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Search Results for utilization
Abstract Number: 134
SHM Converge 2023
Background: Diabetic ketoacidosis (DKA) remains one of the commonest causes of medical and intensive care unit hospitalisations. DKA is a preventable hospital admission which is associated with multiple modifiable risk factors. However, little is known about factors that can predict healthcare resource utilisation in DKA. Previous studies have explored clinical and biochemical factors affecting the […]
Abstract Number: 134
Hospital Medicine 2020, Virtual Competition
Background: In the United States, the relative incidence of diverticulitis has continued to rise and represents a significant portion of gastrointestinal related hospitalizations [1]. Management and treatment can include both medical and surgical options. Of recent, considerable attention has been given to try to decrease healthcare utilization [2]. We sought out to determine the annual […]
Abstract Number: 137
SHM Converge 2024
Background: Despite having the highest health care spending, the US continues to have rates of maternal mortality over three times greater than similarly high-income countries. Generally, deaths occur in the days immediately following birth, and typically occur in hospital intensive care units (ICUs). As ICU utilization is often employed to identify indication of severe maternal […]
Abstract Number: 140
SHM Converge 2021
Background: Children with medical complexity (CMC) are a growing pediatric population with disproportionately high health needs and costs often insured by Medicaid. Identification of CMC using complexity classification systems applied to population-level data and establishment of baseline patterns of population-level health care utilization are essential to target patients who may benefit most from complex care […]
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: 161
SHM Converge 2024
Background: The use of physical restraints (PR) in the hospitals among patients is associated with increased delirium, pressure ulcers, prolonged ventilator use, post traumatic stress disorder and disruption of therapeutic relationship with the healthcare team. The current scientific research suggests their ineffectiveness for patient safety like preventing falls or dislodging medical devices. There has been […]
Abstract Number: 163
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Transfusion of packed red blood cells in the United States has more than doubled from 1997 to 2011; however, it is thought that greater than 50% of transfusions may be unnecessary. Numerous clinical trials have demonstrated that restrictive transfusion strategies are noninferior or superior to liberal strategies across a variety of clinical scenarios; as […]
Abstract Number: 165
SHM Converge 2021
Background: Patient safety assistants (PSAs), or “sitters,” observe patients at bedside considered at “high risk” for in-hospital events [1] such as falls or elopements. While studies suggest PSAs do not impact safety outcomes,[2-4] they are widely utilized without formal guidelines.[2, 5, 6] With increasing healthcare costs and limited resources, efficient care models are sought.[1, 2, […]
Abstract Number: 175
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-center quality improvement collaborative aiming to improve hospital to home transitions. As part of this project, providers attempt to schedule follow-up visits prior to discharge and conduct post-discharge phone calls. Objective: 1.Determine relationship between scheduling post-discharge follow-up visits and 30-day reutilization rates 2. Characterize patients […]
Abstract Number: 179
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Healthcare delivery has become more expensive, with a portion of the elevated cost due to increased utilization of laboratory studies. The Choosing Wisely campaign is an initiative of the American Board of Internal Medicine Foundation focused on preventing wasteful care. Accordingly, the Critical Care Societies Collaborative developed an evidence-based list describing overutilization practices. This […]