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Abstract Number: 42
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Our institution is a Level 1 regional trauma center with a large inpatient volume. A large percentage of these patients are elderly, with the traumatic events occurring as sequelae of their age, debility or medical complications. Last year, we developed a Trauma/Acute Care Surgery Hospitalist Co-Management program, due to, in large part, the increasing […]
Abstract Number: 55
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Incoming interns must understand the specific culture of safety at their new institution as well as processes that they are expected to know on day 1 of residency. As part of an immersive half-day simulation program for incoming interns called First Night On Call (FNOC), we developed a hypotension Group Observed Standardized Clinical Encounter […]
Abstract Number: 56
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The transition from medical student to intern presents a major patient safety concern. Incoming interns must understand the specific culture of safety at their new institution and processes that they are expected to perform on day 1 of residency without direct supervision. We developed an immersive, integrated First Night On Call (FNOC) simulation to […]
Abstract Number: 58
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Optimal patient care requires excellent patient communication skills. These skills are associated with improved patient satisfaction and adherence and may positively impact overall patient care and reduction in readmissions. Standardized patients (SPs) are commonly used in Undergraduate and Graduate Medical Education; however, their use for faculty education is uncommon, despite being considered an effective […]
Abstract Number: 71
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Interdisciplinary communication, quality improvment, and patient safety, are integral components to providing quality healthcare. Furthermore, the ACGME recognizes the importance of the learning and working environment, a culture of safety, and providing opportunities for learners to participate in interprofessional quality improvement activities which it designates as a core program requirement. At the University of […]
Abstract Number: 77
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Nearly half of incorrect procedures occur outside the operating room, and failure to conduct a robust time-out is a frequent root cause. Mannequin-based simulation (MBS) has been shown to improve self-confidence and performance of time-outs, but is expensive, time-consuming, and difficult to scale up effectively for large groups of medical learners. Screen-based simulation (SBS) […]
Abstract Number: 94
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patient & Family Advisory Councils (PFACs) are groups of patients, family members and caregivers who meet regularly to share their experiences of healthcare or perspectives on a specific topic. Over 50% of acute care hospitals have PFACs. PFACs can also provide an opportunity to engage its members in research and quality improvement (QI) efforts, […]
Abstract Number: 105
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In most hospitals, physicians provide care to patients across multiple units while nurses are often unit-based, resulting in team dispersion, and potentially impairing teamwork. Geographically localized care teams may demonstrate improved communication between team members and with patients, potentially enhancing coordination of care. However, the impact of geographically localized teams on patient experience scores […]
Abstract Number: 106
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospitalized patients placed on contact, droplet, or respiratory isolation due to a carrier state or infection with resistant or highly communicable organisms report higher rates of anxiety and loneliness and have fewer physician encounters, room entries, vital sign records, physician and nursing notes in the chart. For these reasons, it has been hypothesized that […]
Abstract Number: 118
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Complex patients represent a challenge in the health care system, as they are frequently associated with high health care utilization, longer hospital stays, and higher costs. Nonetheless, the characteristics of the complex patients in the hospital setting are not well known, and tools to help hospitals to identify them early in the process of […]