Start Date
5-15-2025 9:30 AM
End Date
5-15-2025 11:30 AM
Description
Background
- Overnight patient interventions, including electrolyte repletion, contribute to hospital acquired delirium.1
- Among patients admitted to TJUH, we identified many cases of IV magnesium (Mg) repletion given overnight, waking up patients when urgent repletion may not be clinically necessary.
- This may be driven by resident belief that IV Mg increases serum Mg more effectively than PO Mg
- TJUH has implemented the Electrolyte Hub in EPIC which standardizes the dosing and ordering of electrolytes in most cases.
- However, the default in most non urgent cases is to administer the first dose of electrolyte now, whether it is PO or IV.
- We found that many residents do not use the electrolyte hub, instead order IV Mg riders repletion.
Keywords
delirium, electrolytes, quality improvement
Included in
May 15th, 9:30 AM
May 15th, 11:30 AM
Reducing Overnight Interruptions for Nonurgent Electrolyte Repletion
Background
- Overnight patient interventions, including electrolyte repletion, contribute to hospital acquired delirium.1
- Among patients admitted to TJUH, we identified many cases of IV magnesium (Mg) repletion given overnight, waking up patients when urgent repletion may not be clinically necessary.
- This may be driven by resident belief that IV Mg increases serum Mg more effectively than PO Mg
- TJUH has implemented the Electrolyte Hub in EPIC which standardizes the dosing and ordering of electrolytes in most cases.
- However, the default in most non urgent cases is to administer the first dose of electrolyte now, whether it is PO or IV.
- We found that many residents do not use the electrolyte hub, instead order IV Mg riders repletion.
Comments
Presented at the 2025 Jefferson Health Equity and Quality Improvement (HEQI) Summit.