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Search Results for Flow
Abstract Number: 258
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Late discharges are a known barrier to patient flow. Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams. Purpose: “Daily afternoon multidisciplinary team huddles will increase the % of discharge orders before 10am by 10% on the medicine teams by June 2015” Description: We initially analyzed reasons […]
Abstract Number: 265
SHM Converge 2023
Background: Hospitals increasingly face capacity strain and challenges with patient flow, leading to emergency department (ED) crowding, ED boarding, and threats to patient safety and quality of care. ED boarding occurs from the time of the decision to admit until the patient arrives in an inpatient bed and is affected by many factors including discharge […]
Abstract Number: 276
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Abstract Text: Background: Safely and efficiently moving patients through the admission process is a key concern for emergency and hospital medicine faculty. Our hospitalist group admits approximately 400 patients per month, each admitting physician evaluates approximately 7.5 patients per shift, utilizing individual approaches. We aimed to improve the quality of our admissions by standardizing our […]
Abstract Number: 290
Hospital Medicine 2020, Virtual Competition
Background: Physicians increasingly utilize electronic health records (EHR) to deliver healthcare, and the EHR has been identified as leading source of physician burnout and frustration [Shanafelt et al]. Studies report up to 52.6% of hospitalists exhibit symptoms of burnout [Roberts et al]. However, there is no data to inform how hospital medicine physicians spend their […]
Abstract Number: 301
SHM Converge 2024
Background: Coronary Computed Tomography Angiography (CCTA) is a common anatomic modality for detection of cardiac ischemia in the setting of chest pain hospitalizations. However, invasive coronary angiography (ICA) is the gold standard for diagnosing ischemic coronary artery disease. Research showed that CCTA has a high sensitivity but lacks the specificity and accuracy component of Fractional […]
Abstract Number: 320
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: There have been increases in the incidence of and significant costs associated with hospitalizations due to injection-related infection sequelae both in the U.S. and worldwide. Infection sequelae include but are not limited to cellulitis and abscess, bacteremia and sepsis, endocarditis, osteomyelitis, septic arthritis, ulcers, and thrombophlebitis. Because of the unique bio-socio-psycho needs of injection […]
Abstract Number: 325
SHM Converge 2021
Case Presentation: A 46-year-old female with a history of amphetamine abuse, depression, and hypertension presented to the ED for acute onset of bilateral lower extremity weakness and urinary incontinence. She denied other associated symptoms. The patient’s neurologic exam was notable for symmetrically decreased lower extremities motor strength and reflexes to 2/5, decreased sensation below L1, […]
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: 389
SHM Converge 2023
Background: Health information technology (HIT) systems were created with the intent to improve efficiency and streamline clinical workflows. However, evidence suggests HIT systems are a significant source of clinician burnout (Adler-Milstein 2020). A thorough understanding of clinicians’ frustrations is necessary to develop solutions to improve HIT systems. In doing so, efforts from the clinical informatics […]
Abstract Number: 401
SHM Converge 2024
Background: Hospital admission is a complex process and more often than not workflows are not aligned leading to delays in patient care and safety issues. Purpose: Align and coordinate care between different disciplines from registration process to admission to the floor to improve patient care, efficiency and safety. Description: Over 100 hours of observation were […]