Select a Meeting...

Meetings Archive For Hospital Medicine 2020, Virtual Competition..

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: 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 […]
Abstract Number: 10
A COST BENEFIT ANALYSIS OF AN ACADEMIC HOSPITAL MEDICINE TRIAGIST PROGRAM
Hospital Medicine 2020, Virtual Competition
Background: ED visits increased to 145.59 million in 2016 (CDC 2019), resulting in an increase in hospital admissions. Chen et al. showed a correlation between the overall ED census and likelihood of admission; while, Velasquez et al. found up to 28% of hospitalists reported having admitted patients when no admission criteria were met. They described […]
Abstract Number: 11
PEDIATRIC HOSPITAL MEDICINE CORE COMPETENCIES 2020: METHODS USED TO CAPTURE AND REFLECT AN EVOLVING FIELD
Hospital Medicine 2020, Virtual Competition
Background: The Pediatric Hospital Medicine (PHM) Core Competencies define the expertise required of practitioners in the field and provide a framework for graduate and continuing medical education activities. Since their initial publication in 2010, the scope of practice among pediatric hospitalists has matured. Pediatric hospitalists lead or participate in institutional and national efforts that emphasize […]
Abstract Number: 12
COURSE TO INDEPENDENCE – A SIMULATION BASED COURSE FOR ADVANCED PRACTICE PROVIDERS
Hospital Medicine 2020, Virtual Competition
Background: Our hospitalist group has seen a rise in the number of Advanced Practice providers (APP) due to increasing patient workload. The APPs come from varying backgrounds, are within 2 years of graduation and have had little experience in evaluating common emergent and nonemergent presentations on the hospital medicine service. Our current practice is for […]
Abstract Number: 13
WORKFORCE STRATEGIES: IMPLEMENTING A TRIAD LEADERSHIP MODEL
Hospital Medicine 2020, Virtual Competition
Background: Joint leadership- modeled by physician-nurse dyad unit leaders has been a successful leadership structure at our organization for years. Advanced practice providers (APPs) have grown significantly in numbers over the past 10 years and have become critical members of our inpatient healthcare teams. They represent a stable and engaged workforce. In 2016, the nurse-physician […]
Abstract Number: 14
A MULTIDISCIPLINARY HOSPITAL MEDICINE SURGE RESPONSE PROGRAM TARGETING EMERGENCY DEPARTMENT BOARDING PATIENTS TO IMPROVE PATIENT FLOW
Hospital Medicine 2020, Virtual Competition
Background: Emergency Department (ED) boarders create both hospital flow and clinical care challenges (1). ED boarders are isolated from medical teams based on hospital wards, which can impair coordination between physicians and ED based interprofessional staff (nursing, case management, social work, pharmacy and bed management) and lead to worsened operational and clinical outcomes. As ED […]
Abstract Number: 15
FEEDBACK THAT WORKS: IMPROVED BILLING THROUGH AUTOMATED PEER COMPARISON
Hospital Medicine 2020, Virtual Competition
Background: There is minimal automated electronic feedback to hospitalists about their level of service in professional billing. Based on today’s payor requirements for inpatient admission, the medical decision-making involved in the care of inpatients almost always justifies a level of service above level 1. However, encounters may still receive level 1 due to under-documentation (e.g. […]