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Search Results for electronic
Abstract Number: 19
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Electronic consults (“e-consults”) are commonly used in the outpatient setting to allow subspecialists to provide documented recommendations to primary care doctors without a face-to-face patient encounter. In the inpatient setting, a consult that does not require a patient encounter is often handled via informal conversation (“curbside consult”) – the consultant is not reimbursed […]
Abstract Number: 22
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists often care for patients with serious illness and commonly review and discuss advance care planning (ACP). Documented ACP conversations can be difficult to access in the electronic health record (EHR) due to the lack of a centralized location for ACP documentation and individual clinician practice variation leading to ACP documentation existing in multiple […]
Abstract Number: 23
Hospital Medicine 2020, Virtual Competition
Background: One of the widely reported benefits of electronic health records (EHRs) is the ability to alert clinicians, especially regarding medication-related safety issues. However, soon after the installation of EHRs, the phenomenon of “alert fatigue” was realized. The Agency for Healthcare Research and Quality has shown clinicians override the vast majority of computerized physician order […]
Abstract Number: 34
Hospital Medicine 2020, Virtual Competition
Background: Commonly used discharge communication workflows hinder timely and efficient discharge. Studies exploring the use of the electronic health record (EHR) for discharge planning have been limited to electronic reports constructed from EHR data elements, including barriers to discharge documented at admission, care management data, and discharge criteria or other targeted interventions such as improving […]
Abstract Number: 35
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patient lists and patient assignment aid hospitalists through their workflow. Lack of a standardized approach has led to various ways of patient assignment and various means to display them. With the evolution of electronic medical records and technology; patient assignment and their display theoretically should have been more straight forward however there are still […]
Abstract Number: 35
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospitalists increasingly rely upon electronic handoff tools to communicate important patient care information. Our institution transitioned from a paper/verbal handoff process to a completely electronic system in April 2017 for day-to-night patient care handoff. In the fall of 2016, the same system had been adopted for end-of-week service change. Purpose: This study set out […]
Abstract Number: 46
Hospital Medicine 2020, Virtual Competition
Background: EHR time motion studies have shown a significant time burden and concern that bedside manner, physical exam skills and physician wellness are at risk. However, nearly all studies to date have only focused on practicing physicians and residency training programs. Nearly all U.S. based medical schools allow medical student access, thus EHR exposure actually […]
Abstract Number: 52
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge delays occur because of inconsistent communication among all clinicians and providers. Inefficient utilization of resources also contributes to delays. Effective communication among the patient care team is a foundation of creating an effective discharge planning process. We must standardize the process of communication as well as resource optimization in order to provide our […]
Abstract Number: 58
SHM Converge 2024
Background: Effective interpersonal communication is critical in healthcare. Historically, pagers, phone calls, and in-person conversations have been the main form of in-hospital communication. New communication technologies, such as electronic messaging, are increasingly becoming the primary way for healthcare workers to communicate. In 2017, 27% of Society of Hospital Medicine responding organizations reported some use of […]
Abstract Number: 95
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Center for Disease Control and Prevention estimates that 1.7 million patients per year develop hospital-associated infections (HAI), of whom 99,000 die. HAIs financially impact the United States healthcare system with an estimated cost of $6 billion per year. At Platte Valley Medical Center (PVMC) in 2013, the urinary catheter utilization ratio and rates […]