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Meeting
Search Results for Multidisciplinary
Abstract Number: 70
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Co-management across service lines has become increasingly common in hospital medicine. SHM’s Co-Management Task Force has outlined several components of a successful co-management program. Recent studies have shown that cross-disciplinary service arrangements, which are more collaborative, enhance provider satisfaction and may improve patient care. These benefits have encouraged institutions to roll out multiple co-management […]
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: 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 […]
Abstract Number: 260
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Delirium affects 20-60% of the general hospitalized patients, and up to 85% of intensive care unit (ICU) patients. Its occurrence is associated with higher morbidity and mortality, long-term institutionalization, worse long-term cognitive outcomes, and increased hospital length of stay and costs. It is often missed due to lack of standardization in assessment and diagnostic […]
Abstract Number: 268
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: : Low patient satisfaction can result in financial loss for hospitals, and potentially for individual physicians or groups and patient satisfaction is known to be lower on academic services.1 Increasingly, Medicare funds will be withheld from hospitals for underperformance in patient satisfaction due to Value Based Purchasing (VBP). We identified a low performing, academic […]
Abstract Number: 321
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients who are at risk for readmissions and emergency department visits following hospital discharge frequently have multiple medical comorbidities and a history of multiple prior hospitalizations. Over the past five years, reducing hospital readmissions has increasingly become a priority for hospitals, and effective interventions to reduce readmissions have included multiple components and multiple disciplines. […]
Abstract Number: 387
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Cardiac biomarkers, such as myoglobin and B-type natriuretic peptide (BNP), are frequently ordered in the emergency room and inpatient settings. Newer studies and guidelines have called into question the value of these tests in diagnosis and management. Myoglobin is commonly used for early diagnosis of acute coronary syndrome (ACS) in patients who present with […]
Abstract Number: 690
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 23 year old female with a history of ovarian torsion, s/p ovarian cystectomy, presented to the emergency department in status epilepticus. Over the past week, the patient experienced a rapid deterioration in behavior associated with visual/auditory hallucinations, and panic attacks. The patient was afebrile, blood pressure of 135/70, heart rate of 120, and […]