Overuse

/Tag:Overuse

Abstract Number: 452

REDUCING UNNECESSARY CHEST X-RAYS IN THE MEDICAL INTENSIVE CARE UNIT

Background: Chest radiographs (CXRs) aid in the evaluation of clinical status and assess the placement of new lines and tubes in patients in the Medical Intensive Care Unit (MICU). Despite studies documenting the safety of [...]

By | 2019-03-11T14:26:47-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on REDUCING UNNECESSARY CHEST X-RAYS IN THE MEDICAL INTENSIVE CARE UNIT

HM2018 Abstract Number: 89

INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization [...]

By | 2018-03-19T15:44:15-04:00 March 19th, 2018|Geriatrics, Research, Uncategorized|Comments Off on INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

HM2018 Abstract Number: 347

CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

Background: The Choosing Wisely campaign aims to engage clinicians and public in addressing overuse in healthcare. Through adoption in 20 countries and 75 organizations, clinician engagement is largely successful. However, patient and public engagement remains [...]

By | 2018-03-19T13:17:44-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on CO-CREATION OF SHM ADULT CHOOSING WISELY LIST: ENGAGING OUR PATIENTS AND PUBLIC FROM START TO FINISH

HM2018 Abstract Number: 262

A SUSTAINED REDUCTION IN AMYLASE OVERUTILIZATION WITHIN THE EMERGENCY DEPARTMENT AT AN ACADEMIC MEDICAL CENTER: A QUALITY IMPROVEMENT PROJECT GUIDED BY LOCAL DRIVERS OF OVERUSE

Background: Choosing Wisely recommends against testing for amylase in the diagnosis and management of acute pancreatitis; however, national CMS data shows over $19 million in charges for amylase laboratory testing per year. Our hospital spent [...]

By | 2018-03-19T13:04:34-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on A SUSTAINED REDUCTION IN AMYLASE OVERUTILIZATION WITHIN THE EMERGENCY DEPARTMENT AT AN ACADEMIC MEDICAL CENTER: A QUALITY IMPROVEMENT PROJECT GUIDED BY LOCAL DRIVERS OF OVERUSE

HM2018 Abstract Number: 360

ASSESS BEFORE RX: ADDRESSING THE HARMFUL OVERTREATMENT OF ASYMPTOMATIC HYPERTENSION

Background: Hypertensive crisis is classified as either hypertensive emergency or hypertensive urgency, distinguished by presence or absence of end-organ damage, respectively. Guidelines recommend treating hypertensive emergency with intravenous (IV) antihypertensive medications for immediate blood pressure [...]

By | 2018-03-19T13:04:08-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Value in Hospital Medicine|Comments Off on ASSESS BEFORE RX: ADDRESSING THE HARMFUL OVERTREATMENT OF ASYMPTOMATIC HYPERTENSION

HM2016 Abstract Number: 389

Towards Accurate Value-Based Care Metrics: Failings of Medicare Reporting

Background: Increasing the value of health care, typically regarded as maximizing quality of care while minimizing unnecessary costs, has been an increasing focus of hospitals nationwide.  Ways of reliably measuring unnecessary utilization, however, have not [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Research Abstracts, Value in Hospital Medicine|Comments Off on Towards Accurate Value-Based Care Metrics: Failings of Medicare Reporting

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on The Overuse of Stress Ulcer Prophylaxis on Admission and Discharge at a Tertiary Care Teaching Hospital: An Observational Study