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Abstract Number: 33
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Physician burnout impacts job satisfaction and turnover with significant financial and operational costs in addition to the negative impact on patient care. Organizations are increasingly focused on methods to improve physician resilience. Our study aims to explore the impact of difficult patient encounters on hospitalist resilience to inform future individual and organizational efforts to […]
Abstract Number: 92
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Traditionally, academic medicine has had a trifold mission of education, research, and patient care, in which education and research were paramount. However, in many institutions, patient care is now the large single wheel, and education and research are smaller, crucial secondary wheels (1). Likewise, residency education emphasizes clinical care. Accordingly, new academic hospital medicine […]
Abstract Number: 125
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Issues with the quality and safety of hospital care have been well-documented, and serve as the basis for improvement strategies and research. However, what is less understood are the perspectives of patients, families, caregivers, and other stakeholders regarding what they feel are the most important targets of improvement research. We systematically engaged a broad […]
Abstract Number: 160
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Health research is rapidly evolving to include patient stakeholders (patients, families and caregivers) as active members of research teams. The proliferation of published frameworks describing the conceptual foundations underlying this engagement, and strategies detailing best practice activities to support this process has led to a diffusion of information. Therefore, the aims of this study […]
Abstract Number: 164
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Specialty wards (e.g., cardiology or oncology wards) group clinically similar hospitalized patients in efforts to improve outcomes and costs. When these wards exceed capacity, subsequent patients overflow to “geographically dispersed” alternate wards. Geographic dispersion has been associated with care inefficiency and worse outcomes on specialty wards, but has not been studied in a large, […]
Abstract Number: 169
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital at Home (HaH) care is an alternative to traditional hospitalization with potential to address issues of cost and hospital capacity, while improving outcomes and patient satisfaction. In 2017, the US Department of Health and Human Services began to consider bundled payments for HaH despite a lack of US-based evidence on patient outcomes, real-world […]
Abstract Number: 188
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sepsis is a significant cause of morbidity and mortality in hospitalized patients . Early and appropriate therapy has been shown to improve outcomes, making early diagnosis and intervention critical . However, recognition and treatment of sepsis remains a challenge . In order to understand how to best deliver sepsis treatment in different hospitals within […]