Session Type
Meeting
Search Results
Abstract Number: 361
SHM Converge 2023
Background: Hospitalist-run Medical Procedure Services (MPS) have been shown to decrease time-to-procedure, overall length of stay, and interventional subspecialty consults for bedside procedures while increasing revenue for hospitalist groups [1,2,3,4]. However, significant challenges remain in the deployment of a financially sustainable MPS, and there is interest in identifying and deploying strategies to improve sustainability. Two […]
Abstract Number: 362
SHM Converge 2023
Background: Medication reconciliation (MR) is foundational to patient safety during and after a hospital admission. Although many electronic health records (EHRs) have a dedicated space for documenting home medications on admission, use of such EHR sections remains variable. Providers may opt to record the MR only in the admission H&P, which is not easily updated […]
Abstract Number: 363
SHM Converge 2023
Background: Clostroidiodes difficile (CD) is the most prevalent hospital-acquired infection in the United States, accounting for approximately 224,000 infections with 13,000 deaths and over 1 billion dollars spent in 2017, according to the Centers for Disease Control and Prevention (CDC). Clostroidiodes difficile accounts for 10-20% of diarrhea in the setting of recent antibiotics exposure.In St […]
Abstract Number: 364
SHM Converge 2023
Background: During a pre-intervention baseline survey period, only 38% of internal medicine inpatients with a do-not-resuscitate (DNR) order at time of hospital discharge and absent or discordant Portable Orders for Life-Sustaining Treatment (POLST) form at time of admission were discharged with a concordant POLST form. Purpose: To improve documentation of end-of-life preferences in hospitalized adults […]
Abstract Number: 365
SHM Converge 2023
Background: Effective discharge education is important to help patients understand their medications and follow up appointments, thereby improving adherence and reducing risk of readmissions. Our institution’s electronic medical record has a standard After Visit Summary (AVS) that is utilized by nursing staff to educate patients on the discharge care plan and then given to patients […]
Abstract Number: 366
SHM Converge 2023
Background: Due to significant HD nursing shortages complicated by the COVID-19 pandemic, available outpatient hemodialysis chairs have become scarce. This results in prolonged length of stay for these patients, staying in the hospital for months. Not only is this a problem for the healthcare system dealing with capacity issues and reimbursement, the patients remain inpatients […]
Abstract Number: 367
SHM Converge 2023
Background: Malnutrition is a significant indicator for illness severity and expected mortality. Prior to any process improvement interventions in 2014, only 4.7% of UNMH inpatients were diagnosed with malnutrition at discharge, much lower than the published national inpatient prevalence of 20-50%. Given the relatively high level of poverty in NM, we believe these lower rates […]
Abstract Number: 368
SHM Converge 2023
Background: Approximately 5% of patients hospitalized at our institution develop clinically significant alcohol withdrawal syndrome (AWS). Inpatients who develop AWS may experience seizures, delirium, ICU transfer and prolonged length of stay. While the mortality of AWS, mostly related to delirium tremens, has decreased over time, severe alcohol withdrawal is still associated with a mortality of […]
Abstract Number: 369
SHM Converge 2023
Background: Admitted patients with Type II Diabetes Mellitus (T2DM) are often placed on sliding scale insulin with four fingerstick blood glucose (FSBG) tests per day, regardless of home insulin use or baseline glycemic control. FSBG testing in the inpatient setting allows for real-time insulin adjustment to protect patients from significant hypo- or hyperglycemia, but FSBG […]
Abstract Number: 370
SHM Converge 2023
Background: Many studies have demonstrated the negative effects of emergency department (ED) crowding on outcomes, including increased length of stay, inpatient mortality, and risk of readmission. Early evidence suggests effective and timely triage of patients with hospitalist input can mitigate some of the detrimental effects of ED crowding. In contrast to prior studies focused on […]