Quality Improvement

/Tag:Quality Improvement

Abstract Number: 296

PATIENTS’ PERSPECTIVES ON WHITEBOARDS AS BEDSIDE VISUAL TOOLS TO ENHANCE COMMUNICATION – A MIXED METHODS STUDY

Background: Inpatient bedside whiteboards enhance patient-provider communication and satisfaction with care, but little is known about patients’ perspectives on the whiteboards. Our objectives were to understand patients’ views on the usability and design/content of these [...]

By | 2019-03-18T17:58:54-04:00 March 18th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PATIENTS’ PERSPECTIVES ON WHITEBOARDS AS BEDSIDE VISUAL TOOLS TO ENHANCE COMMUNICATION – A MIXED METHODS STUDY

Abstract Number: Plenary

MULTI-DISCIPLINARY AND COMPREHENSIVE DELIRIUM CARE PATHWAY IS ASSOCIATED WITH REDUCTIONS IN LENGTH OF STAY, COST, AND READMISSIONS IN HOSPITALIZED ADULTS

Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay, cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% within [...]

By | 2019-03-12T15:44:56-04:00 March 11th, 2019|Hospital Medicine 2019, Plenary Presentations, Quality Improvement, Research|Comments Off on MULTI-DISCIPLINARY AND COMPREHENSIVE DELIRIUM CARE PATHWAY IS ASSOCIATED WITH REDUCTIONS IN LENGTH OF STAY, COST, AND READMISSIONS IN HOSPITALIZED ADULTS

Abstract Number: 459

VALUE IN TRAINING: AN INTERPROFESSIONAL TRAIN THE TRAINER CURRICULUM ON HIGH VALUE CARE IN EDUCATION AND CLINICAL PRACTICE

Background: Regardless of specialty or discipline, healthcare professionals are tasked with addressing high value care (HVC). It is therefore crucial that hospitalists and other members of the interprofessional team have training in addressing HVC, specifically [...]

By | 2019-03-11T14:26:57-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on VALUE IN TRAINING: AN INTERPROFESSIONAL TRAIN THE TRAINER CURRICULUM ON HIGH VALUE CARE IN EDUCATION AND CLINICAL PRACTICE

Abstract Number: 458

DESIGN THINKING TO IMPROVE PATIENT EXPERIENCE

Background: Hospitalization can be overwhelming for patients. Diagnostic uncertainty is common, and patients interact with many professionals who present information that may seem confusing. We bring a design thinking perspective to creating more patient-responsive hospital [...]

By | 2019-03-11T14:26:56-04:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on DESIGN THINKING TO IMPROVE PATIENT EXPERIENCE

Abstract Number: 453

IMPROVING HOSPITAL DISASTER RESPONSE BY AUGMENTING HOSPITAL SURGE CAPACITY: A ROLE FOR HOSPITALISTS

Background: Hospital disaster response has historically been the purview of emergency medicine and surgery, without significant involvement of hospitalists themselves or consideration of how mass casualty incidents impact the hospital as a whole. However, many [...]

By | 2019-03-11T14:26:48-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on IMPROVING HOSPITAL DISASTER RESPONSE BY AUGMENTING HOSPITAL SURGE CAPACITY: A ROLE FOR HOSPITALISTS

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

Abstract Number: 449

STOP THE FLOW IF YOUR PATIENTS PO! A MULTI-FACETED INTERVENTION TO DECREASE OVERUSE OF CONTINUOUS INTRAVENOUS INFUSIONS

Background: The use of maintenance fluids (MF, continuous intravenous fluid (IVF)) to prevent dehydration is common, yet highly variable in practice. Unnecessary MF can cause patient harm including fluid overload, sleep disruption (associated alarms), and [...]

By | 2019-03-11T14:26:41-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on STOP THE FLOW IF YOUR PATIENTS PO! A MULTI-FACETED INTERVENTION TO DECREASE OVERUSE OF CONTINUOUS INTRAVENOUS INFUSIONS

Abstract Number: 438

DESIGN AND IMPLEMENTATION OF A HOUSESTAFF COUNCIL ON VALUE AND INNOVATION

Background: Delivering HVC is a core component of hospitalist practice, and equipping residents with skills and experience to lead HVC initiatives is a priority for training institutions and for society. We describe the design, founding [...]

By | 2019-03-11T14:26:25-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Value in Hospital Medicine|Comments Off on DESIGN AND IMPLEMENTATION OF A HOUSESTAFF COUNCIL ON VALUE AND INNOVATION

Abstract Number: 389

E-CONSULTS: EFFECTIVENESS AND TIMELINESS OF INPATIENT CONSULT SERVICES

Background: Inpatient subspecialty consultation is one of the most common physician practices in the care of hospitalized patients. As per a CMS report, approximately 33,000 inpatient consultation occurred per day in 2008 costing Medicare approximately [...]

By | 2019-03-11T14:25:13-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on E-CONSULTS: EFFECTIVENESS AND TIMELINESS OF INPATIENT CONSULT SERVICES

Abstract Number: 388

AUGMENTED INTELLIGENCE: AUTOMATION OF VANCOMYCIN MONITORING TO IMPROVE PATIENT SAFETY

Background: Medical error is now the third leading cause of death in the United States. Approximately 4% of hospitalized patients experience an adverse event with 20% of these adverse events being medication-related, three-fourths of which [...]

By | 2019-03-11T14:25:11-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on AUGMENTED INTELLIGENCE: AUTOMATION OF VANCOMYCIN MONITORING TO IMPROVE PATIENT SAFETY

Abstract Number: 376

CARDIOVASCULAR EMERGENCIES IN HOSPITAL PRIMARY CARE: ROLE FOR THE INITIAL NURSE TRIAGE SYSTEM

Background: Emergency medicine doctors should take care of patients with a wide range of illnesses at various emergency levels from non-urgent level to that requiring immediate medical attention. Among those, cardiovascular emergencies are not so [...]

By | 2019-03-11T14:24:54-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CARDIOVASCULAR EMERGENCIES IN HOSPITAL PRIMARY CARE: ROLE FOR THE INITIAL NURSE TRIAGE SYSTEM

Abstract Number: 374

IMPROVING PATIENTS’ ABILITY TO IDENTIFY THEIR PHYSICIANS THROUGH THE USE OF PHYSICIAN FACECARDS AND WHITEBOARDS

Background: More often than not, hospitalized patients are not able to correctly identify members of their physician team. Being able to identify physicians is a critical component of developing the patient-physician relationship. The use of [...]

