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Abstract Number: 217
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The rate of burnout among health care providers is unacceptably high and recent scholarship has advocated for organization-facing interventions to tackle this problem. To that end, our large academic hospital medicine group has developed a multi-modal strategy to identify high-yield interventions for provider well-being. A part of this initiative involved piloting a digital survey […]
Abstract Number: 226
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Our goal was to evaluate the group of patients that are admitted to the Medicine service under the care of our hospitalist team and then transferred to the medical intensive care unit (MICU) within 12 hours of admission, to see if this was a result of incorrect triage or progression of the underlying disease […]
Abstract Number: 228
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three standardized interventions to improve neurosurgical patient outcomes and experiences. Methods: Hospitalists partnered with Anesthesia and Neurosurgery leaders from five large […]
Abstract Number: 245
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Intermediate Care Unit (IMU) was developed in the 1960s – 1970s as a level of care between general medicine (GMU) and intensive care units (ICU) [1]. The Society of Critical Care Medicine has established guidelines for admitting patients to an IMU based on severity of illness or need for frequent or complex nursing […]
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: 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: 313
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Intensive Care Unit (ICU) beds are limited, so effective triage is important for resource utilization. However, inappropriate triage of critically ill patients to non ICU settings can lead to poor patient outcomes, as early unexpected ICU transfers are associated with increased mortality. Purpose: We sought to describe the effectiveness of Hospital Medicine (HM), Emergency […]
Abstract Number: 325
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Both inappropriate hospital admissions and inappropriate discharges from the ED are associated with adverse patient outcomes. Little is known about the accuracy (sensitivity and specificity) of the hospital admission triage process. Purpose: We sought to understand the operating characteristics of our triage process to identify opportunities for improvement and project an optimal model. Description: […]
Abstract Number: 327
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: It is challenging for patients to navigate through complex healthcare systems after-hours. This leads to delays in patient care, patient/provider dissatisfaction, inappropriate resource utilization, readmissions, and higher healthcare costs. Prior to August 2015, non-medical staff at external call centers with invalidated standard work, poor work cell co-location, and inadequate active daily management addressed the […]
Abstract Number: 400
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A previously healthy 13-year-old male presented with a chief complaint of lower back pain and rash for the past 3 weeks. Associated symptoms included profuse sweating and 10/10 lower back pain radiating to his legs that had progressed in severity with inability to ambulate. On additional questioning, other symptoms included nausea, vomiting, diffuse […]