Session Type
Meeting
Search Results for Quality
Abstract Number: 111
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Aggressive EOL treatments in advanced cancer patients are associated with low-value care and frequently lead to unnecessary hospitalizations. Since 2012, the National Quality Forum (NQF), American Society of Clinical Oncology (ASCO), and Centers for Medicare and Medicaid Services (CMS) have adopted EOL quality measures to reduce aggressive care. Using these measures, we conducted a […]
Abstract Number: 134
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital medicine groups are often quickly expanding, which causes strategic planning to focus primarily on clinical needs and staffing. It can be difficult to find opportunities for goal setting where consensus within the group can be achieved. This is made even more difficult by the typical hospitalist group providing 24/7/365 coverage, so at no […]
Abstract Number: 136
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Prevalence of burnout is significantly higher in physicians than general population. Burnout is expected to result in decreased personal well-being, however, relationship between physician burnout and well-being is unexplored. Therefore, our aim was to examine the relationship between burnout and well-being among medical staff physicians of an academic hospital. Methods: All medical staff physicians […]
Abstract Number: 143
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patient & Family Advisory Councils (PFACs) are groups of patients and caregivers who share their overall experiences of care and perspectives on specific topics with hospital leaders at regular meetings. PFACs provide a crucial supplemental layer of feedback to hospitals outside of HCAHPS survey data and post-discharge phone calls. Hospital Medicine specific PFACs are […]
Abstract Number: 145
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Lonely adults are prone to a variety of poor health outcomes, including accelerated functional and cognitive decline, depression, and premature mortality. As a result, lonely adults may be prone to higher health-related suffering, triggering increased healthcare utilization and possibly undesired aggressive care, particularly as they approach end of life (EOL). However, little is known […]
Abstract Number: 163
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Transfusion of packed red blood cells in the United States has more than doubled from 1997 to 2011; however, it is thought that greater than 50% of transfusions may be unnecessary. Numerous clinical trials have demonstrated that restrictive transfusion strategies are noninferior or superior to liberal strategies across a variety of clinical scenarios; as […]
Abstract Number: 179
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Opening new residency programs in community hospitals is one strategy to address physician shortage. Previous reports have shown better mortality outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting well- established workflows in community hospitals is feared to cause an increased cost and possibly a slide in quality of […]
Abstract Number: 207
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Mortality review, well-documented in the medical literature, is a standardized process used to identify patient safety improvement opportunities and also to evaluate providers. As patient safety experts, hospitalists often review mortality cases for their hospitalist group or hospital. As the volume of cases is often not trivial, it can be difficult to allocate the […]
Abstract Number: 219
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: High quality clinical documentation is essential for patient safety. Thoughtful clinical documentation transmits one’s clinical reasoning and is considered to be a professional responsibility. There are no accepted standards for assessing documentation with respect to clinical reasoning. We therefore undertook this study to establish a metric to evaluate hospitalists’ documentation of clinical reasoning in […]
Abstract Number: 222
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Increasing attention has been paid to diagnostic patient safety vulnerabilities, which account for 6 to 17% of hospital adverse events. In 2015, the National Academies of Medicine published a report on diagnostic safety errors, including their causes and evidence to-date on how to intervene to reduce the harm associated with them. In this report, […]