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Search2020-05-20T12:01:36-05:00
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Search Results for Electronic Health Record
Abstract Number: 22
ASK ABOUT WHAT MATTERS: IMPROVING ADVANCE CARE PLANNING DOCUMENTATION FOR HOSPITALIZED PATIENTS USING A NOVEL EHR-BASED TOOL
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists often care for patients with serious illness and commonly review and discuss advance care planning (ACP). Documented ACP conversations can be difficult to access in the electronic health record (EHR) due to the lack of a centralized location for ACP documentation and individual clinician practice variation leading to ACP documentation existing in multiple […]
Abstract Number: 23
INCREASING EFFECTIVENESS OF ALERTS
Hospital Medicine 2020, Virtual Competition
Background: One of the widely reported benefits of electronic health records (EHRs) is the ability to alert clinicians, especially regarding medication-related safety issues. However, soon after the installation of EHRs, the phenomenon of “alert fatigue” was realized. The Agency for Healthcare Research and Quality has shown clinicians override the vast majority of computerized physician order […]
Abstract Number: 34
DISCHARGE TODAY: THE EFFICACY OF A MULTIDISCIPLINARY ELECTRONIC DISCHARGE READINESS TOOL
Hospital Medicine 2020, Virtual Competition
Background: Commonly used discharge communication workflows hinder timely and efficient discharge. Studies exploring the use of the electronic health record (EHR) for discharge planning have been limited to electronic reports constructed from EHR data elements, including barriers to discharge documented at admission, care management data, and discharge criteria or other targeted interventions such as improving […]
Abstract Number: 46
MEDICAL STUDENT PERCEPTIONS OF ELECTRONIC HEALTH RECORD USE
Hospital Medicine 2020, Virtual Competition
Background: EHR time motion studies have shown a significant time burden and concern that bedside manner, physical exam skills and physician wellness are at risk. However, nearly all studies to date have only focused on practicing physicians and residency training programs. Nearly all U.S. based medical schools allow medical student access, thus EHR exposure actually […]
Abstract Number: 178
IDENTIFYING AND ASSESSING DIAGNOSTIC ERROR IN ACUTE CARE: IS THE ELECTRONIC HEALTH RECORD TELLING US SOMETHING?
Hospital Medicine 2020, Virtual Competition
Background: Diagnostic errors in hospitalized patients are difficult to identify and quantify: error rates range from 4.8 to 49.8%. Though chart review tools, like the Safer Dx instrument, have been developed to assess the presence of diagnostic error in ambulatory settings, they have yet to be validated for acute care. A key issue is identifying […]
Abstract Number: 253
ACROSS RACE, ETHNICITY, AND LANGUAGE: AN INTERVENTION TO IMPROVE ADVANCE CARE PLANNING DOCUMENTATION UNMASKS HEALTH DISPARITIES
Hospital Medicine 2020, Virtual Competition
Background: Conversations around advance care planning (ACP) allow patients to direct the type and intensity of the medical care that they receive. Known ethnic and racial disparities in ACP exist, with racial and ethnic minorities less likely to have living wills and DNR orders. We aimed to understand the impact of an intervention to improve […]
Abstract Number: 286
PREDICTING OBSERVATION STATUS PATIENTS LIKELY TO STAY LESS THAN 24 HOURS USING A MACHINE-LEARNING-BASED TRIAGE TOOL
Hospital Medicine 2020, Virtual Competition
Background: Observation status was designed to reduce health care costs for patients in need of short hospital stays. CMS suggests that observation care should typically require less than 24 hours, and only rarely last more than 48 hours. However, studies suggest that length of stay for observation patients is often longer than CMS guidance.[1,2] An […]
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