Session Type
Meeting
Search Results for Quality
Abstract Number: 242
SHM Converge 2023
Background: With the broad implementation of electronic health records, clinical documentation integrity continues to be under increasing scrutiny. On average, physicians spend over a third of their time documenting patient data¹; this burden has been extensively correlated to burnout². Leveraging automated note templates with integrated safety rounding checklists, we attempted to standardize more efficient documentation […]
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 […]
Abstract Number: 264
SHM Converge 2023
Background: Hospitalized patients with COVID-19 who improve clinically but have ongoing oxygen requirements are often discharged with home oxygen. There are important considerations for home monitoring, follow-up and education at the time of discharge for these patients who must manage new equipment at home. This project aimed to describe discharge planning for COVID-19 patients with […]
Abstract Number: 266
SHM Converge 2023
Background: Breastfeeding and human milk are the normative standards for infant feeding and nutrition. Studies have shown that newborns who were exclusively breastfed had lower risk of otitis media, upper respiratory tract infections, lower respiratory tract infections, asthma, atopic dermatitis, gastroenteritis, RSV bronchiolitis, obesity, celiac disease, type I and type II diabetes, and leukemia.1,2The American […]
Abstract Number: 319
SHM Converge 2023
Background: Studies, particularly the MARQUIS trial, have demonstrated the value of pharmacist-led medicine reconciliation. At our institution, we partnered with the College of Pharmacy to implement, revise, and grow a novel hospitalist-led transitions of care pharmacy student rotation. Pharmacy students work directly with attending hospitalists to address admission medication reconciliation errors and collaborate in the […]
Abstract Number: 338
SHM Converge 2023
Background: Lack of academic productivity poses barriers to the promotion of hospital medicine faculty members at academic medical centers.1,2 New faculty members may face additional challenges with academic promotions due to lack of research productivity and availability of career mentors. Lack of academic funding for early career academic hospitalists has previously been highlighted as a […]
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: 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: 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 […]