Research and QI
Faculty in the Division of Hospital Medicine work through multiple Quality Improvement methods to improve the science of inpatient medicine, the systems and processes by which we provide that care, and increase quality and cost-effectiveness of that care.
Previous and current projects led by division faculty have had aims such as the following:
- Improving efficiency by applying the Lean methodology and “one-piece flow” to the hospital admission and discharge processes
- Evaluating outcomes of patients discharged from the Emergency Department after referral to Hospital Medicine for admission
- Standardizing the care for patients with alcohol withdrawal and providing medications for the maintenance of sobriety on discharge
- Using of individual patient care plans (ICPs) to improve outcomes and utilization for patients with frequent inpatient hospitalizations
- Decreasing unnecessary use of telemetry monitoring and short-term blood pressure treatment
- Reducing care variation in the evaluations of patients with low-risk chest pain and syncope
Implementation of a Process for Initiating Naltrexone in Patients Hospitalized for Alcohol Detoxification or Withdrawal
Stephens JR, Moore CR, Stepanek KV, Garbutt JC, Starke B, Liles EA, Jonas DE
Recommendations on the Use of Ultrasound Guidance for Adult Thoracentesis: A Position Statement of the Society of Hospital Medicine
Dancel RD, Schnobrich D, Puri N, Franco-Sadud R, Cho J, Grikis L, Lucas BP, El-Barbary M, Soni NJ
Patients Discharged From the Emergency Department After Referral for Hospitalist Admission
Caulfield CA, Stephens JR, Sharalaya Z, Laux JP, Moore CR, Jonas DE, Liles EA
A pediatric death audit in a large referral hospital in Malawi
Fitzgerald E, Mlotha-Mitole R, Ciccone EJ, Tilly AE, Montijo JM, Lang HJ, Eckerle M
Anemia was an Uncommon Complication of Severe Malaria in a High-Transmission Rural Area of Western Uganda
Boyce R, Reyes R, Keeler C, Matte M, Ntaro M, Mulogo E, Siedner MJ
Quality of care in integrated community case management services in Bugoye, Uganda: a retrospective observational study
Miller JS, English L, Matte M, Mbusa R, Ntaro M, Bwambale S, Kenney J, Siedner MJ, Reyes R, Lee PT, Mulogo E, Stone GS
Where Is the Community Dimension in the Updated Common Rule?
Reyes R, Lorenz CE, Rennie S, Richmond A, Corbie-Smith G
Things We Do For No Reason: Blood Cultures for Uncomplicated Skin and Soft Tissue Infections in Children
Zwemer E, Stephens JR
The Five Minute Moment: Functional Murmur
Bramson B
Who Stays and Who Goes: Predictors of Admission among Patients Presenting with Febrile Illness and a Positive Malaria Rapid Diagnostic Test in a Rural Ugandan Health Center
Chang JL, Reyes R, Matte M, Ntaro M, Mulogo E, Wiens MO, Meshnick SR, Siedner MJ, Boyce RM
Reuse of malaria rapid diagnostic tests for amplicon deep sequencing to estimate Plasmodium falciparum transmission intensity in western Uganda
Boyce RM, Hathaway N, Fulton T, Reyes R, Matte M, Ntaro M, Mulogo E, Waltmann A, Bailey JA, Siedner MJ, Juliano JJ
Impact of hospitalist vs. non-hospitalist services on length of stay and 30-dayreadmission rate in hip fracture patient
Stephens JR, Chang JW, Liles EA, Adem M, Moore CR