in Inpatient Medicine: The Nuts and Bolts of Curriculum Development and Attending Engagement

Background: The number of physician assistants (PAs) who are hospitalists has rapidly expanded.  Little educational research has been done to understand what knowledge and skills PA students need in preparation for a career in hospital [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Training Pa Students in Inpatient Medicine: The Nuts and Bolts of Curriculum Development and Attending Engagement

HM2016 Abstract Number: 55

Back to the Bedside: A Faculty Development Program on Teaching Physical Exam

Background: Despite surveys of learners and attendings revealing the value placed on bedside teaching for learning physical exam skills, the frequency of their use has been declining. Barriers to teaching at the bedside identified by [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Back to the Bedside: A Faculty Development Program on Teaching Physical Exam

HM2016 Abstract Number: 51

“Early Career Hospitalists Should Be Able To…”: Identifying Clinical Hospital Medicine Competencies to Inform Faculty Development and Evaluation

Background: Medical schools and residency programs have competency and milestone-based frameworks to assess trainees. A parallel framework does not exist for the assessment of hospital medicine fellows and faculty in their initial years of practice. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on “Early Career Hospitalists Should Be Able To…”: Identifying Clinical Hospital Medicine Competencies to Inform Faculty Development and Evaluation

HM2016 Abstract Number: 50

Participant Self-Reflection and Behavior Change in Hospital Medicine Continuing Education

Background: Self-reflection facilitates the identification of performance gaps and is a critical step in the process of behavior change among physicians.  However, little is known about reflection and its relation to behavior change in hospital [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Participant Self-Reflection and Behavior Change in Hospital Medicine Continuing Education

HM2016 Abstract Number: 48

Hospitalists’ Scholarly Productivity Rose in Response to Promotion Requirement

Background: Scholarly activity is an important component of academic medicine. Medical schools have traditionally used publications when considering promotion. In previously published studies, academic clinician-educator generalists’ publication productivity was considerably less than that of academic [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Hospitalists’ Scholarly Productivity Rose in Response to Promotion Requirement

HM2016 Abstract Number: 42

Don’t Interrupt!? An Observational Study to Inform Faculty Development on Bedside Rounding and Teaching

Background: Internal medicine bedside rounds should be efficient and educational. We previously piloted literature-based faculty development workshops emphasizing attending leadership in team preparation for rounds and the importance of not interrupting learners. Participants raised three [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Don’t Interrupt!? An Observational Study to Inform Faculty Development on Bedside Rounding and Teaching

HM2016 Abstract Number: 41

Structured Peer Observation of Bedside Rounds Is Valuable to Hospitalists

Background: Teaching during bedside rounds is necessary to educate students and housestaff, but attendings rarely receive structured feedback on their teaching and rounding practices. We aimed to evaluate a Peer Observation Program and a structured [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Structured Peer Observation of Bedside Rounds Is Valuable to Hospitalists

HM2016 Abstract Number: 40

Handoff Interrupted: Testing Auditory Distractions in a Standardized Handoff Simulation for Resident Physicians

Background: Despite the current focus on developing handoff training curricula to improve patient safety, rigorous assessments of handoffs remain scarce. Immersive simulations allow for the evaluation of communication skills, but few specifically account for common [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Handoff Interrupted: Testing Auditory Distractions in a Standardized Handoff Simulation for Resident Physicians

HM2016 Abstract Number: 38

Training Residents in Hospital Medicine: The Hospitalist Elective National Survey (Hens)

Background: As the hospital medicine specialty expands, internal medicine residency programs are building hospitalist-specific rotations that teach skills and knowledge relevant to the field. To date, little is known of the prevalence and characteristics of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Training Residents in Hospital Medicine: The Hospitalist Elective National Survey (Hens)

