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Meetings Archive For SHM Converge 2021..

Abstract Number: 20
IMPACT OF MEDICAL DISTANCING ON PATIENT EXPERIENCE DURING ONSET OF THE COVID-19 PANDEMIC
SHM Converge 2021
Background: Uncertainty of viral transmission and PPE availability early in the SARS-CoV-2 pandemic created unique infection control challenges for hospitals. Prior to masking recommendations and widespread testing availability, the hospital medicine service at an academic hospital system published “medical distancing” guidelines to reduce the frequency and proximity of physician-patient interactions to minimize transmission. While previous […]
Abstract Number: 21
CAPTURING WHAT MATTERS: ADVANCED CARE PLANNING DOCUMENTATION AT AN ACADEMIC MEDICAL CENTER DURING THE COVID-19 PANDEMIC
SHM Converge 2021
Background: Hospitalists commonly discuss advance care planning (ACP), which supports patients in understanding and expressing their values for medical care during serious illness. The coronavirus disease of 2019 (COVID-19) pandemic has increased the urgency of these conversations, especially for patients with older age, comorbidities, or an otherwise high risk for complications such as ICU admission, […]
Abstract Number: 22
INPATIENT ELECTRONIC COMMUNICATION PATTERNS HOLD IMPLICATIONS FOR TEAM COLLABORATION: A NETWORK ANALYSIS
SHM Converge 2021
Background: Electronic messages represent a growing proportion of inter-professional team communication in the inpatient setting. Poor communication hinders team collaboration, increases patient readmissions, and may facilitate burnout. Descriptions of inter-provider communications have largely utilized survey data in specialized settings at a single time-point. We sought to characterize in-patient hospital-wide inter-provider communication patterns over a year. […]
Abstract Number: 23
PATIENT PERSPECTIVES ON RESTRICTED VISITATION RELATED TO COVID-19
SHM Converge 2021
Background: Hospitalists rely on patients’ family members and caregivers to convey medical history, communicate on the patient’s behalf, assist with decision making, participate in care training, partake in discharge planning and provide support. With the rise of COVID-19 infection rates across the country, hospitals promptly enforced strict visitation protocols to prevent transmission, preserve PPE and […]
Abstract Number: 24
LEAPFROG ROUNDS: MAXIMIZING THE ROUNDING EXPERIENCE FOR LEARNERS IN LIGHT OF SOCIAL DISTANCING RESTRICTION IMPOSED BY THE COVID-19 PANDEMIC
SHM Converge 2021
Background: Rounds are critical for facilitating patient care, supporting interprofessional communication and providing education for trainees (1,2). Social distancing requirements in the era of COVID led to significant changes to the traditional rounding structure (3). The impact of these changes on patient care, interprofessional communication and education remain unknown. Methods: An interprofessional needs assessment was […]
Abstract Number: 25
DISAGREEMENTS LEAD TO DELAYS: ASSOCIATIONS BETWEEN PATIENT-PROVIDER AGREEMENT REGARDING DISMISSAL PLANNING FOLLOWING WARD ROUNDS AND DELAYED DISCHARGE
SHM Converge 2021
Background: Discharge planning should begin at the time of admission and involve preparing patients for the transition out of the hospital. Unfortunately, many hospitalized patients disagree with their provider about their discharge plan, including what needs to be accomplished in the hospital or the dismissal’s timing and location. When patients and their providers do not […]
Abstract Number: 26
PATIENT UNDERSTANDING OF THEIR CARE DURING HOSPITALIZATION: ROLES, RESPONSIBILITIES, AND MIXED MESSAGES
SHM Converge 2021
Background: Over the last few decades, medicine has seen increasing specialization and a proliferation of roles, trends which can complicate patient care in the hospital setting. Inpatient care teams are comprised of many types of members, and the boundaries between roles can change and at times be ambiguous, e.g., between hospitalist and subspecialist consultants. In […]
Abstract Number: 27
ADDRESSING HOPES, PRIORITIES, AND CONCERNS: COULD READMISSION RISK IDENTIFY PATIENTS WHO BENEFIT FROM SERIOUS ILLNESS CONVERSATIONS DURING HOSPITALIZATION?
SHM Converge 2021
Background: Conducting early serious illness conversations (SICs) is a high-value intervention that improves the patient and family experience while aligning care with patient preferences. Given the constraints of hospital-based clinicians, using the EHR to identify appropriate patients for SICs remains a key challenge. The aims of this study were to explore whether the EHR’s readmission […]
Abstract Number: 29
INFLUENCES OF BLOOD TYPE ON COVID-19 INFECTION AND SEVERITY: A SINGLE-CENTER CASE ANALYSIS
SHM Converge 2021
Background: COVID-19 (Coronavirus Disease of 2019) is a global pandemic caused by the rapidly spreading SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2). The novel coronavirus has stressed the limits of healthcare systems globally, making early identification of risk factors essential to the functioning of our healthcare systems during this ongoing pandemic. Many risk factors are already […]
Abstract Number: 30
EXAMINING THE WEEKEND EFFECT IN SYSTEMIC LUPUS ERYTHEMATOSUS HOSPITALIZATIONS
SHM Converge 2021
Background: Weekend admissions have reportedly been associated with adverse outcomes and increased inpatient mortality[1]. This weekend phenomenon has been a subject of intense scrutiny and research. It has been attributed to fluctuations in healthcare personnel’s staffing and reduced or delayed access to diagnostic and therapeutic procedures. Patients admitted over the weekend are generally sicker than […]