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
Protease Inhibitor-Induced Nephrolithiasis
Stephens JR, Coward RM, Viprakasit DP
Provider Home Visits to Reduce Readmissions for High-Risk Patients
Craig M, Watson M
Scholarship improved by case report curriculum
Stephens JR, Wardrop R
Standardizing the Admission Process Using Lean/Six Sigma “One Piece Flow”
Howard-Williams E, Liles EA, Lanza-Kaduce K, Stephens JR
Variation in Physician Discharge Order Time at An Academic Children’s Hospital
Stephens JR, Steiner MJ, Skinner AC, Galin S, Troxler H, Bradford KK
Using Natural Language Processing to Facilitate Medical Record Abstraction in Epidemiological Studies
Moore C, Shaffer K, Kucharska-Newton A, Haas S, Heiss G, University of North Carolina. – Presented at the American Medical Informatics Association (AMIA) meeting in November 2015
Acute Interstitial Nephritis in the Seeting of Volume Overload
Witt L, Liles EA, Stephens JR— Southern SGIM Annual Meeting, Feb 2015
Ultrasound in the Diagnosis and Management of Pleural Effusions
Soni NJ, Franco R, Velez MI, Schnobrich D, Dancel RD, Restrepo MI, Mayo PH, July 2015
Constipation Diagnosis and Related Health Services in Medicaid for Children…
Steiner M, Stephens JR, DeJong N, Rodean J, Richardson T, Hall M, Berry J –Pediatric Academic Societies Annual Meeting, April 2015
Leave No Stone Unturned
Stephens JR, Viprakasit DP –SHM Annual Meeting, March 2015
Characteristics and Outcomes of Patients Dischardged from the ED…
Sharalaya Z, Stephens JR, Caulfield C, Liles EA, Jonas D — SHM Annual Meeting, March 2015
CV’s for the Resident CV Improving Resident Scholarship…
Stephens JR–SHM Annual Meeting, March 2015 and Pediatric Academic Societies Annual Meeting, April 2015