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Meetings Archive For Hospital Medicine 2020, Virtual Competition..

Plenary Presentations
A RANDOMIZED CONTROLLED TRIAL OF AN EHR-EMBEDDED CLINICAL DECISION SUPPORT TOOL TO PROMOTE SLEEP IN THE HOSPITAL
Hospital Medicine 2020, Virtual Competition
Background: Overnight vital sign assessment can disrupt sleep in the hospital and may be unnecessary in clinically stable patients. However, providers may not feel comfortable determining which patients can safely forego overnight vitals. We studied the effect of a clinical decision support (CDS) tool embedded in the electronic health record (EHR) that automatically identified clinically […]
Plenary Presentations
ASSOCIATION BETWEEN APPROPRIATENESS CRITERIA AND RISK OF COMPLICATIONS IN PATIENTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS
Hospital Medicine 2020, Virtual Competition
Background: We have previously showed how implementing the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) to inform peripherally inserted central catheter (PICC) use can lead to more appropriate device use. In this analysis, we assessed the association between appropriateness and PICC-related complications. We hypothesized that improved PICC appropriateness is associated with reduced major PICC complications […]
Plenary Presentations
PASSPORT TO CLINICAL TEACHING: NEEDS ASSESSMENT AND PILOT PROGRAM CREATION TO DEVELOP OUTSTANDING TEACHING SKILLS IN EARLY CAREER HOSPITALISTS (ECH)
Hospital Medicine 2020, Virtual Competition
Background: Across the field of Hospital Medicine, there is a “call to arms” to build robust faculty development programs(1). Medical education and clinical teaching are common career interests for early career hospitalists (ECH), defined as hospitalists ≤5 years since postgraduate training. ECH often pursue academic positions to explore an interest in medical education, but find […]
Oral Presentations
BRINGING THE WEARABLE REVOLUTION INTO THE HOSPITAL: ADAPTATION OF CONTINUOUS VITAL SIGN MONITORING TO THE INPATIENT NON-INTENSIVE CARE SETTING
Hospital Medicine 2020, Virtual Competition
Background: Failure to promptly recognize clinically deteriorating patients in the hospital leads to delays in critical interventions and worse health outcomes. Current standard practice in patient monitoring on most medical-surgical wards involves vital sign assessment at discrete time points, typically every four to eight hours. More frequent or continuous vital sign monitoring has historically been […]
Oral Presentations
BUILDING PATIENT SAFETY CULTURE USING A MULTI-MODAL STRATEGY INCREASES SELF-REPORTED ‘SAFETY REPORTING’ BY CLINICIANS: A NOVEL METRIC OF SAFETY CULTURE
Hospital Medicine 2020, Virtual Competition
Background: According to AHRQ, patient safety culture refers to the beliefs, values, and norms shared by health care practitioners and other staff throughout the organization that influence their actions and behaviors. Safety reporting (or incident reporting) is an important aspect of safety culture. Safety reporting of adverse events is a valuable epidemiological tool to measure […]
Oral Presentations
CATALYZING HOSPITAL MEDICINE LEADERSHIP DEVELOPMENT
Hospital Medicine 2020, Virtual Competition
Background: Large hospital medicine groups of 30 or more physicians comprise over 20% of practices (SHM 2018). Our academic hospital medicine service is comprised of 65 faculty members. We recognized a need for multiple levels of leadership beyond the immediate chief and director of clinical operations. Our team, like most hospital medicine groups, is comprised […]
Oral Presentations
COMPARISON OF COMPLICATIONS OF MIDLINES AND PERIPHERALLY INSERTED CENTRAL CATHETERS FOR DIFFICULT VASCULAR ACCESS AND INTRAVENOUS ANTIBIOTICS
Hospital Medicine 2020, Virtual Competition
Background: Midlines are peripheral vascular devices inserted in the veins of the upper extremity with the tip located at or below the axillary vein. Greater appreciation of complications associated with peripherally inserted central catheters (PICC) and the diffusion of catheter appropriateness criteria has led to expanded use of these devices. However, single center studies comparing […]
Oral Presentations
DEARTH OF HOSPITAL MEDICINE CLINICIAN INVESTIGATORS ACROSS UNITED STATES ACADEMIC MEDICAL CENTERS
Hospital Medicine 2020, Virtual Competition
Background: Hospital medicine is the fastest growing subspecialty within internal medicine, growing from 10,000 hospitalists in 2002 to over 50,000 in 2016. Despite this growth, there remain relatively few hospitalists who are clinician investigators. We sought to quantify the number of clinician investigators, their dedicated time for research at major United States academic medical centers, […]
Oral Presentations
DECREASING RISK OF OPIOID OVERDOSES IN HOSPITALIZED PATIENTS
Hospital Medicine 2020, Virtual Competition
Background: There were approximately 46,000 opioid overdose deaths in 2017. It is known that opioid overdose risk is increased in patients with a diagnosis of substance use disorder, prior opioid overdose, and high suspicion of risk as assessed by clinical teams. The Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression (RIOSORD) is a validated […]
Oral Presentations
HOSPITALIST CO-MANAGEMENT OF TRAUMA SURGERY PATIENTS REDUCES MORTALITY AND IMPROVES QUALITY MEASURES
Hospital Medicine 2020, Virtual Competition
Background: Trauma co-management is a growing field within hospital medicine. While improvements in quality metrics have been documented in other co-management services, the impact of co-management of trauma patients is uncertain. This study aimed to determine whether a hospitalist trauma co-management program improves clinical outcomes. Methods: This was a pre- and post-implementation study comparing trauma […]