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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: 165
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: We observed that clinical pages in our institution on both medical and surgical services do not always reach the primary inpatient provider. Because we use pagers to communicate critical, time-sensitive information, delayed or misdirected communication can adversely impact patient care. Purpose: Our goal was to quantify the frequency with which pages did not reach […]
Abstract Number: 166
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: While many institutions train housestaff to mitigate hospital hazards, few have exploited the crucial concept of situational awareness (i.e. mindfulness of the patient environment) to teach patient safety. One method to promote situational awareness is through the embedding of safety and low-value care hazards into simulation-based training exercises. Purpose: To assess incoming interns’ ability […]
Abstract Number: 169
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Clinicians rely on physiologic monitor alarms to notify them of their patients’ changing vital signs. Currently, alarms occur very frequently and usually do not warrant clinical intervention. High alarm burden can lead to alarm fatigue, often observed as a slower response or unintentional ignoring of clinically important alarms. For this reason, alarm fatigue has […]
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: 188
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Venous thromboembolism (VTE), both pulmonary embolism (PE) and deep vein thrombosis (DVT), causes morbidity and mortality in hospitalized patients. The duration of VTE risk in trauma, particularly after discharge, is not well understood, especially in the context of shortened hospital stays. Although guidelines provide recommendations for extended VTE prophylaxis after major orthopedic surgery, such […]
Abstract Number: 198
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The need to improve patient satisfaction (or patient experience) is increasing dramatically. Patient satisfaction is not only a direct indicator of quality of care but it is also an important component of pay for performance metrics. We started a standardized process of admitting patients by developing dedicated admission teams called Patient Centered Admission Teams […]
Abstract Number: 201
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Traditional readmission case review processes at our tertiary-care academic institution failed to identify obvious target processes for readmission reduction. Looking for a more nuanced method of readmission review, we turned to our patients. We conducted over 300 readmitted patient interviews and a focus group to learn from our patient’s experiences. We then developed a […]
Abstract Number: 215
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: It is widely accepted that hospitalized patients warrant risk assessment for venous thromboembolism (VTE) upon hospital admission. Although many VTE risk assessment models include a patient mobility element for calculating risk, a standardized method of determining mobility is lacking. We sought to determine if physician assessment of anticipated patient mobility upon hospital admission using […]
Abstract Number: 216
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite the importance of sleep to recovery from acute illness and the patient experience, hospitalizations are far from restful. Currently, Medicare focuses on noise, but other disruptions to patient sleep such as lab draws, vitals and pain must also be considered. In order to improve in-hospital sleep via a patient-centered approach, it is important […]