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Abstract Number: 238
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospitals across the country struggle with improving patient experience and there is limited data on factors that drive positive or negative scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) survey. We sought to better understand which predictors may lead to a top box score. Methods: Administrative and clinical data were […]
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: 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: 257
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The overall national patient satisfaction scores have improved since the HCAHPS reporting began. However, it is unknown whether the improvement trends are different between teaching and non-teaching hospitals. Therefore, our objective was to compare long-term changes in patient satisfaction between teaching and non-teaching hospitals. Methods: We used three datasets; HCAHPS data (2008 […]
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: 263
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient hospitalization represents a key time for patients who use tobacco to quit smoking, and inpatients who receive smoking cessation counseling, nicotine replacement, and referral to outpatient resources have increased quit rates six weeks after hospital discharge. However, in 2014, only 34.5% of tobacco users admitted to our 600-bed academic hospital were documented as […]
Abstract Number: 269
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Decreasing Use of Continuous Pulse Oximetry in Pediatric Inpatients Lavanya G. Shankar, MD, Lurie Children’s at Northwestern Medicine Central DuPage Hospital. Abstract Text: Background: Pediatric inpatients with simple respiratory diagnoses and hypoxia do not have clear guidelines on when Continuous Pulse Oximetry (CPO) may be discontinued after initially being placed. As a result, patients who have been […]
Abstract Number: 272
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Defined approaches to reducing rates of hospital readmissions rates assume that patients are invested in their healthcare and in preventing readmissions. However, the extent to which patients believe that readmission is a “bad” outcome and feel that it is inevitable have not been defined. Further, the ability of patients to anticipate their own readmissions […]
Abstract Number: 284
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Previous studies examining continuous patient monitoring in the ICU and emergency department suggest that substantial telemetry alarm burden combined with a high proportion of false positive alerts may jeopardize patient outcomes. Currently, little is known about the burden and value of specific alarms on the general wards. Methods: As part of a quality improvement […]
Abstract Number: 289
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Recent Center for Medicare and Medicaid Services (CMS) rules require hospitals to have their physicians submit inpatient admission orders and certification prior to a patient’s discharge in order to justify hospitalization reimbursement; however, CMS does not specify how hospitals are to achieve this regulation. Use of Health Information Technology (HIT) tools has significantly expanded, […]