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Search Results for Rounds
Abstract Number: 216
SHM Converge 2023
Background: Accountable Care Units (ACUs) with Structured Interdisciplinary Bedside Rounds (SIBR® rounds) have shown significant improvements in throughput, clinical outcomes, and satisfaction. Yet, prior studies have noted difficulties achieving such improvements or sustaining them. Interdisciplinary rounds are a predominantly physician-led teamwork process with efficacy vulnerable to inconsistent physician leadership and engagement. Our hospital had previously […]
Abstract Number: 231
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Palliative care and geriatrics in hospital medicine have an established positive impact on patient experience and outcomes, however, these specialist care services remain underutilized. Recognizing an opportunity to improve the appropriateness of inpatient consultation on a large academic medical hospitalist service, we implemented a multi-disciplinary quality improvement intervention with the goal of increasing appropriate […]
Abstract Number: 236
Hospital Medicine 2020, Virtual Competition
Background: At our institution, no current standard exists for teaching rounds’ structure or content, which is largely at the discretion of the attending physician. The purpose of this study was to illustrate the “anatomy” of inpatient rounds as a needs assessment for future process improvement efforts. Methods: We performed a descriptive cross-sectional study of general […]
Abstract Number: 238
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The 2011 AAP policy statement regarding recommendations for a safe infant sleeping environment included hospitalized infants, but unsafe sleep practices continue to be common in hospitalized infants. Safe sleep position compliance was observed to be low at Baystate Chidlren’s Hospital (BCH), as described in a prior abstract (http://abstract.staging.hospitalmedicine.org/abstract/improving-infant-safe-sleep-practices-in-the-inpatient-setting-using-qi-methodology/). Interventions designed to improve rates of […]
Abstract Number: 264
SHM Converge 2024
Background: In 2012, the American Academy of Pediatrics issued a statement recommending a standard practice for families and nurses to participate in rounds. Family-centered rounds (FCR) improves patient safety, patient and family satisfaction, provider satisfaction, interdisciplinary communication, and discharge planning. However, coordinating FCR in an easy and efficient manner to include all stakeholders remains a […]
Abstract Number: 272
SHM Converge 2024
Background: Patient portals are intended to engage caregivers with their child’s healthcare by allowing them to read clinical notes, access test results, make appointments, and message providers, and they are often used during hospitalization. While patient portals typically offer multiple language options, the extent to which medical information is translated remains limited. Understanding how caregivers […]
Abstract Number: 283
SHM Converge 2024
Background: Interdisciplinary rounds are an important part of care coordination on medical units and on teaching units they usually are resident-led. After restructuring interdisciplinary rounds in our institution, we began including attending physicians, with the goal to improve care coordination, discharge planning and team communication. Methods: The intervention was conducted on a 35-bed medical teaching […]
Abstract Number: 300
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inappropriate telemetry use has been associated with increased health care cost and unnecessary diagnostic procedures. For these reasons, the Society of Hospital Medicine’s Choosing Wisely campaign promoted use of both American Heart Association (AHA) telemetry guidelines and protocol-driven discontinuation of telemetry. Despite these measures, an estimated 59% of patients are placed on telemetry due […]
Abstract Number: 305
SHM Converge 2023
Background: The division of the hospital medicine at the University of Florida has 52 attending hospitalist physicians with an average daily census of 200 patients. On any given day, one physician carries 16 patients and practices direct care services. This includes chart review, placing orders, answering pages, coordinating with case managers, requesting consultations, rounding on […]
Abstract Number: 314
SHM Converge 2024
Background: A 2013 Mayo Clinic initiative (Henkin et al, 2016) to encourage communication between physicians and nurses by paging each to bedside for daily morning rounds improved physician and nursing perceptions of teamwork. Utilizing a mobile electronic-health-record-based alert for such a process has the potential to reduce implementation cost and feasibility barriers but has not […]