Session Type
Meeting
Search Results for Multidisciplinary
Abstract Number: 235
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Vascular access is an integral part of inpatient care. Difficult access can result in delays and inappropriate access selection or technical placement can have quality and financial implications, particularly those associated with catheter-line associated blood stream infections (CLABSI). At our institution, vascular access had historically been provider driven resulting in non-standardized selection practices with […]
Abstract Number: 236
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: New York State has identified a list of controlled medications that require frequent monitoring and review. New York State law dictates that these medications, when disbursed in a hospital setting, must be reviewed and re-ordered on a weekly basis. In order to maintain compliance with New York State law, the Electronic Medical Record (EMR) […]
Abstract Number: 242
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Telemetry is utilized on high risk cardiac patients for monitoring of arrthymias. Guidelines providing clear monitoring indications have been published by AHA to reduce overuse of this resource, which can lead to increased care costs and false positive alerting. Despite the above evidence, our hospital has a high volume of patients on telemetry causing […]
Abstract Number: 246
SHM Converge 2021
Background: Advance care planning (ACP) helps patients plan end of life care in accordance with their goals and values, but is often performed too late and infrequently. Hospitalists play an important role in delivering ACP for patients admitted for serious illnesses, but often cite competing inpatient priorities, lack of time and training, and uncertainty about […]
Abstract Number: 247
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, prolonged DT also increases wait times for patients being admitted from the ED. Delayed admissions pursuant to late discharges, caused […]
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: 260
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Delirium affects 20-60% of the general hospitalized patients, and up to 85% of intensive care unit (ICU) patients. Its occurrence is associated with higher morbidity and mortality, long-term institutionalization, worse long-term cognitive outcomes, and increased hospital length of stay and costs. It is often missed due to lack of standardization in assessment and diagnostic […]
Abstract Number: 268
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: : Low patient satisfaction can result in financial loss for hospitals, and potentially for individual physicians or groups and patient satisfaction is known to be lower on academic services.1 Increasingly, Medicare funds will be withheld from hospitals for underperformance in patient satisfaction due to Value Based Purchasing (VBP). We identified a low performing, academic […]
Abstract Number: 277
Hospital Medicine 2020, Virtual Competition
Background: Many hospitalized patients spend most of their admission laying in their hospital beds. This can lead to in-hospital complications such as skeletal muscle atrophy, bedsores, and venous thromboembolism. In-hospital decline in ability to perform ADLs is associated with need for post-acute facility placement and readmission. We aimed to increase the percentage of patients admitted […]
Abstract Number: 288
SHM Converge 2021
Background: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys allow patients to reflect on their hospital stay and provide standardized metrics for hospitals to improve the quality of care they provide. hospital administrators have a vested interest in earning strong HCAHPS scores, as this information is publicly available. One theorized way to improve […]