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Search Results for MAT
Abstract Number: 203
SHM Converge 2023
Background: Point-of-care ultrasound (POCUS) is a diagnostic tool that is being increasingly utilized within the hospitalist sector of internal medicine; however, there is currently no summative source of information for POCUS in perioperative medical management. To address this gap in knowledge, we conducted a systematic review of studies assessing the impact of POCUS on clinical […]
Abstract Number: 205
SHM Converge 2023
Background: Due to their widespread availability, inflammatory markers are used with increasing frequency, often concurrently, without adding any diagnostic or clinical benefit1,2. While unnecessary labs do not offer any additional benefit, they can be a significant source of physical and emotional distress to patients and their families3-5. In an era that emphasizes high-value, low-cost medical […]
Abstract Number: 237
SHM Converge 2023
Background: Lab testing is critical for clinical decision-making and used throughout healthcare systems. Overuse of lab testing is known to be commonplace and contributes to shortages in lab testing materials. While practices exist at medical institutions that aim to limit lab test overuse, it is unclear which interventions are effective. Methods: We aimed to reduce […]
Abstract Number: 242
SHM Converge 2023
Background: With the broad implementation of electronic health records, clinical documentation integrity continues to be under increasing scrutiny. On average, physicians spend over a third of their time documenting patient data¹; this burden has been extensively correlated to burnout². Leveraging automated note templates with integrated safety rounding checklists, we attempted to standardize more efficient documentation […]
Abstract Number: 253
SHM Converge 2023
Background: Many hospitalized adults arrive with pre-existing malnutrition, which is associated with high risk of adverse outcomes. As such, malnutrition is a common variable in cost and quality risk adjustment models based on hospital discharge diagnosis codes. Hospital dietitians assess patients for malnutrition and generally document the details of their evaluations. However, coding professionals cannot […]
Abstract Number: 259
SHM Converge 2023
Background: To support patients after hospital discharge, we developed and implemented a 30-day automated text-messaging intervention. The program was piloted in a single practice in Philadelphia, and was associated with a significant reduction in 30 day readmission and utilization of acute care resources. However, we wanted to understand the timing and nature of patient needs […]
Abstract Number: 290
SHM Converge 2023
Background: Guidelines by the Society of Critical Care Medicine and the Infectious Disease Society of America recommend empiric antibiotics active against Methicillin-resistant Staphylococcus aureus (MRSA) for certain patient groups but do not base their recommendations on systematic review or attempt to quantify the benefit on mortality. Methods: A systematic literature search was conducted using Embase, […]
Abstract Number: 340
SHM Converge 2023
Background: Published work applying game theory to physician-patient interactions is nearly non-existent [1-4]. The most prominent work is the example of an emergency medicine physician being asked to prescribe opiates for a patient they suspect of opiate use disorder (OUD) seeking opiates for secondary gain (McAdams 2014). McAdams’ game theory analysis suggested that institutional pressure […]
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 […]
Abstract Number: 394
SHM Converge 2023
Background: To mitigate COVID-19 related hospital crowding, our hospital internal medicine (HIM) department collaborated with our emergency department (ED) to launch a service in which an HIM team was placed in the ED to assist with triage. The goal was to expedite patients with a clear need for admission, while diverting others who could be […]