Session Type
Meeting
Search Results for Quality Improvement
Abstract Number: 332
Hospital Medicine 2020, Virtual Competition
Background: Fingerstick blood glucose (FSBG) testing allows inpatient providers to adjust insulin in real time to protect patients from significant hypo- or hyperglycemia. Admitted diabetic patients are often placed on sliding scale insulin with four times per day FSBG testing, regardless of home insulin use. FSBG test materials cost $9 per use (1). We estimate […]
Abstract Number: 334
Hospital Medicine 2020, Virtual Competition
Background: Physical therapy (PT) is a valuable tool to help prevent the functional decline and loss of mobility hospitalized patients experience. Yet, it is a constrained resource in most hospital settings. The AM-PAC score is a validated tool that has been used to predict discharge destination within 48 hours of admission. It has also been […]
Abstract Number: 348
Hospital Medicine 2020, Virtual Competition
Background: There is often little communication across inpatient medicine teams at a busy academic medical center. Although teams comprise trainees across many levels, individual teams often work in parallel without relating shared challenges and experiences. This can be isolating, and practicing in such silos can propagate systems issues and contribute to burn out. Purpose: Create […]
Abstract Number: 379
Hospital Medicine 2020, Virtual Competition
Background: A publicly funded Health Authority embraced a Hospitalist service in 2000 as a quality improvement initiative. This relationship turned contentious over several contract renegotiations. With each successive contract, trust declined and the working environment became adversarial. Failed negotiations lead to a contract termination in 2015, ultimately affecting the stability of this medical service. Purpose: […]
Abstract Number: 388
Hospital Medicine 2020, Virtual Competition
Background: Morbidity and Mortality Conference (MMC) has been recognized as a valuable educational resource in training programs to improve patient safety. Traditional MMCs are often poorly defined in terms of format, goals, and outcomes, leading to ineffective reflection, discussion and action. Increasing evidence suggests that a structured and transparent approach to MMCs results in measurable […]
Abstract Number: 389
Hospital Medicine 2020, Virtual Competition
Background: Preventable medical errors are currently the third leading cause of death in the United States following heart disease and cancer (1). Because of this, patient safety has become an important concern for healthcare systems due to the high costs associated with medical errors as well as the impact on reputation and mortality and morbidity […]
Abstract Number: 392
Hospital Medicine 2020, Virtual Competition
Background: Engaging residents and fellows in institutional quality and safety initiatives is essential for providing optimal care for patients. However, there is no standardized way to accomplish this and the sharing of information is challenging. While patient safety councils exist across institutions, they feature differing curriculum and occur in a variety of formats: hospital-wide vs. […]
Abstract Number: 393
Hospital Medicine 2020, Virtual Competition
Background: Neonatal abstinence syndrome (NAS) occurs when an infant is exposed to chemical substances in utero and consequently withdrawals from the substance(s) after birth. The long-term impact of NAS remains unclear due to confounding by other factors that impact infant health and development, but literature suggests that infants with NAS have motor and cognitive delays […]
Abstract Number: 396
Hospital Medicine 2020, Virtual Competition
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is an instrument used to evaluate patient experience and satisfaction during patients’ hospital stay. One of the areas assessed by the survey is education about medications. The survey asks patients how often they were educated about the purpose and possible side effects of […]
Abstract Number: 397
Hospital Medicine 2020, Virtual Competition
Background: The Society of Hospital Medicine (SHM)’s Quality Improvement Special Interest Group’s (QI SIG) mission is “to create and maintain a community that promotes quality improvement by connecting quality improvement enthusiasts to each other and the resources necessary to develop and hone quality improvement skills.” The QI Initiative subgroup of QI SIG was charged with […]