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Abstract Number: 80
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patient recruitment for randomized clinical trials is often challenging, especially when the alternatives being studied may require significant changes or have large consequences for the patient. We describe our experience recruiting patients for a clinical trial comparing the Comprehensive Care Program (CCP), a care delivery model in which physicians focus their practice on caring […]
Abstract Number: 101
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The 2015 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommend the use of systemic corticosteroids in the treatment of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Although prior guidelines did not recommend a dose or route, current guidelines recommend oral (PO) prednisone over intravenous (IV) methylprednisolone for non-ICU AECOPD hospitalizations, given […]
Abstract Number: 137
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs. Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all in settings of high patient complexity and acuity. We developed a large database of patients transferred between hospitals to identify […]
Abstract Number: 186
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Bridging anticoagulation is commonly prescribed to patients with atrial fibrillation who are initiating therapy or require interruption of anticoagulation for procedures. Current guidelines recommend bridging for patients at high risk of stroke, but no data guide this recommendation. Among patients with atrial fibrillation and one or more risk factors for thromboembolic stroke, the recently […]
Abstract Number: 251
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Little is known about the economic value of quality improvement (QI) interventions, including those related to central-line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI). Methods: We searched MEDLINE, Econlit, the Centre for Reviews & Dissemination Economic Evaluations, Greylit, and Worldcat from January 1, 2004 to May 15, 2015; examined lists of references; […]
Abstract Number: 256
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Healthcare costs continue to represent a growing burden on the American economy. Current research has focused on methods to eliminate unnecessary tests or procedures to save costs and prevent waste. Hepatitis C antibody testing represents one example of a test that, when positive, almost never needs to be repeated in a patient’s lifetime. Once […]
Abstract Number: 360
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Consensus supports the use of corticosteroids in acute exacerbation of COPD (AECOPD), but route of administration and dosage still vary considerably. In one study comparing lower dose oral (PO) prednisone to higher dose intravenous (IV) methylprednisolone, the prednisone regimen was associated with comparable improvement in lung function and oxygenation but a trend toward significantly […]
Abstract Number: 366
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Studies have shown that overutilization of labs is common and can cause adverse health outcomes. No study to date has compared whether variation in lab ordering tendencies exists between different services within the same hospital. Methods: This observational study combined a survey of internal medicine residents and hospitalists and a retrospective […]
Abstract Number: 370
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: By 2022 health care spending is expected to climb to 19.9% of the US GDP and is forecasted to continue rising with no end in sight[1]. The patient (or consumer) is completely detached from the reimbursement system and thus unaware of the distribution of health care dollars. The purpose of this study is to […]
Abstract Number: 372
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: It is known that blood product transfusions can be harmful to some patients and should be administered only in medically justified circumstances (Ferraris, et al. 2015). In keeping with current recommendations set forth by multiple medical societies, we designed and deployed an electronic medical record (EMR) based Restrictive Blood Transfusion Program as part of […]