Electronic Health Record

/Tag:Electronic Health Record

Abstract Number: 393

DEPLOYMENT OF SEPSIS WATCH, A DEEP LEARNING SEPSIS DETECTION AND TREATMENT PLATFORM

Background: Sepsis is one of the top causes of inpatient mortality and rapid detection presents numerous challenges. In March, 2016, an interdisciplinary team consisting of top clinicians, data scientists and machine learning experts at a [...]

By | 2019-03-11T14:25:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on DEPLOYMENT OF SEPSIS WATCH, A DEEP LEARNING SEPSIS DETECTION AND TREATMENT PLATFORM

Abstract Number: 387

DEVELOPMENT OF AN EHR DISCHARGE READINESS TOOL USING STAKEHOLDER ENGAGEMENT TACTICS

Background: Typical solutions to incorporating provider input into discharge planning often rely on one-way communication mechanisms and data entry that is not dynamic (i.e. providers estimate day of discharge in advance). We are designing a [...]

By | 2019-03-11T14:25:10+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on DEVELOPMENT OF AN EHR DISCHARGE READINESS TOOL USING STAKEHOLDER ENGAGEMENT TACTICS

Abstract Number: 226

PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD

Background: Wrong-patient order entry errors are common and often have the potential to cause patient harm. The Office of the National Coordinator for Health Information Technology Patient Identification SAFER Guide recommends displaying patient photographs in [...]

By | 2019-03-11T14:21:14+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD

Abstract Number: 218

TITLE: REAL TIME INTERVIEWS TO INVESTIGATE WRONG-PATIENT ERRORS DESPITE PATIENT PHOTOGRAPHS

Background: The electronic health record (EHR) and health care provider workflow process may contribute to patient misidentification or wrong-patient errors. When self-caught by the provider, these errors are classified as near-miss errors. When these errors [...]

By | 2019-03-11T14:21:03+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on TITLE: REAL TIME INTERVIEWS TO INVESTIGATE WRONG-PATIENT ERRORS DESPITE PATIENT PHOTOGRAPHS

Abstract Number: 205

USE AND PERCEIVED USABILITY OF A PATIENT SAFETY DASHBOARD

Background: Adverse events (AEs) are a major concern in the inpatient setting, with many considered preventable. The Patient Safety Learning Lab implemented a Patient Safety Dashboard integrated with our electronic health record as part of [...]

By | 2019-03-11T14:20:43+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on USE AND PERCEIVED USABILITY OF A PATIENT SAFETY DASHBOARD

Abstract Number: 157

EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Background: Delays in antibiotic administration in sepsis – particularly after the development of hypotension – are associated with increased mortality. Current guidelines recommend antibiotic initiation within one hour of sepsis recognition. However, it is not [...]

By | 2019-03-11T14:19:28+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Abstract Number: 8

WHO’S WAITING? PREDICTORS OF ANTIBIOTIC DELAYS IN HYPOTENSIVE PATIENTS WITH SEPSIS

Background: In sepsis, every hour of delay in antibiotic administration after the onset of hypotension is associated with 4-7% increase in mortality, but little is known about the characteristics of patients with treatment delays. Our [...]

By | 2019-03-18T13:24:45+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Outcomes Research, Research|Comments Off on WHO’S WAITING? PREDICTORS OF ANTIBIOTIC DELAYS IN HYPOTENSIVE PATIENTS WITH SEPSIS

HM2018 Abstract Number: 269

Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

Background: The use of IV insulin is one of the primary therapeutic options for the treatment of hyperkalemia. Unfortunately the available literature reports that hypoglycemia is a common occurrence as a result of the treatment [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

HM2018 Abstract Number: 167

A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

Background: Adverse drug events (ADEs) are responsible for up to 770,000 inpatient injuries and deaths annually in the United States, most of which are from prescribing errors. Electronic order sets are designed to improve quality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

HM2018 Abstract Number: 223

SCRIBES IN HOSPITAL MEDICINE- A POWERFUL VALUE-ADDED RESOURCE!

Background: Since the advent of Electronic Health Record(EHR) and subsequent workload of clinical documentation, Hospital Medicine physicians are finding themselves spending more time in front of the computer and less with their patients. The implementation [...]

