Session Type
Meeting
Search Results for Informatics
Abstract Number: 202
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Audit and feedback improves clinical care by highlighting the gap between current and ideal practice. Electronic health record (EHR) data can provide contemporaneous data for quality improvement but has not yet been studied extensively. We conducted a randomized trial to determine whether audit and feedback leveraging EHR data with modern web-based dashboards could improve […]
Abstract Number: 237
SHM Converge 2023
Background: Lab testing is critical for clinical decision-making and used throughout healthcare systems. Overuse of lab testing is known to be commonplace and contributes to shortages in lab testing materials. While practices exist at medical institutions that aim to limit lab test overuse, it is unclear which interventions are effective. Methods: We aimed to reduce […]
Abstract Number: 246
SHM Converge 2024
Background: Multiple safety reports were reviewed for missed doses of critical medications on admission to the inpatient rehabilitation units at a large academic medical center. It was found that providers were inconsistently or incorrectly using the admission medication reconciliation (AdmMedRec) functionality in EHR that could have prevented these errors.Many hospitals struggle with AdmMedRec due to […]
Abstract Number: 247
SHM Converge 2021
Background: The electronic health record (EHR) is a contributing factor to healthcare worker associated stress and burnout. In f most EHRs, users cannot provide feedback and suggest improvements. To capture potential solutions at the point of care, the University of Chicago Medicine’s (UCM) Clinical Excellence team launched a program to provide physicians and advanced practice […]
Abstract Number: 250
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, is a serious public health problem causing over 90,000 deaths each year. VTE rates at our institution have been high and costly, with insurer penalties for post-operative VTE exceeding $5.5M in 2014. While prophylaxis for at-risk inpatients can reduce hospital-associated (HA) VTE by up […]
Abstract Number: 253
SHM Converge 2023
Background: Many hospitalized adults arrive with pre-existing malnutrition, which is associated with high risk of adverse outcomes. As such, malnutrition is a common variable in cost and quality risk adjustment models based on hospital discharge diagnosis codes. Hospital dietitians assess patients for malnutrition and generally document the details of their evaluations. However, coding professionals cannot […]
Abstract Number: 296
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Despite strong performance on Venous Thromboembolism (VTE) Core Measures, our institutional approach to VTE prophylaxis placed significant burden on providers through frequent automated alerts. Within our Electronic Medical Record (EMR), provider alerts triggered when a patient with at least one identified risk factor for VTE did not have prophylactic medication ordered. However, only 11% […]
Abstract Number: 299
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting up a new dialysis seat, receiving consult recommendations for discharge) is rarely documented and often obtained anecdotally or qualitatively. This […]
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: 394
SHM Converge 2023
Background: To mitigate COVID-19 related hospital crowding, our hospital internal medicine (HIM) department collaborated with our emergency department (ED) to launch a service in which an HIM team was placed in the ED to assist with triage. The goal was to expedite patients with a clear need for admission, while diverting others who could be […]