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Abstract Number: 113
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). Longer ED boarding time and delay in inpatient discharge process are parts of a vicious cycle of internal bottleneck contributing […]
Abstract Number: 114
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Obesity affects a large majority of the U.S. population, and hospitalizations may represent opportunities to intervene and promote weight loss. We sought to determine if multidisciplinary patient-centered inpatient weight loss consults, post-discharge telephone text messages, and primary care follow up could result in weight loss. Methods: We conducted a feasibility study comparing 25 obese […]
Abstract Number: 116
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: End Stage Renal Disease carries a poor prognosis. Only half of dialysis patients are still alive three years after the initiation of renal replacement therapy. Furthermore, dialysis patients are hospitalized more often compared to the general population, averaging two admissions per year. We hypothesized that outcomes in dialysis patients are worse when they require […]
Abstract Number: 136
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: A small population of patients disproportionately consume an increasing share of medical resources. These super-utilizers often have complex medical and psychosocial conditions that require carefully coordinated, individualized care. As this population drives unplanned readmissions, programs to reduce readmissions may create unintended incentives to direct super-utilizers to another hospital system. This study was designed to […]
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: 155
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: It has been unclear about prevalence and in-hospital mortality of severe hypophosphatemia among hospitalized medical patients. Predictors for in-hospital mortality have not yet been determined in terms those may include serum nadir phosphate level, hemolytic complication from hypophosphatemia, or baseline disease as a cause of hypophosphatemia . Methods: A retrospective cohort study was conducted […]
Abstract Number: 167
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Failure to follow-up results of laboratory tests pending at discharge (TPADs) can lead to patient harm. Numerous interventions have been proposed to improve follow-up. The Laboratory Medicine Best Practices (LMBP™) workgroup, sponsored by the Centers for Disease Control, commissioned a systematic review to address the impact of various interventions on TPAD documentation, communication, and […]
Abstract Number: 176
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: To address safety risks with transitions from hospital to home, the IMPACT collaborative designed, tested and implemented the Pediatric Patient Centered Care Transition (PACT) Bundle. The bundle element “perfect” handoff (timely and complete) aimed to improve hospitalist handoff to outpatient providers at hospital discharge.Our objective was to assess outpatient medical provider’s perceptions of hospitalists’ handoff […]
Abstract Number: 197
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In line with the American Board of Internal Medicine’s (ABIM) Choosing Wisely® initiative, the Society of Hospital Medicine (SHM) recommends not performing repetitive complete blood count (CBC) and chemistry (CHEM7) testing in the face of clinical and lab stability. In addition to decreasing the risk of hospital acquired anemia (HAA), reducing unnecessary routine blood work can ultimately result in significant […]
Abstract Number: 231
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Palliative care and geriatrics in hospital medicine have an established positive impact on patient experience and outcomes, however, these specialist care services remain underutilized. Recognizing an opportunity to improve the appropriateness of inpatient consultation on a large academic medical hospitalist service, we implemented a multi-disciplinary quality improvement intervention with the goal of increasing appropriate […]