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Search Results for LAB
Abstract Number: B13
SHM Converge 2022
Background: Healthcare costs in the United States are exorbitant and excessive lab utilization contributes significantly1. Daily labs (DL), typically consisting of basic metabolic panels (BMPs) and complete blood counts (CBC) are often over-ordered for hospital inpatients2. This leads to increased costs, limits phlebotomy resources, iatrogenic anemia, patient discomfort and interruption of sleep3. The Choosing Wisely® […]
Abstract Number: B21
SHM Converge 2022
Background: Central line associated bloodstream infection (CLABSI) is the 8th leading cause of death in the United States, causing 100,000 deaths annually. Each CLABSI costs about $56,000 per patient and increases length of hospital stay by an average of 3 weeks. Femoral lines have been shown to have the highest risk of infection compared to […]
Abstract Number: B22
SHM Converge 2022
Background: Ensuring that hospitalized patients have a clearly documented Advance Care Plan (ACP) is important to provide them with goal-concordant care. Our institution undertook an inpatient Quality Improvement (QI) initiative to improve accessible ACP documentation. Though this work significantly improved ACP documentation rates, ACP rates for Latinx patients were significantly lower than those of the […]
Abstract Number: B38
SHM Converge 2022
Case Presentation: A 66-year-old male with a past medical history of left frontal Glioblastoma multiforme (GBM) with recent resection, radiation therapy, and temozolomide presented to the emergency department with chest pain. CT chest revealed bilateral subsegmental pulmonary embolisms for which a heparin drip was initiated. Duplex also shows a right lower extremity DVT. Given recent […]
Abstract Number: B48
SHM Converge 2022
Case Presentation: A 55-year-old man with a past medical history of poorly controlled diabetes and remote intravenous drug use was evaluated for a right chest wall infection. 1 week prior to presentation, he had chest wall erythema, pain resulting in decreased range of motion, fevers, chills, decreased appetite, and weight loss. He presented to an […]
Abstract Number: E21
SHM Converge 2022
Background: Up to 10% of hospitalized patients report an allergy to penicillin, however studies have shown that the majority of these are not clinically significant reactions.1,2 Unverified penicillin allergies increase overall patient mortality as they lead to use of broad-spectrum antibiotics that are less effective and have more side effects.3 Recent studies have found that […]
Abstract Number: E22
SHM Converge 2022
Background: Catheter Associated Urinary Tract Infections (CAUTI) and Central Line Associated Bloodstream Infections (CLABSI) carry a huge health care burden and is associated with increased length of stay and potential harm for the patient. There is an estimated total healthcare cost of $896 per infection for CAUTI and $45,814 per infection associated with CLABSI. The […]
Abstract Number: G27
SHM Converge 2022
Case Presentation: A 76 year-old woman with coronary artery disease, hypertension, and chronic kidney disease presented to the ER with a one-day history of profound generalized weakness and acute severe anemia. She had known diverticulosis and was taking aspirin 81 mg twice daily status-post a left total hip arthroplasty three weeks prior. Review of systems […]
Abstract Number: H20
SHM Converge 2022
Background: Academic promotion in Hospital Medicine (HM) can be limited by lack of senior mentorship and limited opportunities for early/mid-career (EMC) academic hospitalists to develop national collaborations. Purpose: To provide opportunity to EMC academic hospitalists to showcase institutional best practices in an effort to gain national exposure/reputation, enhance academic portfolio, and foster networking amongst participating […]
Abstract Number: J13
SHM Converge 2022
Background: Literature on the timing of inpatient laboratory test collection is limited. Most studies suggest that physicians and patients are satisfied with morning collection [1], more specifically, intermittent late morning lab collection to decrease sleep disruption [2,3]. Evening labs put increasing demands on healthcare providers given limited resources available outside standard work hours. We sought […]