By | 2019-03-11T14:24:52-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING PATIENTS’ ABILITY TO IDENTIFY THEIR PHYSICIANS THROUGH THE USE OF PHYSICIAN FACECARDS AND WHITEBOARDS

Abstract Number: 370

UNIT BASED INTERDISCIPLINARY TEAM APPROACH TO IMPLEMENTING A NALOXONE PRESCRIPTION UPON HOSPITAL DISCHARGE

Background: An estimated 68,000 Americans died of opioid-related overdoses between March 2017-2018. In Monroe County NY heroin/fentanyl deaths are up 200% from 2015- 2017. Guidelines recommending naloxone co-prescription for high-risk patients on opioid pain medications [...]

By | 2019-03-11T14:24:46-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on UNIT BASED INTERDISCIPLINARY TEAM APPROACH TO IMPLEMENTING A NALOXONE PRESCRIPTION UPON HOSPITAL DISCHARGE

Abstract Number: 369

DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

Background: The Society of Hospital Medicine identified questioning the necessity of repeat labs in stable patients as a Choosing Wisely goal to improve overall value of care. Implications of unnecessary blood draws include over-testing, pain, [...]

By | 2019-03-11T14:24:45-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

Abstract Number: 365

‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

Background: Many hospitalized patients spend most of their time in bed leading to increased complications. For elderly patients, hospitalization results in decreased post-hospital independence up to 1 month after discharge, which can be prevented with [...]

By | 2019-03-11T14:24:39-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

Abstract Number: 364

PHYSICIAN CHARACTERISTICS CORRELATE WITH PATIENT READMISSION RATES

Background: The 7- and 30-day patient readmission rates are tracked by hospitals and are used as a metric to measure physicians’ quality of patient care. Several tools currently predict and prevent early readmission rates based [...]

By | 2019-03-11T14:24:38-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PHYSICIAN CHARACTERISTICS CORRELATE WITH PATIENT READMISSION RATES

Abstract Number: 359

INHERITED THROMBOPHILIA TESTING PATTERNS IN AN ACADEMIC MEDICAL CENTER INDICATE OPPORTUNITIES FOR SIGNIFICANT COST SAVINGS

Background: Updated guidelines recommend testing for inherited or acquired thrombophilias only in rare situations in the acute inpatient care setting, as it has little impact on acute management of thromboembolic events, and in some situations, [...]

By | 2019-03-11T14:24:31-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on INHERITED THROMBOPHILIA TESTING PATTERNS IN AN ACADEMIC MEDICAL CENTER INDICATE OPPORTUNITIES FOR SIGNIFICANT COST SAVINGS

Abstract Number: 352

INITIATIVE FOR PREVENTION AND EARLY IDENTIFICATION OF DELIRIUM IN MEDICAL-SURGICAL UNITS: LESSONS LEARNT IN THE PAST FIVE YEARS

Background: Delirium is an acute change in mental status affecting 10-64% of hospitalized patients, and may be preventable in 30-40% cases. There was no standardized protocol for delirium at our hospital prior to 2014. In [...]

By | 2019-03-11T14:24:21-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on INITIATIVE FOR PREVENTION AND EARLY IDENTIFICATION OF DELIRIUM IN MEDICAL-SURGICAL UNITS: LESSONS LEARNT IN THE PAST FIVE YEARS

Abstract Number: 350

AN INTERDISCIPLINARY APPROACH TO IMPROVING ADVANCE CARE PLANNING IN INTERNAL MEDICINE

Background: While Medicare data demonstrates that healthcare spending is up to four times higher in yearly decedents than survivors, studies demonstrate that early advance care planning (ACP) leads to improved clinical outcomes and reduces cost [...]

By | 2019-03-11T14:24:18-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on AN INTERDISCIPLINARY APPROACH TO IMPROVING ADVANCE CARE PLANNING IN INTERNAL MEDICINE

Abstract Number: 346

SUSTAINING MINDFUL LABORATORY ORDERING PRACTICES: A CULTURE CHANGE

Background: The United States is in the midst of a health quality crisis; for this to resolve, we must transform to a high-value, low-cost healthcare culture. To achieve such a culture, trainees must learn high-value [...]

By | 2019-03-11T14:24:12-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on SUSTAINING MINDFUL LABORATORY ORDERING PRACTICES: A CULTURE CHANGE

Abstract Number: 342

IMPLEMENTATION OF A HYPERBILIRUBINEMIA PATHWAY FOR THE INPATIENT PEDIATRICS UNIT AT LEHIGH VALLEY HEALTH NETWORK

Background: Hyperbilirubinemia is the most common cause of hospitalization among neonates. Severe, untreated hyperbilirubinemia can lead to acute bilirubin encephalopathy and kernicterus. Although rare, these conditions can pose significant risks for morbidity and mortality in [...]

By | 2019-03-11T14:24:06-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPLEMENTATION OF A HYPERBILIRUBINEMIA PATHWAY FOR THE INPATIENT PEDIATRICS UNIT AT LEHIGH VALLEY HEALTH NETWORK

Abstract Number: 338

STUDY OF ALERT FATIGUE, EFFECTIVENESS, AND ACCURACY IN THE DEVELOPMENT OF A NEW SEPSIS BEST PRACTICE ALERT

Background: Best-Practice Alerts (BPAs), utilized to reduce the number of adverse events in medical settings, have limited efficacy partly due to alert fatigue and user desensitization. Alert fatigue often stems from inaccurate alerts firing too [...]

By | 2019-03-11T14:24:00-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on STUDY OF ALERT FATIGUE, EFFECTIVENESS, AND ACCURACY IN THE DEVELOPMENT OF A NEW SEPSIS BEST PRACTICE ALERT

Abstract Number: 337

ENGAGING HOSPITALISTS IN QUALITY IMPROVEMENT STRATEGIES FOR PRESSURE INJURY PREVENTION TO AVOID PATIENT HARM AND COSTLY PENALTIES

Background: Pressure injuries are tissue damage caused by pressure and shear. Susceptible patients are the elderly, acute, critically ill and malnourished. Pressure injuries severely deplete hospital performance measures in the U.S. Currently, over 2.5 million [...]

By | 2019-03-11T14:23:58-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ENGAGING HOSPITALISTS IN QUALITY IMPROVEMENT STRATEGIES FOR PRESSURE INJURY PREVENTION TO AVOID PATIENT HARM AND COSTLY PENALTIES

Abstract Number: 333

REDUCING INAPPROPRIATE TELEMETRY USE – A MULTIMODAL INTERVENTION

Background: Overuse of non-ICU continuous cardiac (telemetry) monitoring is a well-documented problem that leads to increased hospital cost, alarm fatigue, nursing time loss, and patient discomfort. It is often ordered for detection of clinical deterioration [...]

By | 2019-03-11T14:23:53-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on REDUCING INAPPROPRIATE TELEMETRY USE – A MULTIMODAL INTERVENTION

Abstract Number: 331

HEALTH LITERACY AND SOCIOECONOMIC STATUS ROLE IN 30-DAY READMISSIONS

Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions. Previous studies note positive correlation between high HL and [...]

