Session Type
Meeting
Search Results for Quality Improvement
Abstract Number: 399
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are one of the most widely used means for long term vascular access. When compared to traditional central venous catheters (CVCs), PICCs offer several advantages including safer insertion in the arm, cost-effectiveness, and easier self-care for patients outside the hospital. Despite these advantages, numerous studies have found complications associated […]
Abstract Number: 403
Hospital Medicine 2020, Virtual Competition
Background: Patients admitted to the hospital without a documented code status specifying what, if any, heroic measures they would consent to in the event of an emergency are at risk for receiving medical interventions that are not goal concordant with their wishes1. This invites patient harm, patient and family dissatisfaction, and may increase hospital length […]
Abstract Number: 405
Hospital Medicine 2020, Virtual Competition
Background: Montefiore Health System (MHS) rapidly expanded from three hospitals in close proximity to eleven hospitals across hundreds of miles. The structure of the new health system follows a hub and spoke model with the concentration of specialty care located at the hub which is the Moses campus in Bronx, NY. In order to best […]
Abstract Number: 406
Hospital Medicine 2020, Virtual Competition
Background: Inefficiencies in the hospital discharge process can be a source of patient and provider dissatisfaction. Further, gaps in post-discharge care have been associated with increases in 30-day mortality and 30-day unplanned re-hospitalization. Addressing these gaps requires a specific focus on the development of a post-acute care treatment plan, identification of potential barriers to the […]
Abstract Number: 407
Hospital Medicine 2020, Virtual Competition
Background: Early and sustained mobilization of patients throughout admission is a goal we all strive to achieve. Inpatient immobility leads to the development of medical complications such as pressure ulcers, acute venous thrombosis, nosocomial infections, decreased muscle mass, and overall functional decline. Additionally, patients become deconditioned from their baseline and require potentially preventable additional services […]
Abstract Number: 418
Hospital Medicine 2020, Virtual Competition
Background: Our 165-bed community hospital is in a phase of rapid growth due to demographic changes and expansion of services offered within the hospital. While offering unprecedented level of healthcare access to the community, improvement with emergency department (ED) throughput has emerged as one of our challenges from a patient safety perspective. Unnecessarily prolonged ED […]
Abstract Number: 419
Hospital Medicine 2020, Virtual Competition
Background: Improvement of discharge times on house staff run medical floors is particularly complicated. Amato-Vealey et al. describe a domino effect of delayed discharges resulting in inability to transfer patients from intensive care units, advancement towards maximum capacity, and failure to move patients from the ER. This leads to delayed procedures, poor patient satisfaction, and […]
Abstract Number: 420
Hospital Medicine 2020, Virtual Competition
Background: UChicago Medicine (UCM) Office of Operational Excellence (OE) uses an institutional Leadership model called “Engage, Evolve, Excel” (E3L) to improve care delivery with lean, six sigma, and patient centered values. The E3L model focuses on the four domains of value creation, patient-centered care, respect for people, and continuous improvement. A hallmark feature of E3L […]
Abstract Number: 421
Hospital Medicine 2020, Virtual Competition
Background: VTE is associated with considerable morbidity and mortality, in fact, as many as 10% of deaths of hospitalized patients have been contributed to pulmonary embolism.1 The ACP and AACP in their 2011 and 2012 guidelines, respectively, recommend that all hospitalized patients be evaluated for risk of VTE, and subsequent prophylaxis be initiated if benefits […]
Abstract Number: 425
Hospital Medicine 2020, Virtual Competition
Background: A discharge summary serves as a crucial means of communication between inpatient and outpatient providers. Appropriate transitions of care rely on updates to patient problems, diagnostics, treatment history, and discharge plans. Many studies have identified lacking components in discharge summaries that may lead to poor medical management.In an effort to improve patient transitions of […]