HM2016 Abstract Number: 36

7 Habits of Highly Effective Teaching Hospitalists

Background: Teaching Hospitalists provide a large proportion of clinical medical education for Internal Medicine Residents with varying levels of training and success.  We sought to identify common habits of highly rated teaching hospitalists in preparation [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on 7 Habits of Highly Effective Teaching Hospitalists

HM2016 Abstract Number: 35

Enhancing the Interprofessional Learning Environment Through a Collaborative Care Model to Improve Patient Care: A Pilot Study

Background: Despite efforts to improve the care of hospitalized patients, adverse events remain common. Care is siloed across disparate providers and patients are not engaged in their own care plans. In a collaborative care model, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Enhancing the Interprofessional Learning Environment Through a Collaborative Care Model to Improve Patient Care: A Pilot Study

HM2016 Abstract Number: 33

Diagnostic Error Knowledge in Residents: A Nationwide Study in Japan

Background: It is important to understand knowledge about diagnostic error, such as cognitive bias and heuristics, for preventing a diagnostic error. However, it is unclear whether Japanese residents learn this knowledge. We aimed to assess [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Diagnostic Error Knowledge in Residents: A Nationwide Study in Japan

HM2016 Abstract Number: 28

Impact of the Clinical Vignettes Workshop on Scholarly Productivity for Medical Students

Background: Engagement in scholarly activity (clinical vignette, conference presentations, publications etc.) is a fundamental requirement for trainees in medical education. We studied the impact of point intervention - clinical vignette workshop (CVW) to write a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Impact of the Clinical Vignettes Workshop on Scholarly Productivity for Medical Students

HM2016 Abstract Number: 23

Teaching Evidence Based Medicine Early in Training

Background: Evidence-Based Medicine (EBM) improves physicians’ clinical decision-making through refining the skills of asking a clinical question, searching for and appraising the literature and then properly applying it to patient care. While EBM has been [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Education, Research Abstracts|Comments Off on Teaching Evidence Based Medicine Early in Training

HM2016 Abstract Number: 20

How Is Your Medicine Consult/co-Management Service Organized?: A Multi-Institutional Survey

Background: Consultative medicine is an important part of Internal Medicine (IM) resident education. According to the Accreditation Council for Graduate Medical Education, residents are expected to “act in a consultative role to other physicians and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Consultative Medicine, Research Abstracts|Comments Off on How Is Your Medicine Consult/co-Management Service Organized?: A Multi-Institutional Survey

HM2016 Abstract Number: 21

“Who Consults Us and Why?”: A Multi-Institutional Evaluation of the Medicine Consult/co-Management Service

Background: Consultative medicine has been identified as a core part of internal medicine (IM) resident education by providing the opportunity for residents to care for the non-medical patient. In the early 1980s, two separate academic [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Consultative Medicine, Research Abstracts|Comments Off on “Who Consults Us and Why?”: A Multi-Institutional Evaluation of the Medicine Consult/co-Management Service

HM2016 Abstract Number: 18

Improved Outcomes in Surgical Oncology and Ent Patients Through Comanagement

Background: Comanagement is a structured collaboration between hospitalists and a surgical service to improve outcomes of surgical patients perioperatively. We identified the potential to improve patient safety and throughput metrics on the Surgical Oncology and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Consultative Medicine, Research Abstracts|Comments Off on Improved Outcomes in Surgical Oncology and Ent Patients Through Comanagement

HM2016 Abstract Number: 13

Got Sdm?: A Multimodal Intervention to Improve Shared Decision-Making During Inpatient Rounds on Medicine and Pediatric Services

Background: Shared decision-making (SDM) has been shown to be an important tool for improving patient engagement and health care outcomes. Despite the demonstrated value of SDM across disciplines, little is known about how to increase [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Got Sdm?: A Multimodal Intervention to Improve Shared Decision-Making During Inpatient Rounds on Medicine and Pediatric Services

HM2016 Abstract Number: 12

The Association Between Hiv-Positive Patients’ Satisfaction with Communication During Hospitalization and 30-Day Hospital Readmission at a Multisite Hospital System

Background: Hospital readmissions among HIV positive patients are high, and reducing 30-day readmissions is a priority of health systems and payers. Improved communication in the hospital may help decrease readmissions. Our objective was to determine [...]

