Session Type
Meeting
Search Results for Quality
Abstract Number: 243
SHM Converge 2021
Background: Food insecurity (FI) is “the limited or uncertain availability of nutritionally adequate and safe foods or…to acquire acceptable foods in socially acceptable ways.” FI, a social determinant of health (SDOH), is associated with worse health, education, and socioeconomic outcomes. A validated 2-question survey with high sensitivity and specificity in identifying food insecure families exists. […]
Abstract Number: 271
SHM Converge 2021
Background: Preventable medical errors are currently the third leading cause of death in the United States following heart disease and cancer (1). In light of this, integration of formal patient safety education into undergraduate medical education has been encouraged by the World Health Organization in order to address issues of quality of care (2). Early […]
Abstract Number: 273
SHM Converge 2021
Background: Croup affects more than 1.4 million children under the age of six in the United States annually. Up to 6% of children with croup are hospitalized at an estimated annual cost of $56 million. Guidelines for Emergency Department (ED) and inpatient management of croup vary and generally rely on limited evidence. Specifically, admission and […]
Abstract Number: 276
SHM Converge 2021
Background: The Society of Hospital Medicine (SHM)’s Quality Improvement (QI) Special Interest Group’s (QI SIG) mission is “to create and maintain a community that promotes QI by connecting QI enthusiasts to each other and the resources necessary to develop and hone QI skills.” During this year, without in-person local or national meetings as opportunities to […]
Abstract Number: 286
SHM Converge 2021
Background: On inpatient general medicine units, the timing of routine lab draws is not evidence-based, and common practice is for routine labs to be collected in the early morning. However, this collection time may not be optimal for patient satisfaction, nursing and physician workflow, and the overall efficiency of care. It is known that early […]
Abstract Number: 290
SHM Converge 2021
Background: The evolving COVID-19 pandemic has raised direct patient care clinical questions that require rapid answers and flexibility in data generation and analysis. Thorough and reliable patient-level data is not available at the local, state, national, or international levels. Institutional efforts to produce datasets derived from electronic health records (EHR) can take months to years […]
Abstract Number: 291
SHM Converge 2021
Background: Acute severe hypertension without evidence of end-organ damage (previously defined as hypertensive urgency) is a relatively common occurrence in the inpatient setting that can be frustrating and worrisome to both physicians and floor staff alike. Hypertensive urgencies have not been shown to be associated with increased short-term cardiovascular risk or mortality(1). Chronic hypertension is […]
Abstract Number: 301
SHM Converge 2021
Background: Inpatient serum folate testing was recognized as a low-value practice by the Choosing Wisely campaign in 2015. Despite this recognition, clinicians at our hospital system continue to use this test in a standard workup for conditions such as anemia, dementia and altered mental status. Shifting practice patterns away from serum folate testing remains a […]
Abstract Number: 304
SHM Converge 2021
Background: Hospitalist providers are the backbone of inpatient medicine and are the ideal audience for hospital-driven metrics given their direct and constant care of hospitalized patients. However, these metrics often seem ambiguous, resulting in frustration and dismissal. Guiding hospitalist providers through less commonly understood topics such as utilization review determinations (nuances of observation/inpatient status), high […]
Abstract Number: 307
SHM Converge 2021
Background: De-implementation of low-value services remains a challenge in healthcare. Research has shown that Choosing Wisely recommendations are ineffective in reducing low value care alone, and more robust interventions are needed. Additionally, most of the published efforts of reducing unnecessary inpatient services are done in smaller settings within a single hospital. Furthermore, initiatives in resource […]