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Search Results for ED
Abstract Number: 2
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: While medical school experience could be very rewarding, it is also known to be unusually stressful to many future physicians. Previous cross sectional studies have shown that symptoms of depression and burnout are higher among medical students compared to age matched general population. A meta-analysis reported overall pooled crude prevalence of depression, or depressive […]
Abstract Number: 8
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Bedside rounds (BR) have been proposed as an ideal method to promote patient-centered hospital care. However, their effect on patient-centered outcomes is unclear. Our objective was to determine whether BR, when compared to other forms of hospital ward rounds, improve patient-centered outcomes. To accomplish this aim, we conducted a systematic review and meta-analysis of […]
Abstract Number: 9
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Higher rates of 30-day readmissions are associated with lower quality hospital care, and readmissions may put patients at risk for worse health outcomes including death. Historically, 20% of hospitalized Medicare beneficiaries were readmitted within 30 days, and many readmissions appeared avoidable. Accordingly, the Centers for Medicare and Medicaid Services (CMS) implemented the Hospital Readmissions […]
Abstract Number: 13
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: On the 2016 ACGME survey, our Internal Medicine residents indicated that our service vs. education rating was at 47% compared to the national average of 69%. Purpose: To decrease resident physician workload to improve our education on inpatient wards, decrease the amount of non-physician level tasks to improve efficiency and to improve patient communication. […]
Abstract Number: 14
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Many end stage renal disease (ESRD) patients present with complaints related to missed or incomplete hemodialysis (HD). Inpatient HD units often are not credentialed for outpatient use which results in extra cost and consumes additional resources for a standard outpatient procedure. Delays in patient throughput in emergency departments (ED) can cause boarding in the […]
Abstract Number: 15
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay (LOS), cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% within one year in older patients who develop delirium. Because hospital-acquired delirium is often under-recognized and prevention and treatment involves […]
Abstract Number: 16
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Skin and soft tissue infection (SSTI) is a common pediatric diagnosis with substantial economic cost. SSTIs vary in severity and clinical presentation. Providers often fear missing serious systemic infection, causing potential overtesting. However, recent studies suggest that blood cultures (BCx) are not useful in management of simple cellulitis or abscess (uncomplicated SSTIs [uSSTI]), and […]
Abstract Number: 17
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Hospitalist Division at Washington University in St. Louis provides coverage for multiple different services at Barnes-Jewish Hospital. At the present time, there are a total of 68 MDs and 6 NPs caring for greater than 100 patients on a daily basis. Our main Hospital Medicine service is comprised of 11 different Hospitalist attending […]
Abstract Number: 18
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Dedicated hospitalists are associated with improvements in healthcare quality and patient outcomes, but are not feasible for small-volume critical access hospitals (CAHs). A telemedicine “virtual hospitalist” model may expand the capabilities of a CAH at a fraction of the cost of an on-site provider. Purpose: Our purpose was to provide hospitalist coverage to remote […]
Abstract Number: 21
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Communication between patients, nurses and physicians is vital to patient care. Prior studies have shown that a substantial number of hospitalized patients do not understand their care plan and that physician-nurse co-location or time spent communicating have little impact on physician-nurse concordance of plan of care. To our knowledge, there have been no prior […]