By | 2019-05-06T22:02:26+00:00 February 1st, 2016|Communication, Research Abstracts, SHM Annual Meeting 2016|Comments Off on The Association Between Hiv-Positive Patients’ Satisfaction with Communication During Hospitalization and 30-Day Hospital Readmission at a Multisite Hospital System

HM2016 Abstract Number: 11

Geographic Localization of Physicians Improves Perceptions of Teamwork

Background: Geographic localization of inpatient physician services to nursing units has been suggested to improve teamwork and patient safety among health care professionals, while perceived lack of collaboration has been associated with worse patient outcomes. [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Geographic Localization of Physicians Improves Perceptions of Teamwork

HM2016 Abstract Number: 10

Confidence and Perceived Barriers to Communication with Seriously Ill Patients and Their Families: A Survey of Hospitalists at Two Centers

Background: As generalist physicians on the frontlines of hospital care for seriously ill patients across the country, hospitalists are optimally positioned to lead discussions regarding serious illness. Little is known about hospitalists’ confidence in serious [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Confidence and Perceived Barriers to Communication with Seriously Ill Patients and Their Families: A Survey of Hospitalists at Two Centers

HM2016 Abstract Number: 7

Hospital Communication: Content and Frequency of Paging to Hospitalists

Background: Despite advances in communication technology, alphanumeric paging remains a mainstay of hospital communication. High paging volume can lead to disruptions in clinical work. In this study, we sought to evaluate both the frequency and [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Hospital Communication: Content and Frequency of Paging to Hospitalists

HM2016 Abstract Number: 6

Understanding Physician Workflow, Task Management, and Communication in the Era of Ehr Adoption

Background:   Academic medical centers are complex healthcare delivery systems that are quickly adopting electronic health records (EHR) nationwide while still using alpha-numeric paging for physicians-in-training raised with cell phones, texting, messaging, and newer technologies.  [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Understanding Physician Workflow, Task Management, and Communication in the Era of Ehr Adoption

HM2016 Abstract Number: 2

Increasing the Autonomy of Dietitians to Write Inpatient Diet and Tpn Orders: Perceptions Among Dietitians, Hospitalists and Residents

Background: In 2014, The Federal Register published part II of the centers for Medicare & Medicaid Services; including a section related to food and dietetic services. It states that Registered dietitians (RDs) are the professionals who [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Increasing the Autonomy of Dietitians to Write Inpatient Diet and Tpn Orders: Perceptions Among Dietitians, Hospitalists and Residents

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Training Resident Physicians by Implementing Transition of Care Curriculum and Rotation Decreases the Gap in Physician to Physician Communication: A Study of Care Transitions

Background: Improper care transitions account for more than 12 billion dollars in estimated added health care costs.  In a prospective observational study performed at our institution to identify gaps in care transitions, only 37% of [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Training Resident Physicians by Implementing Transition of Care Curriculum and Rotation Decreases the Gap in Physician to Physician Communication: A Study of Care Transitions

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Impact of Hospitalist Workload on Utilization of Imaging and Consultations

Background: Hospital medicine is a maturing field that increasingly focuses on providing high value patient care. A key question in the value equation is how different patient census sizes impact care. Our recent research showed [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Plenary Presentations, Research Abstracts|Comments Off on Impact of Hospitalist Workload on Utilization of Imaging and Consultations

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Hospitalist Empathy Is Associated with Decreased Patient Anxiety and Higher Ratings of Communication in Admission Encounters

Background: Experts identify empathic responses to patient expressions of negative emotion - such as anxiety, sadness, and anger - as a key component of patient-centered communication, yet evidence on the impact of empathy on patient-reported [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Hospitalist Empathy Is Associated with Decreased Patient Anxiety and Higher Ratings of Communication in Admission Encounters

