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Abstract Number: 220
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The hospital discharge is one of the most important aspects of a patient’s hospitalization, yet in residency training, this process often goes overlooked. Most residents are never properly taught how to effectively discharge a hospitalized patient. As a sequelae, patients often lack understanding about their hospitalization, treatment(s), and follow up plans. This uncertainty can […]
Abstract Number: 231
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: An effective patient safety and quality improvement (QI) curriculum is imperative for graduate medical education (GME) training programs. Yet many health systems are lacking pedagogical training in these methods. Learning often takes the form of group project work, yet projects may not reflect institutional priorities, duplicate ongoing efforts, or remain unfinished after allotted time […]
Abstract Number: 237
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Respiratory rate (RR) is a predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalized adults. Despite its clinical value, RRs are often inaccurate and may lead to misclassification of disease severity, potentially jeopardizing patient safety. Purpose: We sought to improve inpatient RR measurement by patient care assistants (PCAs) […]
Abstract Number: 240
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours for a medicine inpatient bed at our large urban academic center. In July 2016, we deployed a 24-hour hospital medicine […]
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: 266
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Joint Commission (TJC) included medication reconciliation (MedRec) as a 2005 National Patient Safety Goal to reduce errors related to medication omissions, duplications and interactions. Medication errors and harms continue to be one of the most widely reported healthcare problems. TJC’s sentinel event database includes > 350 medication errors resulting in death or major […]
Abstract Number: 270
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospitals are compelled by a variety of factors to optimize patient satisfaction. Pain management has been identified as an important determinant of overall inpatient satisfaction. However, effective pain management may be more challenging in the current climate of more cautious opioid use. Purpose: The 32-item Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) […]
Abstract Number: 272
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The benefits of early ambulation for patients admitted to a hospital are well recognized. Our hospital has a “Nurse Driven Progressive Mobility Protocol” which is intended to guide bedside practitioners in implementing individualized progressive mobility for patients and includes several items that nurses are required to document. It categorizes patients into 5 mobility levels; […]
Abstract Number: 273
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opiates, frequently used to provide analgesia, are associated with post-analgesia related tolerance effects such as hyperalgesia and hyperkatifeia, which lead to worsening of the pain experience. Patients can subsequently experience dissatisfaction with their care and seek further opiate use as a solution, worsening their experience further. Due to pharmacologic and healthcare-associated operational factors, the […]
Abstract Number: 292
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider and patient. Previous studies have shown the value of shared decision-making between patients and providers requiring a mutual understanding of […]