Session Type
Meeting
Search Results for Quality Improvement
Abstract Number: 427
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists are tasked with improving care quality across several different inpatient metrics. These include length of stay, readmission rates, health care associated infections, system capacity and patient satisfaction scores. While most quality metrics are driven by systems of care, it can be challenging for frontline providers to address variations in individual practice, if any, […]
Abstract Number: 432
Hospital Medicine 2020, Virtual Competition
Background: Prevalence of alcohol use disorder (AUD) on inpatient medicine wards exceeds 40%. Only 50% of these patients develop alcohol withdrawal, of whom only 5-20% develop complicated alcohol withdrawal syndromes (AWS) that warrant treatment and monitoring. Overutilization of the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) scale is well-reported in the literature. CIWA-Ar […]
Abstract Number: 433
Hospital Medicine 2020, Virtual Competition
Background: Over the last 2 decades there has been increasing adoption of Observation (OBS) units across the healthcare facilities in United States. Health reforms like 2 midnight rule and 30 day readmission penalties, congestion in the ED, poor operational outcomes in OBS population mixed with inpatients (IP) etc. further added to the need for dedicated […]
Abstract Number: 434
Hospital Medicine 2020, Virtual Competition
Background: Catheter occlusion is one of the most common complications associated with Peripherally Inserted Central Catheter (PICC) insertion, affecting 1 in every 8 PICCs placed. Occlusion may have important consequences for patients including inability to use the device, delays in tests or treatment, or if irreversible the need to remove and replace the device. Based […]
Abstract Number: 444
Hospital Medicine 2020, Virtual Competition
Background: Medically acute patient patients are cared for by housestaff and advance practice provider (APPs) overnight. The severity of illness in these patients can vary during their hospital stay. Decompensation in this population is under recognized and can lead to adverse outcomes. Even when correctly identifying decompensation, unclear lines of escalation, and poor documentation practices […]
Abstract Number: 458
Hospital Medicine 2020, Virtual Competition
Background: Medically complex patients discharged from hospitals to skilled nursing facilities (SNFs) are at high risk for unintentional errors, re-hospitalization, and mortality. Commonly reported transitional care errors include poor communication of critical information, limited access to medical records, and lack of clarity as to follow-up plans or patients care goals. Telehealth is increasingly used in […]
Abstract Number: 462
Hospital Medicine 2020, Virtual Competition
Background: Given the shift-based nature of modern hospital medicine, block schedules where physicians are on clinical service for a defined period of time are common place. As such, end-of-service handoffs are a routine element of hospital medicine practice. Like handoffs to an overnight cross-covering physician, end-of-service handoffs pose a risk to patients if critical information […]
Abstract Number: 481
Hospital Medicine 2020, Virtual Competition
Background: There is growing adoption of Observation units as an answer to increasing payment denials in short stay admissions (ranging from 24-72 hours), overcrowding in emergency room, need for inpatient capacity and mismatched resource utilization. There is quite a bit of variation in the type of OBS units like Level I OBS unit- which is […]
Abstract Number: 1206
Hospital Medicine 2020, Virtual Competition
Background: To curb the growing opioid epidemic, hospitalists need to re-examine inpatient opioid use and increase utilization of alternatives to opioids for pain management. Of 1.1 million nonsurgical inpatients across 286 US hospitals from July 2009 to June 2010, 51% received an opioid during hospitalization and more than half with inpatient exposure were prescribed opioids […]
Abstract Number: 1207
Hospital Medicine 2020, Virtual Competition
Background: As the day progresses, clinicians may experience decision fatigue that impairs clinical reasoning. Such impairment may exert its greatest effects on clinicians’ abilities to identify and effectively treat heterogeneous clinical syndromes with high diagnostic uncertainty, including sepsis. We therefore examined the association of time of day with antibiotic initiation among hospitalized ward patients with […]