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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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