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Search2020-05-20T12:01:36-05:00
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Search Results for Quality Improvement
Plenary Presentations
A RANDOMIZED CONTROLLED TRIAL OF AN EHR-EMBEDDED CLINICAL DECISION SUPPORT TOOL TO PROMOTE SLEEP IN THE HOSPITAL
Hospital Medicine 2020, Virtual Competition
Background: Overnight vital sign assessment can disrupt sleep in the hospital and may be unnecessary in clinically stable patients. However, providers may not feel comfortable determining which patients can safely forego overnight vitals. We studied the effect of a clinical decision support (CDS) tool embedded in the electronic health record (EHR) that automatically identified clinically […]
Plenary Presentations
ASSOCIATION BETWEEN APPROPRIATENESS CRITERIA AND RISK OF COMPLICATIONS IN PATIENTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS
Hospital Medicine 2020, Virtual Competition
Background: We have previously showed how implementing the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) to inform peripherally inserted central catheter (PICC) use can lead to more appropriate device use. In this analysis, we assessed the association between appropriateness and PICC-related complications. We hypothesized that improved PICC appropriateness is associated with reduced major PICC complications […]
Abstract Number: 4
“IS YOUR PATIENT GOING TO DIE?: A NOVEL MORTALITY PREDICTIVE MODEL FOR TRANSFER PATIENTS AT AN ACADEMIC HEALTH CENTER”
Hospital Medicine 2020, Virtual Competition
Background: Assessing severity of illness using available electronic medical record (EMR) data on admission and predicting inpatient mortality is very challenging. Lacking standardized practices around end of life issues, hospitalists use their clinical judgment in making these crucial decisions. Prolonged discussions may be needed in medically complex patients to direct an optimal plan of care […]
Abstract Number: 4
“IS YOUR PATIENT GOING TO DIE?: A NOVEL MORTALITY PREDICTIVE MODEL FOR TRANSFER PATIENTS AT AN ACADEMIC HEALTH CENTER”
Hospital Medicine 2020, Virtual Competition
Background: Assessing severity of illness using available electronic medical record (EMR) data on admission and predicting inpatient mortality is very challenging. Lacking standardized practices around end of life issues, hospitalists use their clinical judgment in making these crucial decisions. Prolonged discussions may be needed in medically complex patients to direct an optimal plan of care […]
Abstract Number: 8
PROJECT DRIVE: DECREASING REDUNDANT AND IRRELEVANT VITALS EVERYDAY
Hospital Medicine 2020, Virtual Competition
Background: Assessing vitals at regular intervals can be disruptive to a patient’s rest and unnecessary if the patient is clinically stable. These interruptions may lead to impaired sleep, parental fatigue and anxiety, delayed discharge, and increased cost of care. Moreover, alarm fatigue has been described with over-monitoring of patients, as has the overuse of staff […]
Abstract Number: 8
PROJECT DRIVE: DECREASING REDUNDANT AND IRRELEVANT VITALS EVERYDAY
Hospital Medicine 2020, Virtual Competition
Background: Assessing vitals at regular intervals can be disruptive to a patient’s rest and unnecessary if the patient is clinically stable. These interruptions may lead to impaired sleep, parental fatigue and anxiety, delayed discharge, and increased cost of care. Moreover, alarm fatigue has been described with over-monitoring of patients, as has the overuse of staff […]
Abstract Number: 22
ASK ABOUT WHAT MATTERS: IMPROVING ADVANCE CARE PLANNING DOCUMENTATION FOR HOSPITALIZED PATIENTS USING A NOVEL EHR-BASED TOOL
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists often care for patients with serious illness and commonly review and discuss advance care planning (ACP). Documented ACP conversations can be difficult to access in the electronic health record (EHR) due to the lack of a centralized location for ACP documentation and individual clinician practice variation leading to ACP documentation existing in multiple […]
Abstract Number: 22
ASK ABOUT WHAT MATTERS: IMPROVING ADVANCE CARE PLANNING DOCUMENTATION FOR HOSPITALIZED PATIENTS USING A NOVEL EHR-BASED TOOL
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists often care for patients with serious illness and commonly review and discuss advance care planning (ACP). Documented ACP conversations can be difficult to access in the electronic health record (EHR) due to the lack of a centralized location for ACP documentation and individual clinician practice variation leading to ACP documentation existing in multiple […]
Abstract Number: 30
How “Informed” Are Graduating Students in Obtaining Consent?
Hospital Medicine 2020, Virtual Competition
Background: Hospitalized patients are consented for procedures on a daily basis, and obtaining informed consent is a core competency in professionalism and medical ethics for hospitalists.  This provides an opportunity for academic hospitalists to evaluate this skill.  AAMC released Core Entrustable Professional Activities for Entering Residency (CEPAER) as a reference for graduating medical students, and […]
Abstract Number: 30
LOST IN TRANSLATION: OVERCOMING LANGUAGE BARRIERS BY PARTNERING WITH LANGUAGE SERVICES
Hospital Medicine 2020, Virtual Competition
Background: The Limited English Proficiency (LEP) population is at higher risk of receiving poorer care and worse health outcomes compared to their English-speaking counterparts. Interpreters should be utilized to help improve these encounters, but physicians are rarely trained on how to work with interpreters effectively. This is reflected in a prior study showing that residents […]
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  • All Time

  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • A Case of Jamaican Stone
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