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Search Results for Hospitalist
Abstract Number: 196
SHM Converge 2023
Background: Geographic localization (GL) has been shown to improve perceptions of physician-nurse, physician-physician, and physician-Case Management communication. However, data on other benefits of GL are mixed. While some studies show that GL improves time allocated by physicians for direct patient care, others report an increased frequency of workday interruptions and greater time spent on indirect […]
Abstract Number: 223
SHM Converge 2023
Background: Over 50% of practicing physicians in the United States report burnout with internal medicine having some of the highest rates. The aim of our study is to identify factors that contribute to burnout in academic hospitalists and the impact that COVID-19 has had on this phenomenon. Methods: 19 academic hospitalists at Froedtert Hospital & […]
Abstract Number: 267
SHM Converge 2023
Background: Direct admissions (DA), wherein patients are non-emergently admitted to the hospital, bypassing the emergency room (ER), makeup 15% of non-elective adult hospitalizations (1). DAs can reduce ER volumes (2), but may lead to delays in initial evaluation of patients and inappropriate admissions (2,3). DAs carry risks involved with transitions of care and handoffs, yet […]
Abstract Number: 294
SHM Converge 2023
Background: Cross-covering patients overnight is part of standard Hospitalist practice, however there is little understanding of the workload contribution. Much of the current literature for hospitalist productivity focuses on wRVU, day census, or number of admits per shift. These metrics are not applicable to cross cover since it is largely non-billable work. A cross sectional, […]
Abstract Number: 316
SHM Converge 2023
Background: Currently, there are over 50,000 practicing hospitalists. As it remains a popular career choice for graduating residents, the field has seen a rapid rise in the number of junior faculty. However, there continues to be a gap in those who have advanced to senior academic rank, namely associate or full professor. It is well […]
Abstract Number: 349
SHM Converge 2023
Background: In the emergency department (ED), patients living in unsafe conditions in the community, who do not have a clinical reason to be admitted, present the physician with a dilemma: admit the patient to the hospital, exposing the patient to the hazards of hospitalization, or have them return to the hazards of their living situation. […]
Abstract Number: 356
SHM Converge 2023
Background: The CDC recognizes antimicrobial resistance as an urgent global public health threat and supports antibiotic stewardship initiatives to combat antibiotic resistance. Pneumonia is a frequent condition treated by both hospitalists and emergency room physicians and the most common reason for inpatient antibiotic use and over prescribing. Recent IDSA guidelines for the treatment of community […]
Abstract Number: 361
SHM Converge 2023
Background: Hospitalist-run Medical Procedure Services (MPS) have been shown to decrease time-to-procedure, overall length of stay, and interventional subspecialty consults for bedside procedures while increasing revenue for hospitalist groups [1,2,3,4]. However, significant challenges remain in the deployment of a financially sustainable MPS, and there is interest in identifying and deploying strategies to improve sustainability. Two […]
Abstract Number: 380
SHM Converge 2023
Background: Boarding of admitted patients in the Emergency Department has become an increasingly large problem throughout the country. Longer boarding times are associated with a wide range of adverse effects, ranging from patient discomfort to medical errors and death. Emergency Departments are not designed to provide inpatient care and require frequent diversion of attention and […]
Abstract Number: 389
SHM Converge 2023
Background: Health information technology (HIT) systems were created with the intent to improve efficiency and streamline clinical workflows. However, evidence suggests HIT systems are a significant source of clinician burnout (Adler-Milstein 2020). A thorough understanding of clinicians’ frustrations is necessary to develop solutions to improve HIT systems. In doing so, efforts from the clinical informatics […]