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Abstract Number: 252
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Curbing antibiotic overutilization has become a priority in hospitals attempting to address the growing problem of antimicrobial resistance. One strategy being endorsed by Antibiotic Stewardship Programs is the adoption of an “antibiotic timeout,” during which the pharmacist reviews the appropriateness of the regimen every 72 hours. We elected to challenge hospitalists to perform a […]
Abstract Number: 254
SHM Converge 2021
Background: As physicians, it is essential to improve time management skills to promote future career success. After medical school, a first-year resident is faced with balancing the multiple demands of their new profession. A previous survey showed that task prioritization and time management were considered a problematic area for new doctors. Unfortunately, these skills are […]
Abstract Number: 257
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The overall national patient satisfaction scores have improved since the HCAHPS reporting began. However, it is unknown whether the improvement trends are different between teaching and non-teaching hospitals. Therefore, our objective was to compare long-term changes in patient satisfaction between teaching and non-teaching hospitals. Methods: We used three datasets; HCAHPS data (2008 […]
Abstract Number: 259
SHM Converge 2021
Background: The diagnostic process is fraught with diagnostic uncertainty. Typically, discussions about diagnostic uncertainty occur upon admission and during rounds, which are increasingly conducted virtually during the COVID-19 pandemic. Furthermore, key dimensions in the diagnostic process (history taking, physical examination, interpretation of diagnostic tests) are affected by breakdowns in communication between patients and clinicians, physical […]
Abstract Number: 302
SHM Converge 2023
Background: Physician communication scores within the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) directly impacts a hospitals STAR rating. Provider engagement is essential in improving clinical outcomes, quality of care and overall efficiency. There is a high rate of physician burnout and disengagement post pandemic. When physicians are disengaged the hospitals do not […]
Abstract Number: 307
SHM Converge 2023
Background: Night coverage for hospital medicine teams can be the most expensive and busy of all shifts. According to 2020 State of Hospital Medicine Report, only 5.7% of teaching centers use a combination of onsite and off-site night-time coverage. In July 2022, our academic hospital medicine team was asked to create an additional inpatient service […]
Abstract Number: 329
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital discharge describes the point at which inpatient hospital care ends, with ongoing care transferred to other providers. The coordination of such care typically involves multiple health care providers and social care contributors. The inherent complexity of coordinating a large number of players, often based in different settings and hospitals, leads to hospital discharge […]
Abstract Number: 348
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Prior to this project, inpatient Advanced Practice Providers (APPs) at UW Health lacked organizational data including volumes, patient experience, hospital acquired conditions, and operational efficiency metrics. In 2016, inpatient APPs collaborated with UW Health’s Analytics and Information Systems team to develop a method for inpatient APP attribution and identification of team-based, APP sensitive metrics […]
Abstract Number: 375
Hospital Medicine 2020, Virtual Competition
Background: Time motion studies are often conducted to describe activities of physicians caring for hospitalized patients with the goal of improving efficiency and patient safety. Prior work has mostly focused on trainees at academic medical centers. However, with the growth of hospital systems, most academic hospitals now have a similar number of patients cared for […]
Abstract Number: 380
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A somewhat under-discussed topic in EHR implementation is the safety and efficiency consequences of their lengthy build and implementation. After multiple years of stalled clinical innovation while IT staff dedicate their focus to EHR builds, hospital systems undergo an 8 – 16 hour downtime often followed by multiple planned and unplanned downtimes that can […]