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Meetings Archive For Hospital Medicine 2006, May 3-5, Washington, D.C...

Abstract Number: 1
Measuring Quality of Hospital Care for Vulnerable Elders: Use of ACOVE Quality Indicators
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Measuring the quality of hospital care for elderly patients is important since elderly patients are at risk for certain hospital‐related hazards, such as delirium. The Assessing Care of the Vulnerable Elders (ACOVE) Project has developed quality indicators (QIs), that have been endorsed for use in pay‐for‐performance (P4P) programs, to measure the quality of care […]
Abstract Number: 2
Factors Associated with Discussions of Care Preferences at the Time of Hospital Admission
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Discussions of care preferences, such as wishes for cardiopulmonary resuscitation or invasive procedures, are of critical importance at the time of hospital admission ‐ a time when patients are sickest and plans for hospital care are being formulated. However, there are few recent data to describe patient factors asssociated with whether or not doctors […]
Abstract Number: 3
Trends in Internal Medicine Advertisements: An Analysis of Advertisements Published Between 1996 and 2004
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The healthcare marketplace has changed substantially since the last assessment of demand for internal medicine physicians in 1996. Method: We reviewed internal medicine employment advertisements published in 4 major medical journals between 1996 and 2004. The number of positions, specialty, and other practice characteristics (e.g., location) were collected from each advertisement. We then used […]
Abstract Number: 4
Effects of Perioperative Medical Consultation on Resource Utilization and Quality of Care in Patients Undergoing Major Surgery
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Higher burden of comorbidity in surgical patients and shorter lengths of stay are contributing to growing interest in collaboration between surgeons and internists in managing patients in the perioperative period. However, there is little information regarding the effects consultative models on quality of care or resource use. Method: We analyzed data from the UCSF […]
Abstract Number: 5
Association of Perioperative Statins and Beta‐Blockers with Long Term Mortality After Vascular Surgery
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The use of perioperative beta‐blockers improves outcomes after surgery. Recent studies have shown promising preliminary results suggesting perioperative statins may also benefit patients. We sought to ascertain if the use of these drugs was associated with a reduction in mortality after surgery. Method: We conducted a retrospective cohort study of patients presenting for vascular […]
Abstract Number: 6
Best Physician Model for Improving Patient Care and Service in a Community Hospital
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The Hospitalist program in our county owned, community hospital began in August, 2003, in an effort to provide optimum care for unfunded and Medicaid patients. The goal was to improve hospital‐wide throughput and reduce length of stay, reduce hospital cost per case and pharmacy cost, improve continuity of care, demonstrate overall improvement in patient […]
Abstract Number: 7
Long Term Benefit of Heart Failure Disease Management Programs
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Short term benefit of heart failure (HF) disease management programs have been demonstrated in previous research. However, the long term efficacy of these programs has not been established. We sought to determine the long term sustainability and overall efficacy of disease management programs in HF through a quantitative review of randomized clinical trials. Method: […]
Abstract Number: 8
Role of Hospitalists in Management of Patients with Chest Pain: Results of a Retrospective Cohort Study
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Each year over 6 million Americans present to emergency departments with complaints of chest discomfort. Of those only 20‐25% eventually receives the diagnosis of acute coronary syndrome (ACS)/coronary artery disease (CAD). Despite the excess number of admissions including low risk patients with high costs, still 1.2‐3% of patients with acute myocardial infarction (AMI) are […]
Abstract Number: 9
Evaluation of a Nursing Practice Based Intervention to Improve Satisfaction with Pain Control
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Pain is common among hospitalized patients and their pain is often not well controlled. In well‐defined populations, such as postoperative patients, protocols can be effective at improving pain control. For the general medical patient, pain experiences may be more diverse so specific protocols may be less applicable. There may be interventions though which address […]
Abstract Number: 10
The Potential for Medical Errors ‐ How Well Are Patients' Medications Documented on Hospital Admissions, Discharges and Follow‐ups
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The accuracy of a patient's medication use history is essential in providing quality medical care and in preventing medical errors. An erroneous medication use history may result in failure to detect drug‐related problems as the cause of hospital admission or lead to interrupted or inappropriate drug therapy during hospitalization. Following hospital discharge, the perpetuation […]