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Meeting
Search Results for Length of Stay
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Observation care has evolved significantly since its original inception by the Centers for Medicare and Medicaid Services (CMS). Originally intended to span less than 48 hours in the majority of cases, the Office of Inspector General (OIG) reported that 11% of all observation stays lasted three or more nights in 2012.[1]Having a higher length […]
Abstract Number: 69
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Congestive heart failure (CHF) and pneumonia are amongst the leading causes of hospitalization in the United States. Although a growing number of hospitals use both teaching and nonteaching hospitalist services for patient care, the differences in clinical outcomes and efficiency between these two services is not clearly known. The aim of this study […]
Abstract Number: 81
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Overuse of urine testing may result in downstream events that impact antibiotic use and hospital length of stay (LOS). The aims of this study were to examine the impact of inpatient urine culture testing on inpatient antibiotic use and hospital length of stay using a national administrative dataset. Methods: We performed a retrospective cohort […]
Abstract Number: 90
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sickle cell disease (SCD) affects about 100,000 people in the US. The disease causes significant mortality, morbidity and frequent hospitalizations secondary to primary manifestations of the disease and its complications. We conducted a retrospective, single institution study in adult patients (pts), ≥ 18 years with SCD to assess factors associated with health care utilization […]
Abstract Number: 97
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2011, sepsis accounted for more than $20 billion (5.2%) of total US hospital costs. The CDC estimates that hospitalizations for sepsis or septicemia increased from 621,000 to 1,141,000 in 2000 and 2008 respectively. Severe sepsis has an in-hospital mortality rate of 28.6-37.7%, and those who survive may face a difficult recovery including long-term […]
Abstract Number: 107
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Advancements in technology have expanded accessibility to telemetry via remote monitoring and resulted in increased application in hospitalized patients. The American Heart Association (AHA) telemetry guidelines restrict use to patients with sepsis, severe electrolyte disturbances or primary cardiac conditions. Respiratory infections have emerged as a common source of hospitalization and telemetry is frequently applied […]
Abstract Number: 187
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The development of systems that optimize quality of care, reduce costs, and enhance safety is vital to patient care. The VA healthcare system utilizes 27 quality metrics which allow for institutions to assess their performance in these areas, referred to as Strategic Analytics for Improvement and Learning (SAIL). SAIL data includes performance reports regarding […]
Abstract Number: 193
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inpatient hospital care cost $971.8 billion in 2014 and costs are projected to rise by 5.8% per year. Inpatient operational efficiency and waste reduction have become the focus of cost-reduction measures. A recent study found that nearly one in four patients in a pediatric hospital experienced a medically unnecessary prolonged length of stay with […]
Abstract Number: 203
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Delays in care may lead to increased length of stay and cost. Identifying and quantifying the reasons for these delays could help target interventions and reduce unnecessary hospital days. Methods: We conducted a cross-sectional observational study at a large tertiary academic medical center, from October 16, 2016 to November 20, 2016. The study participants […]
Abstract Number: 275
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Approximately 1-2% of the U.S. population gets community-acquired pneumonia (CAP) annually in the U.S. and CAP is associated with substantial mortality, morbidity and costs. While the incidence of CAP is well-defined, the incidence of outpatients who fail antibiotics and eventually become hospitalized is less clear. The objective of this study was to provide real-world […]