Search results for "Quality improvement"
Nursing homes, hospitals collaborated, reduced drug-resistant infections
A countywide program of chlorhexidine bathing and nasal iodophor antisepsis for residents in long-term care and hospitalized patients who were on contact precautions reduced colonization and related hospitalizations and deaths.
https://acphospitalist.acponline.org/archives/2024/04/10/nursing-homes-hospitals-collaborated-reduced-drug-resistant-infections.htm
10 Apr 2024
Modified rapid response system could help patients with limited English proficiency
An initiative at one U.S. academic medical center that used automated early warning scores and integrated interpreters into the rapid response system was associated with a decrease in average monthly mortality rates.
https://acphospitalist.acponline.org/archives/2024/02/28/modified-rapid-response-system-could-help-patients-with-limited-english-proficiency.htm
28 Feb 2024
Tackling ED boarding
Hospitalists can take ownership to reduce risks for patients, especially elderly ones.
https://acphospitalist.acponline.org/archives/2024/02/21/tackling-ed-boarding.htm
21 Feb 2024
Hospital clinicians don't often use antibiograms when prescribing, survey finds
Among 193 respondents from seven U.S. health care systems, 26.9% of hospital clinicians said they used antibiograms more than once a month and 16.1% did not know that their facility had an antibiogram available.
https://acphospitalist.acponline.org/archives/2024/02/21/hospital-clinicians-dont-often-use-antibiograms-when-prescribing-survey-finds.htm
21 Feb 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
A bone to pick
Osteoporosis is undertreated in fragility fracture patients. Hospitalists have an opportunity to help close that gap.
https://acphospitalist.acponline.org/archives/2024/01/24/a-bone-to-pick.htm
24 Jan 2024
Diagnostic error found in care of 23% of patients who died or were transferred to ICU
The most common causes of diagnostic errors were assessment and testing issues, according to an analysis of patients who were transferred to an ICU, died, or both while hospitalized with general medical conditions at any of 29 academic centers in 2019.
https://acphospitalist.acponline.org/archives/2024/01/17/diagnostic-error-found-in-care-of-23percent-of-patients-who-died-or-were-transferred-to-icu.htm
17 Jan 2024
A better team, with the same outcomes
Why did only nurses see an improvement from a teamwork intervention at four hospitals? A hospitalist researcher offers his thoughts.
https://acphospitalist.acponline.org/archives/2023/12/20/a-better-team-with-the-same-outcomes.htm
20 Dec 2023
Down-shifting for academic hospitalists
Fewer shifts were possible, and popular, one academic hospital found.
https://acphospitalist.acponline.org/archives/2023/11/29/down-shifting-for-academic-hospitalists.htm
29 Nov 2023