Session Type
Meeting
Search Results for Quality
Abstract Number: E22
SHM Converge 2022
Background: Catheter Associated Urinary Tract Infections (CAUTI) and Central Line Associated Bloodstream Infections (CLABSI) carry a huge health care burden and is associated with increased length of stay and potential harm for the patient. There is an estimated total healthcare cost of $896 per infection for CAUTI and $45,814 per infection associated with CLABSI. The […]
Abstract Number: F13
SHM Converge 2022
Background: The use of metered-dose inhalers (MDIs) with spacers for delivering bronchodilator therapy is established as equivalent to the use of nebulizers (nebs) for symptom response.[1-3] Additional well-documented benefits to using MDIs in place of nebs include fewer systemic side effects, better long-term patient adherence to therapy, and, in the era of COVID-19, decreased use […]
Abstract Number: G12
SHM Converge 2022
Background: Provider-level practice variation is common and may impact clinical outcomes, such as length of stay and imaging ordering. However, it is unclear which provider characteristics lead to variations in practice. Using individual performance data from a provider-level dashboard, we aimed to evaluate variability in clinical performance and predictors of high or low performance. Methods: […]
Abstract Number: G13
SHM Converge 2022
Background: In 2017, Emory University Hospital Midtown (EUHM) instituted fast track dialysis (FTD) which identified low risk patients in the emergency department (ED) in need of hemodialysis (HD) and provided it efficiently. The FTD development team consisted of hospital medicine, emergency medicine, nephrology, dialysis unit nursing, and ED nursing. This program showed a reduction in […]
Abstract Number: G19
SHM Converge 2022
Background: A robust QI curriculum provides residents with the knowledge of QI methodologies and allows them to participate in a longitudinal QI initiative, demonstrating the skills required to implement, analyze, and present a full PDSA cycle. Limitations to having all residents in a training program be meaningful participants in ambitious QI projects are in large […]
Abstract Number: G21
SHM Converge 2022
Background: The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey is the first national, standardized, publicly reported survey of patient perspectives of hospital care. HCAPS scoring is tied not only to hospital compensation, but also is an important indicator of and reflection of interactions with patients. Specifically at Rhode Island Hospital, the goal […]
Abstract Number: H14
SHM Converge 2022
Background: Timely treatment of sepsis is the cornerstone of reducing sepsis-related morbidity and mortality, and a large body of work has demonstrated improved patient outcomes with initiation of early empiric antibiotics. Time to antibiotics after first sepsis recognition has increasingly gained attention as a quality of care metric with Surviving Sepsis Guidelines recommending initiation of […]
Abstract Number: H19
SHM Converge 2022
Background: There is recognition by educational regulatory bodies that physicians need to have some level of leadership skills. In 2007 the Residency Review Committee for Family Medicine approved a new requirement for training in leadership during family medicine residency. Seven years later in 2014, the Journal of Graduate Medical Education published the relationship between physician […]
Abstract Number: H21
SHM Converge 2022
Background: Morbidity and Mortality (M&M) conferences are common practice among internal medicine (IM) residency programs, but their effect on education and patient safety (PS) is inconsistent.[1,2] Existing research reports have struggled to identify best practices for implementing M&M conferences due to inherent variability in personnel and adverse event analysis processes. We need interventions that account […]
Abstract Number: H22
SHM Converge 2022
Background: Acute exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) are a major driver of hospitalizations. With a goal of reducing AECOPD admissions at the Cleveland VA Medical Center (VAMC), an interdisciplinary team was developed after a literature review and discussion with high-performing VA groups. Purpose: Primary aim was to decrease AECOPD hospitalizations and readmissions at […]