Session Type
Meeting
Search Results for Quality Improvement
Abstract Number: 276
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hypertension is a significant risk factor for cardiovascular disease. According to the Centers for Disease Control and Prevention (CDC) half of all United States citizens with hypertension (HTN) do not have their blood pressure under control. As such, HTN remains a large public health challenge, especially in patients with other comorbidities such as diabetes […]
Abstract Number: 277
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Implantable cardioverter defibrillator (ICD) shocks can be traumatic for patients and families, particularly at the end of life. Studies estimate between 51-65% of ICDs remain active at time of death, with 24-31% of patients receiving shocks within the last day of life, and 8% in the last minute of life. The Heart Rhythm Society […]
Abstract Number: 283
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The practice of routinely ordering daily labs not based on clinical indication on patients in the hospital is a wasteful clinical practice. Routine daily labs can also lead to patient harm by causing pain and iatrogenic anemia, and can burden laboratory staff resulting in increased lab reporting times. Raising awareness about unnecessary lab orders […]
Abstract Number: 288
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The number of drug overdose deaths in the United States has never been higher and over 75% of these deaths involved opioids. Hospitalists contribute to opioid initiation for millions of patients a year and, just last year, Internal Medicine (IM) residents at our institution prescribed 479 new opioid prescriptions to patients discharging from the […]
Abstract Number: 289
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Up to 17% of all strokes occur in patients hospitalized for another diagnosis or procedure, and in-hospital strokes complicate up to 0.06% of all admissions. In-hospital strokes carry higher mortality, longer length of stay and greater disability than community-onset strokes. Multiple factors contribute to the worse outcomes of in-hospital stroke. Prompt recognition and treatment […]
Abstract Number: 293
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Inpatient physicians often discharge patients while diagnostic tests are still pending. The discharging attending is responsible for following-up these results, even if they have rotated off service. This can lead to delayed and/or missed detection of results, which impacts patient safety. It also creates a burden on physicians to check for results during time […]
Abstract Number: 294
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital inpatients frequently require opioid analgesics for pain management, with more than half of US patients in acute-care facilities receiving opioids during their stay. With the rise of opioid drug therapy, the need to identify inpatient prescription patterns has become urgent, given that mortality rates attributed to prescription opioids have more than tripled since […]
Abstract Number: 296
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Inpatient bedside whiteboards enhance patient-provider communication and satisfaction with care, but little is known about patients’ perspectives on the whiteboards. Our objectives were to understand patients’ views on the usability and design/content of these boards; and assess nursing views on current practice of whiteboard utilization, including barriers and suggestions to optimal use. Methods: We […]
Abstract Number: 297
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Traditional review approaches to inpatient mortality remain flawed. M&M conferences, administrative data analysis, and chart review do not effectively leverage the frontline perspective, are frequently delayed, and may be perceived as punitive if not peer review protected. Purpose: We developed an electronic mortality review tool that would: (1) permit rapid review of all inpatient […]
Abstract Number: 299
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and overcrowding in the ED. Furthermore, many discharges occur in the evening hours, when there is a covering provider. Our institution […]