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Abstract Number: 163
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Incident reporting systems are widely utilized to detect adverse events and remain central to many hospital patient safety programs. It is well established that non-physicians file the majority of incident reports, but the barriers to physician reporting are not well understood. Therefore the aims of this study are to understand physicians’ perceived barriers to […]
Abstract Number: 164
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Peripherally inserted central catheters (PICCs) are routinely placed in hospitalized patients who are receiving long-term IV antibiotics or who have poor venous access. In our hospital, 1 in 12 patients on the Medicine service receives a PICC line at some point during a hospitalization. 35% of all hospital-acquired venous thromboembolisms (VTEs) on the Medicine […]
Abstract Number: 165
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Accurate medication reconciliation during transitions of care can decrease medication related adverse drug events. The Joint Commission has prioritized medication reconciliation as one of the national patient safety goals. Effective pharmacist-physician-patient collaboration can improve the medication reconciliation process and thus medication safety for hospitalized patients Purpose: 1. Develop a standardized provider-pharmacist discharge medication reconciliation […]
Abstract Number: 168
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: There is no consensus on the management of asymptomatic inpatient hypertension. This is alarming as the prevalence of inpatient hypertension may be as high as 72%. Hypertension treatment guidelines focus on chronic hypertension in the outpatient setting and evidence for inpatient management is lacking. Aggressive treatment of asymptomatic inpatient hypertension with intravenous antihypertensives is […]
Abstract Number: 174
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. The few guidelines that exist regarding the inter-facility transfer process focus on critically-ill or surgical patients, and emphasize pre-transfer communication […]
Abstract Number: 177
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Family centered rounds (FCR) was first defined by Sisterhen in 2007 as “interdisciplinary work rounds at the bedside in which patient and family share in the control of the management plan as well as in the evaluation of the process itself.”1 Since then, recognition of the benefits of FCR have led to widespread adoption. […]
Abstract Number: 179
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medical students and interns are the primary communicators during pediatric patient- and family-centered rounds (PFCR). Presenter empowerment actions (PEAs) represent behaviors that empower presenters during PFCR to deliver effective, patient- and family-centered care. Third year (M3) and fourth year (M4) medical students are not formally trained on PEAs and their use of PEAs has […]
Abstract Number: 184
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Many hospitals set targets for discharging patients before noon in efforts to optimize patient throughput. However, discharge before noon (DCBN) has been associated with increased length of stay (LOS) in an adult population. The relationship between discharge time of day and LOS in pediatric patients is uncertain. This study aims to evaluate the relationship […]
Abstract Number: 198
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon, and may contribute to higher mortality. We implemented a unique surgical co-management (SCM) model in July 2014 at our institution where two SCM hospitalists were dedicated to Colorectal surgery year round. Each patient was screened daily by a […]
Abstract Number: 215
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medication errors occur frequently at transitions of care and lead to significant patient harm. Robust medication reconciliation practices can mitigate these errors, but this process is complex and time-consuming. One of the conclusions of the first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) was that pharmacist team involvement in medication reconciliation is a key […]