Session Type
Meeting
Search Results for Quality
Abstract Number: I19
SHM Converge 2022
Background: Feedback in clinical training is essential to reinforce positive behaviors and to provide areas for improvement. Numeric ratings from student performance evaluations are helpful but are not sufficient to guide the learner in areas where they excel and where they may need additional development. Narrative written feedback both reinforces verbal feedback and provides support […]
Abstract Number: I21
SHM Converge 2022
Background: Appropriate and timely documentation of rapid response events has been shown to have a significant impact on patient care and outcomes. Prior to January 2021, our institution did not have a standardized rapid response note template to facilitate best clinical documentation practices. A review of rapid response events at our institution that occurred during […]
Abstract Number: K12
SHM Converge 2022
Background: Multiple studies support the association between systematic implementation of Patient Blood Management (PBM) programs and improved patient outcomes, reduced RBC utilization, and decreased healthcare costs. In 2019, Sentara Healthcare launched a system-wide PBM program aimed at decreasing avoidable transfusions by 24% over 3 yrs. Several care collaboratives, including the Society of Hospital Medicine (SHM), […]
Abstract Number: K14
SHM Converge 2022
Background: Telemetry overuse contributes to excess healthcare costs, unnecessary workup of incidentalomas, and alarm fatigue. To curb overuse, guidelines such as the 2017 AHA/ACC continuous ECG monitoring practice standards have outlined appropriate telemetry use standards. The aim of this study was to perform a rapid “plan-do-study-act” (PDSA) cycle and assess whether a nursing (RN)-driven checklist […]
Abstract Number: L12
SHM Converge 2022
Background: An estimated 1 in 5 patients are at risk for being readmitted to the hospital within 30 days of discharge. Readmissions put a large financial strain on the United States healthcare system and increase risk for poor patient care outcomes. The Centers for Medicare/Medicaid Services publicly report readmission data and have financial penalties for […]
Abstract Number: L14
SHM Converge 2022
Background: Physical therapy (PT) in the inpatient setting is a limited and valuable resource. Inappropriate PT consultation is costly and can lead to delays in care. Overutilization of inpatient PT services is an increasingly recognized problem. Patients with minimal or no functional limitations frequently receive PT evaluation, diverting resources and delaying care for the patients […]
Abstract Number: M13
SHM Converge 2022
Background: Evidence suggests that oxygen supplementation is only beneficial to hypoxic patients (or oxygen saturation (SPO2) < 90%) yet is commonly given to normoxemic patients despite having no clinical indication for its use. Excessive oxygen supplementation with saturations above 96% for long periods of time has also been proven to increase mortality rates when compared […]
Abstract Number: M14
SHM Converge 2022
Background: One in three heavy drinkers experience acute alcohol-associated hepatitis (AAH). AAH is defined as acute liver injury with elevated bilirubin and AST/ALT ratio >1.5 in the setting of heavy alcohol use. AAH has a high mortality rate and is associated with development of chronic liver disease; thus, it is crucial to correctly identify patients […]
Abstract Number: M21
SHM Converge 2022
Background: Persistently high hospital volumes, increased patient complexity, and lack of skilled nursing bed availability have led to significant bottlenecks in care and decreased inpatient bed availability. A hospital-wide initiative was created to increase the rate of discharge before noon (DBN). To meet discharge targets on hospital medicine units, we formed a multidisciplinary quality improvement […]
Abstract Number: N14
SHM Converge 2022
Background: Targeted approaches for early discharge times have been utilized to improve patient flow, but literature shows sparse evidence for hospital-wide efforts and mixed benefits for the length of stay and readmission rates. Furthermore, there is limited data for this approach across a large academic medical center. We set an aim to increase the percentage […]