Session Type
Meeting
Search Results for Improvement
Abstract Number: 228
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Joint Commission’s Surgical Care Improvement Project (SCIP)-9 recommended removing indwelling urinary catheters (IUC) before postoperative day 2 to decrease urinary infection (UTI) risk. Our center implemented a best practice alert (BPA) in the electronic health record to enforce SCIP-9 with near-100% compliance. We sought to study the effect of the BPA on catheter […]
Abstract Number: 236
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: New York State has identified a list of controlled medications that require frequent monitoring and review. New York State law dictates that these medications, when disbursed in a hospital setting, must be reviewed and re-ordered on a weekly basis. In order to maintain compliance with New York State law, the Electronic Medical Record (EMR) […]
Abstract Number: 242
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Critical lab values are those results that require rapid notification to clinical staff so that urgent interventions can be made to avoid morbidity or mortality. The Joint Commission requires that hospitals have an effective critical lab value process in place. The process is a time-consuming multi-step progression of phone calls with associated documentation. The […]
Abstract Number: 244
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Institute of Medicine estimates that there are 44,000-98,000 preventable deaths per year. However, there is a paucity of literature regarding preventable death rates, despite its importance as a quality measure. Methods: All deaths in the general medicine service from 2010-2012 at an academic hospital underwent an independent retrospective chart review by […]
Abstract Number: 245
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Adult patient populations are not effectively vaccinated in United States, which contributes to increased rates of hospitalization, cost of medical care and disease complications. Though physicians’ understanding of vaccination measures should be comprehensive, many studies have indicated that adult patients are not receiving their vaccinations as they should. One study during a pertussis outbreak […]
Abstract Number: 248
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In shared decision making models, decisional conflict is a measure of uncertainty and readiness and comfort level in making a decision. The literature examining decisional conflict is currently relatively immature. The act of a patient being readmitted is, in part, an effect of multiple small decisions a patient makes in the time between index […]
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: 254
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: UGIB is a common cause of inpatient admissions often associated with morbidity and an overall mortality rate approaching 10%. Since therapy is different, it is important to differentiate between variceal and non-variceal GI bleeding. While both will often need volume resuscitation, proton pump inhibitors (PPI), judicious transfusion and early endoscopy, patients with variceal bleeding […]
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: 258
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Late discharges are a known barrier to patient flow. Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams. Purpose: “Daily afternoon multidisciplinary team huddles will increase the % of discharge orders before 10am by 10% on the medicine teams by June 2015” Description: We initially analyzed reasons […]