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Meeting
Search Results for Palliative
Abstract Number: 191
SHM Converge 2024
Background: Healthcare system high utilizers create a financial burden raising healthcare costs and quality improvement measures should be assessed to create a positive change. We aimed to characterize the high-utilizer patients in our system to create tailored interventions to address their specific needs and ultimately reduce recurrent admissions. Methods: A quality improvement project was implemented […]
Abstract Number: 195
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Physician Orders for Life-Sustaining Treatment (POLST) form is an important tool to elicit and document patients’ treatment preferences in a way that is valid across health care settings. Studies on its efficacy have found high rates of consistency between patients’ treatment preferences for cardiopulmonary resuscitation (CPR), medical interventions, and artificial nutrition documented on POLST […]
Abstract Number: 216
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Prognostic disagreement occurs even amongst providers and is a less studied phenomenon. We introduced the Surprise Question (SQ), “Would I be surprised if this patient died in the next 1 year, 6 months, and 1 month?”, at multidisciplinary […]
Abstract Number: 223
SHM Converge 2024
Background: Advance Care Planning (ACP), palliative care (PC), and enrolling inpatients near end of life into hospice are known methods to improve patient experience and reduce inappropriate use of inpatient (IP) resources. We sought to increase ACP, PC, and hospice referral by proactively identifying patients near end of life. Methods: In 2020 we introduced the […]
Abstract Number: 231
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Palliative care and geriatrics in hospital medicine have an established positive impact on patient experience and outcomes, however, these specialist care services remain underutilized. Recognizing an opportunity to improve the appropriateness of inpatient consultation on a large academic medical hospitalist service, we implemented a multi-disciplinary quality improvement intervention with the goal of increasing appropriate […]
Abstract Number: 263
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Palliative care (PC) has been shown to be cost-effective and improve the quality of life for patients facing incurable and life-threatening illness. However, identifying patients benefiting from PC consultation remains a challenge in the inpatient setting. As part of a quality improvement initiative, we created a PC screening tool by adapting elements from existing outpatient […]
Abstract Number: 266
Hospital Medicine 2020, Virtual Competition
Background: Traumatic brain injuries (TBIs) pose a unique problem because prognosis is difficult to predict; therefore, treatment decisions are complex with uncertain outcomes. According to the American College of Surgeons 2018 Trauma Quality Improvement Project (TQIP), identified patients should receive a palliative care assessment within 24 hours, a family conversation should be held within 72 […]
Abstract Number: 277
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Implantable cardioverter defibrillator (ICD) shocks can be traumatic for patients and families, particularly at the end of life. Studies estimate between 51-65% of ICDs remain active at time of death, with 24-31% of patients receiving shocks within the last day of life, and 8% in the last minute of life. The Heart Rhythm Society […]
Abstract Number: 279
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Reducing LOS promotes value, and when aligned with patient preferences, can improve care. Patients referred for palliative care (PC) generally have longer length of stay (LOS) due to their serious illness, multiple complex management issues, and the fact that long LOS is a reason for engaging a specialty PC team. The aim of this […]
Abstract Number: 279
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Palliative care (PC) has been shown to improve the quality of life for patients facing life-threatening illness and their families. PC screening tools have been successfully used in identifying cancer patients in need of PC services and increase hospice utilization. However, a PC screening tool specific to hospitalized septic patients is lacking, despite sepsis […]