Quality Improvement

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

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

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

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

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?

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

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

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

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

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

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

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

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

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

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?