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Search Results for CT
Abstract Number: 154
SHM Converge 2023
Background: Over the last few years, the USA has seen a sharp increase in the incidence and prevalence of substance use disorder (SUD) and related acute illnesses. The clinical course of many hospitalized patients is impacted by their diagnosis of SUD. At our institution, we put in place an inpatient addiction service where a physician […]
Abstract Number: 162
SHM Converge 2023
Background: Lumbar puncture (LP) is commonly needed in hospitalized patients for both diagnostic and therapeutic purposes. Traditional landmark identification by palpation of the lumbar spine and pelvis often has a low success rate. There is strong evidence showing that the use of ultrasound leads to higher success rates, along with other important patient-centered outcomes such […]
Abstract Number: 165
SHM Converge 2023
Background: Approximately one-third of patients with acute ischemic stroke (AIS) develop hyperglycemia regardless of pre-existing history of diabetes [1]. Hyperglycemia is associated with increased risk of hemorrhagic transformation and can be considered as a predictor of poor functional outcome after intravenous thrombolysis (IVT) and mechanical thrombectomy (MT) [2]. Additionally, risk of death, hemorrhagic complications, and […]
Abstract Number: 176
SHM Converge 2023
Background: Medicine procedure services (MPS) increasingly perform bedside procedures such as lumbar puncture (LP). While rates of major complications are low, success rates in the literature are widely variable and dependent on patient body habitus, patient positioning, operator experience, and use of ultrasound guidance.1 Many trainees report discomfort with their skill in performing and supervising […]
Abstract Number: 184
SHM Converge 2023
Background: With the recent consolidation of hospital systems and the increasing complexity of inpatient care, receiving inter-hospital transfers (IHT) has become more common for large academic medical centers. Notably, studies have shown IHT to be associated with increased length of hospital stay (1,2), increased cost of care (2,3), as well as delays in care and […]
Abstract Number: 189
SHM Converge 2023
Background: The clinical evaluation of febrile infants less than 28 days has been extensively studied with the aim to improve the sensitivity in identifying those infants at risk for invasive bacterial infections while decreasing the harm of unnecessary invasive diagnostic procedures. Even though bacterial meningitis is associated with high morbidity and mortality, the incidence is […]
Abstract Number: 191
SHM Converge 2023
Background: Pediatricians are mandated by law to report cases of suspected child abuse. The National Association of Children’s Hospitals and Related Institutions 2006 guidelines on the hospital’s role in child maltreatment note that children’s hospitals “are the undisputed leaders in providing medical care to abused and neglected children” and outline that hospitals should ensure that […]
Abstract Number: 192
SHM Converge 2023
Background: Febrile infants under 60 days-old undergo extensive evaluation for infection. Recent AAP guidelines recommend evaluation of the procalcitonin (PCT) level in the work-up of febrile infants 8-60 days-old to aid in predicting bacterial infection (BI) due to its high specificity; however, the sensitivity of PCT is relatively low. Recent literature has identified the Procalcitonin-To-Albumin […]
Abstract Number: 199
SHM Converge 2023
Background: Written discharge instructions frequently lack guidance on how patients should address problems and questions that arise at home, and this represents an opportunity to enhance discharge safety and prevent readmissions. This study aimed to increase the number of discharge instructions that included anticipatory guidance and self-management among patients discharged from internal medicine teaching services […]
Abstract Number: 200
SHM Converge 2023
Background: Asymptomatic bacteriuria (ASB), or bacterial growth on urine culture without localizing urinary symptoms, is common in hospitalized patients.1,2 ASB is often misdiagnosed as urinary tract infection (UTI) and treated with antibiotics3 despite no improvement in mortality1 and multiple harms associated with antibiotic overuse.4,5 To reduce treatment of ASB, many hospitals set urinalysis parameters (e.g. […]