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Search Results for IMPROVE
Abstract Number: 237
Hospital Medicine 2020, Virtual Competition
Background: Patients are frequently ordered to fast while hospitalized. Though these “nil per os” (NPO) orders are often placed for sound clinical reasons (e.g. small bowel obstruction), they are also frequently placed in preparation for imaging studies or procedures to reduce the theoretical risk of aspiration. There is often a great deal of confusion among […]
Abstract Number: 245
Hospital Medicine 2020, Virtual Competition
Background: Hospital readmission rates are heavily scrutinized, and are utilized as a measure of the quality of care provided by hospitals. In the Oklahoma City Veterans Affair Health Care System (VAHCS), there was a significant increase in the number of cardiorespiratory 30-day readmissions in the month of September (8% to 14%). Most patients (76%) were […]
Abstract Number: 250
Hospital Medicine 2020, Virtual Competition
Background: Patients feel “uncomfortable, vulnerable, and exposed” in their gowns while providers are distressed at seeing and caring for their fellow human beings clad in sub-human “threadbare,” “ugly” garments. The purpose of this study was to create a patient gown based on design suggestions by patients and providers (physicians and nurses) and to refine the […]
Abstract Number: 253
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: 254
Hospital Medicine 2020, Virtual Competition
Background: Rest is critical to healing, yet a child’s sleep during an inpatient hospital admission is often disrupted. One such disruption is oral medication administration, which is commonly scheduled around the clock (q6h, q8h, q12h) by default, despite comparable efficacy during waking hours. Previous studies suggest that flexible medication times help inpatients sleep longer and […]
Abstract Number: 256
Hospital Medicine 2020, Virtual Competition
Background: Hospitals are nationally ranked on the basis of comparisons of quality of care, mortality, readmissions and health care associated infections.1 Center for Medicare and Medicaid Services (CMS) looks at these top 6 illnesses; stroke, pneumonia, heart failure, chronic obstructive pulmonary disease, acute myocardial infarction and coronary artery bypass graft (CABG) to compare hospital’s specific […]
Abstract Number: 257
Hospital Medicine 2020, Virtual Competition
Background: Overuse of non-ICU continuous adult cardiac (telemetry) monitoring is a well-documented problem that can lead to increase hospital cost, alarm desensitization, nursing time loss, and patient discomfort 1,2. Previous studies assessing reduction of inappropriate telemetry use have employed a combination of electronic health record (EHR) order, nursing protocol changes, intensive educational, and/or feedback initiatives […]
Abstract Number: 261
Hospital Medicine 2020, Virtual Competition
Background: The most recent guidelines regarding telemetry monitoring use and indications was published by the American Heart Association (AHA) in 2017.(1) However, most institutions lack evidence-based protocols to guide telemetry usage which could improve overuse. Telemetry monitoring overuse in non-critical patients has been recognized as a contributing factor to healthcare cost, length of stay and […]
Abstract Number: 263
Hospital Medicine 2020, Virtual Competition
Background: Telemetry over utilization increases wasted spending, increases alarm fatigue, and creates patient safety risks. Despite the presence of American Heart Association (AHA) practice guidelines, patients are often placed on telemetry for inappropriate reasons at the discretion of the medical provider and are monitored for longer than anticipated. The goal of this quality improvement project […]
Abstract Number: 268
Hospital Medicine 2020, Virtual Competition
Background: Clostridium difficile infections (CDI) is the most common cause of healthcare-associated infections in the United States. CDI accounts for 15%- 25% of all cases of nosocomial diarrhea. CDI is associated with significant adverse outcomes such as higher inpatient mortality rate, a longer length of hospital stays and increased hospital costs. The incidence of Hospital-acquired […]