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Search Results for Research Abstracts
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: One hopes that all hospitals strive for service excellence, and by 2010 there were more than 30,000 hospitalists delivering the lion’s share of inpatient care in our nation’s hospitals. Although patient satisfaction metrics like Press Ganey attempt to measure service excellence, no empiric research has characterized optimal hospitalist comportment. Methods: Respected clinicians in Hospital […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The success of efforts to improve transitional care practices likely depends in part on baseline practices and local resources, culture, and leadership. Several studies have suggested that often there is more variation in the performance of best practices within than between […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Many hospitals have tried to improve their medication reconciliation processes, with mixed results. Currently, there are insufficient data to guide hospitals in the best ways to improve their practices. In the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS), sites chose to implement one or more components from a multi-faceted toolkit. The goal of this […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Physicians frequently prescribe antibiotics to inpatients without knowledge of medication cost. It is not well understood whether providing cost data would change prescribing behavior. Methods: To evaluate the effect of providing cost data alongside culture and antibiotic susceptibility results in two tertiary care hospitals, we conducted a quasi-experimental pre-post analysis. During a 12-month baseline […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Effective health care requires a delivery system that is fully coordinated. To achieve this requires structured communication between physicians and nurses yet an increasingly recognized barrier to efficient care is the geographic dispersion of these primary team members. Utilization of systems engineering and simulation modeling can provide a data-driven alternative to evaluate these complex […]
Abstract Number: 115
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: “Hospitalist” is a relatively new and evolving specialty field within modern medicine, dedicated to the delivery of comprehensive medical care to hospitalized patients. Unfortunately, few primary care and emergency department physicians inform patients about hospitalist coverage during their hospitalization. This knowledge gap can impede the therapeutic relationship and in turn negatively affect the patient’s […]
Abstract Number: 126
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Eight million women and two million men in the US suffer from osteoporosis, with the cost of fragility fractures an estimated $10-15 billion annually. Methods: Two osteoporosis fracture risk assessment tools were used. The FRAX (Fracture Risk Assessment Tool), and a simpler tool, the OST (Osteoporosis Self-Assessment Tool), a calculation using only age and weight. An […]
Abstract Number: 140
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Palliative care improves quality of life and mortality outcomes in individuals with terminal cancer diagnoses. Yet palliative care is often not made available to these patients in a timely manner, either due to lack of available resources, or physician and patient misconceptions about its purpose and utility. Baseline evaluation at Salem Hospital showed that […]
Abstract Number: 148
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: The use of copy-paste in the medical record is ubiquitous, potentiated by the explosive increase in use of electronic health record systems. Copy-paste events (CPE) decrease the readability of the medical record (e.g. “note-bloat”) and have safety (e.g. perpetuation of outdated information) and professionalism implications. The potential utility of CPE (e.g. a reminder to […]
Abstract Number: 155
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Enteral eosinophilia may manifest from an infectious trigger or a primary inflammatory process. Parasitic infections may mimic eosinophilic gastroenteritis clinically and pathologically with eosinophilic infiltration of the gut wall. Management sharply differs depending on etiology. We present a case of a patient with risk factors for both infectious and reactive eosinophilic gastroenteritis. Methods: A […]