By | 2019-03-11T14:23:49-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on HEALTH LITERACY AND SOCIOECONOMIC STATUS ROLE IN 30-DAY READMISSIONS

Abstract Number: 329

COMBINING LEAN SIX-SIGMA QUALITY IMPROVEMENT METHODS WITH SAFETY BARRIER ANALYSIS TO DEVELOP INTERVENTIONS THAT REDUCE HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM (HA-VTE)

Background: The U.S. healthcare system has a poor safety record when compared to other major industries. For example, at 250,000 per year, medical errors are the 3rd leading cause of death according to the CDC. [...]

By | 2019-03-11T14:23:46-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on COMBINING LEAN SIX-SIGMA QUALITY IMPROVEMENT METHODS WITH SAFETY BARRIER ANALYSIS TO DEVELOP INTERVENTIONS THAT REDUCE HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM (HA-VTE)

Abstract Number: 328

CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any [...]

By | 2019-03-11T14:23:45-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

Abstract Number: 318

REDESIGNING YOUR INTERDISCIPLINARY ROUNDS TO GET YOUR ACCOUNTABLE CARE UNIT BACK ON TRACK

Background: Geographic Accountable Care Units (ACUs) have been in existence for years at our institution. The ACUs have demonstrated improved throughput, quality and patient experience metrics. Our hospitalists have embraced the ACU philosophy due to [...]

By | 2019-03-11T14:23:30-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on REDESIGNING YOUR INTERDISCIPLINARY ROUNDS TO GET YOUR ACCOUNTABLE CARE UNIT BACK ON TRACK

Abstract Number: 317

IMPLEMENTATION OF A HOSPITALIST LED MULTIDISCIPLINARY SWAT TEAM TO PREVENT AVOIDABLE READMISSIONS ON REPEAT PRESENTATION TO THE EMERGENCY DEPARTMENT

Background: Avoidable readmissions result in unnecessary hospital stays for patients, over utilization of beds, and increased waiting time for other patients. Multiple interventions have examined reducing readmissions, mostly focusing on pre-discharge and out of hospital [...]

By | 2019-03-11T14:23:29-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPLEMENTATION OF A HOSPITALIST LED MULTIDISCIPLINARY SWAT TEAM TO PREVENT AVOIDABLE READMISSIONS ON REPEAT PRESENTATION TO THE EMERGENCY DEPARTMENT

Abstract Number: 305

DOES GLUCOSE GEL REDUCE NEONATAL INTENSIVE CARE UNIT ADMISSIONS FOR NEONATAL HYPOGLYCEMIA?

Background: Recent studies suggest that glucose gel is effective for treating neonatal hypoglycemia, thus it may reduce neonatal intensive care unit (NICU) admissions. The purpose of this study is to compare NICU admissions and care [...]

By | 2019-03-11T14:23:12-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DOES GLUCOSE GEL REDUCE NEONATAL INTENSIVE CARE UNIT ADMISSIONS FOR NEONATAL HYPOGLYCEMIA?

Abstract Number: 304

DEVELOPMENT OF A HEALTHCARE IMPROVEMENT PORTFOLIO FOR PROMOTION ACROSS HEALTH PROFESSIONS

Background: Healthcare systems need formal processes for recognizing achievements in healthcare improvement to support promotion. To aid in the recognition of faculty members’ contributions to healthcare improvement, institutions have begun to use portfolios to document [...]

By | 2019-03-11T14:23:10-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on DEVELOPMENT OF A HEALTHCARE IMPROVEMENT PORTFOLIO FOR PROMOTION ACROSS HEALTH PROFESSIONS

Abstract Number: 301

‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to [...]

By | 2019-03-11T14:23:05-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Abstract Number: 299

IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and [...]

By | 2019-03-11T14:23:02-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Abstract Number: 297

RAPIDLY ENGAGING THE FRONTLINE: IMPLEMENTING A HOSPITALIST-LED, REAL-TIME, ELECTRONIC MORTALITY REVIEW PROCESS

Background: Traditional review approaches to inpatient mortality remain flawed. M&M conferences, administrative data analysis, and chart review do not effectively leverage the frontline perspective, are frequently delayed, and may be perceived as punitive if not [...]

By | 2019-03-11T14:23:00-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on RAPIDLY ENGAGING THE FRONTLINE: IMPLEMENTING A HOSPITALIST-LED, REAL-TIME, ELECTRONIC MORTALITY REVIEW PROCESS

Abstract Number: 294

NARCOTICS USAGE PATTERNS IN THE INPATIENT SETTING – IDENTIFYING WAYS TO IMPROVE PATIENT SAFETY

Background: Hospital inpatients frequently require opioid analgesics for pain management, with more than half of US patients in acute-care facilities receiving opioids during their stay. With the rise of opioid drug therapy, the need to [...]

By | 2019-03-11T14:22:56-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on NARCOTICS USAGE PATTERNS IN THE INPATIENT SETTING – IDENTIFYING WAYS TO IMPROVE PATIENT SAFETY

Abstract Number: 293

HOSPITAL MEDICINE MANAGEMENT OF PENDING TESTS AFTER DISCHARGE: A QUALITY IMPROVEMENT INTERVENTION

Background: Inpatient physicians often discharge patients while diagnostic tests are still pending. The discharging attending is responsible for following-up these results, even if they have rotated off service. This can lead to delayed and/or missed [...]

By | 2019-03-11T14:22:54-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on HOSPITAL MEDICINE MANAGEMENT OF PENDING TESTS AFTER DISCHARGE: A QUALITY IMPROVEMENT INTERVENTION

Abstract Number: 289

EFFECTIVENESS OF AN INTERDISCIPLINARY, NURSE DRIVEN IN-HOSPITAL CODE STROKE PROTOCOL ON RECOGNITION AND DIAGNOSIS OF IN-HOSPITAL STROKE

Background: Up to 17% of all strokes occur in patients hospitalized for another diagnosis or procedure, and in-hospital strokes complicate up to 0.06% of all admissions. In-hospital strokes carry higher mortality, longer length of stay [...]

By | 2019-03-11T14:22:48-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on EFFECTIVENESS OF AN INTERDISCIPLINARY, NURSE DRIVEN IN-HOSPITAL CODE STROKE PROTOCOL ON RECOGNITION AND DIAGNOSIS OF IN-HOSPITAL STROKE

Abstract Number: 283

“LESS IS MORE WHEN MORE IS TOO MUCH”: REDUCTION OF UNNECESSARY LAB ORDERS ON INPATIENT MEDICAL SERVICES

Background: The practice of routinely ordering daily labs not based on clinical indication on patients in the hospital is a wasteful clinical practice. Routine daily labs can also lead to patient harm by causing pain [...]

