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Meeting
Search Results for Electronic Health Record
Abstract Number: 249
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Clearly documented patient preferences for treatment at the end-of-life may help inform clinical decision-making during future hospitalizations. The electronic health record (EHR) could facilitate easier access to this information. However, little is known about current documentation practices regarding advanced care planning in the EHR. The objective of this study was to determine the prevalence […]
Abstract Number: 252
SHM Converge 2023
Background: Understanding patient readiness for discharge requires communication between the many disciplines who care for patients. Team members use different tools in the electronic health record (EHR) to document and communicate discharge-related information, which can result in inefficient communication, delays in discharge, and adverse patient outcomes. EHR-based discharge coordination tools have potential to improve discharge […]
Abstract Number: 253
Hospital Medicine 2020, Virtual Competition
Background: Conversations around advance care planning (ACP) allow patients to direct the type and intensity of the medical care that they receive. Known ethnic and racial disparities in ACP exist, with racial and ethnic minorities less likely to have living wills and DNR orders. We aimed to understand the impact of an intervention to improve […]
Abstract Number: 259
SHM Converge 2024
Background: Current surveillance approaches underestimate harmful diagnostic errors (DE) in hospitalized patients. A recent study of 2809 admissions observed that while one or more adverse events (AE) occurred in 23.6% of cases, only 10 AEs (0.1%) were attributable to DEs (1). Studies using the Safer Dx instrument have observed harmful DE rates of 5-7% (2). […]
Abstract Number: 269
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The use of IV insulin is one of the primary therapeutic options for the treatment of hyperkalemia. Unfortunately the available literature reports that hypoglycemia is a common occurrence as a result of the treatment of hyperkalemia. During our safety event review process, we identified the same issue within our own institution. Due to reports […]
Abstract Number: 272
SHM Converge 2024
Background: Patient portals are intended to engage caregivers with their child’s healthcare by allowing them to read clinical notes, access test results, make appointments, and message providers, and they are often used during hospitalization. While patient portals typically offer multiple language options, the extent to which medical information is translated remains limited. Understanding how caregivers […]
Abstract Number: 286
Hospital Medicine 2020, Virtual Competition
Background: Observation status was designed to reduce health care costs for patients in need of short hospital stays. CMS suggests that observation care should typically require less than 24 hours, and only rarely last more than 48 hours. However, studies suggest that length of stay for observation patients is often longer than CMS guidance.[1,2] An […]
Abstract Number: 288
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patient record form one of the most important part of clinical care as the primary source for patient information for primary team, consultants, nurses and other paramedic staff and help in providing a higher quality of care, as well as monitoring patient safety. Incomplete patient records are a source of gaps in patient care […]
Abstract Number: 290
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospitalists spend a significant part of their workday interacting with the electronic medical record (EMR). Less is known regarding the details of the tasks that are performed during this interaction. In considering aspects of workflow and EMR usability, we sought to characterize how hospitalists spend time within the EMR, in terms of number of […]
Abstract Number: 293
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Inpatient physicians often discharge patients while diagnostic tests are still pending. The discharging attending is responsible for following-up these results, even if they have rotated off service. This can lead to delayed and/or missed detection of results, which impacts patient safety. It also creates a burden on physicians to check for results during time […]