Session Type
Meeting
Search Results for Quality
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 […]
Abstract Number: 337
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Pressure injuries are tissue damage caused by pressure and shear. Susceptible patients are the elderly, acute, critically ill and malnourished. Pressure injuries severely deplete hospital performance measures in the U.S. Currently, over 2.5 million patients develop pressure injuries at a national cost of about $25 billion each year and are implicated in 50,000 deaths. […]
Abstract Number: 338
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Best-Practice Alerts (BPAs), utilized to reduce the number of adverse events in medical settings, have limited efficacy partly due to alert fatigue and user desensitization. Alert fatigue often stems from inaccurate alerts firing too often as well as poor physician perception of the efficacy of the alerts, both of which lead to reduced physician […]
Abstract Number: 342
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hyperbilirubinemia is the most common cause of hospitalization among neonates. Severe, untreated hyperbilirubinemia can lead to acute bilirubin encephalopathy and kernicterus. Although rare, these conditions can pose significant risks for morbidity and mortality in neonates.In 2004, the American Academy of Pediatrics (AAP) issued a guideline for management of hyperbilirubinemia in neonates over 35 weeks […]
Abstract Number: 346
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The United States is in the midst of a health quality crisis; for this to resolve, we must transform to a high-value, low-cost healthcare culture. To achieve such a culture, trainees must learn high-value care habits. We developed a 95-week longitudinal study to promote mindful laboratory habits in an internal medicine residency program. Purpose: […]
Abstract Number: 350
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: While Medicare data demonstrates that healthcare spending is up to four times higher in yearly decedents than survivors, studies demonstrate that early advance care planning (ACP) leads to improved clinical outcomes and reduces cost without increase in patient anxiety or depression. Nationwide the creation of the Physician Order for Life Sustaining Treatment (POLST), a […]
Abstract Number: 352
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium is an acute change in mental status affecting 10-64% of hospitalized patients, and may be preventable in 30-40% cases. There was no standardized protocol for delirium at our hospital prior to 2014. In October 2013, we formed a task force for delirium prevention and early identification across 18 medical-surgical units in our hospital. […]