Session Type
Meeting
Search Results for Quality
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 […]
Abstract Number: 300
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalists balance efficiency and quality in their daily practice. How a physician’s time management affects care quality is unknown. Accordingly, we aimed to compare the EHR efficiency of hospitalists, as measured by their time spent within the EHR per day, with quality of care, as measured by readmission rates and patient satisfaction. Methods: Data […]
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: 313
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In an attempt to enhance the quality of the care we deliver as a Group in the hospital, we undertook the formation of a Quality Assurance Committee. It is composed of 3 MD’s, one of whom is Administration level, an APRN and a PAC. It is peer level and protected, and we invited all […]
Abstract Number: 314
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: After a patient death, experienced physicians have reported feelings of sadness, guilt, and self-doubt. Residents and interns experience a strong emotional impact to these deaths as well, and previous studies have shown that they only feel adequately supported 50% of the time. Residents feel more supported by their attendings and are better able to […]
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 […]