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Search Results for CT
Abstract Number: 204
SHM Converge 2023
Background: Increased life expectancy has raised the number of elderly patients suffering from hip fractures. This frail population and its surgical-related complications are scarcely known. We performed a single-center descriptive study involving centenarian patients to depict their management and complications. Methods: Centenarians with a hip fracture admitted to a single level I trauma center from […]
Abstract Number: 206
SHM Converge 2023
Background: Closing the gap between evidence-supported antibiotic use and prescribing patterns among clinicians is a vital component of curbing excessive antibiotic use, a practice that fosters antimicrobial resistance and exposes patients to the side effects of antimicrobial agents. Providing medication prescribing information via scorecard has been shown to improve clinician adherence to quality metrics in […]
Abstract Number: 228
SHM Converge 2023
Background: Persons living with dementia (PLWD) have two times more hospitalizations than persons without cognitive impairment. For PLWD, the unfamiliar environment of the hospital setting results in behavioral and psychological symptoms of dementia (BPSD) and consequently, increased use of psychoactive medications and enhanced nursing supervision. The objective of this quality improvement project was to evaluate […]
Abstract Number: 230
SHM Converge 2023
Background: Several electronic health record (EHR) mortality prediction models have been developed to promote early goals of care discussions (GOCD) but only a few models were evaluated prospectively. We aimed to implement a real-time 30-day inpatient mortality prediction model previously developed at our facility and evaluate its effect on GOCD in seriously ill transferred patients. […]
Abstract Number: 232
SHM Converge 2023
Background: It has been well demonstrated that improving patient health literacy positively impacts patient adherence to their treatment plan as well as patient satisfaction. The time just before hospital discharge is particularly important because the provider can summarize the admission including what the possible etiologies were that prompted admission, in-hospital therapies utilized, and what the […]
Abstract Number: 237
SHM Converge 2023
Background: Lab testing is critical for clinical decision-making and used throughout healthcare systems. Overuse of lab testing is known to be commonplace and contributes to shortages in lab testing materials. While practices exist at medical institutions that aim to limit lab test overuse, it is unclear which interventions are effective. Methods: We aimed to reduce […]
Abstract Number: 238
SHM Converge 2023
Background: The importance of accurate patient care records for effective communication and medical education is well documented. However, medical documentation as a tool for financial compensation is not emphasized in graduate medical education. We performed a review and analysis of resident charting errors during inpatient rotations to determine the potential revenue loss and economic impact. […]
Abstract Number: 245
SHM Converge 2023
Background: Hospital readmissions within 30 days of discharge have gained national attention and account for more than $17 billion in avoidable U.S. Medicare expenditures each year. (1) In 2011 alone, there were approximately 3.3 million adult 30-day all-cause hospital readmissions, costing the US $41.3 billion.(2) As such, efforts have been made to create algorithms to […]
Abstract Number: 248
SHM Converge 2023
Background: A problem list serves as a central place for hospital-based clinicians to obtain a comprehensive and concise view of the patient’s active medical conditions. Use of the hospital problem list has many potential benefits: it provides a mental model of patient’s health status; streamlines the documentation process; makes chart review more efficient; facilitates communication […]
Abstract Number: 252
SHM Converge 2023
Background: Understanding patient readiness for discharge requires communication between the many disciplines who care for patients. Team members use different tools in the electronic health record (EHR) to document and communicate discharge-related information, which can result in inefficient communication, delays in discharge, and adverse patient outcomes. EHR-based discharge coordination tools have potential to improve discharge […]