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Oral Presentations
Abstract Number: 5
SHM Converge 2023
Background: Healthcare disparities have existed for decades, yet it took a global pandemic to put this emergency into the spotlight. The Joint Commission states “health related social needs” (HRSN) are the root cause of many disparities. HRSN encompasses a wide spectrum including inability to pay bills, poor access to transportation, and lack of housing. At […]
Oral Presentations
Abstract Number: 6
SHM Converge 2023
Background: Diagnostic errors are common, costly, and harmful. Cognitive biases and suboptimal clinical reasoning are contributing factors for diagnostic error. A diagnostic time-out (DTO) is a structured tool to optimize clinical reasoning, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations susceptible to diagnostic error. Purpose: To design and implement an interactive educational […]
Oral Presentations
Abstract Number: 7
SHM Converge 2023
Background: Delirium, a highly morbid condition affecting significant numbers of hospitalized adults, is under-recognized due to challenges in monitoring patients’ waxing and waning symptoms. In addition, precipitating environmental factors such as light, sound, and sleep are difficult to observe. Computer vision cameras that can generate continuous observations of patients and their in-room care environment have […]
Oral Presentations
Abstract Number: 8
SHM Converge 2023
Background: Since 2010, 130 rural hospitals have closed, leaving only 2,250 rural hospitals remaining in the United States. Of the remaining facilities, outmigration and/or the bypassing of the local hospitals to a larger facility remains problematic and impacts a community’s access to healthcare while affecting the long-term business viability of the city. In December of […]
Abstract Number: 31
SHM Converge 2023
Background: Effectively communicating information to a patient is the driving force for a successful physician-patient relationship. Patient outcomes depend on successful communication. As efficiency metrics and clinical productivity remain top priorities for most health systems, time spent with each patient gets affected hindering effective patient-physician communication. This in turn affects the HCAHPS (Hospital Consumer Assessment […]
Abstract Number: 32
SHM Converge 2023
Background: There are few hospitalist-specific training supports for writing clinical vignettes and case reports. This can limit participation in academic scholarship and opportunities to share informative cases encountered in everyday practice. Efforts to build hospitalists’ scholarly writing capacity—particularly for junior faculty—must effectively counter modifiable barriers including perceived lack of knowledge and ability. Purpose: Our Division […]
Abstract Number: 33
SHM Converge 2023
Background: Advanced Practice Providers (APP) are an expanding workforce within hospital medicine. Training and onboarding APPs is essential for developing a confident and competent workforce. However, onboarding options for APP training in hospital-based medicine have been limited due to the breadth and complexity of knowledge required to practice. Purpose: To develop an inpatient hospital medicine […]
Abstract Number: 34
SHM Converge 2023
Background: The Palo Alto VA Hospital has an interdisciplinary Clinical Command Center (C3) that includes “Flow” nurse practitioners (NPs) who work closely with case management, social work and primary medical teams to identify and address barriers to care and assist in discharge planning and coordination. We have created a novel collaboration between a C3 Flow […]
Abstract Number: 35
SHM Converge 2023
Background: The American opioid epidemic is a public health emergency, with over 100,000 opioid-related overdose deaths occurring in 2021 (1). Harm reduction treatment models, formulated with the goal of reducing the negative consequences of opioid use, have been implemented as an alternative approach in minimizing opioid overdose and mortality (2). With approximately 4-11% of hospitalized […]
Abstract Number: 36
SHM Converge 2023
Background: In the acute care environment, healthcare workers interface with patients who have limited access to medical care and a high prevalence of social determinants of health (SDoH) barriers.1 The inpatient setting presents a key intervention point where the social needs of vulnerable populations might be addressed. Standard inpatient medicine care teams, however, lack the […]