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Relationship Between Hcahps 5-Star Rating of a Hospital and Teaching Status, Specialty Hospital Status and Presence of Emergency Department

Background: In April 2015, CMS released first ever star ratings on Hospital Compare related to patient satisfaction. Based on the HCAHPS survey scores, hospitals received scores between 1 and 5 on 12 domains, including a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Relationship Between Hcahps 5-Star Rating of a Hospital and Teaching Status, Specialty Hospital Status and Presence of Emergency Department

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Heads-Up: Prospective Clinical Team Surveillance Improves Safety Climate, Incident Reporting and Patient Outcomes. a Cluster Controlled Stepped Wedge Trial

Background: General wards are high-risk clinical areas, but frontline staff face operational challenges not prioritized in national safety initiatives. Team reporting may identify important risks to patient care, although its impact as a safety strategy [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Plenary Presentations, Research Abstracts|Comments Off on Heads-Up: Prospective Clinical Team Surveillance Improves Safety Climate, Incident Reporting and Patient Outcomes. a Cluster Controlled Stepped Wedge Trial

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Characteristics and Outcomes of Patients Discharged from the Emergency Department After Referral for Hospitalist Admission

Background: Hospitalization is costly, associated with the potential for adverse medical events and may have deleterious health effects.  Hospitalist physicians are uniquely positioned to help patients avoid unnecessary hospitalizations.  Our attending-only hospitalist practice in a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Characteristics and Outcomes of Patients Discharged from the Emergency Department After Referral for Hospitalist Admission

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The Hospital Score Predicts 30-Day Potentially Avoidable Readmissions in Conditions Tracked by Cms

Background: The Center for Medicare and Medicaid Services (CMS) instituted the Readmissions Reduction Program to incentivize improvements in care transitions for patients with several common and serious illnesses, including heart failure, acute myocardial infarction, pneumonia, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on The Hospital Score Predicts 30-Day Potentially Avoidable Readmissions in Conditions Tracked by Cms

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Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) Multi-site Quality Improvement Collaborative aims to improve discharge transitions by testing a patient-centered transition bundle. Teach-back is a core component. This is a well-established method of confirming [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding

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“Communicating Wisely”: Design, Implementation and Outcomes of an Email-Based Care Transitions Bundle

Background: Patient care increasingly involves collaborative, team-based approaches in both inpatient and outpatient settings. Optimal transitions of care between the community and the hospital require bidirectional communication and collaboration. This presentation describes a structured, multidisciplinary [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on “Communicating Wisely”: Design, Implementation and Outcomes of an Email-Based Care Transitions Bundle

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Driving Down Readmissions: Evaluation of an Inter-Professional Program to Reduce Readmissions After Copd

Background: Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD) is the third leading cause of readmissions and is now included in the Medicare Hospital Readmissions Reduction Program (HRRP). Our institution developed an inter-professional program aimed [...]

By | 2016-03-04T15:13:02+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Driving Down Readmissions: Evaluation of an Inter-Professional Program to Reduce Readmissions After Copd

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The Cost-Effectiveness of Specialized Oral Nutrition Supplementation for Malnourished Older Hospitalized Patients

Background: Previous studies have shown that malnutrition, which is associated with increased medical complications in older patients, can be attenuated by providing oral nutritional supplements (ONS). This study evaluates the cost-effectiveness of an ONS in [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on The Cost-Effectiveness of Specialized Oral Nutrition Supplementation for Malnourished Older Hospitalized Patients

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Attendance Rates for Provider-Booked Post-Hospitalization Follow-Up Appointments

Background: Executing safe transitions of care for hospitalized patients is important because of the vulnerability of patients during this time period.  While hospital-based providers frequently schedule appointments on behalf of their patients prior to discharge, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Attendance Rates for Provider-Booked Post-Hospitalization Follow-Up Appointments