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Search Results for Time
Abstract Number: P6
SHM Converge 2022
Background: Intubation is both an important outcome measure along the spectrum of all respiratory illnesses and a marker of disease severity. Time of intubation (TOI) is an important point to identify in the electronic health record (EHR) as it allows researchers to study the association of pre and post-intubation variables with mortality and other relevant […]
Abstract Number: 113
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). Longer ED boarding time and delay in inpatient discharge process are parts of a vicious cycle of internal bottleneck contributing […]
Abstract Number: 131
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Background: Geographic cohorting (GCh) of clinicians to a single unit may improve teamwork and improve outcomes. The physical proximity between the care team is purported to mediate these positive effects. We conducted an exploratory time-and-motion study of physicians to assess differences in daily activities between GCh and traditionally dispersed or ‘At-Large’ (AL) physicians. We […]
Abstract Number: 171
SHM Converge 2023
Background: Diagnostic errors (DEs) are common and can lead to preventable harm in hospitalized patients.[1] To address this problem as part of our AHRQ-funded Patient Safety Learning Laboratory, we characterized diagnostic process failures that contribute to DEs.[2,3] Next, we refined three interventions (Figure 1) that addressed common process failures and were embedded into our electronic […]
Abstract Number: 171
SHM Converge 2024
Background: Mortality reviews are a cornerstone of patient safety and quality improvement efforts. Increasingly, electronic medical record and web-based tools are leveraged to identify gaps in quality of care through retrospective or real-time mortality reviews. However, studies have yet to compare results when utilizing both review methods in the same patient cohort. This study aims […]
Abstract Number: 214
SHM Converge 2023
Background: Oncology comanagement of hospitalized cancer patients is increasingly common. We (1) and others (2-4) have previously demonstrated that when compared with traditional oncologist-only staffing, hospitalist co-management can improve on well-recognized quality outcomes including length of stay, early discharge rates and 30-day readmission rates. Yet, the composition of an oncology hospitalist practice is incompletely understood […]
Abstract Number: 217
Hospital Medicine 2020, Virtual Competition
Background: Understanding a hospitalist’s efficiency is important to identify opportunities to provide support and prevent burnout (1). This is key when onboarding new hospitalists, as early intervention can lead to rapid improvement and a long-term sustainable career. The evaluation of hospitalist efficiency can be difficult and is often thought to require close clinical shadowing or […]
Abstract Number: 245
SHM Converge 2023
Background: Hospital readmissions within 30 days of discharge have gained national attention and account for more than $17 billion in avoidable U.S. Medicare expenditures each year. (1) In 2011 alone, there were approximately 3.3 million adult 30-day all-cause hospital readmissions, costing the US $41.3 billion.(2) As such, efforts have been made to create algorithms to […]
Abstract Number: 245
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients admitted to inpatient hospital services are increasingly cared for by hospitalists rather than their primary care providers. When transitioning from hospital-based to ambulatory care, suboptimal information transfer can lead to serious adverse events and readmissions; therefore, demands for timely preparation of high-quality discharge summaries are increasing. Confronted with these demands, most hospitalists are […]
Abstract Number: 247
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, prolonged DT also increases wait times for patients being admitted from the ED. Delayed admissions pursuant to late discharges, caused […]