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Abstract Number: 124
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lack of mobility in the inpatient hospital setting hastens functional decline in elderly patients and is associated with increased risk of complications such as falls, delirium, venous thromboembolism (VTE), and skin breakdown. These adverse outcomes drive increased cost as patients spend additional time in both the acute and post-acute care settings. Physical activity is […]
Abstract Number: 127
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The hospitalist role is gaining increasing presence for inpatient care, with the opportunity to care for a variety of higher acuity patient across a breadth of specialties in the hospital setting. Further examination into the types and amount of MS-DRG categories seen by hospitalists and their ordering volumes can provide a better picture of […]
Abstract Number: 132
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Breast cancer is the most common malignancy and the second leading cause of cancer death among women in the United States. Disparities in screening mammography use persists among low income women, even those who are insured, despite the proven mortality benefit. More than a third of hospitalized women are both overdue for breast cancer […]
Abstract Number: 134
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Reversing the life trajectory of hospitalized patients can be challenging. Sixty percent of Americans die in acute care hospitals. Identification of the patient care goals and directives frequently happens after many days of aggressive, uncomfortable and costly interventions at the hospital. We aimed to elucidate if identification of care goals earlier in Intensive Care […]
Abstract Number: 137
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Limited hospital capacity continues to be one of the major challenges to health care in hospitals in the US and the developed word. This problem manifests in a variety of ways in multiple settings starting with prolonged emergency room wait times and left without being seen rates, prolonged ED boarding time, and elective surgery […]
Abstract Number: 153
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Residents, because they are on the frontlines of the provision of care, are integral to improving care. Yet the Accreditation Council for Graduate Medical Education (ACGME) has reported residents are not as engaged in improving patient safety as they could be, noting, “Though most residents and fellows were aware of their [clinical learning environment]’s […]
Abstract Number: 155
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Abstract Number: 158
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Implementing technology with the goal of eliminating preventable hospital-acquired conditions (e.g., CAUTI, CLABSI, etc.) in the acute care setting is an ongoing challenge, but it is crucial to creating a safer healthcare system. Increasingly, organizations are collaborating with systems engineering, human factors, and data analytic experts to ensure successful design, development, and implementation of […]
Abstract Number: 159
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Rapid response system (RRS) was developed in recent decades for the timely identification and treatment of clinically deteriorating patients. Appropriate use of RRS will decrease the incidence of cardiac arrest and mortality. Although efficacy of RRS was reported mostly in an inpatient setting, there were very limited data in an outpatient setting. The aim […]
Abstract Number: 161
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: New ACGME Core requirements require active resident engagement in patient safety. Our institution’s most recent AHRQ Culture of Safety survey revealed poor ratings from residents for closed-loop feedback on event reports they had submitted. Since hospitalists are well-positioned to foster improvement in the culture of safety, we developed an interprofessional intervention in response. Purpose: […]