Session Type
Meeting
Search Results for Quality Improvement
Abstract Number: 127
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The systematization of the teaching and training of internal medicine residents should be done with the standardization of techniques, simulations, use of manikins and theoretical lessons. A procedure team was created in a tertiary teaching hospital at south Brazil with the objective of minimizing risks to the patient at the same time optimizing the […]
Abstract Number: 145
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Chemoprophylaxis with subcutaneous heparin or low-molecular weight heparin is recommended for venous thromboembolism (VTE) prevention in appropriate medical patients. However, all doses are not always administered and the consequences are unclear. We sought to determine if there is a relationship between missed and/or refused doses and development of in-hospital VTEs. Methods: The study is […]
Abstract Number: 169
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: One year all-cause mortality rates after a fragility fracture are as high as 24%. Treatment of osteoporosis following fracture reduces mortality, recurrent fractures rates, and healthcare costs. Without endocrinology involvement, clinicians often fail to recognize and treat osteoporosis. We aimed to assess the frequency of fragility hip fractures including recurrence rates at our academic […]
Abstract Number: 172
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Many red blood cell transfusions (RBCT) are unnecessary or harmful according to clinical trials and guidelines. These RBCT put patients at risk and waste scarce healthcare resources. Clinical decision support (CDS) using the Epic™ computer provider order entry system has reduced unnecessary transfusion (Goodnough et al, Transfusion 2014) at one center with a post-intervention […]
Abstract Number: 176
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Practical and financial pressures have placed a renewed focus on improving the human experience of healthcare from both the patient and provider perspective. Despite this, aligning patients and interdisciplinary providers around meaningful experience improvement in the inpatient setting remains elusive. We sought to develop an innovative interdisciplinary design process for experience improvement on a […]
Abstract Number: 178
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part of this discussion should define patient preferences regarding code status as it is known that prognosis is extremely poor and […]
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: 195
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2016, the Centers for Medicare & Medicaid Services (CMS) released a guide to preventing readmissions among diverse patient populations. According to CMS, once the health system effectively picks up the root causes and characteristics that are linked to readmissions – then a process can be initiated that focuses on addressing barriers and developing […]
Abstract Number: 196
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: It has been detailed in the literature that a patient’s socioeconomic status (SES) may play a role in their risk of readmission for specific diseases. For instance, factors such as low income, low educational level, and Medicaid status have all been associated with significantly higher rates of readmission in patients initially admitted for congestive […]