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Search Results for IMPROVE
Abstract Number: 397
Hospital Medicine 2020, Virtual Competition
Background: The Society of Hospital Medicine (SHM)’s Quality Improvement Special Interest Group’s (QI SIG) mission is “to create and maintain a community that promotes quality improvement by connecting quality improvement enthusiasts to each other and the resources necessary to develop and hone quality improvement skills.” The QI Initiative subgroup of QI SIG was charged with […]
Abstract Number: 398
SHM Converge 2024
Background: Approximately 12% of hospitalizations are related to substance use disorder (SUD), an estimated 20% of hospitalized patients may have SUD, and patients with SUDs are nearly twice as likely to be readmitted. Pharmacotherapies for SUD are underutilized in hospitals, especially in Texas, due to lack of training, structures, and organizational cultures to support evidence-based […]
Abstract Number: 399
SHM Converge 2024
Background: The diagnostic process, inherently fraught with uncertainty and susceptible to errors, has been associated with adverse outcomes when physicians exhibit lower tolerance for uncertainty (1,2). The Diagnostic Time-Out (DTO) serves as a structured tool to outline a problem representation, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations for diagnostic errors. In […]
Abstract Number: 399
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are one of the most widely used means for long term vascular access. When compared to traditional central venous catheters (CVCs), PICCs offer several advantages including safer insertion in the arm, cost-effectiveness, and easier self-care for patients outside the hospital. Despite these advantages, numerous studies have found complications associated […]
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 […]
Abstract Number: 403
Hospital Medicine 2020, Virtual Competition
Background: Patients admitted to the hospital without a documented code status specifying what, if any, heroic measures they would consent to in the event of an emergency are at risk for receiving medical interventions that are not goal concordant with their wishes1. This invites patient harm, patient and family dissatisfaction, and may increase hospital length […]
Abstract Number: 405
Hospital Medicine 2020, Virtual Competition
Background: Montefiore Health System (MHS) rapidly expanded from three hospitals in close proximity to eleven hospitals across hundreds of miles. The structure of the new health system follows a hub and spoke model with the concentration of specialty care located at the hub which is the Moses campus in Bronx, NY. In order to best […]
Abstract Number: 405
SHM Converge 2024
Background: Between 5-30% of hospitalized patients screen positive for unhealthy alcohol use (UAU), and roughly 10-15% of patients have alcohol use disorder (AUD). Brief counseling and medications for AUD are shown to reduce alcohol consumption yet are underutilized in hospitals: over 90% of patients nationally are not screened and treated for UAU. Purpose: To increase […]
Abstract Number: 406
Hospital Medicine 2020, Virtual Competition
Background: Inefficiencies in the hospital discharge process can be a source of patient and provider dissatisfaction. Further, gaps in post-discharge care have been associated with increases in 30-day mortality and 30-day unplanned re-hospitalization. Addressing these gaps requires a specific focus on the development of a post-acute care treatment plan, identification of potential barriers to the […]
Abstract Number: 407
Hospital Medicine 2020, Virtual Competition
Background: Early and sustained mobilization of patients throughout admission is a goal we all strive to achieve. Inpatient immobility leads to the development of medical complications such as pressure ulcers, acute venous thrombosis, nosocomial infections, decreased muscle mass, and overall functional decline. Additionally, patients become deconditioned from their baseline and require potentially preventable additional services […]