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Search Results for tool
Abstract Number: 106
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium prevention by multicomponent interventions is proven, with strong evidence confirming its effectiveness in both medical and surgical populations. Identifying high risk patients is very important for resource allocation and utilization. Risk factors for delirium are broadly classified into predisposing and precipitating factors. Combinations of these risk factors precipitate delirium and hence a prediction […]
Abstract Number: 138
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Treating alcohol withdrawal in the inpatient medical setting requires timely identification of the severity of alcohol withdrawal so appropriate treatment can be administered. Delayed or missed diagnosis can lead to increased morbidity and mortality, increased cost and length of stay, and ICU admissions. CIWA-Ar is the most commonly used scale, but it is lengthy […]
Abstract Number: 140
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Society of Hospital Medicine’s Choosing Wisely guidelines recommend regular assessment of inpatients’ need for urinary catheters and telemetry monitoring. Since studies suggest clinicians are not aware which patients have an indwelling catheter or are on telemetry, we aimed to use the electronic patient list to improve cognitive awareness of unnecessary urinary catheters and […]
Abstract Number: 154
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Quality and patient safety initiatives are often role-specific with minimal emphasis on cross-discipline collaboration and communication. Prior to project implementation, each discipline’s patient care plans were made in silos without an aligned emphasis on quality and safety initiatives. With implementation of a daily interdisciplinary safety brief based on a shared mental model, our aim […]
Abstract Number: 199
Hospital Medicine 2020, Virtual Competition
Background: Delirium is a well know post-operative complication that has been shown to increase mortality, length of stay, and post-operative complications. Despite extensive study, there is limited treatment for delirium once it occurs. Emphasis on preventing delirium and identifying patients at risk is an important part of reducing its impact on the individual and the […]
Abstract Number: 219
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients admitted to our hospital with chest pain concerning for Acute Coronary Syndrome (ACS) have a length of stay exceeding the community average. We postulated that unnecessary stress test orders in some cases may be contributing to this increased length of stay. We hypothesized that implementation of a clinical decision support tool (CDST) would […]
Abstract Number: 238
SHM Converge 2023
Background: The importance of accurate patient care records for effective communication and medical education is well documented. However, medical documentation as a tool for financial compensation is not emphasized in graduate medical education. We performed a review and analysis of resident charting errors during inpatient rotations to determine the potential revenue loss and economic impact. […]
Abstract Number: 263
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Palliative care (PC) has been shown to be cost-effective and improve the quality of life for patients facing incurable and life-threatening illness. However, identifying patients benefiting from PC consultation remains a challenge in the inpatient setting. As part of a quality improvement initiative, we created a PC screening tool by adapting elements from existing outpatient […]
Abstract Number: 289
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Recent Center for Medicare and Medicaid Services (CMS) rules require hospitals to have their physicians submit inpatient admission orders and certification prior to a patient’s discharge in order to justify hospitalization reimbursement; however, CMS does not specify how hospitals are to achieve this regulation. Use of Health Information Technology (HIT) tools has significantly expanded, […]
Abstract Number: 292
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As the concept of a rapid response team continues to evolve nationwide, it is becoming increasingly apparent that the proactive monitoring of patients through surveillance tools is important to prevent adverse events. However, it is notable that the interpretation these surveillance tools require a higher level of clinical expertise and it is more and […]