Session Type
Meeting
Search Results for 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: 447
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As hospital reimbursement models and publicly available CMS ratings place a stronger emphasis on improved patient throughput, safety, and satisfaction, it has become increasingly important for hospitals to develop cohesive care teams aligned with these goals. At our 800-bed quaternary care hospital located in suburban New York, care had historically been quite heterogeneous, with […]
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 […]
Abstract Number: 459
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Regardless of specialty or discipline, healthcare professionals are tasked with addressing high value care (HVC). It is therefore crucial that hospitalists and other members of the interprofessional team have training in addressing HVC, specifically around education and incorporating HVC into clinical practice and health systems improvement activities. Purpose: We developed a longitudinal curriculum at […]