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Oral Presentations
Abstract Number: 13
SHM Converge 2023
Background: Diagnostic errors (DEs) represent ongoing threats to patient safety in the hospital. Little is known about the factors present on admission that can predict DE during the hospital encounter. Such knowledge is essential for prospective identification of hospitalized patients at risk for DE who can be targeted for early intervention. The purpose of this […]
Oral Presentations
Abstract Number: 14
SHM Converge 2023
Background: Subspecialty consultation among hospitalists varies significantly across and within hospitals. While in many cases consultation is clinically necessary, in other cases it may represent overuse. Recent studies have explored predictors of consultation using observational administrative and EHR data. Qualitative methods may generate knowledge about additional factors and complex processes influencing consultation behavior not ascertainable […]
Oral Presentations
Abstract Number: 15
SHM Converge 2023
Background: Complex non-pharmacologic interventions containing multiple, or bundled, components can successfully prevent and treat hospital-acquired delirium in older adults. However consistent implementation, and the measurement of compliance, of these bundled interventions can be challenging to sustain in hospital settings especially in presence of COVID-19. Developing workflows with a smaller sub-set of components that are feasible […]
Oral Presentations
Abstract Number: 16
SHM Converge 2023
Background: Post hospital discharge review during the transition from hospital to skilled nursing facility (SNF) is critical to avoid medication errors, improve patient outcomes and reduce hospital readmissions (1-3). Despite increased integration of electronic health records (EHR) across health entities, communication gaps and discharge-related medication errors still persist (2,4). These challenges can be more predominant […]
Abstract Number: 17
SHM Converge 2023
Case Presentation: A previously healthy 19 year-old college student presented after coughing up a live worm (Figure 1). The night prior, he had developed a cough and right-sided chest “cramping.” Although he reported respiratory and constitutional symptoms from his concurrent COVID-19 infection, he stated that the cough was atypical and was associated with a sensation […]
Abstract Number: 18
SHM Converge 2023
Case Presentation: Patient is a 45-year-old female with a history of esophageal reflux and dysmotility, asthma, depression/anxiety, and recent SARS-2-CoV infection (COVID-19) who presented to our hospital 9 months after initial and 3 months after recurrent COVID-19 with headache, dyspnea, and home blood pressures (BP) > 180/100. Patient reported intermittent symptoms for the last 3 […]
Abstract Number: 19
SHM Converge 2023
Case Presentation: A 60-year old woman with a history of chronic lower extremity wounds presented to the emergency department after sustaining a right lower extremity injury from an unknown mechanism one week ago. In experiencing housing and financial instability, she was sleeping on park benches and wrapping the wound in newspapers and fabrics. She noticed […]
Abstract Number: 20
SHM Converge 2023
Case Presentation: We present a 41-year-old female with a past medical history of hypertension and ESRD status post deceased donor kidney transplant in 2018, on treatment with tacrolimus and Mycophenolate Mofetil.She presented to an urgent care 4 days prior, where she tested positive for symptomatic COVID-19 infection and was prescribed a 5-day course of nirmatrelvir-ritonavir. […]
Abstract Number: 22
SHM Converge 2023
Case Presentation: Hemophagocytic lymphohystiocytosis (HLH) is a rare cause of pancytopenia. Patients with sickle cell disease can present with pancytopenia and recognition of (HLH) in patients with sickle cell disease may be a lifesaving diagnosis.Case presentation:A 39-year-old female with past medical history of sickle cell anemia and moyamoya disease was admitted with sickle cell vaso-occlusive […]
Abstract Number: 23
SHM Converge 2023
Case Presentation: A 32-year-old healthy female presented with right lower quadrant abdominal pain, hematuria, and easy bruising for four days. She denied prior episodes and family history. On physical exam, she had stable vital signs, gingival bleeding, and hemorrhagic papules on her hands [image 1] and lip. Her labs were significant for: hemoglobin 11 g/dL, […]