Session Type
Meeting
Search Results for Clinical Decision
Abstract Number: 129
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Bronchiolitis is a clinical diagnosis, with growing research supporting limited use of diagnostic tests and interventions. Hospitals have reduced use of bronchodilators and imaging, but the national average of respiratory viral testing (RVT) in these children continues to be high at 33%. Over the past three years, RCHSD’s rate has persisted at 31-35%, despite […]
Abstract Number: 148
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Sepsis, severe sepsis, and septic shock combined, are estimated to affect between 650,000 and 750,000 Americans annually, and has an associated mortality rate between 20 to 50%. Early identification of patients with sepsis is critical, as treatment delays are associated with significant increases in mortality. The electronic health record (EHR) contains near-real-time physiologic parameters, […]
Abstract Number: 157
SHM Converge 2021
Background: Clinical decision making pathways (pathways) embedded within electronic medical record (EMR) systems are an innovative tool intended to assist providers in diagnosing and managing patient conditions. Pathways provide clinical decision trees with the ability access online risk score calculators and select orders for lab and imaging tests, medications, and consultations. Studies have shown that […]
Abstract Number: 172
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Many red blood cell transfusions (RBCT) are unnecessary or harmful according to clinical trials and guidelines. These RBCT put patients at risk and waste scarce healthcare resources. Clinical decision support (CDS) using the Epic™ computer provider order entry system has reduced unnecessary transfusion (Goodnough et al, Transfusion 2014) at one center with a post-intervention […]
Abstract Number: 197
SHM Converge 2021
Background: The COVID-19 pandemic has required healthcare systems to meet new demands for rapid information dissemination, resource allocation, and patient tracking and reporting. To help address these unique challenges, the University of Chicago Medical Center (UCMC) has leveraged Integrated Clinical Pathways (ICPs), which are flexible decision support tools integrated directly into the electronic health record. […]
Abstract Number: 200
SHM Converge 2024
Background: Routine patient care including vital signs checks, lab draws, medication administration, during the night contributes to the already disturbed sleep of inpatients. This study aimed to assess the performance of automated risk scores to stratify the risk of an overnight deterioration to better inform letting low-risk patients sleep and more intensively monitoring and/or intervening […]
Abstract Number: 203
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Venous Thromboembolism (VTE) is a potentially life-threatening disorder and in some cases, is related to underlying hypercoagulability which may be congenital or acquired. Guidelines suggest performing extensive work -up for hypercoagulability only in select patients: those with close family history of VTE at young age ( < 45), young age at first VTE (<45), […]
Abstract Number: 205
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Adverse events (AEs) are a major concern in the inpatient setting, with many considered preventable. The Patient Safety Learning Lab implemented a Patient Safety Dashboard integrated with our electronic health record as part of a suite of health information technology tools to reduce inpatient AEs. The goals of this evaluation were to understand patterns […]
Abstract Number: 208
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite widespread awareness of best practices in the early management of sepsis, sepsis continues to burden our healthcare systems with high mortality, prolonged length of stay and excessive cost. Early recognition of sepsis and adherence to evidence-based initial resuscitation protocols is known to reduce both mortality and costs associated with care. In 2013, a […]
Abstract Number: 215
SHM Converge 2024
Background: Evidence-based guidelines/protocols for electrolyte replacement that safely encourage oral (PO) and/or intravenous (IV) dosing attain goal levels more successfully than standard care.1-17 PO is generally more comfortable and less dangerous than IV. Between 5/2017-11/2017, Jefferson dosed ~300,000 doses of potassium (K) and magnesium (Mg), with 30% and 19% of doses being PO, respectively. Guiding […]