Quality Improvement

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 [...]

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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: 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 [...]

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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: 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: 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: 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: 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 [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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:   [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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, [...]

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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 [...]

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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.  [...]

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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 [...]

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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 [...]

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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, [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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: 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 [...]

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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 [...]

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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