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Search Results for Process
Abstract Number: 282
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Financial incentives motivate hospitals to focus on improving patient experience, quality indicators, and efficiency metrics. Efforts to geographically staff hospitalists have renewed the focus on quality improvement efforts at the inpatient unit level. However, in order to maximize the benefit of geographic staffing, a unit-level leadership structure and quality-improvement support system must be developed. […]
Abstract Number: 298
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medicine is complex with extraneous workload impacting the daily flow of physicians. This may contribute to an increased risk of burnout (BO). Cognitive load from complex systems can decrease performance and increase risk of error. This study aims to evaluate the physician cognitive load (PCL) of a clinical workday in a national sample of […]
Abstract Number: 347
Hospital Medicine 2020, Virtual Competition
Background: Late afternoon hospital discharges contribute to admission delays, leading to occupancy increase and increased length of stay. However, prominent workplace barriers often exist towards improvement initiatives that target early discharge. Team members cite timing of rounds, absence of early discharge support resources, communication breakdowns, and increased daytime admission volume as barriers to change. Furthermore, […]
Abstract Number: 356
Hospital Medicine 2020, Virtual Competition
Background: Teaching trainees clinical reasoning is a critical skill for clinical teachers. Advances in the fields of cognitive science and educational theory have provided a conceptual framework of core concepts in clinical reasoning: problem representation, illness scripts, treatment thresholds, and test-treatment thresholds. Purpose: We designed a one-hour workshop to teach interns core concepts in clinical […]
Abstract Number: 381
SHM Converge 2023
Background: Lost or improperly labeled specimens may be medically detrimental to patients and have legal implications for the medical professionals and healthcare facility involved. Endoscopy is an especially high-risk location for specimen errors given the large number of biopsies obtained and the high volume of patients served daily by the same team. A 61-year-old male […]
Abstract Number: 404
Hospital Medicine 2020, Virtual Competition
Background: In an increasingly digital world, there are still many manual and paper based workflows in healthcare. Paper scripts are an area that is prevalent and is the gold standard for certain prescribing behaviors. Paper scripts have numerous challenges, they can be lost, are difficult to track, and physically have to be delivered to the […]
Abstract Number: 410
SHM Converge 2024
Background: Emergency Department (ED) boarding is associated with increased patient morbidity and mortality and low patient and provider satisfaction. Reducing inpatient Length of Stay (LOS) is one strategy to increase inpatient capacity and reduce ED boarding. Delay in obtaining Magnetic Resonance Imaging (MRI) results is associated with an increase in LOS in the inpatient setting. […]
Abstract Number: 413
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling rushed in the 24 hours before discharge. Increased work intensity may contribute to burnout for the interdisciplinary team. Few studies […]
Abstract Number: 418
Hospital Medicine 2020, Virtual Competition
Background: Our 165-bed community hospital is in a phase of rapid growth due to demographic changes and expansion of services offered within the hospital. While offering unprecedented level of healthcare access to the community, improvement with emergency department (ED) throughput has emerged as one of our challenges from a patient safety perspective. Unnecessarily prolonged ED […]
Abstract Number: 430
SHM Converge 2024
Background: Immunosuppression regimens are highly effective at preventing rejection but carry risk of toxicity and can be complex. Clinical decision support (CDS) tools embedded in electronic health records have presented opportunity to systematically aid providers ordering such medications appropriately. However, discrepancy between a clinically-documented plan for use and provider orders may exist. Natural language processing […]