By | 2018-03-19T13:24:45+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on SCRIBES IN HOSPITAL MEDICINE- A POWERFUL VALUE-ADDED RESOURCE!

HM2018 Abstract Number: 96

FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

Background: Sepsis, which is life-threatening organ dysfunction occurring in response to systemic infection, is a frequently fatal syndrome for which early recognition and treatment are paramount. While there are some reports that female and black [...]

By | 2018-03-19T13:05:12+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

HM2018 Abstract Number: 288

Effect of Resident Work Load on Electronic Health Record Documentation

Background: Patient record form one of the most important part of clinical care as the primary source for patient information for primary team, consultants, nurses and other paramedic staff and help in providing a higher [...]

By | 2018-03-19T12:55:15+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on Effect of Resident Work Load on Electronic Health Record Documentation

HM2017 Abstract Number: 116

DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital [...]

By | 2017-04-20T17:23:41+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

HM2017 Abstract Number: 106

PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

Background: Sepsis is a common, costly, and mortal clinical syndrome. Many delays in sepsis recognition and intervention are due to “data latency,” the period of time between data suggestive of sepsis being entered in the [...]

By | 2017-04-20T17:23:49+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

HM2017 Abstract Number:

SPATIAL AND TEMPORAL MAPPING OF C. DIFFICILE: AN EXPLORATORY BIG DATA ANALYSIS

Background: Hospital-acquired C. difficile colitis is associated with increased length of stay (LOS) and significant morbidity and mortality. During hospitalization, patients visit many procedural, diagnostic, and treatment areas throughout the hospital, presenting opportunities for spore [...]

By | 2017-05-05T19:03:57+00:00 April 20th, 2017|Oral Presentations, Research Abstracts|Comments Off on SPATIAL AND TEMPORAL MAPPING OF C. DIFFICILE: AN EXPLORATORY BIG DATA ANALYSIS

HM2016 Abstract Number: 334

Improving Medication Safety Through a New Multidisciplinary Approach to Medicine Reconciliation at an Urban Safety Net Academic Hospital

Background: Studies have shown that care transitions represent times of great risk, especially to vulnerable patients; medication reconciliation is a major component of ensuring safe care transitions. Yet, challenges exist to obtaining a best possible [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on Improving Medication Safety Through a New Multidisciplinary Approach to Medicine Reconciliation at an Urban Safety Net Academic Hospital

HM2016 Abstract Number: 299

Finding Meaning in Meaningful Use: Implementing a Patient Portal in an Urban Safety Net Academic Hospital

Background: Driven by meaningful use (MU) incentives, many safety net systems have adopted patient portals, which offer patients online access to their health information. Portal use correlates with increased engagement and better health outcomes, but [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on Finding Meaning in Meaningful Use: Implementing a Patient Portal in an Urban Safety Net Academic Hospital

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: 227

Improving Goals of Care Documentation at an Academic Medical Center with Electronic Health Record-Based Alerting

Background: Hospital admission presents an important opportunity to engage with patients about goals of care (GOC) and advanced care planning. The significant and sensitive nature of GOC conversations requires that documentation of a patient’s goals [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Improving Goals of Care Documentation at an Academic Medical Center with Electronic Health Record-Based Alerting

HM2016 Abstract Number: 150

Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

Background: In-hospital mortality attributable to sepsis is higher than overall population mortality (Gaieski DF et al, 2013; Dombrovskiy VY, 2007). Furthermore, the rates of severe sepsis are increasing annually (Dombrovskiy VY,2007). Early detection and early [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

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: 4

Who Moved My Ehr Cheese? A New Approach to Curating and Individualizing Communications to Physicians About Ehr Software Updates

Background: Communicating to physicians about electronic health record (EHR) software updates is important for maintaining clinical workflow and preserving patient safety. However, reaching providers with mass e-mails is challenging; the optimal strategy for educating providers [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Communication, Finalist, Innovations Abstracts|Comments Off on Who Moved My Ehr Cheese? A New Approach to Curating and Individualizing Communications to Physicians About Ehr Software Updates