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Meeting
Search Results for efficiency
Abstract Number: 207
Hospital Medicine 2020, Virtual Competition
Background: Hospital medicine groups endeavor to avoid excessive workloads which can contribute to burnout. 1,2,3,4Groups vary in how new patients are distributed, but larger groups often assign a single hospitalist to carry an admitting pager and distribute new patients among several colleagues. This “admitting pager” role combines high volume with frequent interruptions and multitasking as […]
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: 239
Hospital Medicine 2020, Virtual Competition
Background: There exists no standardized means of assessing hospitalist performance on quality, safety, efficiency and value metrics.Timely, accurate and meaningful feedback on individual performance is imperative to drive improvement. Methods: The components of the MEQI align with the institution’s most important metrics, including readmission rate, hospital acquired conditions and observed to expected length of stay. […]
Abstract Number: 267
SHM Converge 2024
Background: There is growing interest in the use of artificial intelligence (AI) predictive models in hospital medicine. However, real-world implementation and evaluation of AI models lags the development of such models, with many such models being developed but never used in live practice. (1) Therefore, relatively less is known about the performance of these models […]
Abstract Number: 269
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Nebraska Medicine is dedicated to the continuous, goal-directed improvement of: 1. Central venous catheter (CVC) duration 2. Indwelling urinary catheter (IUC) duration 3. Telemetry duration 4. VTE prophylaxis 5. Non-violent restraint order renewal Clinical decision support (CDS) is a cornerstone of quality improvement efforts despite historically sub-optimal response rates. After 2 years of improvements […]
Abstract Number: 271
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Many efforts to improve bed availability in hospitals with high occupancy focus on encouraging providers to discharge patients earlier in the day without making substantial changes to workflows or to address barriers to patient care progression. Unfortunately, when this is most needed is often when teams are at their busiest with high census and […]
Abstract Number: 275
SHM Converge 2021
Background: Perioperative patient management in accordance with the clinical practice guidelines is effective only when followed. The ACC/AHA perioperative guidelines contain many recommendations which cannot be translated in electronic health record alerts or order sets. Purpose: We built an app to improve efficiency in preoperative evaluations based on the ACC/AHA guidelines. We present results of […]
Abstract Number: 285
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Electronic health record (EHR) systems are used by a majority of US hospitals. EHR use has been associated with increased task complexity, clinical data volume and provider documentation demands. Studies of multiple specialties suggest that a significant amount of provider time is spent on indirect patient care activities including turbulent provider workflows and documentation. […]
Abstract Number: 285
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Earlier discharge time is an important satisfaction metric for patients, maximizes the utilization of hospital beds, and reduces waste and capacity issues in EDs /PACUs. Overall, early discharge represents high-value care and responsible stewardship of a scarce resource. Our healthcare system assessed the discrepancy between bed demand and bed needs, finding 25% of Tuesday […]
Abstract Number: 287
SHM Converge 2021
Background: The role of the hospitalists was originally to improve efficiency in medicine; however, in order to reach maximum efficiency, a quality dynamic must be achieved. Hospitalists face a particular challenge with increased workload and patient volume partnered with decreased treatment time. Purpose: There is no “gold standard” method of rounding for hospitalists. This study […]