By | 2019-03-11T14:22:40-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on “LESS IS MORE WHEN MORE IS TOO MUCH”: REDUCTION OF UNNECESSARY LAB ORDERS ON INPATIENT MEDICAL SERVICES

Abstract Number: 277

IMPROVING RATES OF APPROPRIATE ICD DEACTIVATION DISCUSSIONS IN ADMITTED PATIENTS MADE DNR AND/OR COMFORT CARE

Background: Implantable cardioverter defibrillator (ICD) shocks can be traumatic for patients and families, particularly at the end of life. Studies estimate between 51-65% of ICDs remain active at time of death, with 24-31% of patients [...]

By | 2019-03-11T14:22:30-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING RATES OF APPROPRIATE ICD DEACTIVATION DISCUSSIONS IN ADMITTED PATIENTS MADE DNR AND/OR COMFORT CARE

Abstract Number: 276

ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

Background: Hypertension is a significant risk factor for cardiovascular disease. According to the Centers for Disease Control and Prevention (CDC) half of all United States citizens with hypertension (HTN) do not have their blood pressure [...]

By | 2019-03-11T14:22:29-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

Abstract Number: 274

UTILIZING A KEY PERFORMANCE INDICATOR BOARD FOR TRACKING HOSPTIALIST QUALITY IMPROVEMENT INITIATIVES

Background: Understanding current practice patterns is essential to identifying opportunities for improvement and acknowledging good practice behaviors. However, often this information is not easily accessible or provided in a timely fashion, especially to front line [...]

By | 2019-03-11T14:22:26-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on UTILIZING A KEY PERFORMANCE INDICATOR BOARD FOR TRACKING HOSPTIALIST QUALITY IMPROVEMENT INITIATIVES

Abstract Number: 268

A PATIENT-CENTRIC APPROACH TO IMPROVING COMMUNICATION ABOUT MEDICATIONS IN THE IN-PATIENT ENVIRONMENT

Background: Discharge from an in-patient hospital stay is a critical opportunity to teach patients about their medications. Communication about medications and appropriate transition of care are two domains of the Hospital Consumer Assessment of Healthcare [...]

By | 2019-03-11T14:22:18-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A PATIENT-CENTRIC APPROACH TO IMPROVING COMMUNICATION ABOUT MEDICATIONS IN THE IN-PATIENT ENVIRONMENT

Abstract Number: 266

USING CONTINUOUS QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE CLOSTRIDIUM DIFFICILE TESTING DELAYS

Background: Timely Clostridium difficile Infection (CDI) testing is challenging but is important for faster and appropriate isolation and treatment of patients. Few studies have specifically addressed effective methods to hasten CDI testing without relying on [...]

By | 2019-03-11T14:22:16-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on USING CONTINUOUS QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE CLOSTRIDIUM DIFFICILE TESTING DELAYS

Abstract Number: 265

PREVALENCE OF CLOSTRIDIUM DIFFICILE CARRIERS IN AN URBAN ACADEMIC MEDICAL CENTER

Background: There are 400,000 cases and 30,000 deaths from Clostridium difficile (C. diff) infections in the United States annually. Efforts to reduce the transmission of C. diff have focused on patients with diarrhea, however, many [...]

By | 2019-03-11T14:22:14-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PREVALENCE OF CLOSTRIDIUM DIFFICILE CARRIERS IN AN URBAN ACADEMIC MEDICAL CENTER

Abstract Number: 254

EFFECT OF INTRAOPERATIVE DEXAMETHASONE ADMINISTRATION ON POSTOPERATIVE HYPERGLYCEMIA IN PATIENTS WITH TYPE 2 DIABETES (T2D)

Background: The use of intraoperative dexamethasone has been on the rise because of its ability to reduce postoperative nausea, vomiting, pain and accelerate post-operative recovery. Use of intraoperative dexamethasone can result in uncontrolled hyperglycemia in [...]

By | 2019-03-11T14:21:58-04:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on EFFECT OF INTRAOPERATIVE DEXAMETHASONE ADMINISTRATION ON POSTOPERATIVE HYPERGLYCEMIA IN PATIENTS WITH TYPE 2 DIABETES (T2D)

Abstract Number: 246

IMPROVING NARROW SPECTRUM ANTIBIOTIC USE IN CHILDREN HOSPITALIZED WITH PNEUMONIA

Background: In 2011, the Infectious Diseases Society of America (IDSA) published new guidelines on the management of community acquired pneumonia (CAP) in children and recommended use of narrow spectrum antibiotics such as ampicillin or amoxicillin [...]

By | 2019-03-11T14:21:44-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on IMPROVING NARROW SPECTRUM ANTIBIOTIC USE IN CHILDREN HOSPITALIZED WITH PNEUMONIA

Abstract Number: 227

FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Since the publication of the Institute of Medicine report To Err Is Human in 1999, preventable inpatient deaths in the United States have been estimated as between 44,000 and 98,000 deaths annually. A more [...]

By | 2019-03-11T14:21:16-04:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

Abstract Number: 222

STRUCTURED CASE REVIEWS FOR ORGANIZATIONAL LEARNING ABOUT DIAGNOSTIC SAFETY VULNERABILITIES: INITIAL EXPERIENCES FROM TWO MEDICAL CENTERS

Background: Increasing attention has been paid to diagnostic patient safety vulnerabilities, which account for 6 to 17% of hospital adverse events. In 2015, the National Academies of Medicine published a report on diagnostic safety errors, [...]

By | 2019-03-11T14:21:09-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on STRUCTURED CASE REVIEWS FOR ORGANIZATIONAL LEARNING ABOUT DIAGNOSTIC SAFETY VULNERABILITIES: INITIAL EXPERIENCES FROM TWO MEDICAL CENTERS

Abstract Number: 207

SYSTEMATIC APPROACH TO HIGH YIELD MORTALITY CASE REVIEW

Background: Mortality review, well-documented in the medical literature, is a standardized process used to identify patient safety improvement opportunities and also to evaluate providers. As patient safety experts, hospitalists often review mortality cases for their [...]

By | 2019-03-11T14:20:48-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on SYSTEMATIC APPROACH TO HIGH YIELD MORTALITY CASE REVIEW

Abstract Number: 163

IMPLEMENTATION OF BLOOD UTILIZATION PROGRAM AT A COMMUNITY HOSPITAL

Background: Transfusion of packed red blood cells in the United States has more than doubled from 1997 to 2011; however, it is thought that greater than 50% of transfusions may be unnecessary. Numerous clinical trials [...]

