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Search Results for Ehr
Abstract Number: 301
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medication alerts are one of the touted safety features with the electronic health record (EHR). With time, users tend to override the alerts, which leads to patient harm. The phenomenon of “alert fatigue” is well known to any practicing clinician. Frequent interruptions of little value train physicians to disregard alerts in favor of efficiency. […]
Abstract Number: 303
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients are often disrupted at night for routine medical care, some of which is unnecessary. These sleep disruptions have implications for patient satisfaction, delirium, mobility, immune status, as well as hospital outcomes such as length of stay and readmissions. Interventions to improve inpatient sleep would benefit from the ability to objectively measure sleep, […]
Abstract Number: 305
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Healthcare research has traditionally relied upon data collected from clinical trials and data generated from patient registries and insurance claims to drive analyses. As electronic health records (EHR) and computerized physician order entry have proliferated, large quantities of healthcare data is being generated daily through their routine use. A form of “big data,” this […]
Abstract Number: 312
Hospital Medicine 2020, Virtual Competition
Background: Background: Patients transferred between hospitals undergo a high-risk transition of care, where communication is asynchronous, information is commonly lost, and mortality is disproportionately high. Prior studies have shown that standardizing communication through checklists can improve outcomes, and conversely lost documentation has been associated with higher mortality. The lack of interoperability of electronic health records […]
Abstract Number: 352
SHM Converge 2023
Background: Documentation shortcut tools in electronic health records, such as dot phrases, are essential in a busy clinical environment to promote efficiency and standardize care, but are known to carry risks. The extent to and mechanism by which dot phrase errors occur are poorly characterized. In addition, there are no defined interventions for hospitalists to […]
Abstract Number: 362
SHM Converge 2023
Background: Medication reconciliation (MR) is foundational to patient safety during and after a hospital admission. Although many electronic health records (EHRs) have a dedicated space for documenting home medications on admission, use of such EHR sections remains variable. Providers may opt to record the MR only in the admission H&P, which is not easily updated […]
Abstract Number: 379
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: On October 1, 2007, Medicare changed their payment structure from Diagnosis Related Group (DRG) to Medicare Severity-Diagnosis Related Group (MS-DRG) based reimbursement. This led institutions to prioritize clinical documentation improvement (CDI) programs in an attempt to align healthcare resources with patient complexity. Complete documentation has other benefits to a healthcare system as well. These […]
Abstract Number: 380
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A somewhat under-discussed topic in EHR implementation is the safety and efficiency consequences of their lengthy build and implementation. After multiple years of stalled clinical innovation while IT staff dedicate their focus to EHR builds, hospital systems undergo an 8 – 16 hour downtime often followed by multiple planned and unplanned downtimes that can […]
Abstract Number: 381
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In recent years, in large part due to reimbursement incentives, the healthcare industry has shifted focus from volume to quality of care, with patient satisfaction being a crucial part of the evaluation. There is growing recognition that patient satisfaction is at least in part linked to clinician satisfaction and burnout(1). Thus, there is a […]
Abstract Number: 394
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As of 2017, 96% of non-federal acute care hospitals had an electronic health record (EHR). Hospitalists interact with the EHR for several hours each day. Many studies have suggested a direct correlation between physician burnout and frustrations with the EHR. Data has been published regarding physician time studies in the outpatient setting, but there […]