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Abstract Number: 126
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Given the widespread adoption of electronic health record systems, the majority of patient orders are now enacted through electronic orders. We aimed to describe the average number of electronic orders entered for medicine patients hospitalized at different levels of care and determine if electronic ordering patterns reflected patient acuity and severity of illness. Methods: […]
Abstract Number: 148
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Sepsis, severe sepsis, and septic shock combined, are estimated to affect between 650,000 and 750,000 Americans annually, and has an associated mortality rate between 20 to 50%. Early identification of patients with sepsis is critical, as treatment delays are associated with significant increases in mortality. The electronic health record (EHR) contains near-real-time physiologic parameters, […]
Abstract Number: 150
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In-hospital mortality attributable to sepsis is higher than overall population mortality (Gaieski DF et al, 2013; Dombrovskiy VY, 2007). Furthermore, the rates of severe sepsis are increasing annually (Dombrovskiy VY,2007). Early detection and early intervention have been shown effective at reducing mortality among in-patients (Dombrovskiy VY, 2007). Internal data suggests that the identification of […]
Abstract Number: 157
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delays in antibiotic administration in sepsis – particularly after the development of hypotension – are associated with increased mortality. Current guidelines recommend antibiotic initiation within one hour of sepsis recognition. However, it is not known how timing of hypotension relates to the timing of meeting sepsis diagnostic criteria and the initiation of treatment. We […]
Abstract Number: 167
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Adverse drug events (ADEs) are responsible for up to 770,000 inpatient injuries and deaths annually in the United States, most of which are from prescribing errors. Electronic order sets are designed to improve quality by reducing care variability and increasing efficiency of order entry, but may also facilitate prescribing errors via automation bias. There […]
Abstract Number: 175
Hospital Medicine 2020, Virtual Competition
Background: Central line-associated bloodstream infection (CLABSI) is a morbid and potentially lethal complication. National policies related to CLABSI mandate public reporting of this adverse event, with hospitals receiving penalties based on their CLABSI rates. Contemporary data suggest that peripherally inserted central catheters (PICCs) placed outside critical care settings are a large contributor to hospital CLABSI […]
Abstract Number: 178
Hospital Medicine 2020, Virtual Competition
Background: Diagnostic errors in hospitalized patients are difficult to identify and quantify: error rates range from 4.8 to 49.8%. Though chart review tools, like the Safer Dx instrument, have been developed to assess the presence of diagnostic error in ambulatory settings, they have yet to be validated for acute care. A key issue is identifying […]
Abstract Number: 194
Hospital Medicine 2020, Virtual Competition
Background: Despite the benefits of electronic health records, they have propagated lengthy and redundant notes. At our tertiary care pediatric hospital with a high degree of trainee turnover we identified high variability in documentation in our pediatric hospital medicine (PHM) progress notes with significant note bloat. We aimed to standardize and shorten the length of […]
Abstract Number: 198
SHM Converge 2024
Background: Communication between Hospital Medicine physician teams and interdisciplinary care providers (e.g. nurses, physical and occupational therapists, case managers) regarding disposition planning is often inconsistent, potentially delaying care and resulting in poor patient and provider experience. Prior studies demonstrate that sharing the estimated discharge date (EDD) early in a patient’s hospitalization can improve communication and […]
Abstract Number: 202
SHM Converge 2023
Background: Duplicate medical records, where one patient possesses multiple medical record numbers and corresponding charts within a single electronic health record (EHR), pose significant patient safety risks due to incomplete data and repeated interventions, among other areas. The risk is amplified for patients admitted to the hospital, where rapid pace decision making is the norm. […]