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Abstract Number: 795

ASSOCIATION OF METHADONE DOSE AND TIMING WITH PATIENT-DIRECTED DISCHARGE IN HOSPITALIZED PATIENTS WITH OPIOID USE DISORDER

SHM Converge 2026

Background: Patient-directed discharge – defined as leaving the hospital prior to completing recommended medical treatment – is associated with increased morbidity and mortality and occurs in 10-20% of hospitalizations for patients with opioid use disorder (OUD). Patients with OUD often cite untreated pain and withdrawal as contributing to their decision to leave the hospital by [...]

Chapter Winner

Abstract Number: 806

PREDICTING RETURN OF SPONTANEOUS CIRCULATION AND HOSPITAL DISCHARGE AFTER IN-HOSPITAL CARDIAC ARREST USING MACHINE LEARNING

SHM Converge 2026

Background: In the US, over 200,000 patients experience in-hospital cardiac arrest (IHCA) annually, with survival rates remaining low. Despite advances in resuscitation, predicting return of spontaneous circulation (ROSC) and post-IHCA hospital discharge remains challenging. We evaluated key predictors of ROSC and discharge following IHCA. Methods: This retrospective cohort study analyzed medical records of IHCA patients [...]

Chapter Winner

Abstract Number: 891

TARGETING THE DIFFICULT STICK: A QUALITY INITIATIVE TO IMPROVE IDENTIFICATION OF PEDIATRIC DIFFICULT INTRAVENOUS ACCESS (DIVA) PATIENTS AND UTILIZATION OF ULTRASOUND-GUIDED PERIPHERAL INTRAVENOUS (USGPIV) CATHETERS

SHM Converge 2026

Background: Peripherally intravenous (PIV) vascular access is important for the care of hospitalized children and one of the most common, and difficult, procedures performed in the hospital. For many reasons, especially in pediatrics, there is often difficulty obtaining or maintaining reliable vascular access in hospitalized children, leading to patient and parental distress and care delays. [...]

HEALTH OUTCOMES AND HEALTHCARE UTILIZATION AMONG UNDOCUMENTED IMMIGRANTS AND SELF-PAY U.S. CITIZENS: A SINGLE-CENTER EPIDEMIOLOGIC STUDY

SHM Converge 2026

Background: Undocumented immigrants comprise an estimated 3% of the US population. In many regions, this population is ineligible for public insurance programs like Medicaid and Medicare and typically receive coverage only for emergency services. In addition to lacking health insurance, many face barriers such as poverty, food insecurity, homelessness, unemployment, illiteracy, stigmatization, and fear of [...]

PERCEPTIONS OF COMMUNICATION, DECISION-MAKING, AND CONTINUITY OF CARE: A COMPARATIVE SURVEY OF HOSPITALISTS AND SUBSPECIALISTS IN SOUTH KOREA

SHM Converge 2026

Background: Effective collaboration between hospitalists and subspecialists is crucial for high-quality inpatient care. Nevertheless, research on interprofessional communication and decision-making in South Korea remains limited, partly reflecting the early stage of the country’s hospitalist system. This study aimed to investigate differences in perceptions regarding conflicts, communication, and care continuity between hospitalists and subspecialists. Methods: A [...]

Plenary

Abstract Number: 1

PREVALENCE AND PREDICTORS OF POTENTIALLY INAPPROPRIATE INTER-HOSPITAL TRANSFERS: EARLY RESULTS FROM THE POINT STUDY

SHM Converge 2026

Background: Inter-hospital transfer (IHT, patient transfers between acute care hospitals) is common among hospitalized medical patients (1). However, few data describe which patients may be exposed to the risks of discontinuity of care from IHT without clear benefit (i.e., undergo potentially inappropriate IHT). Methods: The POINT Study, “Identification and Prevention of Potentially Inappropriate Inter-Hospital Transfers” [...]

Plenary

Abstract Number: 3

REAL-TIME PHYSICAL FUNCTION ASSESSMENT IN HOSPITALIZED PATIENTS: IMPROVING DISCHARGE DISPOSITION PREDICTIONS WITH THE PROMIS PF5 TOOL

SHM Converge 2026

Background: Physical function (PF) impairment is a key determinant of hospital discharge disposition, yet real-time PF assessments remain underutilized in inpatient care. The Patient-Reported Outcomes Measurement Information System Physical Function 5-item tool (PROMIS PF5, or PF5) was embedded into the electronic health record (EHR) across 21 Kaiser Permanente Northern California (KPNC) hospitals to standardize PF [...]

Oral

Abstract Number: 4

ASSESSMENT OF MEDICAL INFORMATION QUALITY IN #FLUSHOT TIKTOK VIDEOS ACROSS THE UNITED STATES AND CANADA

SHM Converge 2026

Background: Between the United States and Canada, TikTok hosts more than 175.8 million active users. While originally known for entertainment, the platform has rapidly evolved into a major source of education, news, and health-related content. Because of its wide reach and immediate accessibility, it is essential to evaluate the accuracy and quality of medical information [...]

Oral

Abstract Number: 6

DIAGNOSTIC CROSS-CHECK: A MULTI-INSTITUTIONAL INTERVENTION TO FACILITATE PEER SECOND OPINION DISCUSSIONS IN PATIENTS EXPERIENCING CLINICAL DECOMPENSATION

SHM Converge 2026

Background: Peer consultation – the wisdom from collaborating clinicians – is associated with more accurate diagnosis. Programs that provide second opinions or diagnostic time-outs (also known as cross-checks) are thought to improve diagnosis but have not been applied to hospital medicine services. Data from our multicenter collaborative suggest concerns remain about the time required and [...]

Oral

Abstract Number: 7

COVERAGE COUNTS: EXPLORING DISPARITIES IN GDMT PRESCRIBING IMPROVEMENTS BY INSURANCE TYPE DURING A HEART FAILURE CLINICAL IMPROVEMENT CAMPAIGN

SHM Converge 2026

Background: Guideline-direct medical therapy (GDMT) improves morbidity and mortality outcomes in heart failure (HF), yet disparities in prescribing patterns persist across insurance types. Previous work at our hospitals demonstrated overall increases in GDMT prescribing following two phases of targeted interventions: financial incentives and education interventions (“Post 1”) and the addition of clinical decision support systems [...]

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