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Abstract Number: 225
SHM Converge 2023
Background: Cancer is a risk factor for readmissions. We aimed to describe the potentially preventable 7-day unplanned readmissions in patients admitted to the hospital medicine service at a tertiary comprehensive cancer center. There is currently no defined criteria for potentially preventable readmissions among the cancer population. Methods: This was a retrospective analysis performed by a […]
Abstract Number: 226
SHM Converge 2023
Background: A hospital discharge summary serves as an important document that outlines the patient’s hospital course, changes made to their medication regimen, and significant studies or events that took place during their stay. Studies have shown that high-quality discharge summaries are instrumental in facilitating safe transitions from the hospital, minimizing adverse events, and reducing hospital […]
Abstract Number: 227
SHM Converge 2023
Background: Sepsis is the leading cause of death in US hospitals; prompt recognition and treatment are critical. Early sepsis recognition and treatment varies depending on location (ED/floor/ICU) and evaluation time (presentation vs during stay). “Sepsis response teams” (SRT) improve sepsis care. After our hospital system implemented a “best-practice alert” utilizing Epic’s “sepsis score” (SS) to […]
Abstract Number: 228
SHM Converge 2023
Background: Persons living with dementia (PLWD) have two times more hospitalizations than persons without cognitive impairment. For PLWD, the unfamiliar environment of the hospital setting results in behavioral and psychological symptoms of dementia (BPSD) and consequently, increased use of psychoactive medications and enhanced nursing supervision. The objective of this quality improvement project was to evaluate […]
Abstract Number: 229
SHM Converge 2023
Background: The importance of accurate patient documentation for effective medical communication and financial compensation is well-documented. However, appropriate medical billing based on medical documentation is not emphasized in graduate medical education. We performed a review and analysis of resident charting errors during inpatient rotations to improve documentation and billing skills. Methods: A retrospective study was […]
Abstract Number: 230
SHM Converge 2023
Background: Several electronic health record (EHR) mortality prediction models have been developed to promote early goals of care discussions (GOCD) but only a few models were evaluated prospectively. We aimed to implement a real-time 30-day inpatient mortality prediction model previously developed at our facility and evaluate its effect on GOCD in seriously ill transferred patients. […]
Abstract Number: 231
SHM Converge 2023
Background: Over 8 million Americans with diabetes require insulin for disease management. Insulin is a high-risk medication with immense potential for harm. Transitions of care from the hospital to ambulatory settings are particularly prone to error. Studies have suggested a substantial number of insulin prescriptions at hospital discharge contain errors which can result in increased […]
Abstract Number: 232
SHM Converge 2023
Background: It has been well demonstrated that improving patient health literacy positively impacts patient adherence to their treatment plan as well as patient satisfaction. The time just before hospital discharge is particularly important because the provider can summarize the admission including what the possible etiologies were that prompted admission, in-hospital therapies utilized, and what the […]
Abstract Number: 233
SHM Converge 2023
Background: Improving the appropriate use of peripherally inserted central catheters (PICC) has been shown to reduce the rates of PICC-associated complications. However, quality improvement (QI) programs that promote appropriate PICC use may require significant financial investment. We evaluated the cost-effectiveness of the Michigan Hospital Medicine Safety (HMS) PICC QI initiative, a physician-led, performance-incentivized, QI intervention […]
Abstract Number: 234
SHM Converge 2023
Background: Vertebral fractures are the most common type of osteoporotic fracture in older adults in the United States, and can result in acute and chronic pain, reduced quality of life, decreased survival, and increased costs. The identification and management of vertebral fractures is important because they serve as robust predictors of future fractures. Yet, hospital […]