Journal ArticleJ Pain Symptom Manage · December 2024
CONTEXT: Prognostication challenges contribute to delays in advance care planning (ACP) for patients with cancer near the end of life (EOL). OBJECTIVES: Examine a quality improvement mortality prediction algorithm intervention's impact on ACP documentation ...
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Journal ArticleJ Hosp Med · December 2023
BACKGROUND: Young adults with chronic childhood-onset diseases (CCOD) transitioning care from pediatrics to adult care are at high risk for readmission after hospital discharge. At our institution, we have implemented an inpatient service, the Med-Peds (MP ...
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Journal ArticleJ Pain Symptom Manage · August 2023
CONTEXT: While professional societies and expert panels have recommended quality indicators related to advance care planning (ACP) documentation, including using structured documentation templates, it is unclear how clinicians document these conversations. ...
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Journal ArticleNEJM Catalyst Innovations in Care Delivery · November 16, 2022
Substantial evidence indicates that goals-of-care (GOC) conversations in the setting of serious illness can improve a variety of health outcomes. However, only 3% of seriously ill Duke Health patients who died had goals of care documented in the electronic ...
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Journal ArticleAm J Med Qual · September 2022
The authors present a tool to improve gaps in patient safety using the electronic health record. The tool integrates gap identification, passive alerts, and actions into a single interface embedded within clinicians' workflow. The tool was developed to add ...
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Journal ArticleJ Hosp Med · June 2022
BACKGROUND: As opioid-related hospitalizations rise, hospitals must be prepared to evaluate and treat patients with opioid use disorder (OUD). We implemented a hospitalist-led program, Project Caring for patients with Opioid Misuse through Evidence-based T ...
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Journal ArticleJAMA Netw Open · February 5, 2020
IMPORTANCE: The ability to accurately predict in-hospital mortality for patients at the time of admission could improve clinical and operational decision-making and outcomes. Few of the machine learning models that have been developed to predict in-hospita ...
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Journal ArticleAm J Med Qual · 2018
Intravenous insulin with glucose is used in urgent treatment for hyperkalemia but has a significant risk of hypoglycemia. The authors developed an order panel within the electronic health record system that utilizes weight-based insulin dosing and standard ...
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Journal ArticleJ Hosp Med · July 2015
BACKGROUND: High utilizers are medically and psychosocially complex, have high rates of emergency department (ED) visits and hospital admissions, and contribute to rising healthcare costs. OBJECTIVE: Develop individualized care plans to reduce unnecessary ...
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