Session Type
Meeting
Search Results for Quality Improvement
Abstract Number: 370
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: An estimated 68,000 Americans died of opioid-related overdoses between March 2017-2018. In Monroe County NY heroin/fentanyl deaths are up 200% from 2015- 2017. Guidelines recommending naloxone co-prescription for high-risk patients on opioid pain medications have been issued. The inpatient setting provides unique opportunities for identifying patients at risk for opioid adverse events (OAE) and […]
Abstract Number: 374
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: More often than not, hospitalized patients are not able to correctly identify members of their physician team. Being able to identify physicians is a critical component of developing the patient-physician relationship. The use of facecards and whiteboards appears to improve hospitalized patients’ ability to identify their physician and may be associated with improvements in […]
Abstract Number: 376
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Emergency medicine doctors should take care of patients with a wide range of illnesses at various emergency levels from non-urgent level to that requiring immediate medical attention. Among those, cardiovascular emergencies are not so common but life-threatening disorders that must be recognized immediately to avoid delay in treatment and to minimize morbidity and mortality. […]
Abstract Number: 388
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medical error is now the third leading cause of death in the United States. Approximately 4% of hospitalized patients experience an adverse event with 20% of these adverse events being medication-related, three-fourths of which are prescribing and administration errors. Vancomycin has been reported to account for one-fourth of the medication errors. Prescribing vancomycin is […]
Abstract Number: 389
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Inpatient subspecialty consultation is one of the most common physician practices in the care of hospitalized patients. As per a CMS report, approximately 33,000 inpatient consultation occurred per day in 2008 costing Medicare approximately $1.9 billion. Common reasons for requesting a consultation include assistance with treatment, diagnosis, and request for a procedure. Consult quality […]
Abstract Number: 438
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delivering HVC is a core component of hospitalist practice, and equipping residents with skills and experience to lead HVC initiatives is a priority for training institutions and for society. We describe the design, founding and implementation of the nation’s first Housestaff Council on Value and Innovation (HCVI) as a platform for engaging trainees in […]
Abstract Number: 449
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The use of maintenance fluids (MF, continuous intravenous fluid (IVF)) to prevent dehydration is common, yet highly variable in practice. Unnecessary MF can cause patient harm including fluid overload, sleep disruption (associated alarms), and increase falls risks. In 2017, Hurricane Maria destroyed Puerto Rican facilities that were critical in producing IVF, exacerbating an existing […]
Abstract Number: 452
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Chest radiographs (CXRs) aid in the evaluation of clinical status and assess the placement of new lines and tubes in patients in the Medical Intensive Care Unit (MICU). Despite studies documenting the safety of foregoing routine CXRs for stable, intubated patients and guidelines recommending against this practice, it remains standard in many ICUs. Purpose: […]
Abstract Number: 453
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital disaster response has historically been the purview of emergency medicine and surgery, without significant involvement of hospitalists themselves or consideration of how mass casualty incidents impact the hospital as a whole. However, many disaster modalities, e.g. pandemic infectious disease or bioterrorism, are outside of the surgical scope of practice and require involvement of […]
Abstract Number: 458
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalization can be overwhelming for patients. Diagnostic uncertainty is common, and patients interact with many professionals who present information that may seem confusing. We bring a design thinking perspective to creating more patient-responsive hospital care, allowing their stories to drive the creation of a human-centered experience. Design thinking is about understanding needs and generating […]