Session Type
Meeting
Search Results for Quality Improvement
Abstract Number: 301
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to engage patients with OUD in opioid agonist treatment (OAT) during hospitalization. Buprenorphine is an effective OAT for OUD that is […]
Abstract Number: 302
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Immobility in the hospital setting is associated with persistent inability to perform activities of daily living, increased length of stay, and decreased return to independent living; this loss of function is identified by patients as a commonly unaddressed barrier to discharge. The reasons for immobility are multifactorial; however, lack of provider interest or value […]
Abstract Number: 304
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Healthcare systems need formal processes for recognizing achievements in healthcare improvement to support promotion. To aid in the recognition of faculty members’ contributions to healthcare improvement, institutions have begun to use portfolios to document and highlight an individual’s achievements and successes. All healthcare professions contribute to healthcare improvement. Yet, existing healthcare improvement portfolios have […]
Abstract Number: 305
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Recent studies suggest that glucose gel is effective for treating neonatal hypoglycemia, thus it may reduce neonatal intensive care unit (NICU) admissions. The purpose of this study is to compare NICU admissions and care for hypoglycemia pre- and post-implementation of a glucose gel protocol for the management of neonatal hypoglycemia. Methods: This is a […]
Abstract Number: 317
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Avoidable readmissions result in unnecessary hospital stays for patients, over utilization of beds, and increased waiting time for other patients. Multiple interventions have examined reducing readmissions, mostly focusing on pre-discharge and out of hospital post-discharge interventions. An additional potential target in reducing avoidable readmissions are the population of patients returning to the Emergency Department […]
Abstract Number: 318
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Geographic Accountable Care Units (ACUs) have been in existence for years at our institution. The ACUs have demonstrated improved throughput, quality and patient experience metrics. Our hospitalists have embraced the ACU philosophy due to ease of rounding, interdisciplinary approach to patient care and its 7on/7off scheduling, which is not standard at our institution. Overall […]
Abstract Number: 328
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any prophylactic blood products (plasma and/or platlets) and the mortality rate is 0.016%. Consequently, practice guidelines recommend against prophylactic transfusion of […]
Abstract Number: 329
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The U.S. healthcare system has a poor safety record when compared to other major industries. For example, at 250,000 per year, medical errors are the 3rd leading cause of death according to the CDC. This is in stark contrast to the safety record of commercial jet airlines. With zero fatalities, fiscal year 2017 was […]
Abstract Number: 331
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions. Previous studies note positive correlation between high HL and patient understanding of their condition. Patients with low HL have greater needs in transitional care domains, citing inadequate caregiver support […]
Abstract Number: 333
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Overuse of non-ICU continuous cardiac (telemetry) monitoring is a well-documented problem that leads to increased hospital cost, alarm fatigue, nursing time loss, and patient discomfort. It is often ordered for detection of clinical deterioration or higher level of nursing care, without corroborating evidence. Several studies have looked at different interventions to reduce inappropriate telemetry […]