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
Licensing examination scores and fellowship selection
Bynum D, Colford C, Contarino M
After the Match: Cultivating a Community of Support, Retention, and Mentoring to Enhance Diversity
Colford C, Kraemer MS, Contarino M, Denizard-Thompson N, Evans K, Hairston K, Harris R, McNeill D
Empiric Listeria monocytogenes Antibiotic Coverage for Febrile Infants
Stephens JR, Steiner M
Hemiconvulsion–Hemiplegia–Epilepsy Syndrome
Stephens JR, Sams C
Puff laddy: a 5-year-old-boy with forehead swelling
Cannon L, Zwemer E, Stephens JR
Discharge Interventions and Modifiable Risk Factors for Preventing Hospital Readmissions in Children with Medical Complexity
Stephens JR, Kimple KS, Steiner MJ, Berry JG
Things We Do For No Reason: Echocardiogram in Unselected Patients with Syncope
Madeira C, Craig M, Donohoe A, Stephens JR
Volunteerism Among Hospitalists and Non-Hospitalists at Academic and Community Medical Centers in North Carolina
Gilchrist M, Hobbs R, Liles EA
Clinical Outcomes of Metformin Use in Populations with Chronic Kidney Disease, Congestive Heart Failure, or Chronic Liver Disease: A Systematic Review
Crowley MJ, Diamantidis CJ, McDuffle JR, Cameron CB, Stanifer JW, Mock CK, Wang X, Tang S, Nagi A, Kosinski AS, Williams JW Jr.
Use of a Dual-Antigen Rapid Diagnostic Test to Screen Children for Severe Plasmodium falciparum Malaria in a High-Transmission, Resource-Limited Setting
Boyce R, Reyes R, Matte M, Ntaro M, Mulogo E, Siedner M
Delirium in hospitalized patients: Risks and benefits of antipsychotics
Thom RP, Mock CK, Teslyar P
Transitions of Care: Improving the Quality of Discharge Summaries Completed By Internal Medicine Residents
Black M, Colford C