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Finalist
Abstract Number: 47
EARLY CLINICAL DETERIORATION AFTER INTERHOSPITAL TRANSFER AND ITS IMPACT ON PATIENT OUTCOMES
SHM Converge 2026
Background: Interhospital transfer patients experience substantially higher morbidity and mortality than those admitted from the emergency department, yet predictors of early deterioration after transfer remain poorly defined. Rapid ICU escalation within 24 hours is distressing to receiving teams and may reflect challenges in triage, pre-arrival risk assessment, or communication between referring and receiving centers. Clarifying [...]
Finalist
Abstract Number: 48
A PRECISION SCIENCE APPROACH TO WORK DESIGN: LINKING EHR WORKLOAD METADATA, CLINICIAN WELL-BEING, AND PATIENT OUTCOMES ACROSS 12 HOSPITALS
SHM Converge 2026
Background: High workloads in the inpatient setting affect clinician well-being, patient outcomes, and organizational performance, yet decisions around work-design rarely links to outcomes outside of productivity and financial measures. Emerging technologies, including EHR use data (i.e., clickstream data), may offer real-time insights into workload and work patterns when paired with clinician-, patient-, and organization-level outcomes. [...]
Finalist
Abstract Number: 49
PROJECTING THE FUTURE OF INPATIENT CARE: NATIONAL SHORTAGES IN THE U.S. HOSPITAL MEDICINE WORKFORCE THROUGH 2037.
SHM Converge 2026
Background: Hospital medicine physicians (hospitalists) are essential to inpatient care delivery and coordination. As the population grows and ages, demand for hospital-based care continues to rise, raising concerns about whether the current workforce can meet future needs. Despite the central role of hospitalists in quality, efficiency, and patient safety, few studies have projected long-term workforce [...]
Finalist
Abstract Number: 50
PREVALENCE OF DELAYED DISCHARGE FROM THE HOSPITAL IN A NATIONAL COHORT OF OLDER ADULTS
SHM Converge 2026
Background: Prior cross-sectional studies have confirmed the anecdotal experience of many hospitalists: that many older adults are getting “stuck” in the hospital after completing medical treatment. However, these studies have been limited to select hospitals using a single point-in-time estimate. Nationally representative data is needed to better understand this phenomenon and characterize potential underlying contributors. [...]
Abstract Number: 746
A MULTISITE QUALITATIVE ASSESSMENT OF PATIENT PROVIDER COMMUNICATION PRACTICES ACROSS INSTITUTIONS
SHM Converge 2026
Background: High-quality patient–provider communication improves comprehension, trust, satisfaction, and outcomes (1,2). Yet the quality of care and patient safety can be compromised by challenges such as frequent handoffs, complex teams, time pressure, and fragmented systems (3). Although many hospitals have implemented communication-related initiatives, best practices for hospital-based implementation remain uncertain. This study aimed to characterize [...]
Abstract Number: 747
INFORMAL PEER DIAGNOSTIC SECOND OPINION: HOSPITALIST PRACTICES AND PERSPECTIVES
SHM Converge 2026
Background: Rapid and accurate diagnosis is essential in hospital care, yet diagnostic uncertainty is often high, and many hospitalists work without team-based support. Informal diagnostic second opinions from hospitalist colleagues may provide diagnostic value, but it remains unclear how frequently hospitalists seek such opinions and what barriers they encounter. Methods: A cross-sectional survey was conducted [...]
Abstract Number: 748
SPONTANEOUS CASE SHARING AMONG RESIDENTS: A PROTECTIVE FACTOR AGAINST BURNOUT AND PREDICTOR OF CLINICAL COMPETENCE
SHM Converge 2026
Background: Under newly posed strict legal work-hour restrictions in Japan, efficient and effective educational strategies are essential. While formal peer education programs are known to improve well-being, the impact of informal, spontaneous sharing of cases among resident physicians remains unknown. This study aimed to characterize residents who spontaneously share clinical cases with peers and to [...]
Abstract Number: 751
ASSESSING THE QUALITY OF DISCHARGE INSTRUCTIONS: A REVIEW OF CURRENT PRACTICES AND AREAS FOR IMPROVEMENT
SHM Converge 2026
Background: Hospital discharge instructions, written by healthcare providers for the after visit summary (AVS), provide patients with essential information for post-hospital care. However, AVSs are often hindered by language barriers, medical jargon, inaccurate medication lists and follow up instructions, and a lack of disease-specific and home care instructions. We reviewed discharge instructions from one academic [...]
Abstract Number: 752
THE EFFECT OF SECURE MESSAGING ON HOSPITALIST WORKLOAD AND THE IMPACT OF AN ENHANCED PLATFORM INTERVENTION IN REDUCING WORKLOAD
SHM Converge 2026
Background: Secure messaging (SM) has become a predominant mode of in-hospital communication, offering efficiency but raising concerns about multitasking and cognitive load. Despite its ubiquity, little is known about SM’s impact on hospitalist workload or whether enhanced platform features can mitigate this burden. This project aimed to: 1) assess the association between SM and hospitalist-perceived [...]
Abstract Number: 753
GEOGRAPHIC REGIONALIZATION AND CARE PLAN AGREEMENT: A CROSS-SECTIONAL ANALYSIS REVEALING INCREASED FACE-TO-FACE COMMUNICATION WITHOUT IMPROVED CARE PLAN AGREEMENT
SHM Converge 2026
Background: Effective interprofessional communication and agreement on patient care plans between providers and registered nurses (RNs) are fundamental to care delivery. Team-based models, such as regionalization in hospital medicine, aim to enhance collaboration by fostering relationships and increasing daily communication. Existing studies on regionalized care provide mixed results. This study aimed to evaluate whether regionalized [...]
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