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Search Results for Hospital
Abstract Number: 227
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Adverse drug events (ADEs) result in more than 770,000 injuries and deaths each year and cost up to $5.6 million per hospital, depending on size. The hospital admission is often where the patient is most vulnerable to ADEs. Medication reconciliation on admission is a formal process by which efforts are made to ascertain a […]
Abstract Number: 230
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: As a group of medical students in a five-week leadership program, we were charged with making a medicine inpatient unit at an urban quaternary care academic medical center the best unit in the hospital. Research shows that the hospital spends an estimated $2721 for every inpatient day (Kaiser, AHA Annual Survey, 2015). Longer lengths […]
Abstract Number: 234
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The high prevalence of diabetes makes it a common co-morbid condition in hospitalized patients. Healthcare systems have increasingly focused on 30-day readmission rates to improve quality and reduce costs. Readmission rates for patients with diabetes are much higher than the rate for all hospitalized patients. In a recent retrospective analysis, formal diabetes education by […]
Abstract Number: 236
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Readmissions continue to be a significant burden on health systems and in 2017 nearly 80% of all hospitals face financial penalties for 30-day readmissions. There are limited examples of standardized processes for notifying discharging physicians of readmissions real-time and encouraging physician self-reflection on reasons for readmissions. Purpose: In the present study, we created a […]
Abstract Number: 237
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Respiratory rate (RR) is a predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalized adults. Despite its clinical value, RRs are often inaccurate and may lead to misclassification of disease severity, potentially jeopardizing patient safety. Purpose: We sought to improve inpatient RR measurement by patient care assistants (PCAs) […]
Abstract Number: 240
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours for a medicine inpatient bed at our large urban academic center. In July 2016, we deployed a 24-hour hospital medicine […]
Abstract Number: 249
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospitalists have an increasing role in caring for patients with advanced illness. Due to time constraints, lack of experience and the sensitivity of the topic, it is challenging for Hospitalists to engage in adequate conversations regarding advanced care planning. Moreover, when these conversations do occur, documentation of Advanced Directives and Code Status is frequently […]
Abstract Number: 265
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Insufficient communication, particularly at transitions in patient care, is a common and accepted cause of negative outcomes. Handoffs between hospitalists and primary care physicians (PCPs) are infrequent, occurring in 3-20% of cases (2). Many institutions are using discharge summaries as automated methods of handing off the patient to the PCP, however it has been […]
Abstract Number: 266
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Joint Commission (TJC) included medication reconciliation (MedRec) as a 2005 National Patient Safety Goal to reduce errors related to medication omissions, duplications and interactions. Medication errors and harms continue to be one of the most widely reported healthcare problems. TJC’s sentinel event database includes > 350 medication errors resulting in death or major […]
Abstract Number: 287
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Mobile health applications have the potential to support patients via improved engagement and self-management. While the use of this technology has been developed for patients with chronic diseases, there is limited evidence to guide the development of this technology for patients with acute conditions. Patients diagnosed with acute venous thromboembolic disease (VTE) are at […]