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A Rare Case of Complicated Achromobacter Xylosoxidans Endocarditis and Its Successful Management

Case Presentation: A 37-year-old woman with significant history of intravenous substance abuse, six-year-old mechanical mitral valve replaced for mitral regurgitation and non-adherence to medications presented with shortness of breath and fever (103 F). She was [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on A Rare Case of Complicated Achromobacter Xylosoxidans Endocarditis and Its Successful Management

Necrotizing Granulomatous Pneumonia Caused by Candida Albicans: A Case Report

Case Presentation: : A 60-year-old male with history of emphysema was admitted to the hospital because of   worsening dyspnea, cough with yellow sputum production, fever and night sweats.The patient was hospitalized 9 days before this [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Necrotizing Granulomatous Pneumonia Caused by Candida Albicans: A Case Report

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

Development and Implementation of an Evidence-Based Pathway for the Evaluation of Catheter Associated UTI (Cauti) in an Academic Health System

Background: Misdiagnosis of catheter associated asymptomatic bacteriuria as CAUTI leads to inappropriate use of antibiotics and related consequences, including medication side effects, antibiotic resistance, C. difficile infection, and potential financial penalties to hospitals. Purpose: To [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Value in Hospital Medicine|Comments Off on Development and Implementation of an Evidence-Based Pathway for the Evaluation of Catheter Associated UTI (Cauti) in an Academic Health System

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

The Rockfish Pilot: A Web-Based Application to Assist Patient Transitions from Hospital to Snf

Background: The current process of transitioning to a skilled nursing facility (SNF) is non-transparent and inefficient. For patients and caregivers, the process is stressful and confusing. For the providers and the hospital, it could result [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on The Rockfish Pilot: A Web-Based Application to Assist Patient Transitions from Hospital to Snf

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

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

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

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

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

The Early Discharge Plan: Increasing Discharge Efficiency on Teaching and Non-Teaching Medicine Floors at an Urban Academic Hospital

Background: Unnecessary delays in patient discharges can lead to overcrowding, redundant handoffs, and increased inpatient unit and Emergency Department lengths of stay.  Therefore, timely discharge of ready patients is essential to optimizing patient flow.  Our [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on The Early Discharge Plan: Increasing Discharge Efficiency on Teaching and Non-Teaching Medicine Floors at an Urban Academic Hospital

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

Project Sleep: A Multidisciplinary Quality Improvement Project

Background: Acute hospitalization can precipitate insomnia- the insomnia being related to the underlying illness, medications, change from usual nighttime routines and a sleep disruptive hospital environment.  Both insomnia and the drugs used to treat it [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Project Sleep: A Multidisciplinary Quality Improvement Project