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Search Results for DIC
Abstract Number: 399
SHM Converge 2024
Background: The diagnostic process, inherently fraught with uncertainty and susceptible to errors, has been associated with adverse outcomes when physicians exhibit lower tolerance for uncertainty (1,2). The Diagnostic Time-Out (DTO) serves as a structured tool to outline a problem representation, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations for diagnostic errors. In […]
Abstract Number: 409
SHM Converge 2024
Background: Medically stable patients with barriers to discharge in the acute care setting are a growing proportion of hospitalized patients throughout the nation at a time when many hospitals are experiencing both bed and healthcare worker shortages. These patients remain bedded across various acute units in the hospital, reducing bed availability and staffing for more […]
Abstract Number: 411
SHM Converge 2024
Background: Healthcare systems face challenges to meet the needs of a complex aging patient population, and simultaneously at risk of clinician burnout and loss of talent. Advancements in technology for clinical use have extended the reach of clinicians into patient homes, improving operational efficiency of Acute Care at Home programs, as well as patient and […]
Abstract Number: 413
SHM Converge 2024
Background: As the prevalence of patients admitted with a diagnosis of acute decompensated heart failure rises, hospitalists are at the forefront of delivering care for this complex patient population. Heart failure (HF) exacerbations are one of the leading causes of hospitalizations with high rates of readmissions and associated mortality. Evidence based studies show that optimizing […]
Abstract Number: 426
SHM Converge 2024
Background: Clinical handbooks support patient care, with studies demonstrating positive effects in areas such as quality of chart documentation, clinical knowledge, and value of inpatient care. Internal medicine residents rotating through inpatient services are particularly likely to benefit from handbooks, especially when handbooks share local, system-specific, and practical guidance. However, less is known about how […]
Abstract Number: 428
SHM Converge 2024
Background: Ensuring compliance with CMS requirements for inpatient admission orders and improving medication reconciliation at discharge are crucial aspects of patient safety and regulatory adherence. However, challenges such as missing admission orders and medication errors during transitions of care persist. In response, we implemented two strategic EHR interventions, Best Practice Advisories (BPAs), to enhance workflows, […]
Abstract Number: 429
SHM Converge 2024
Background: Around one in five Americans live in rural areas, but only 5 percent of physicians practice in these same areas. As such, hospital located in rural area such as Roosevelt Rehabilitation and Specialty Hospitals (RRHS) struggle with physician staffing. Tele-hospital medicine has expanded rapidly since the Coronavirus Preparedness and Response Supplemental Appropriations Act in […]
Abstract Number: 430
SHM Converge 2024
Background: Immunosuppression regimens are highly effective at preventing rejection but carry risk of toxicity and can be complex. Clinical decision support (CDS) tools embedded in electronic health records have presented opportunity to systematically aid providers ordering such medications appropriately. However, discrepancy between a clinically-documented plan for use and provider orders may exist. Natural language processing […]
Abstract Number: 443
SHM Converge 2024
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a post-discharge survey which captures patient experience during and after hospitalization (1). Previous studies have demonstrated that high quality discharge communication is vital for patient safety, with poor communication leading to decreased medication adherence, unplanned readmissions, and poorer health outcomes—important implications for both […]
Abstract Number: 452
SHM Converge 2024
Background: Increasing mobility in the hospital leads to better patient outcomes. However, published efforts to improve inpatient mobility report resulted increases in unnecessary physical/occupational therapy (PT/OT) consults. In our hospital we noted that physicians were ordering PT/OT on all patients in an effort to increase mobility. This meant very functional patients who did not need […]