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Meetings Archive For Hospital Medicine 2019, March 24-27, National Harbor, Md...

Plenary Presentations
EFFECTS OF A REFINED EVIDENCE-BASED TOOLKIT ON MEDICATION RECONCILIATION QUALITY AND SAFETY AT MULTIPLE HOSPITALS: RESULTS OF THE MARQUIS2 STUDY
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The first Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional medication discrepancies in 5 hospitals. Incorporating lessons learned from MARQUIS1, we implemented a refined version of the toolkit in a larger, more diverse sample of hospitals. Methods: Eighteen sites were selected via […]
Plenary Presentations
MULTI-DISCIPLINARY AND COMPREHENSIVE DELIRIUM CARE PATHWAY IS ASSOCIATED WITH REDUCTIONS IN LENGTH OF STAY, COST, AND READMISSIONS IN HOSPITALIZED ADULTS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay, cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% within one year in older patients who develop delirium. Programs targeted at delirium prevention and treatment may affect these outcomes. We […]
Oral Presentations
ACUITY-BASED NIGHTTIME VITAL SIGN ASSESSMENTS: A RANDOMIZED CONTROLLED TRIAL
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sleep disruptions for routine care, such as vital sign assessments, are common during hospitalization and are associated with negative health outcomes and patient satisfaction. While higher risk patients may benefit from increased monitoring at night, the tradeoff is less obvious for lower risk patients. We hypothesized that assigning overnight vital sign assessment based on […]
Oral Presentations
ANALYZE THIS: A CLINICAL PATHWAY FOR SOMATIC SYMPTOM AND RELATED DISORDERS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Somatic Symptom and Related Disorders (SSRD) is an umbrella term for a wide variety of disorders commonly encountered in the inpatient pediatric setting, including conversion disorder, amplified pain syndrome, and psychogenic non-epileptiform seizures. These patients can be high utilizers of medical resources. The hospitalist is often charged with ruling out a medical diagnosis and […]
Oral Presentations
CAN MULTIPLE PROVIDERS RELIABLY TRACK THE INFERIOR VENA CAVA ACROSS HANDOFFS WITH POINT-OF-CARE ULTRASOUND?
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Point-of-care ultrasound (POCUS) of the inferior vena cava (IVC) can help to noninvasively predict the effectiveness of treatment for volume-sensitive conditions, such as acute heart failure and shock. Recently POCUS-IVC has also been used to iteratively tailor fluid treatment to patient-specific targets. In real-world clinical settings, such iterative assessments are necessarily obtained by multiple […]
Oral Presentations
COPD AUTOSUBSTITUTION OF INHALERS TO NEBULIZER THERAPY EFFECT IN HOSPITALIZED PATIENTS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: COPD is associated with high morbidity and mortality. It is the third-ranked cause of death in the United States, killing more than 120,000 individuals each year. As a consequence of its high prevalence and chronic nature, COPD causes high resource utilization with frequent clinician office visits, hospitalizations due to acute exacerbations, and need for […]
Oral Presentations
DERIVATION AND VALIDATION OF A COPD READMISSION RISK PREDICTION TOOL
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of hospital readmissions in America. Over one-third of patients admitted for COPD exacerbations are readmitted within 90 days, with readmissions costing $15 billion. Medicare instituted financial penalties for excessive readmissions after COPD hospitalizations, incentivizing the creation of readmission prediction tools. Two such tools, the […]
Oral Presentations
DEVELOPMENT AND VALIDATION OF A RISK ASSESSMENT MODEL FOR VTE IN HOSPITALIZED MEDICAL PATIENTS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Venous thromboembolism (VTE) is the leading cause of preventable hospital death. National guidelinesrecommend VTE prophylaxis for all medical patients not at low risk. Several VTE risk prediction models have been developed, but no US models have been validated in a medical population. The ACCP recommends use of the Padua risk assessment model with a […]
Oral Presentations
EFFECTS OF COMPREHENSIVE CARE PHYSICIANS ON PATIENT EXPERIENCE, OUTCOMES AND HOSPITALIZATION: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Coordination of inpatient and outpatient care is an important challenge in improving population health but evidence examining the effectiveness of existing care coordination programs is mixed. The Comprehensive Care Physician (CCP) Program at the University of Chicago provides patients at increased risk of hospitalization the opportunity to receive inpatient and outpatient care from the […]
Oral Presentations
IMPLEMENTING STRUCTURED RADIOLOGY REPORTING TO CREATE CLINICAL DECISION SUPPORT TOOLS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Deep vein thrombosis (DVT) is typically diagnosed from ultrasound (US) Doppler evaluation and anticoagulation therapy is the standard treatment to prevent life threatening pulmonary embolism (PE). In our hospital, the treating provider is alerted to the positive test result by phone and/or text in the imaging result. There is an absence of clinical decision […]