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Search Results for Review
Abstract Number: 215
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days). A single prior study of early readmissions applied a binary (yes/no) metric to assess for diagnostic error in early readmissions, but this may be an insensitive method. Past studies of diagnostic error in primary care […]
Abstract Number: 222
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Mortality is the first quality metric reported by CMS, and historically a key measure for evidence based medicine since the 1800’s. THINK: John Snow removing the handle from the Broad street well pump to reduce cholera deaths Ignaz Semmelweis demonstrating washing hands reduced puerperal fever and death. Mortality rates are risk adjusted […]
Abstract Number: 257
SHM Converge 2024
Background: Respiratory failure is the most common organ failure syndrome in US hospitals (1). Hospitalists strive to detect the earliest signs of respiratory instability. Measurement of respiratory vital signs (like respiratory rate & oximetry) is a necessary aspect of risk stratification, but it is not sufficient. In one study, 46% of hospitalized patients had no […]
Abstract Number: 273
Hospital Medicine 2020, Virtual Competition
Background: Chronic Obstructive Pulmonary Disease (COPD) is the 4th leading cause of death and a major driver of healthcare utilization worldwide. Established guidelines exist for hospitalized patients with COPD yet adherence to these has been found in multiple studies to be low. Our question is which Quality Improvement system changes best reduce healthcare utilization and […]
Abstract Number: 290
SHM Converge 2023
Background: Guidelines by the Society of Critical Care Medicine and the Infectious Disease Society of America recommend empiric antibiotics active against Methicillin-resistant Staphylococcus aureus (MRSA) for certain patient groups but do not base their recommendations on systematic review or attempt to quantify the benefit on mortality. Methods: A systematic literature search was conducted using Embase, […]
Abstract Number: 297
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Traditional review approaches to inpatient mortality remain flawed. M&M conferences, administrative data analysis, and chart review do not effectively leverage the frontline perspective, are frequently delayed, and may be perceived as punitive if not peer review protected. Purpose: We developed an electronic mortality review tool that would: (1) permit rapid review of all inpatient […]
Abstract Number: 298
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Misuse of laboratory tests can be difficult to determine unless tests are clearly overused or repeated routinely. However, excessive testing of chronically critically ill patients treated in long-term acute care hospitals (LTACHs) can be potentially harmful. A previously reported quality improvement initiative designed to increase physician awareness of their patterns of lab utilization in […]
Abstract Number: 332
SHM Converge 2023
Background: The Accreditation Council for Graduate Medical Education’s (ACGME) Clinical Learning Environment Review (CLER) program’s Pathways to Excellence framework includes the expectation that “residents and fellows engage in inter-professional, experiential patient safety event investigations that include analysis” (1, 2). However, as noted by the CLER program national reports, trainee participation in patient safety event analyses […]
Abstract Number: 363
SHM Converge 2024
Background: Hospital at Home programs originated as pilot initiatives on a national scale, gaining momentum during the COVID-19 pandemic. The need for reevaluating healthcare delivery systems became pronounced during this period. Kent Hospital in Rhode Island collaborated with key stakeholders, including Blue Cross Blue Shield of Rhode Island, United Health Care, and CMS, to bring […]
Abstract Number: 414
SHM Converge 2023
Background: Upon hospitalization, patients are assigned to an inpatient or an outpatient status for the hospital stay. Failure of this status to match the requirements of the Centers for Medicare & Medicaid Services may lead to lost revenue or increased risk of audits and penalties. Timely ordering of observation services for patients with an outpatient […]