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Meetings Archive For Hospital Medicine 2020, Virtual Competition..

Oral Presentations
NURSE-DOCTOR CO-TEACHING ON THE GENERAL MEDICINE SERVICE: CREATION, DESIGN AND IMPLEMENTATION OF INTERACTIVE CO-TEACHING SESSIONS TO MODEL COLLABORATION
Hospital Medicine 2020, Virtual Competition
Background: High levels of interprofessional collaboration and communication have been shown to lead to better patient safety outcomes, improved patients’ satisfaction and quality of care, as well as higher job satisfaction for doctors and nurses alike. Yet, challenges to nurse-doctor collaborations exist. One way of improving interprofessional collaboration may be through structured co-teaching by nurses […]
Oral Presentations
RACIAL AND ETHNIC DISPARITIES IN OPIOID PRESCRIBING ON HOSPITAL DISCHARGE FROM AN INTERNAL MEDICINE SERVICE
Hospital Medicine 2020, Virtual Competition
Background: Prior studies have found racial disparities in how patients are assessed for pain and prescribed opioids from emergency department and surgical settings. However, we do not know whether similar disparities exist among general medicine inpatients. We examined opioid prescriptions at discharge among adults admitted to the general medicine service at our medical center, with […]
Oral Presentations
WHAT DO PATIENTS WANT? A QUALITATIVE ANALYSIS OF PATIENT, PROVIDER, AND ADMINISTRATIVE PERCEPTIONS AND EXPECTATIONS ABOUT PATIENTS’ HOSPITAL STAYS
Hospital Medicine 2020, Virtual Competition
Background: Patient experience is increasingly recognized as a measure of healthcare quality and patient-centered care. However, there is insufficient understanding of patient expectations during hospitalization, and of how these are perceived by physicians, nurses, and administrators. The best way to apply the HCAHPS ratings remain elusive due to variability in practice environments, patient and clinician […]
Oral Presentations
WHAT HAPPENS TO THE PEOPLE WHO USED TO GO TO SNF? CONTEMPORARY LESSONS FROM BUNDLED PAYMENTS IN PENNSYLVANIA
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists increasingly confront patient care and policy dilemmas due to financial incentives created by bundled payments, single payments that “bundle” acute and post-acute care for specific diagnoses. The most common and most successful bundled payment has been for total joint replacement, where cost savings have been achieved through discharging patients to home rather than […]
Oral Presentations
IS LESS REALLY MORE? FLUID RESUSCITATION AND CLINICAL OUTCOMES IN SEPSIS PATIENTS WITH AND WITHOUT CONGESTIVE HEART FAILURE (CHF)
Hospital Medicine 2020, Virtual Competition
Background: Sepsis is a common and life-threatening complication of infection that disproportionately affects patients with chronic comorbidities. Timely fluid resuscitation is a key initial management strategy for reducing sepsis mortality; however, patients with serious comorbidities are often excluded from clinical trials. The Surviving Sepsis guidelines suggest that patients meeting severe sepsis criteria should be administered […]
Oral Presentations
THE PROGNOSTIC VALUE OF SEPSIS-3 CRITERIA: DO “BIG DATA” STUDIES SYSTEMATICALLY OVERESTIMATE IT?
Hospital Medicine 2020, Virtual Competition
Background: In 2016, the Sepsis-3 taskforce posited that acute organ failure is the defining feature of sepsis. Accordingly, they recommended that an acute rise in the Sequential Organ Failure Assessment (SOFA) score by 2 points over baseline should replace the Systemic Inflammatory Response Syndrome (SIRS) score as the sepsis criteria (1). As a justification, they […]
Abstract Number: 1
OUCH! ADDRESSING MICROAGGRESSIONS ON THE INTERDISCIPLINARY TEAM
Hospital Medicine 2020, Virtual Competition
Background: Microaggressions (adapted from Sue et al. 2007) are “brief and commonplace verbal, behavioral, or environmental indignities, whether intentional or unintentional, that communicate hostile, derogatory, or negative slights and insults with regards to race, gender, religion, or sexual orientation that target a person or group”. In healthcare, studies have examined microaggressions’ effect on trainee experience, […]
Abstract Number: 3
PRACTICE DOES NOT MAKE PERFECT: THE ROLE OF INDEPENDENT PRACTICE IN POINT-OF-CARE ULTRASOUND
Hospital Medicine 2020, Virtual Competition
Background: Ultrasonography is a safe, non-invasive bedside tool used by providers to obtain real-time, dynamic images to support diagnostic guidance, therapeutic decisions, and procedural success. Point-of-care ultrasonography (POCUS) has demonstrated improved outcomes in states of critical illness such as trauma or shock and enhanced the command and accuracy of procedural skills. Despite these important measures, […]
Abstract Number: 3
PRACTICE DOES NOT MAKE PERFECT: THE ROLE OF INDEPENDENT PRACTICE IN POINT-OF-CARE ULTRASOUND
Hospital Medicine 2020, Virtual Competition
Background: Ultrasonography is a safe, non-invasive bedside tool used by providers to obtain real-time, dynamic images to support diagnostic guidance, therapeutic decisions, and procedural success. Point-of-care ultrasonography (POCUS) has demonstrated improved outcomes in states of critical illness such as trauma or shock and enhanced the command and accuracy of procedural skills. Despite these important measures, […]
Abstract Number: 4
“IS YOUR PATIENT GOING TO DIE?: A NOVEL MORTALITY PREDICTIVE MODEL FOR TRANSFER PATIENTS AT AN ACADEMIC HEALTH CENTER”
Hospital Medicine 2020, Virtual Competition
Background: Assessing severity of illness using available electronic medical record (EMR) data on admission and predicting inpatient mortality is very challenging. Lacking standardized practices around end of life issues, hospitalists use their clinical judgment in making these crucial decisions. Prolonged discussions may be needed in medically complex patients to direct an optimal plan of care […]