By | 2019-03-11T14:19:40-04:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IMPLEMENTATION OF BLOOD UTILIZATION PROGRAM AT A COMMUNITY HOSPITAL

Abstract Number: 143

DEVELOPING AND OPERATIONALIZING A HOSPITAL MEDICINE SPECIFIC PATIENT & FAMILY ADVISORY COUNCIL (PFAC)

Background: Patient & Family Advisory Councils (PFACs) are groups of patients and caregivers who share their overall experiences of care and perspectives on specific topics with hospital leaders at regular meetings. PFACs provide a crucial [...]

By | 2019-03-11T14:19:10-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on DEVELOPING AND OPERATIONALIZING A HOSPITAL MEDICINE SPECIFIC PATIENT & FAMILY ADVISORY COUNCIL (PFAC)

Abstract Number: 134

STRATEGIC GOAL SETTING THROUGH LEVERAGING INTERNAL COMMITTEES AND AN ALL HOSPITALIST RETREAT

Background: Hospital medicine groups are often quickly expanding, which causes strategic planning to focus primarily on clinical needs and staffing. It can be difficult to find opportunities for goal setting where consensus within the group [...]

By | 2019-03-11T14:18:57-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Other|Comments Off on STRATEGIC GOAL SETTING THROUGH LEVERAGING INTERNAL COMMITTEES AND AN ALL HOSPITALIST RETREAT

Abstract Number: 49

A NEW WAY TO SAY G-NITE: DEVELOPMENT AND IMPLEMENTATION OF A TOOL TO IMPROVE DOCTOR-PATIENT COMMUNICATION IN THE HOSPITALIZED SETTING

Background: Developing effective tools which enhance patient-physician communication is crucial to improving the patient experience. Existing research has shown that there are several components which are central to effective communication, including creating a good interpersonal [...]

By | 2019-03-11T14:17:07-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on A NEW WAY TO SAY G-NITE: DEVELOPMENT AND IMPLEMENTATION OF A TOOL TO IMPROVE DOCTOR-PATIENT COMMUNICATION IN THE HOSPITALIZED SETTING

Abstract Number: 34

RESUSCITATION OF A TWO-WAY TEXTING PLATFORM TO ENHANCE SAFE AND EFFICIENT COMMUNICATION USING ITERATIVE APP PILOTING,FEEDBACK AND ENHANCEMENT

Background: Joint Commission has identified “communication” as the third most frequent root cause of sentinel events.1 Alpha-numeric pagers are common for communication among healthcare professionals. Pagers are not HIPAA compliant and communication through pagers often [...]

By | 2019-03-11T14:16:48-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on RESUSCITATION OF A TWO-WAY TEXTING PLATFORM TO ENHANCE SAFE AND EFFICIENT COMMUNICATION USING ITERATIVE APP PILOTING,FEEDBACK AND ENHANCEMENT

Abstract Number: 17

EVALUATION OF THE ORDER S.M.A.R.T.T. (SLEEP: MAKING APPROPRIATE REDUCTIONS IN TESTING AND TIMING) LABS: AN INITIATIVE TO REDUCE PHLEBOTOMY AND IMPROVE SLEEP FRIENDLY LABS ON RESIDENT AND HOSPITALIST GENERAL MEDICINE SERVICES

Background: Excessive daily routine laboratory testing for hospitalized patients is a contributor to poor hospital sleep, iatrogenic anemia, and excessive costs. Recommendations from the Choosing Wisely™ campaign specifically state to avoid sleep interruptions for routine [...]

By | 2019-03-18T13:30:55-04:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Quality Improvement, Research|Comments Off on EVALUATION OF THE ORDER S.M.A.R.T.T. (SLEEP: MAKING APPROPRIATE REDUCTIONS IN TESTING AND TIMING) LABS: AN INITIATIVE TO REDUCE PHLEBOTOMY AND IMPROVE SLEEP FRIENDLY LABS ON RESIDENT AND HOSPITALIST GENERAL MEDICINE SERVICES

Abstract Number: 14

ENDING ENDOSCOPY DELAY: A MULTIDISCIPLINARY APPROACH TO REDUCE INPATIENT ENDOSCOPY DELAYS

Background: Endoscopies are commonly performed in the inpatient setting, and successful completion frequently requires close coordination among nurses, hospitalists, gastroenterologists, and anesthesiologists. Given the complexity of this multidisciplinary involvement, as well as variability in patient [...]

By | 2019-04-17T09:30:11-04:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement, Winners|Comments Off on ENDING ENDOSCOPY DELAY: A MULTIDISCIPLINARY APPROACH TO REDUCE INPATIENT ENDOSCOPY DELAYS

Abstract Number: 12

A PROCESS APPROACH TO DECREASING HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS

Background: Stony Brook University Hospital (SBUH) identified an opportunity to develop and implement prevention strategies to reduce hospital onset C. difficile infections (CDI). Hospital Onset (HO) CDI are included in National Healthcare Safety Network (NHSN) [...]

By | 2019-03-18T13:27:00-04:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A PROCESS APPROACH TO DECREASING HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS

HM2018 Abstract Number: Top 15 Research & Innovations

SAFETY QUEST: A NOVEL WEB-BASED GAME TO TEACH QI AND PATIENT SAFETY

Background: In 2016, ACGME’s first Clinical Learning Environment Review (CLER) report found that trainees had limited knowledge of Quality Improvement (QI) and patient safety (PS) concepts.. Purpose: We have designed a free, interactive, web-based game [...]

By | 2018-03-29T15:35:01-04:00 March 29th, 2018|Hospital Medicine 2018, Top 15 Research and Innovation Oral Abstracts|Comments Off on SAFETY QUEST: A NOVEL WEB-BASED GAME TO TEACH QI AND PATIENT SAFETY

HM2018 Abstract Number: Plenary presentation

THE SLEEP HYGEINE IN THE HOSPITAL PROJECT: SHH!

Background: Sleep deprivation has deleterious effects on immune function, wound healing, insulin resistance, pain, and even mortality. Patients in hospitals often suffer from sleep deprivation due to environmental noise and interruptions from staff. The American [...]

By | 2018-03-29T15:34:49-04:00 March 29th, 2018|Hospital Medicine 2018, Plenary Presentations|Comments Off on THE SLEEP HYGEINE IN THE HOSPITAL PROJECT: SHH!

HM2018 Abstract Number: 210

A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

Background: CSD’s are an integral component of the inpatient admission process. However, despite their importance, CSD’s are not performed during all admissions. Residents physicians, who are at the forefront of the admission process, are rarely [...]

