Session Type
Meeting
Search Results for Improvement
Abstract Number: 247
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, prolonged DT also increases wait times for patients being admitted from the ED. Delayed admissions pursuant to late discharges, caused […]
Abstract Number: 250
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious public health problem causing over 90,000 deaths each year. VTE rates at our institution have been high and costly, with insurer penalties for post-operative VTE exceeding $5.5M in 2014. While prophylaxis for at-risk inpatients can reduce hospital-associated (HA) VTE by up […]
Abstract Number: 251
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Ultrasonography has been used for the last decades as a diagnostic tool. In recent years has been used in internal medicine at the bedside as a safe method that can easily detect abnormalities and provides immediate feedback. Purpose: Describe the Point of Care Ultrasound (POCUS) that has been made in an Internal Medicine Department […]
Abstract Number: 254
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: During 2016, the total billed cost of cardiac monitoring neared 4 million dollars at our institution and many patients were observed on the monitor without approved indication as published by the American Heart Association’s (AHA) guidelines published in 2014. The overutilization of cardiac monitoring constitutes a misappropriation of resources which results in undue health […]
Abstract Number: 256
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Late discharges are associated with hospital overcrowding, delayed inter-unit patient transfers, lower patient satisfaction scores and longer length of stay. At our hospital, there has been a consistent discordance between the teaching and non-teaching hospitalist services in the percentages of patients discharged before 11 am, which was 8.4% (teaching teams) versus 36.4% (non-teaching teams) […]
Abstract Number: 259
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Repetitive morning laboratory orders are a well-known contributor to healthcare cost. Initial data collected in a related project on high-value care showed that 35% of our Internal Medicine residents identified “fear of attendings” as a reason to order morning labs on the inpatient Medicine service. This observation led us to design a project on […]
Abstract Number: 260
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Healthcare costs are a challenge; for the greatest impact, high-value care education should begin early in residency training. Routine lab ordering for hospitalized patients is a well-known cause of high costs. This study utilized multiple interventions to decrease the number of BMPs, CMPs and CBCs ordered by residents on the inpatient medicine service. The […]
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: 269
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The use of IV insulin is one of the primary therapeutic options for the treatment of hyperkalemia. Unfortunately the available literature reports that hypoglycemia is a common occurrence as a result of the treatment of hyperkalemia. During our safety event review process, we identified the same issue within our own institution. Due to reports […]
Abstract Number: 280
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The use of contact precautions (CP) for patients with colonized or infected (endemic) methicillin-resistant staphylococcus aureus (MRSA) is common in many hospitals, but emerging literature does not support CP over standard precautions in preventing hospital acquired infection. CP use has been associated with delays in admission and discharge, fewer bedside evaluations, preventable adverse events […]