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Meetings Archive For Hospital Medicine 2018; April 8-11; Orlando, Fla...

Plenary Presentations
MENTORED IMPLEMENTATION OF THE I-PASS HANDOFF PROGRAM IN DIVERSE CLINICAL ENVIRONMENTS
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Handoff miscommunications are a leading source of medical errors. Medical error and adverse event rates decreased following implementation of the I-PASS handoff program (a bundled intervention using a structured mnemonic, I-PASS, and other initiatives to sustain implementation) in a pediatric research trial. Whether I-PASS can be implemented in settings outside academic pediatric institutions is […]
Plenary Presentations
THE SLEEP HYGEINE IN THE HOSPITAL PROJECT: SHH!
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 Academy of Nursing Choosing Wisely guidelines recommend not to “wake the patient for routine care unless the patient’s condition or […]
Oral Presentations
ADDING SCIENTIFIC CONSULTANTS TO OUR ARMAMENTARIUM: A BASIC SCIENCE CONSULT SERVICE
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In the dawning era of precision medicine, increasingly sophisticated tools are becoming available to diagnose and investigate rare and unexplained diseases. The application of these tools to clinical practice will require new models of collaboration between clinicians, tool developers, and laboratory investigators. Many structural barriers to such collaboration exist in our current healthcare delivery […]
Oral Presentations
CURP65, A NEW RISK SCORE FOR INFLUENZA PATIENTS
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Community acquired severity scores are well known and used routinely in predicting mortality and risk of inpatient and ICU admission in suspected bacterial pneumonia patients. However such scores have not been studied in patients with influenza infection and influenza pneumonia. We attempted to validate one such score, CURB65 and and identify other scores that […]
Oral Presentations
FOSTERING COLLABORATION: EXPOSURE TO INTERPROFESSIONAL COLLABORATION IN THE INTERNAL MEDICINE CLERKSHIP
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In 2015, medical students in their clinical clerkships (traditionally known as third year medical students) began rotating directly with hospitalist attendings. As we began crafting the rotation, we sought to provide value that was not leveraged elsewhere in their clerkships. Different organizations, including the Liaison Committee on Medical Education and Association of American Medical […]
Oral Presentations
IMPACT OF INDIVIDUALIZED METRICS AND MOBILE DELIVERY ON HOSPITALIST ENGAGEMENT AND OUTCOMES
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Inpatient margins and hospital reimbursement have become increasingly dependent upon improving key metrics, such as length of stay and 30-day readmissions. Hospitalists typically lack access to credible, timely, and insightful metrics that inform their practice. In addition, individualized metrics, when available, struggle to properly normalize for patient complexity, warranted variations in care, shared decision-making, […]
Oral Presentations
IMPACT OF INTER-HOSPITAL TRANSFER ON PATIENT OUTCOMES: A NATIONAL EVALUATION
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The transfer of patients between hospitals (interhospital transfer, IHT), exposes patients to risks of discontinuity of care. In this study, we aim to better understand which patients may (or may not) benefit from IHT by evaluating the impact of IHT on clinically important patient outcomes among a variety of patient diagnoses. Methods: We performed […]
Oral Presentations
PATIENT & FAMILY ADVISORY COUNCILS (PFACS): RECRUITING AND SUPPORTING MEMBERS FROM DIVERSE, VULNERABLE AND UNDER-REPRESENTED COMMUNITIES
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Ensuring hospital-based Patient and Family Advisory Councils (PFACs) include members from diverse, vulnerable and underrepresented communities is important to ensure that all voices are represented and heard when providing input into hospital quality improvement and research efforts. However, ensuring diverse membership of PFACs remains a challenge. This study aims to describe strategies to recruit […]
Oral Presentations
REAL-TIME HOSPITALIST BURNOUT: IMPLICATIONS FOR SYSTEM-LEVEL SOLUTIONS
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In a previous randomized trial we found that shorter ward rotations reduced attending physician burnout at rotation-end. This improvement was offset, however, by negative education outcomes among trainees. Therefore solutions to burnout other than simply shortening rotations are needed to preserve the educational mission. We examined additional data collected (but not yet presented) to […]
Oral Presentations
SAFETY QUEST: A NOVEL WEB-BASED GAME TO TEACH QI AND PATIENT SAFETY
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 named SafetyQuest (http://safetyquest.stanford.edu) to teach QI and PS concepts. Objectives include: 1) Increasing knowledge regarding actions to promote safety such […]