By | 2018-03-19T15:43:54-04:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on A QUALITY IMPROVEMENT PROJECT INVESTIGATING METHODS TO OPTIMIZE CODE STATUS DISCUSSIONS (CSD’s) DURING INPATIENT ADMISSIONS

HM2018 Abstract Number: 338

SLEEP FOR HOSPITALIZED PATIENTS – TRANSLATING RESEARCH INTO PRACTICE

Background: Evidence-based medicine and research are the backdrops to our everyday practice of medicine. Although there are defined steps in carrying research project to publication, there is paucity in the translation of research to practice.(1,2) [...]

By | 2018-03-19T15:44:00-04:00 March 19th, 2018|Innovations, Translating Research into Practice, Uncategorized|Comments Off on SLEEP FOR HOSPITALIZED PATIENTS – TRANSLATING RESEARCH INTO PRACTICE

HM2018 Abstract Number: 228

THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three [...]

By | 2018-03-19T15:44:00-04:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

HM2018 Abstract Number: 247

Being A Lean Mean Discharging Machine

Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, [...]

By | 2018-03-19T15:44:07-04:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on Being A Lean Mean Discharging Machine

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 | 2018-03-19T15:44:08-04:00 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: 250

APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious public health problem causing over 90,000 deaths each year. VTE rates at our institution have been high and costly, with insurer [...]

By | 2018-03-19T15:44:14-04:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on APPLICATION OF DATA ANALYTICS AND BOWTIE RISK METHODOLOGY TO REDUCE RATES OF HOSPITAL-ASSOCIATED VENOUS THROMBOEMBOLISM

HM2018 Abstract Number: 237

IMPROVING RESPIRATORY RATE MEASUREMENT ACCURACY IN THE HOSPITAL: A QUALITY IMPROVEMENT INITIATIVE

Background: Respiratory rate (RR) is a predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalized adults. Despite its clinical value, RRs are often inaccurate and may lead to misclassification [...]

By | 2018-03-19T15:44:22-04:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on IMPROVING RESPIRATORY RATE MEASUREMENT ACCURACY IN THE HOSPITAL: A QUALITY IMPROVEMENT INITIATIVE

HM2018 Abstract Number: 320

A MULTI-DISCIPLINARY, MULTI-PRONGED APPROACH TO IMPROVING HANDOFFS FOR MEDICINE PATIENTS ADMITTED FROM THE EMERGENCY DEPARTMENT

Background: The high volume of handoffs between the Emergency Department (ED) team and the inpatient team on a daily basis makes this a ripe area for care improvement. Effective, safe and organized transitions facilitate high [...]

By | 2018-03-19T15:44:22-04:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on A MULTI-DISCIPLINARY, MULTI-PRONGED APPROACH TO IMPROVING HANDOFFS FOR MEDICINE PATIENTS ADMITTED FROM THE EMERGENCY DEPARTMENT

HM2018 Abstract Number: 176

CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

Background: Inconsistent transitions of care from the inpatient to outpatient setting may lead to preventable readmissions. Critical processes completed at discharge shown to reduce readmissions at our institution include admission and discharge medication reconciliation, clinically [...]

By | 2018-03-19T15:44:36-04:00 March 19th, 2018|Pediatrics, Research, Uncategorized|Comments Off on CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

HM2018 Abstract Number: 174

IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. [...]

By | 2018-03-19T15:44:42-04:00 March 19th, 2018|Innovations, Patient Safety, Uncategorized|Comments Off on IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 260

EMPOWERING MEDICINE RESIDENTS TO THINK BEFORE ORDERING DAILY LABS. A QUALITY IMPROVEMENT STUDY.

Background: Healthcare costs are a challenge; for the greatest impact, high-value care education should begin early in residency training. Routine lab ordering for hospitalized patients is a well-known cause of high costs. This study utilized [...]

By | 2018-03-19T13:24:52-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on EMPOWERING MEDICINE RESIDENTS TO THINK BEFORE ORDERING DAILY LABS. A QUALITY IMPROVEMENT STUDY.

HM2018 Abstract Number: 158

An Interdisciplinary Team to Support Implementation of a “System-of-Systems” to Identify, Assess, and Mitigate Threats to Patient Safety in Real-Time

Background: Implementing technology with the goal of eliminating preventable hospital-acquired conditions (e.g., CAUTI, CLABSI, etc.) in the acute care setting is an ongoing challenge, but it is crucial to creating a safer healthcare system. Increasingly, [...]

By | 2018-03-19T13:24:46-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on An Interdisciplinary Team to Support Implementation of a “System-of-Systems” to Identify, Assess, and Mitigate Threats to Patient Safety in Real-Time

HM2018 Abstract Number: 54

Integration of a Novel Quality Improvement Curriculum into an Internal Medicine Residency Program

Background: Quality improvement (QI) has been recognized as a core component of medical resident training and progressive engagement with QI is required by the American Council of Graduate Medical Education’s Clinical Learning Environment Review. Prior [...]

By | 2018-03-19T13:23:41-04:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on Integration of a Novel Quality Improvement Curriculum into an Internal Medicine Residency Program

HM2018 Abstract Number: 71

An Interdisciplinary Approach to Quality Improvement on the Inpatient Teaching Unit

Background: Interdisciplinary communication, quality improvment, and patient safety, are integral components to providing quality healthcare. Furthermore, the ACGME recognizes the importance of the learning and working environment, a culture of safety, and providing opportunities for [...]

By | 2018-03-19T13:23:02-04:00 March 19th, 2018|Education, Hospital Medicine 2018, Innovations|Comments Off on An Interdisciplinary Approach to Quality Improvement on the Inpatient Teaching Unit

HM2018 Abstract Number: 219

CREATION AND IMPLEMENTATION OF A CLINICAL DECISION SUPPORT TOOL TO DECREASE VOLUME OF INPATIENT STRESS TESTS AT A PUBLIC ACADEMIC HOSPITAL

Background: Patients admitted to our hospital with chest pain concerning for Acute Coronary Syndrome (ACS) have a length of stay exceeding the community average. We postulated that unnecessary stress test orders in some cases may [...]

By | 2018-03-19T13:17:14-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on CREATION AND IMPLEMENTATION OF A CLINICAL DECISION SUPPORT TOOL TO DECREASE VOLUME OF INPATIENT STRESS TESTS AT A PUBLIC ACADEMIC HOSPITAL

HM2018 Abstract Number: 17

360° EVALUATION OF FELLOW HOSPITALISTS VIA A REDCAP SURVEY

Background: The Hospitalist Division at Washington University in St. Louis provides coverage for multiple different services at Barnes-Jewish Hospital. At the present time, there are a total of 68 MDs and 6 NPs caring for [...]

By | 2018-03-22T15:14:46-04:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on 360° EVALUATION OF FELLOW HOSPITALISTS VIA A REDCAP SURVEY

HM2018 Abstract Number: 265

ACCURACY OF A PATIENT’S PCP IN THE EMR

Background: Insufficient communication, particularly at transitions in patient care, is a common and accepted cause of negative outcomes. Handoffs between hospitalists and primary care physicians (PCPs) are infrequent, occurring in 3-20% of cases (2). Many [...]

