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

Oral Presentations
PHYSICIANS IMMIGRATION BACKLOG AND ITS IMPACT ON AMERICAN RURAL HEALTHCARE
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Physician shortage and healthcare access is a serious issue in rural America with reports estimating a shortage of more than 45,000 physicians by 2025. The rural and the underserved communities are predominantly served by International Medical Graduates (IMGs). Majority of the IMG physicians work are on a J1 waiver, National Interest Waiver (NIW) program […]
Oral Presentations
REACHING ACROSS TOWN TO ENHANCE REGIONAL INPATIENT ACCESS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Like all large academic medical centers (AMCs), we face capacity challenges. On most days, bed occupancy is often greater than 90% and long boarding times in the Emergency Department (ED) leads to poor patient experience, care delays and risk for adverse outcomes. While many AMCs have approached this problem by acquiring new facilities or […]
Oral Presentations
THE B-TEAM (BUPRENORPHINE): MEDICATION-ASSISTED TREATMENT FOR PATIENTS WITH OPIOID USE DISORDER IN THE HOSPITAL
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Despite a public health crisis – over 500,000 individuals have died from opioid overdoses since 2000 – and the availability of effective therapies, most patients with Opioid Use Disorder (OUD) are not offered treatment. Medication-Assisted Treatment (MAT), such as with buprenorphine, is associated with significantly higher rates of abstinence and follow-up, lower rates of […]
Oral Presentations
THE PREVALENCE OF DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days), but little is known about their frequency and characteristics. We performed structured chart review of all medical patients readmitted within 7 days of discharge from a single academic medical center to describe the prevalence of […]
Oral Presentations
USING PREDICTIVE MODELING TO IDENTIFY EXCESS VITAL SIGN ASSESSMENT IN HOSPITALIZED PATIENTS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Clinically stable inpatients may receive potentially unnecessary care, such as overnight vital sign assessment. Nighttime vital signs can disrupt sleep and adversely affect patient satisfaction and contribute to delirium. However, it may be difficult for individual clinicians to determine which patients could safely forego overnight vital signs. Purpose: We developed a predictive algorithm designed […]
Plenary Presentations
DECREASING ADMISSIONS, READMISSIONS AND LENGTH OF STAY WHILE IMPROVING PATIENT SAFETY FOR ALCOHOL WITHDRAWAL SYNDROME
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: There were nearly 33,000 admissions to Department of Veterans Affairs hospitals for alcohol withdrawal syndrome (AWS) in fiscal year 2017. Symptom-triggered management is the standard of care and, when employed effectively, the number of medication doses during admission is a good proxy for clinical severity of withdrawal. Several evidence-based algorithms for outpatient management of […]
Abstract Number: 1
SNAP THIS: UTILIZING SOCIAL MEDIA AS A TOOL FOR REPRODUCTIVE HEALTH AWARENESS IN THE HOSPITAL SETTING
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Adolescent reproductive health education is essential to prevent transmission of sexually transmitted infections (STIs) and teen pregnancy. Half of all new STIs occur among 15-24 year-olds and 1 in 4 adolescent females has had an STI. In the United States, approximately 750,000 teenagers become pregnant per year. Adolescents are known to have poor access […]
Abstract Number: 2
IMPROVING ADVANCED NOTIFICATION OF IMPENDING INTERHOSPITAL TRANSFERS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sub-optimal communication during care transitions contributes to poor patient outcomes. Patients who undergo interhospital transfer (IHT, the transfer of patients between hospitals) are at especially high risk given their level of illness severity. In examination of the IHT process at Brigham and Women’s Hospital (BWH), a 740-bed tertiary care referral hospital, we previously found […]
Abstract Number: 3
IMPROVING COMMUNICATION WITH COMMUNITY PEDIATRICIANS
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In hospital-based medicine, maintaining an open line of communication between inpatient teams and community pediatricians serves as an essential component of providing comprehensive patient care and ensuring continuity at time of discharge. At St. Louis Children’s Hospital, inpatient resident teams are responsible for providing timely communication with community pediatricians regarding major patient events. Despite […]
Abstract Number: 4
DIRECT OBSERVATION OF CLINICAL TEACHING ON ROUNDS (DOCTOR): A PILOT PROGRAM
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalists on inpatient resident teaching services receive variable training in how to facilitate high-quality education during rounds. Teaching of cognitive skills such as clinical reasoning, acknowledging uncertainty, and non-cognitive behaviors such as eye contact are important techniques of effective educators. To enhance bedside teaching, the Hospital Medicine Division of the University of Michigan and […]