Session Type
Meeting
Search Results for Quality
Abstract Number: 209
SHM Converge 2023
Background: Disposition planning is a vital part of clinical care in the hospital setting and requires a collaborative multidisciplinary approach. Physical therapy (PT) assessments are often a key part of this process but due to staffing shortages and high acuity – both of which were exacerbated by the COVID pandemic – therapists at a large […]
Abstract Number: 210
SHM Converge 2023
Background: Errors in medication reconciliation frequently occur at transitions of care. Patients discharged to skilled nursing facilities (SNFs) are particularly vulnerable to the consequences of these mistakes. An interprofessional team at UVA Health implemented a longitudinal quality improvement (QI) project to reduce medication reconciliation errors for patients discharging from acute care medicine services to SNF. […]
Abstract Number: 212
SHM Converge 2023
Background: Minority and low-income populations are more likely to be hospitalized and/or re-hospitalized for acute asthma, a key indicator of poorly controlled disease. While hospitals have attempted to improve asthma care by implementing individual-level care interventions, inequities persist during inpatient stays and in intervention delivery. Little is known about the impact of “bundled” systems-level interventions […]
Abstract Number: 214
SHM Converge 2023
Background: Oncology comanagement of hospitalized cancer patients is increasingly common. We (1) and others (2-4) have previously demonstrated that when compared with traditional oncologist-only staffing, hospitalist co-management can improve on well-recognized quality outcomes including length of stay, early discharge rates and 30-day readmission rates. Yet, the composition of an oncology hospitalist practice is incompletely understood […]
Abstract Number: 217
SHM Converge 2023
Background: Multiple organizations have published clinical guidelines on hyperglycemia management in the acute care setting in non-critically ill patients [1–3], and the Society of Hospital Medicine offers additional support through its Glycemic Control program [4]. However, there remains little consensus regarding specific dosing regimens when designing insulin protocols in the inpatient setting. At our institution, […]
Abstract Number: 218
SHM Converge 2023
Background: Hospital crowding and subsequent resource strain have been associated with worse patient outcomes and increased length of stay (1–3). As pediatric hospitals face an overwhelming respiratory illness surge in the wake of the COVID pandemic (4–6), improving hospital patient flow is all the more critical. Nonetheless, a substantial proportion of patients, nearly 1 in […]
Abstract Number: 226
SHM Converge 2023
Background: A hospital discharge summary serves as an important document that outlines the patient’s hospital course, changes made to their medication regimen, and significant studies or events that took place during their stay. Studies have shown that high-quality discharge summaries are instrumental in facilitating safe transitions from the hospital, minimizing adverse events, and reducing hospital […]
Abstract Number: 233
SHM Converge 2023
Background: Improving the appropriate use of peripherally inserted central catheters (PICC) has been shown to reduce the rates of PICC-associated complications. However, quality improvement (QI) programs that promote appropriate PICC use may require significant financial investment. We evaluated the cost-effectiveness of the Michigan Hospital Medicine Safety (HMS) PICC QI initiative, a physician-led, performance-incentivized, QI intervention […]
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: 240
SHM Converge 2023
Background: Hospital at Home (HaH) programs provide feasible and effective inpatient-level care in patients’ homes, with interest in this value-based care model increasing substantially as health systems strain to meet capacity and resource demands.1-6 Despite well-documented benefits, adoption of HaH outside of capacity surges remains limited, hindering scalability efforts.7 Furthermore, patient and provider experiences of […]