By | 2018-03-19T13:16:38-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ACCURACY OF A PATIENT’S PCP IN THE EMR

HM2018 Abstract Number: 259

THE BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING

Background: Repetitive morning laboratory orders are a well-known contributor to healthcare cost. Initial data collected in a related project on high-value care showed that 35% of our Internal Medicine residents identified “fear of attendings” as [...]

By | 2018-03-19T13:12:07-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on THE BARRIER TO MINDFUL LAB ORDERING: THE ATTENDING

HM2018 Abstract Number: 216

REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

Background: COPD exacerbations are among the leading causes of hospital readmissions. According to the COPD Foundation, in 2013, 22% patients admitted for COPD exacerbation required readmission within 30 days of discharge. This represents a significant [...]

By | 2018-03-19T13:12:03-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 246

INCREASING ADOPTION OF AIDET: A STUDENT LED QUALITY IMPROVEMENT RESEARCH PROJECT

Background: Many hospitalized patients do not understand their treatment and care plans [1] and research shows that better physician communication skills improve patient outcomes [2]. Since these communication skills are teachable, many institutions implement a [...]

By | 2018-03-19T13:10:18-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on INCREASING ADOPTION OF AIDET: A STUDENT LED QUALITY IMPROVEMENT RESEARCH PROJECT

HM2018 Abstract Number: 324

THE IMPACT OF HEALTH LITERACY ON 30-DAY READMISSIONS AT A TERTIARY CARE ACADEMIC MEDICAL CENTER

Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions.1 Previous studies note positive correlation between high HL and [...]

By | 2018-03-19T13:08:09-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on THE IMPACT OF HEALTH LITERACY ON 30-DAY READMISSIONS AT A TERTIARY CARE ACADEMIC MEDICAL CENTER

HM2018 Abstract Number: 229

GO HOME WITH NALOXONE: A RESIDENT-LED, MULTIDISCIPLINARY APPROACH TO INCREASE NALOXONE PRESCRIBING AT DISCHARGE FOR PATIENTS AT RISK OF OVERDOSE

Background: Driven by the current opioid epidemic, drug overdose has become the leading cause of unintentional death nationwide. Efforts are underway to decrease unnecessary opioid prescribing. Hospitalists care for many patients with preexisting opioid prescriptions [...]

By | 2018-03-19T13:07:10-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on GO HOME WITH NALOXONE: A RESIDENT-LED, MULTIDISCIPLINARY APPROACH TO INCREASE NALOXONE PRESCRIBING AT DISCHARGE FOR PATIENTS AT RISK OF OVERDOSE

HM2018 Abstract Number: 15

GOT DELIRIUM? IMPLEMENTATION OF A MULTI-DISCIPLINARY DELIRIUM REDUCTION PATHWAY

Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay (LOS), cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% [...]

By | 2018-03-22T15:13:36-04:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on GOT DELIRIUM? IMPLEMENTATION OF A MULTI-DISCIPLINARY DELIRIUM REDUCTION PATHWAY

HM2018 Abstract Number: 178

IMPROVING INFANT SAFE SLEEP PRACTICES IN THE INPATIENT SETTING USING QI METHODOLOGY

Background: Baystate Children’s Hospital serves a population that is vulnerable to unsafe sleep practices. By July 2017, there were 6 cases of accidental infant deaths in Hampden County MA, attributed to unsafe sleeping practices, primarily [...]

By | 2018-03-19T13:05:10-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Pediatrics|Comments Off on IMPROVING INFANT SAFE SLEEP PRACTICES IN THE INPATIENT SETTING USING QI METHODOLOGY

HM2018 Abstract Number: 233

THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION

Background: Elevated blood pressure (BP) is common among hospitalized patients, with prevalence estimates between 50-70%. Many factors may contribute to this, such as pain, nausea, anxiety, or volume overload. However, true hypertensive emergency requiring rapid [...]

By | 2018-03-19T13:04:26-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION

HM2018 Abstract Number: 231

PARTNERS IN QUALITY: ENHANCING RESIDENT EDUCATION AND INSTITUTIONAL INITIATIVES BY EMBEDDING PERFORMANCE IMPROVEMENT SPECIALISTS INTO A PATIENT SAFETY AND QUALITY IMPROVEMENT CURRICULUM

Background: An effective patient safety and quality improvement (QI) curriculum is imperative for graduate medical education (GME) training programs. Yet many health systems are lacking pedagogical training in these methods. Learning often takes the form [...]

By | 2018-03-19T13:03:48-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on PARTNERS IN QUALITY: ENHANCING RESIDENT EDUCATION AND INSTITUTIONAL INITIATIVES BY EMBEDDING PERFORMANCE IMPROVEMENT SPECIALISTS INTO A PATIENT SAFETY AND QUALITY IMPROVEMENT CURRICULUM

HM2018 Abstract Number: 16

Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

Background: Skin and soft tissue infection (SSTI) is a common pediatric diagnosis with substantial economic cost. SSTIs vary in severity and clinical presentation. Providers often fear missing serious systemic infection, causing potential overtesting. However, recent [...]

By | 2018-03-22T15:45:08-04:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

HM2018 Abstract Number: 256

The Resident is in Charge! A Novel Approach to Improve Early Hospital Discharge Rates

Background: Late discharges are associated with hospital overcrowding, delayed inter-unit patient transfers, lower patient satisfaction scores and longer length of stay. At our hospital, there has been a consistent discordance between the teaching and non-teaching [...]

By | 2018-03-19T13:01:56-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on The Resident is in Charge! A Novel Approach to Improve Early Hospital Discharge Rates

HM2018 Abstract Number: 3

TRANSFORMING IDEAS INTO REALITY: A STRUCTURED PROJECT PATHWAY TO FACILITATE QUALITY IMPROVEMENT AND ACADEMIC RESEARCH PROJECTS IN A DIVISION OF HOSPITAL MEDICINE

Background: Hospital Medicine groups are often called upon to lead initiatives that require access to high-quality data from their local health system. These include quality and value improvement (QI) efforts as well as health services [...]

By | 2018-03-22T15:11:35-04:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Innovations, Other|Comments Off on TRANSFORMING IDEAS INTO REALITY: A STRUCTURED PROJECT PATHWAY TO FACILITATE QUALITY IMPROVEMENT AND ACADEMIC RESEARCH PROJECTS IN A DIVISION OF HOSPITAL MEDICINE

HM2018 Abstract Number: 208

SAVE THEM THE POKE: REDUCING VENIPUNCTURES IN ADULT HOSPITALIZED PATIENTS

Background: Obtaining blood work through venipuncture is an important part of the diagnosis and management of hospitalized patients. Through formal and informal patient complaints, we found that patients admitted to the University of Colorado Hospital [...]

