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Meetings Archive For Hospital Medicine 2020, Virtual Competition..

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 […]
Abstract Number: 5
THE RELATIONSHIP BETWEEN PATIENT HETEROGENEITY, ANTIBIOTIC TIMING, AND THE OUTCOMES OF PATIENTS WITH SEVERE BACTERIAL INFECTION
Hospital Medicine 2020, Virtual Competition
Background: Sepsis, severe sepsis, and septic shock remain important contributors to hospital utilization, morbidity and mortality in the United States. Timely interventions including blood cultures, intravenous crystalloid infusions, and antibiotics make up the 3-hour sepsis bundle which represents current standard of practice, and the target of hospital quality reporting. Many aspects of sepsis care are […]
Abstract Number: 5
THE RELATIONSHIP BETWEEN PATIENT HETEROGENEITY, ANTIBIOTIC TIMING, AND THE OUTCOMES OF PATIENTS WITH SEVERE BACTERIAL INFECTION
Hospital Medicine 2020, Virtual Competition
Background: Sepsis, severe sepsis, and septic shock remain important contributors to hospital utilization, morbidity and mortality in the United States. Timely interventions including blood cultures, intravenous crystalloid infusions, and antibiotics make up the 3-hour sepsis bundle which represents current standard of practice, and the target of hospital quality reporting. Many aspects of sepsis care are […]
Abstract Number: 6
PILOT TESTING A BEDSIDE PATIENT SAFETY DISPLAY TO INCREASE PROVIDER AWARENESS OF THE ‘HIDDEN HAZARDS’ OF CATHETERS AND WOUNDS
Hospital Medicine 2020, Virtual Competition
Background: Urinary catheters, vascular catheters, and wounds such as pressure injuries are often hidden from view under gowns and sheets – out of sight, out of mind – contributing to prolonged catheter use, infections, delayed interventions, and diagnostic errors for symptoms (e.g., fever, delirium) related to catheters and wounds. We developed and pilot tested a […]
Abstract Number: 6
PILOT TESTING A BEDSIDE PATIENT SAFETY DISPLAY TO INCREASE PROVIDER AWARENESS OF THE ‘HIDDEN HAZARDS’ OF CATHETERS AND WOUNDS
Hospital Medicine 2020, Virtual Competition
Background: Urinary catheters, vascular catheters, and wounds such as pressure injuries are often hidden from view under gowns and sheets – out of sight, out of mind – contributing to prolonged catheter use, infections, delayed interventions, and diagnostic errors for symptoms (e.g., fever, delirium) related to catheters and wounds. We developed and pilot tested a […]
Abstract Number: 7
CREATING AN ATYPICAL PATHOGEN ASSESSMENT PROTOCOL TO DECREASE LOW YIELD CULTURES IN PEDIATRICS
Hospital Medicine 2020, Virtual Competition
Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical […]
Abstract Number: 7
CREATING AN ATYPICAL PATHOGEN ASSESSMENT PROTOCOL TO DECREASE LOW YIELD CULTURES IN PEDIATRICS
Hospital Medicine 2020, Virtual Competition
Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical […]
Abstract Number: 8
PROJECT DRIVE: DECREASING REDUNDANT AND IRRELEVANT VITALS EVERYDAY
Hospital Medicine 2020, Virtual Competition
Background: Assessing vitals at regular intervals can be disruptive to a patient’s rest and unnecessary if the patient is clinically stable. These interruptions may lead to impaired sleep, parental fatigue and anxiety, delayed discharge, and increased cost of care. Moreover, alarm fatigue has been described with over-monitoring of patients, as has the overuse of staff […]
Abstract Number: 8
PROJECT DRIVE: DECREASING REDUNDANT AND IRRELEVANT VITALS EVERYDAY
Hospital Medicine 2020, Virtual Competition
Background: Assessing vitals at regular intervals can be disruptive to a patient’s rest and unnecessary if the patient is clinically stable. These interruptions may lead to impaired sleep, parental fatigue and anxiety, delayed discharge, and increased cost of care. Moreover, alarm fatigue has been described with over-monitoring of patients, as has the overuse of staff […]
Abstract Number: 9
RISK FACTORS FOR PERSISTENT GRAM-NEGATIVE BACILLI BACTEREMIA: IMPLICATIONS FOR SELECTING WHO NEEDS FOLLOW-UP BLOOD CULTURES
Hospital Medicine 2020, Virtual Competition
Background: The value of follow-up blood cultures (FUBCs) to document clearance of bacteremia due to gram-negative bacilli (GNB) has not been well-established. Although previous studies suggested the yield of FUBC for GNB bacteremia is low, it remains to be elucidated for whom FUBC may be beneficial and for whom unnecessary. The objective of the study […]