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Meetings Archive For Hospital Medicine 2016, March 6-9, San Diego, Calif...

Abstract Number: 3
Bringing the Patient’s Goals Into Interdisciplinary Clinical Bedside Rounds
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Interdisciplinary clinical rounds at the bedside can promote the core principles of patient- and family-centered care, including promoting respect and dignity, information sharing, and participation by the patient in the care and decision making.  However, despite rounding at the bedside, the patient can still be a bystander as the team presents a care plan […]
Abstract Number: 4
Who Moved My Ehr Cheese? A New Approach to Curating and Individualizing Communications to Physicians About Ehr Software Updates
Hospital Medicine 2016, March 6-9, San Diego, Calif.
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 about EHR updates remains unclear. Purpose: Modify our communication strategy to improve inpatient physicians’ understanding of EHR software updates. Description: […]
Abstract Number: 5
Doctor’s Orders: An Intervention to Achieve Earlier Discharge Times at an Academic Medical Center
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospitals around the country are facing patient flow issues. Late discharges on the inpatient floors are thought to contribute to overcrowding in the emergency department and increased evening admissions (Wertheimer, 2014). This can lead to decreased quality of care, patient satisfaction, and increased length of stay. Some hospitals have attempted to promote early discharges […]
Abstract Number: 6
Understanding Physician Workflow, Task Management, and Communication in the Era of Ehr Adoption
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background:   Academic medical centers are complex healthcare delivery systems that are quickly adopting electronic health records (EHR) nationwide while still using alpha-numeric paging for physicians-in-training raised with cell phones, texting, messaging, and newer technologies.  Understanding workflow processes for these providers of patient care are key to finding solutions to improve healthcare quality and safety.   […]
Abstract Number: 7
Hospital Communication: Content and Frequency of Paging to Hospitalists
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite advances in communication technology, alphanumeric paging remains a mainstay of hospital communication. High paging volume can lead to disruptions in clinical work. In this study, we sought to evaluate both the frequency and the content of paging messages from nurses to physicians. We subsequently implemented interventions aimed at decreasing unnecessary pages.   Methods: […]
Abstract Number: 8
Design and Implementation of an Emr-Based Interactive Multidisciplinary Checklist on the Inpatient Medicine Ward
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: One target for improvement of effective patient centered care on the inpatient medical ward is the mechanism for communication among the multidisciplinary care team (MCT).  The medical service at Stanford Hospital and Clinics recently implemented morning “team care rounds” (TCRs) that provided space for the MCT members, including the physician (MD), nurse (RN), case […]
Abstract Number: 9
Priority Structured Paging
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Paging is a commonly used, yet limited means of communication. Despite text capability, one-way numeric paging remains the dominant method of communication at the University of Colorado Hospital (UCH). On a modified Hospital Survey on Patient Safety Culture performed on a medical floor, inefficiencies in provider to nursing communication were highlighted as an area […]
Abstract Number: 10
Confidence and Perceived Barriers to Communication with Seriously Ill Patients and Their Families: A Survey of Hospitalists at Two Centers
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: As generalist physicians on the frontlines of hospital care for seriously ill patients across the country, hospitalists are optimally positioned to lead discussions regarding serious illness. Little is known about hospitalists’ confidence in serious illness communication, or the barriers that limit their engagement. Methods: To assess perspectives on serious illness communication, we surveyed hospitalists […]
Abstract Number: 11
Geographic Localization of Physicians Improves Perceptions of Teamwork
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Geographic localization of inpatient physician services to nursing units has been suggested to improve teamwork and patient safety among health care professionals, while perceived lack of collaboration has been associated with worse patient outcomes. On our inpatient oncology units, we previously found that large discrepancies exist in perceptions of teamwork and collaboration among professionals, […]
Abstract Number: 12
The Association Between Hiv-Positive Patients’ Satisfaction with Communication During Hospitalization and 30-Day Hospital Readmission at a Multisite Hospital System
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital readmissions among HIV positive patients are high, and reducing 30-day readmissions is a priority of health systems and payers. Improved communication in the hospital may help decrease readmissions. Our objective was to determine the association between satisfaction with provider communication and 30-day readmissions among HIV positive patients. Methods: We performed a cross-sectional analysis […]