By | 2018-03-19T12:58:30-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on SAVE THEM THE POKE: REDUCING VENIPUNCTURES IN ADULT HOSPITALIZED PATIENTS

HM2018 Abstract Number: 207

PICKING OF PICCS

Background: The University of Colorado Hospital (UCH) fails to meet the National Healthcare Safety Network (NHSN) benchmarks for central line utilization rates and central line-associated bloodstream infections (CLABSI). Peripherally inserted central catheters (PICCs) are central [...]

By | 2018-03-19T12:58:14-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on PICKING OF PICCS

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 | 2018-03-19T12:55:15-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on Effect of Resident Work Load on Electronic Health Record Documentation

HM2018 Abstract Number: 42

QUANTIFYING THE OUTCOMES: A STRATEGY FOR MEASURING THE IMPACT OF YOUR SURGICAL CO-MANAGEMENT SERVICE

Background: Our institution is a Level 1 regional trauma center with a large inpatient volume. A large percentage of these patients are elderly, with the traumatic events occurring as sequelae of their age, debility or [...]

By | 2018-03-19T12:53:47-04:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Innovations|Comments Off on QUANTIFYING THE OUTCOMES: A STRATEGY FOR MEASURING THE IMPACT OF YOUR SURGICAL CO-MANAGEMENT SERVICE

HM2018 Abstract Number: 27

A UNIT BASED LEADERSHIP TEAM INITIATIVE TO IMPROVE PROVIDER COMMUNICATION WITH HOSPITALIZED PATIENTS ABOUT NEW MEDICATION

Background: Many hospitalized patients have difficulty understanding what their care team tells them about medications and how to comply with medications. Communication failures about medications can have devastating consequences for hospitalized patients. Patients who report [...]

By | 2018-03-19T12:53:41-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on A UNIT BASED LEADERSHIP TEAM INITIATIVE TO IMPROVE PROVIDER COMMUNICATION WITH HOSPITALIZED PATIENTS ABOUT NEW MEDICATION

HM2018 Abstract Number: 236

THE IMPACT OF A HOSPITALISTS READMISSIONS REVIEW TOOL ON PERSPECTIVES CONCERNING READMISSION PREVENTABILITY AND READMISSION RATES

Background: Readmissions continue to be a significant burden on health systems and in 2017 nearly 80% of all hospitals face financial penalties for 30-day readmissions. There are limited examples of standardized processes for notifying discharging [...]

By | 2018-03-19T12:53:38-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on THE IMPACT OF A HOSPITALISTS READMISSIONS REVIEW TOOL ON PERSPECTIVES CONCERNING READMISSION PREVENTABILITY AND READMISSION RATES

HM2018 Abstract Number: 363

THE END OF THE LINE: UNDERSTANDING PRESCRIBER AWARENESS OF MAINTENANCE FLUID USE IN HOSPITALIZED PATIENTS DURING A CRITICAL SHORTAGE OF IV FLUIDS

Background: Continuous intravenous (IV) infusions aimed at avoiding dehydration are often referred to as “maintenance fluids” (MF). These infusions are common in clinical practice. Though guidelines exist for MF use in other countries (NICE 2017), [...]

By | 2018-03-19T12:52:53-04:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on THE END OF THE LINE: UNDERSTANDING PRESCRIBER AWARENESS OF MAINTENANCE FLUID USE IN HOSPITALIZED PATIENTS DURING A CRITICAL SHORTAGE OF IV FLUIDS

HM2018 Abstract Number: 280

RETHINKING CONTACT PRECAUTIONS

Background: The use of contact precautions (CP) for patients with colonized or infected (endemic) methicillin-resistant staphylococcus aureus (MRSA) is common in many hospitals, but emerging literature does not support CP over standard precautions in preventing [...]

By | 2018-03-19T12:52:28-04:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on RETHINKING CONTACT PRECAUTIONS

HM2017 Abstract Number: 298

OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

Background: Misuse of laboratory tests can be difficult to determine unless tests are clearly overused or repeated routinely. However, excessive testing of chronically critically ill patients treated in long-term acute care hospitals (LTACHs) can be [...]

By | 2018-03-15T20:50:08-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

HM2017 Abstract Number: 223

DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

Background: A “safe” hospitalist workload - that is, the point at which caring for too many patients leads to poorer outcomes for each individual patient – has not been defined.  We sought to understand whether [...]

By | 2017-04-26T02:46:42-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

HM2017 Abstract Number: 196

IMPACT OF SOCIOECONOMIC STATUS ON HOSPITAL READMISSION AND HEALTHCARE ACCESS IN URBAN HISPANIC COMMUNITIES

Background: It has been detailed in the literature that a patient’s socioeconomic status (SES) may play a role in their risk of readmission for specific diseases. For instance, factors such as low income, low educational [...]

By | 2017-04-26T02:56:16-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IMPACT OF SOCIOECONOMIC STATUS ON HOSPITAL READMISSION AND HEALTHCARE ACCESS IN URBAN HISPANIC COMMUNITIES

HM2017 Abstract Number: 35

A NOVEL SYSTEMS-BASED PRACTICE CURRICULUM ENABLES PRE-CLINICAL STUDENTS TO LEARN AND CONTRIBUTE MEANINGFULLY TO HOSPITAL MEDICINE SYSTEMS IMPROVEMENT

Background: Systems-based practice (SBP) is critical to physicians’ work and is gaining emphasis in medical school curricula. Purpose: In this hospitalist-led pilot curriculum for first-year medical students, we developed a novel didactic and experiential approach to teaching SBP skills, [...]

By | 2017-04-25T23:19:28-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on A NOVEL SYSTEMS-BASED PRACTICE CURRICULUM ENABLES PRE-CLINICAL STUDENTS TO LEARN AND CONTRIBUTE MEANINGFULLY TO HOSPITAL MEDICINE SYSTEMS IMPROVEMENT

HM2016 Abstract Number: 348

R-Va-Marquis: Implementing Best Practices in Medication Reconciliation for Rural Veterans

Background: High-quality medication reconciliation is key to reducing medication errors during care transitions. This concept is of paramount importance to Veterans living in rural areas due to less access to clinical pharmacy services. We adapted [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Research Abstracts, Transitions of Care|Comments Off on R-Va-Marquis: Implementing Best Practices in Medication Reconciliation for Rural Veterans

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Quality Improvement, Research Abstracts|Comments Off on Pocket Card Education Effect on Physicians for Patient Vaccination with the Zoster and Tdap/td Vaccines