Session Type
Meeting
Search Results for Quality
Abstract Number: G19
SHM Converge 2022
Background: A robust QI curriculum provides residents with the knowledge of QI methodologies and allows them to participate in a longitudinal QI initiative, demonstrating the skills required to implement, analyze, and present a full PDSA cycle. Limitations to having all residents in a training program be meaningful participants in ambitious QI projects are in large […]
Abstract Number: G21
SHM Converge 2022
Background: The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey is the first national, standardized, publicly reported survey of patient perspectives of hospital care. HCAPS scoring is tied not only to hospital compensation, but also is an important indicator of and reflection of interactions with patients. Specifically at Rhode Island Hospital, the goal […]
Abstract Number: H14
SHM Converge 2022
Background: Timely treatment of sepsis is the cornerstone of reducing sepsis-related morbidity and mortality, and a large body of work has demonstrated improved patient outcomes with initiation of early empiric antibiotics. Time to antibiotics after first sepsis recognition has increasingly gained attention as a quality of care metric with Surviving Sepsis Guidelines recommending initiation of […]
Abstract Number: H19
SHM Converge 2022
Background: There is recognition by educational regulatory bodies that physicians need to have some level of leadership skills. In 2007 the Residency Review Committee for Family Medicine approved a new requirement for training in leadership during family medicine residency. Seven years later in 2014, the Journal of Graduate Medical Education published the relationship between physician […]
Abstract Number: H21
SHM Converge 2022
Background: Morbidity and Mortality (M&M) conferences are common practice among internal medicine (IM) residency programs, but their effect on education and patient safety (PS) is inconsistent.[1,2] Existing research reports have struggled to identify best practices for implementing M&M conferences due to inherent variability in personnel and adverse event analysis processes. We need interventions that account […]
Abstract Number: H22
SHM Converge 2022
Background: Acute exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) are a major driver of hospitalizations. With a goal of reducing AECOPD admissions at the Cleveland VA Medical Center (VAMC), an interdisciplinary team was developed after a literature review and discussion with high-performing VA groups. Purpose: Primary aim was to decrease AECOPD hospitalizations and readmissions at […]
Abstract Number: I19
SHM Converge 2022
Background: Feedback in clinical training is essential to reinforce positive behaviors and to provide areas for improvement. Numeric ratings from student performance evaluations are helpful but are not sufficient to guide the learner in areas where they excel and where they may need additional development. Narrative written feedback both reinforces verbal feedback and provides support […]
Abstract Number: I21
SHM Converge 2022
Background: Appropriate and timely documentation of rapid response events has been shown to have a significant impact on patient care and outcomes. Prior to January 2021, our institution did not have a standardized rapid response note template to facilitate best clinical documentation practices. A review of rapid response events at our institution that occurred during […]
Abstract Number: K12
SHM Converge 2022
Background: Multiple studies support the association between systematic implementation of Patient Blood Management (PBM) programs and improved patient outcomes, reduced RBC utilization, and decreased healthcare costs. In 2019, Sentara Healthcare launched a system-wide PBM program aimed at decreasing avoidable transfusions by 24% over 3 yrs. Several care collaboratives, including the Society of Hospital Medicine (SHM), […]
Abstract Number: K14
SHM Converge 2022
Background: Telemetry overuse contributes to excess healthcare costs, unnecessary workup of incidentalomas, and alarm fatigue. To curb overuse, guidelines such as the 2017 AHA/ACC continuous ECG monitoring practice standards have outlined appropriate telemetry use standards. The aim of this study was to perform a rapid “plan-do-study-act” (PDSA) cycle and assess whether a nursing (RN)-driven checklist […]