Session Type
Meeting
Search Results for Quality Improvement
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 […]
Abstract Number: 262
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Lean-Kaizen approach of implementing patient-centered systems change by reducing waste and adding value has been widely used in health systems in the US to provide incremental process improvement. This approach to streamlining health care processes has been under-utilized in resource-poor regions of the world, even though the Lean-Kaizen approach was developed in under-resourced […]
Abstract Number: 271
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Engaging Residents in QI, the SMART way. Authors: Gabriella Sherman, MD and Luis Dimen, MD Background: Residency programs across the country have implemented various quality improvement (QI) lecture series in an effort to engage residents in QI projects. Despite the many resources available to residents, they have limited time to utilize the tools to complete […]
Abstract Number: 274
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Since the 1999 IOM report To Err is Humanhighlighted that up to 98,000 preventable deaths occur annually in U.S. hospitals, efforts have intensified to understand and eliminate preventable mortality. At our institution, we developed an in-person, near real-time, multidisciplinary mortality review to capture the insight of frontline providers and improve care. In the analysis presented […]
Abstract Number: 277
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Osteoporosis is common and carries a significant burden of morbidity and mortality. Early pharmacologic therapy for osteoporosis can reduce osteoporotic fractures. Thus, the USPSTF recommends dual energy x-ray absorptiometry (DXA) screening for osteoporosis in women above the age of 65. Screening for osteoporosis is often seen as a responsibility of the primary care provider. […]
Abstract Number: 348
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High-quality medication reconciliation is key to reducing medication errors during care transitions. This concept is of paramount importance to Veterans living in rural areas due to less access to clinical pharmacy services. We adapted MARQUIS (Multicenter Medication Reconciliation Quality Improvement Study), in which hospitalists mentored teams in implementation of best practices for inpatient medication […]