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Meetings Archive For Hospital Medicine 2019, March 24-27, National Harbor, Md...

Abstract Number: 5
TEACH THE TEACHER MODEL: AN INNOVATIVE METHOD FOR IMPLEMENTING A POINT OF CARE ULTRASOUND CURRICULUM WITHIN A LARGE ACADEMIC INSTITUTION
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Point-of-Care Ultrasound (POCUS) is becoming an increasingly valuable tool in Internal Medicine. With the proper training, POCUS can provide insight into diagnostic dilemmas, resulting in expedited management and enhancing patient care. However, the ability to effectively utilize POCUS is directly related to the extent of each individual’s training. It is therefore critical to implement […]
Abstract Number: 6
OVERNIGHT CROSS-COVERAGE ON HOSPITAL MEDICINE SERVICES: PERCEIVED WORKLOAD BASED ON PATIENT CENSUS, PAGER VOLUMES, AND PATIENT ACUITY
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: While many Hospital Medicine groups employ overnight providers to exclusively care for previously admitted patients (cross-coverage), little data exists regarding factors contributing to the perceived workload of this role. The NASA-Task Load Index (NASA-TLX) is a validated questionnaire used to quantify perceived workload. Methods: Overnight providers completed the NASA-TLX at the end of each […]
Abstract Number: 7
5 STAR HOSPITALS BASED ON PATIENT EXPERIENCE PROVIDE FEWER CLINICAL SERVICES
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Centers for Medicare and Medicaid Service (CMS) publicly report patient experience star ratings for hospitals generated from their performance on the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) survey. The objective was to make the information more understandable for patients. However, the ratings may not be intuitive or help consumer choice. For […]
Abstract Number: 8
WHO’S WAITING? PREDICTORS OF ANTIBIOTIC DELAYS IN HYPOTENSIVE PATIENTS WITH SEPSIS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In sepsis, every hour of delay in antibiotic administration after the onset of hypotension is associated with 4-7% increase in mortality, but little is known about the characteristics of patients with treatment delays. Our objective was to determine if septic adults presenting to the Emergency Department (ED) who receive antibiotics more than 60 minutes […]
Abstract Number: 9
DOES HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTION INCREASE THE RISK OF HOSPITAL DISCHARGE TO SKILLED NURSING FACILITIES? A RETROSPECTIVE CASE CONTROL STUDY FROM A COMMUNITY HOSPITAL
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital Onset Clostridium difficile infection (HOCDI) is one of the most common causes of hospital acquired diarrhea. As per a recent study, the mean healthcare costs attributable to primary Clostridium difficile infection (CDI) is about $24,205 per patient. This would be a lot more if the patients were to be discharged to skilled nursing […]
Abstract Number: 10
APPLYING MAGIC TO IMPROVE PICC APPROPRIATENESS IN 42 MICHIGAN HOSPITALS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A substantial proportion of peripherally inserted central catheters (PICCs) are placed for inappropriate indications. We performed a multi-hospital intervention to improve the appropriateness of PICC use. Methods: We conducted a collaborative cohort study of hospitals participating in the Hospital Medicine Safety Consortium. An evidence-based intervention centered on the Michigan Appropriateness Guide for Intravenous Catheters […]
Abstract Number: 11
CARE PROCESS MODEL FOR OUR PATIENTS ADMITTED WITH MEDICAL COMPLICATIONS OF INJECTION DRUG MISUSE
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Beginning in 2015 Mission Hospital in Asheville, NC began noticing a rise in the number and associated length of stay (LOS) of patients admitted for medical complications of injection drug misuse. What began as a small team mainly focused on LOS reduction strategies quickly morphed into a multidisciplinary team to formalize a Care Process […]
Abstract Number: 12
A PROCESS APPROACH TO DECREASING HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTIONS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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) reporting and included with other hospital-acquired infections as publically reported data. CDI contribute to prolonged hospital stays, inappropriate antimicrobial use, […]
Abstract Number: 13
THE FEASIBILITY AND ACCEPTABILITY OF VIDEO VISITS FOR HOME-LIMITED ADULTS, A PILOT PROGRAM
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Geriatric and palliative care patients who have been discharged from hospital and are home-limited face challenges in effectively accessing ongoing healthcare and clinical follow-up after being discharged, leaving them at risk for unnecessary re-hospitalization. Health care video visits present a novel opportunity to expand patient access to clinical care remotely in their home, potentially […]
Abstract Number: 14
ENDING ENDOSCOPY DELAY: A MULTIDISCIPLINARY APPROACH TO REDUCE INPATIENT ENDOSCOPY DELAYS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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 factors like clinical stability and presentation, endoscopies are prone to delays. These delays may cause frustration amongst care providers and […]