Background: A previous project targeting Medicine residents’ high-value care practices prompted evaluation of the non-resident hospitalist teams ordering practices. Would exposure to residents (receiving education on high-value care) translate to changes in attending physician ordering on hospitalist-only teams? Purpose: Participants included Medicine physicians attending on the non-resident and resident inpatient services. Data collected from the [...]

Background: There is often little communication across inpatient medicine teams at a busy academic medical center. Although teams comprise trainees across many levels, individual teams often work in parallel without relating shared challenges and experiences. This can be isolating, and practicing in such silos can propagate systems issues and contribute to burn out. Purpose: Create [...]

Background: A working group was created to look at the care of behavioral patients in the hospital. This group focused primarily on the rapid response teams (RRTs) related to behavioral emergencies in this patient population. Currently if a patient decompensates psychiatrically, rather than their psychiatric issue be addressed promptly, an RRT gets called and many [...]

Background: Prior to this project, inpatient Advanced Practice Providers (APPs) at UW Health lacked organizational data including volumes, patient experience, hospital acquired conditions, and operational efficiency metrics. In 2016, inpatient APPs collaborated with UW Health’s Analytics and Information Systems team to develop a method for inpatient APP attribution and identification of team-based, APP sensitive metrics [...]

Background: More than 30 million children and adolescents participate in organized sports in the United States every year. Participation has numerous benefits including improved physical fitness and better school performance, however, it is not without risk. According to the Centers for Disease Control and Prevention, children sustain more than 3.1 million sports and recreation-related injuries [...]

Background: The Institute for Healthcare Improvement’s Age-Friendly Health Systems (AFHS) initiative calls for providers to ensure that older adults move safely to maintain daily function. However, studies show that about a third of hospitalized older adults have bed rest orders, most of which are not medically indicated. Therefore, at our 537-bed community teaching hospital, we [...]

Background: An estimated 68,000 Americans died of opioid-related overdoses between March 2017-2018. In Monroe County NY heroin/fentanyl deaths are up 200% from 2015- 2017. Guidelines recommending naloxone co-prescription for high-risk patients on opioid pain medications have been issued. The inpatient setting provides unique opportunities for identifying patients at risk for opioid adverse events (OAE) and [...]

Background: Interprofessional rounding has improved patient safety and provider engagement (1). Our institution implemented interdisciplinary patient rounds (IPR) similarly described in the literature (2). Despite praise for our nursing safety checklist, declining emphasis on bedside teaching and brief patient interactions lead to provider dissatisfaction. Purpose: To provide high-quality patient care, foster interprofessional collaboration, and provide [...]

Background: Communication between team members is fundamental to providing high quality care to hospitalized patients (1). Breakdowns in communication lead to compromised patient safety, delays in care, and poor utilization of resources (2). Our Veterans Affairs (VA) hospital has about 200 inpatient beds, primarily staffed by resident physician teams. Bedside nurses use the admission order [...]

Background: Improving the quality and safety of the care provided is the some of the most essential and critical work done in hospitals today. In the current system of health care education, health care professionals are often trained on improvement methodology. Several methodologies are provided as improvement frameworks in our health care professional schools around [...]