Session Type
Meeting
Search Results for Quality
Abstract Number: 359
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Updated guidelines recommend testing for inherited or acquired thrombophilias only in rare situations in the acute inpatient care setting, as it has little impact on acute management of thromboembolic events, and in some situations, can be falsely positive leading to inappropriate care. Current data in our academic medical center indicate testing for thrombophilia occurs […]
Abstract Number: 364
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The 7- and 30-day patient readmission rates are tracked by hospitals and are used as a metric to measure physicians’ quality of patient care. Several tools currently predict and prevent early readmission rates based on patient-specific characteristics. However, few studies have demonstrated if physician-specific characteristics play a role. The purpose of this study is […]
Abstract Number: 365
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Many hospitalized patients spend most of their time in bed leading to increased complications. For elderly patients, hospitalization results in decreased post-hospital independence up to 1 month after discharge, which can be prevented with inpatient mobility programs. Many patients lament their inability to return home after an admission due to decreased functioning. With increasing […]
Abstract Number: 369
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The Society of Hospital Medicine identified questioning the necessity of repeat labs in stable patients as a Choosing Wisely goal to improve overall value of care. Implications of unnecessary blood draws include over-testing, pain, decreased patient experience, and risk for iatrogenic anemia. Interventions to safely reduce provider lab orders have been applied in various […]
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: 435
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Most patients hospitalized with community-acquired pneumonia (CAP) can be safely treated with 5-days of antibiotic therapy. However, many are not. We aimed to determine whether a hospitalist-focused collaborative could reduce excessive antibiotic use in patients hospitalized with CAP through a combination of collaboration with antibiotic stewardship, data feedback, pay-for-performance, and sharing best practices. Methods: […]