Search results for "Quality Improvement"
Electronic feedback on patients whose care was escalated helpful for hospitalists
Most hospitalists at an academic medical center who received electronic feedback about their care for patients who underwent ICU transfers and rapid responses reported being highly or moderately satisfied with the experience, a survey study found.
https://acphospitalist.acponline.org/archives/2024/10/09/electronic-feedback-on-patients-whose-care-was-escalated-helpful-for-hospitalists.htm
9 Oct 2024
Implement 4 E's to reduce low-value inpatient care, article proposes
A new framework, modeled after the hierarchy of effectiveness, proposes four steps to reduce use of low-value care, such as unnecessary telemetry, repeat labs, and urinary catheters, on medical wards.
https://acphospitalist.acponline.org/archives/2024/02/07/implement-4es-to-reduce-low-value-inpatient-care-article-proposes.htm
7 Feb 2024
Hospitalists offer lessons from past diagnostic successes, errors
Interviews with 24 experienced hospitalists revealed five themes from their thoughts on improving diagnostics.
https://acphospitalist.acponline.org/archives/2024/02/07/hospitalists-offer-lessons-from-past-diagnostic-successes-errors.htm
7 Feb 2024
Effort to increase prescribing of NSAIDs showed no effect in trial
Researchers discontinued a hard stop alert that had been added to the admission order set when they found that it didn't increase hospitalists' use of NSAIDs for multimodal pain management.
https://acphospitalist.acponline.org/archives/2023/07/05/effort-to-increase-prescribing-of-nsaids-showed-no-effect-in-trial.htm
5 Jul 2023
Heart failure hospitalization increased prescribing of guideline-directed therapy
At admission, only 14.9% of patients with heart failure with reduced ejection fraction were on all indicated medications, and that rate increased to 32.8% at discharge, according to a new analysis of the Get With The Guidelines–Heart Failure Registry.
https://acphospitalist.acponline.org/archives/2023/06/21/heart-failure-hospitalization-increased-prescribing-of-guideline-directed-therapy.htm
21 Jun 2023
Checklist improved care consistency after in-hospital cardiac arrest
A pilot study found that performance of four critical tasks after return of spontaneous circulation, including performing an EKG within one hour, improved from 19.4% before implementation of a checklist to 51.1% afterward.
https://acphospitalist.acponline.org/archives/2023/06/21/checklist-improved-care-consistency-after-in-hospital-cardiac-arrest.htm
21 Jun 2023
Reducing inappropriate prescribing in older patients didn't reduce admissions
A trial in European hospitals had physicians and pharmacists review the prescriptions of inpatients who were age 70 years or older with at least three chronic conditions and five long-term prescriptions to identify potentially inappropriate medications.
https://acphospitalist.acponline.org/weekly/archives/2021/07/21/2.htm
21 Jul 2021
Physician resuscitation champions associated with higher rates of surviving in-hospital cardiac arrest
In a survey study, hospitals that had a very active physician champion of Get With the Guidelines—Resuscitation were four times more likely to be in a higher survival quintile than participating hospitals that did not.
https://acphospitalist.acponline.org/weekly/archives/2021/02/24/4.htm
24 Feb 2021
Insulin order set reduced risk of hypoglycemia from hyperkalemia treatment
The order set included blood glucose checks before and in the hours after insulin injection, as well as weight-based dosing of insulin, alerts to identify patients at higher risk of hypoglycemia, and tools to guide decision making based on blood glucose levels.
https://acphospitalist.acponline.org/weekly/archives/2020/02/12/4.htm
12 Feb 2020
Prepare for Parkinson's disease patients
Medication management and other strategies can improve a hospital stay.
https://acphospitalist.acponline.org/archives/2019/08/prepare-for-parkinsons-disease-patients.htm
15 Aug 2019
Sleep heals
Learn why and how to improve inpatient sleep.
https://acphospitalist.acponline.org/archives/2019/07/sleep-heals.htm
15 Jul 2019
Do's and don'ts for personal protective equipment
Training is needed to break the common habits that can increase infection risk.
https://acphospitalist.acponline.org/archives/2018/10/dos-and-donts-for-personal-protective-equipment.htm
15 Oct 2018
Doing more for COPD patients during hospitalization
Expand your focus to accurate diagnosis, cardiovascular health, and self-management.
https://acphospitalist.acponline.org/archives/2018/10/doing-more-for-copd-patients-during-hospitalization.htm
15 Oct 2018
Heed the indicators of in-hospital cardiac arrest
The key to reducing deaths from in-hospital cardiac arrest may be preventing them from occurring.
https://acphospitalist.acponline.org/archives/2018/09/heed-the-indicators-of-in-hospital-cardiac-arrest.htm
15 Sep 2018
Caring for sepsis survivors
Risks of sepsis, including mortality, functional and cognitive impairment, and mental health problems, continue long after discharge.
https://acphospitalist.acponline.org/archives/2018/04/caring-for-sepsis-survivors.htm
15 Apr 2018
CMS metric for 30-day readmissions may not be linked with improved care quality, outcomes after MI
Overall adherence to acute process-of-care measures for myocardial infarction (MI) was high and did not differ significantly by whether hospitals had more or fewer admissions.
https://acphospitalist.acponline.org/weekly/archives/2017/05/03/2.htm
3 May 2017
Taking stock of the readmission penalties
CMS program has led to lower readmissions but may need updating.
https://acphospitalist.acponline.org/archives/2017/04/penalties.htm
15 Apr 2017
Improving Indian Health Service hospitals
Agency strives to ensure safety, coordinate quality initiatives.
https://acphospitalist.acponline.org/archives/2017/04/ihs.htm
15 Apr 2017
Good door-to-balloon time not associated with fast stroke response, study finds
Overall the hospitals were significantly better at meeting door-to-balloon time goals than those for door-to-needle time and performance ranged more widely among hospitals on the latter measure.
https://acphospitalist.acponline.org/weekly/archives/2017/03/22/2.htm
22 Mar 2017
Identifying drug-drug interactions
New tech helps prevent adverse drug events.
https://acphospitalist.acponline.org/archives/2017/03/drug-interactions.htm
15 Mar 2017