Session Type
Meeting
Search Results for Mortality
Abstract Number: 184
SHM Converge 2024
Background: Patients with End-stage renal disease (ESRD) who are dialysis-dependent have an elevated risk of peri-operative morbidity and mortality. There are many scoring tools that can help predict perioperative risk. Unfortunately, none were validated specifically for patients with ESRD. We aimed to compare the performance of the Revised cardiac risk (RCRI) and the AUB-HAS2 scores […]
Abstract Number: 202
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Severe aortic stenosis (SAS) had been identified as being at elevated risk for non-cardiac surgery. However, two reports demonstrated that SAS did not increase mortality of intermediate to high risk non-cardiac surgery. The European Society of Cardiology guideline states non-cardiac surgery of low to intermediate risk can be safely performed among patients with SAS. […]
Abstract Number: 203
SHM Converge 2024
Background: Our single academic medical center implemented a standardized Outside Hospital (OSH) communication process, encouraging physician completion of a dedicated templated patient transfer note for admission to any Department of Medicine (DOM) specialty. Prior outcomes analysis revealed that documentation with any transfer note, templated or non-templated, is significantly associated with improved outcomes of death within […]
Abstract Number: 207
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Mortality review, well-documented in the medical literature, is a standardized process used to identify patient safety improvement opportunities and also to evaluate providers. As patient safety experts, hospitalists often review mortality cases for their hospitalist group or hospital. As the volume of cases is often not trivial, it can be difficult to allocate the […]
Abstract Number: 222
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Mortality is the first quality metric reported by CMS, and historically a key measure for evidence based medicine since the 1800’s. THINK: John Snow removing the handle from the Broad street well pump to reduce cholera deaths Ignaz Semmelweis demonstrating washing hands reduced puerperal fever and death. Mortality rates are risk adjusted […]
Abstract Number: 224
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Mortality review committees are charged with identifying areas of potential improvement, with the goal of decreasing preventable death. This laudable aim is accompanied by secondary goals of interest to the organization like improving diagnostic error, fostering teamwork, optimizing information technology, or supporting other quality improvement efforts. At our institution, we developed an interdisciplinary mortality […]
Abstract Number: 227
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Since the publication of the Institute of Medicine report To Err Is Human in 1999, preventable inpatient deaths in the United States have been estimated as between 44,000 and 98,000 deaths annually. A more recent review concluded that the number of preventable deaths was over 250,000 cases annually. Critics have pointed out that these […]
Abstract Number: 230
SHM Converge 2023
Background: Several electronic health record (EHR) mortality prediction models have been developed to promote early goals of care discussions (GOCD) but only a few models were evaluated prospectively. We aimed to implement a real-time 30-day inpatient mortality prediction model previously developed at our facility and evaluate its effect on GOCD in seriously ill transferred patients. […]
Abstract Number: 244
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Institute of Medicine estimates that there are 44,000-98,000 preventable deaths per year. However, there is a paucity of literature regarding preventable death rates, despite its importance as a quality measure. Methods: All deaths in the general medicine service from 2010-2012 at an academic hospital underwent an independent retrospective chart review by […]
Abstract Number: 256
Hospital Medicine 2020, Virtual Competition
Background: Hospitals are nationally ranked on the basis of comparisons of quality of care, mortality, readmissions and health care associated infections.1 Center for Medicare and Medicaid Services (CMS) looks at these top 6 illnesses; stroke, pneumonia, heart failure, chronic obstructive pulmonary disease, acute myocardial infarction and coronary artery bypass graft (CABG) to compare hospital’s specific […]