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Search Results for Hospital
Abstract Number: 289
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Point-of-care ultrasound (POCUS) is increasingly recognized as an important adjunctive diagnostic tool in hospital medicine (HM). The incorporation of POCUS into clinical decision-making has been shown to increase the speed and accuracy of initial diagnosis, decrease procedural complications, and even increase patient satisfaction compared to usual care. It has already been widely adopted in […]
Abstract Number: 290
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospitalists spend a significant part of their workday interacting with the electronic medical record (EMR). Less is known regarding the details of the tasks that are performed during this interaction. In considering aspects of workflow and EMR usability, we sought to characterize how hospitalists spend time within the EMR, in terms of number of […]
Abstract Number: 299
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting up a new dialysis seat, receiving consult recommendations for discharge) is rarely documented and often obtained anecdotally or qualitatively. This […]
Abstract Number: 304
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden to the medical system. Patients are stabilized and carefully monitored at the hospital but often go home without adequate follow-up […]
Abstract Number: 313
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Intensive Care Unit (ICU) beds are limited, so effective triage is important for resource utilization. However, inappropriate triage of critically ill patients to non ICU settings can lead to poor patient outcomes, as early unexpected ICU transfers are associated with increased mortality. Purpose: We sought to describe the effectiveness of Hospital Medicine (HM), Emergency […]
Abstract Number: 314
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content for serial handoffs between providers, facilitating real-time updates and automatically incorporating patient data elements. Over the past several years, much […]
Abstract Number: 333
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Preventing readmissions of patients with chronic illness can improve healthcare outcomes and decrease costs. Previously reported Medicare claims data from 2003 to 2004 showed that 19.6% of Medicare beneficiaries discharged from the hospital were readmitted within 30 days at a cost of $17.4 billion. Our 232-bed community hospital has set a goal to reduce […]
Abstract Number: 335
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Recurrent hospitalizations are responsible for considerable health care costs. This retrospective observational study was undertaken to determine whether timely communication of care (COC), such as direct phone call or voicemail notice, following a hospitalization is effective at increasing clinic follow-up rates and reducing readmissions within 30 days after discharge. Methods: We analyzed 237 patients […]
Abstract Number: 337
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Peripherally inserted central catheters (PICCs) are an increasingly popular choice in the acute care setting for intravenous therapy. However, compared to other catheters, PICCs are associated with a higher risk for venous thromboembolism and blood stream infection, with multi-lumen PICCs having higher complication rates than single lumen. Midline catheters are associated with a much […]
Abstract Number: 343
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opioids are widely prescribed for cancer and non-cancer related pain in hospitalized patients. The opioid usage increased roughly three times in the past two decades. Pain is a feeling of distress evoked by sensory stimuli with/without organ damage and an associated emotional experience. Considering the subjective nature of pain, the need for medication is […]