Session Type
Meeting
Search Results for Process improvement
Abstract Number: 84
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Advanced practice providers (APPs) such as nurse practitioners and physician assistants have become an important addition to the hospital medicine team with the growing demand for physician providers. As APPs experience variable exposure to hospital medicine during training, the Society of Hospital Medicine and other governing bodies such as the American Academy of Physician […]
Abstract Number: I1
SHM Converge 2022
Background: Duplicate as-needed (referred to hereafter as “PRN”) orders for common indications such as pain, nausea, insomnia, and constipation are frequent in hospitalized patients. Without explicit instructions for circumstances or order of administration, therapeutic duplication can cause confusion for nurses and violates both Join Commission and the Centers for Medicare & Medicaid Services (CMS) guidelines. […]
Abstract Number: 208
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Obtaining blood work through venipuncture is an important part of the diagnosis and management of hospitalized patients. Through formal and informal patient complaints, we found that patients admitted to the University of Colorado Hospital (UCH) report an excessive number of venipunctures for laboratory blood sampling. This results in overuse of resources, excess patient discomfort, […]
Abstract Number: 211
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Regulatory agencies have set a 60-minute window to communicate positive CT PE (computed tomography pulmonary embolism) results to ordering providers. Improving the effectiveness of communication among caregivers for critical results of tests is a national patient safety goal. Our current system of communicating positive results to providers was inconsistent (mean time to verbal report […]
Abstract Number: 271
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Many efforts to improve bed availability in hospitals with high occupancy focus on encouraging providers to discharge patients earlier in the day without making substantial changes to workflows or to address barriers to patient care progression. Unfortunately, when this is most needed is often when teams are at their busiest with high census and […]
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: 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 […]