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Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: We identified a number of quality, patient satisfaction, and staff satisfaction issues that all seemed to be linked to throughput challenges. We had trouble getting patients out of the hospital on discharge day, which set off a number of downstream effects including backups in the Intensive Care Unit (ICU) and Emergency Department (ED). These […]
Abstract Number: 10
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Due to low cost, dependability, and familiarity, one-way alphanumeric paging continues to be a commonly used method of in-hospital communication. However, lack of urgency indicators has been cited as a key limitation. To address this issue, an Interdisciplinary Communication Improvement Taskforce (In-CITe) at an academic medical institution adopted a Priority Structured Paging (PSP) system […]
Abstract Number: 40
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: After Libby Zion died tragically in a teaching hospital, much attention from the medical community, public and government, was directed at resident training and the number of hours worked consecutively. This marked a new era heralded by close scrutiny of the time residents spent in the hospital. Two dramatic reductions were mandated nationally by […]
Abstract Number: 146
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The American Board of Internal Medicine Choosing Wisely initiative advocates avoiding automatic daily labs as a way to lower hospital costs. The Legacy Health Inpatient Medicine Service (LIMS) aimed to reduce unnecessary and inappropriate lab testing amongst internal medicine inpatients within our five hospital health system. Purpose: To decrease inpatient lab costs in fiscal […]
Abstract Number: 184
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Laboratory testing is an integral part of modern medicine with an estimated 4-5 billion tests performed in the United States each year, and accounts for 3-5% of healthcare spending. At our resident-run clinic in an underserved community, the cost of laboratory tests in 2013 was over $400,000, exceeding the government subsidy. In this study, […]
Abstract Number: 252
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Readmissions after hospitalisation are a healthcare quality indicator and carry considerable financial penalties in some healthcare systems. Internationally, readmission rates at 28 – 30 days for medical inpatients range between 10 – 22%. However there is almost no information available around readmissions for medical inpatients in the Middle East region. We conducted a pilot […]
Abstract Number: 284
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Unnecessary diagnostic testing contributes to the escalating cost of health care in the US and can cause harm to patients. Daily blood work has become a routine part of care for hospitalized adults though only a fraction of tests change diagnosis or management decisions. At academic medical centers, residents are responsible for ordering most […]
Abstract Number: 288
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The healthcare system in the United States is often times costly and inefficient. Some estimates suggest that 20-34% of healthcare dollars are spent ineffectively. Despite efforts such as the Choosing Wisely Campaign to limit preoperative testing prior to low risk surgery, preoperative cardiac testing before low risk procedures remains common. This study assesses the […]
Abstract Number: 289
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Chest pain accounts for 2-5% of all Emergency Room (ER) visits. Tools like TIMI score and HEART score exist to risk stratify patients, but a low threshold for admission has been traditional because the risk of inadvertent discharge of patients with true ACS. In this study, we evaluate the yield of myocardial perfusion scan […]
Abstract Number: 290
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Diabetic ketoacidosis (DKA) is a serious, acute complication of diabetes mellitus caused by a state of insulin deficiency requiring exogenous insulin administration. Significant variation in intensive care unit (ICU) admission rates for DKA exists among hospitals, due to patient- and institution-specific factors, with rates ranging from 16-81%. Patients with DKA admitted to an ICU […]