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Abstract Number: 57
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Prior research in the field of academic hospital medicine has described unique challenges to achieving promotion for academic hospitalists. A consensus conference identified challenges for academic hospitalist success including alignment of hospitalists with clinical priorities that may not be recognized for academic advancement, inadequate infrastructure to promote success, and lack of national funding for […]
Abstract Number: 73
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The UCLA Department of Medicine (DOM) Rapid Mortality Review (RMR) is an innovative in-person, near real-time review of all deaths to capture the unique insight of the care providers into aspects of end-of-life care quality that otherwise go undocumented and unreported. The purpose of this study is to examine characteristics of mortality cases that […]
Abstract Number: 90
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sickle cell disease (SCD) affects about 100,000 people in the US. The disease causes significant mortality, morbidity and frequent hospitalizations secondary to primary manifestations of the disease and its complications. We conducted a retrospective, single institution study in adult patients (pts), ≥ 18 years with SCD to assess factors associated with health care utilization […]
Abstract Number: 97
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2011, sepsis accounted for more than $20 billion (5.2%) of total US hospital costs. The CDC estimates that hospitalizations for sepsis or septicemia increased from 621,000 to 1,141,000 in 2000 and 2008 respectively. Severe sepsis has an in-hospital mortality rate of 28.6-37.7%, and those who survive may face a difficult recovery including long-term […]
Abstract Number: 99
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In Canada, as in the US, hospital medicine has become an increasingly important staffing model innovation. Canadian hospitalists are typically Family Physicians and General Internists. In an attempt to advance its hospitalist staffing model into a care model innovation as well, the Regina Qu’Appelle Health Region (RQHR) implemented Canada’s first Accountable Care Unit (ACU) […]
Abstract Number: 101
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The convergence of rising post-acute health care costs with incomparable outcomes havemade reform a priority resulting in the development of new models of care that often extend the scope of practice andjob duties among health professionals. In these new models, aimed to improve clinical and cost effectiveness of care,advance practice “transitionists” diagnose, triage, conservatively […]
Abstract Number: 121
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Delirium is associated with increased duration of mechanical ventilation, longer intensive care unit (ICU) length of stay, increased mortality and cognitive impairment after discharge. Quetiapine has been associated with faster resolution but long-term use is associated with adverse effects. Patients are often discharged from the ICU and subsequently from the hospital on quetiapine without […]
Abstract Number: 132
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Maternal chorioamnionitis usually means an otherwise healthy appearing newborn gets cultured and treated for presumptive bacterial infection pending culture results. This is often done in a NICU setting. These babies are overwhelmingly well and are discharged after they ‘rule out’. However, the need for additional treatment and care in a NICU setting as well […]
Abstract Number: 133
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Many pediatric hospitalist programs in community hospitals around the country function with a 24-hour shift model for 24/7 coverage. This creates significant discontinuity and daily inefficiencies in patient care. Furthermore, there is a robust amount of adult literature that points to the benefits of both inpatient and outpatient continuity of care. When our community […]
Abstract Number: 151
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Congestive heart failure is a leading cause of hospitalization in adults greater than 65 years old. It is estimated that over 1 million people are hospitalized annually with a primary diagnosis of heart failure. Given the challenges of heart failure management, readmission within 30 days of hospital discharge is estimated to be 24%. […]