Session Type
Meeting
Search Results for Quality
Abstract Number: 232
Hospital Medicine 2020, Virtual Competition
Background: Penicillin class antibiotics are the most frequently reported drug allergy in the electronic health record (EHR), but recent studies find
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: 239
Hospital Medicine 2020, Virtual Competition
Background: There exists no standardized means of assessing hospitalist performance on quality, safety, efficiency and value metrics.Timely, accurate and meaningful feedback on individual performance is imperative to drive improvement. Methods: The components of the MEQI align with the institution’s most important metrics, including readmission rate, hospital acquired conditions and observed to expected length of stay. […]
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 […]