Session Type
Meeting
Search Results for Improvement
Abstract Number: 161
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Morbidity and Mortality (M&M) Conference is a traditional forum that provides residents with an opportunity to discuss medical errors, adverse events and near misses. Conventionally, most of the allotted time is spent on case presentation, unexpected outcomes and therapeutic debates. We demonstrate a unique approach to M&M, where we refocused the content by emphasizing […]
Abstract Number: 164
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Crystalloid fluid solutions are one of the most common medications used in the inpatient setting. Although normally harmless, excessive administration of intravenous fluid (IVF) therapy can be a significant cause of patient morbidity in the hospital. This usually is a result of the liberal use, which based on anecdotal experience, is frequently due to […]
Abstract Number: 179
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Healthcare delivery has become more expensive, with a portion of the elevated cost due to increased utilization of laboratory studies. The Choosing Wisely campaign is an initiative of the American Board of Internal Medicine Foundation focused on preventing wasteful care. Accordingly, the Critical Care Societies Collaborative developed an evidence-based list describing overutilization practices. This […]
Abstract Number: 204
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Paracentesis is associated with decreased mortality in patients with advanced liver disease. The prevalence of paracentesis related complications is not well characterized, but prior studies suggest improved safety outcomes when ultrasound guidance is employed. The Agency for Healthcare Research and Quality utilizes patient safety indicator (PSI) 27 to identify postoperative bleeding complications. Our aim […]
Abstract Number: 210
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient telemetry monitoring began over 4 decades ago. However, recently hospitals have started to implement programs that aim to improve the appropriateness of telemetry use. Quality initiatives take the American Heart Association (AHA) guidelines for practice standards for EKG monitoring in hospital settings to reduce the numbers of patients on telemetry inappropriately. Our residency […]
Abstract Number: 213
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Acute hospitalization can precipitate insomnia- the insomnia being related to the underlying illness, medications, change from usual nighttime routines and a sleep disruptive hospital environment. Both insomnia and the drugs used to treat it may contribute to delirium, increased fall rates, increased restraint use, increased length of stay and lower patient/ customer satisfaction. In […]
Abstract Number: 221
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Neutropenic Fever (NF) is a common complication for patients on myelosuppressive chemotherapy. Despite guidelines by the Infectious Diseases Society of America (IDSA), however, there is variability in physician compliance. There are limited prior studies assessing compliance in this realm and those studies do not fully assess drivers of poor compliance. Poor compliance can result in increased […]
Abstract Number: 225
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Malnutrition affects up to 30% of inpatients, but is rarely diagnosed. This leads to under-treatment and poor patient outcomes including: infections, pressure ulcers, and poor wound healing. In the MS-DRG system, malnutrition is considered either a major complication/comorbidity (MCC) or a complication/comorbidity (CC), depending on specificity and severity. Therefore, missed diagnoses significantly impact patient […]
Abstract Number: 226
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Pay-for-performance incentives allow for engagement and motivation of participating physicians. Hospitalist compensation structure commonly combines base salary with performance and/or productivity-based incentives. Frequently used quality measures are value based purchasing metrics, patient satisfaction scores, adherence to guidelines and quality of medical documentation. Selection of metrics is strongly influenced by what is measurable and available. […]
Abstract Number: 227
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital admission presents an important opportunity to engage with patients about goals of care (GOC) and advanced care planning. The significant and sensitive nature of GOC conversations requires that documentation of a patient’s goals be accurate, clear, and easily found in the medical record. This has become increasingly relevant in the setting of frequent […]