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Search Results for ED
Abstract Number: 24
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Family members often play a significant role in the care of geriatric patients during and after hospitalization. Both patients and families have expectations for communication with the provider team in the acute setting, but navigating the flow of medical information across the family unit is challenging with current care models. Pediatric medicine recognizes that […]
Abstract Number: 28
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medical errors in hospitals are a significant threat to patient safety and often result from poor communication or poorly-activated interprofessional teams. Despite a recent focus on interprofessional education (IPE) in pre-clinical years and simulation settings, formal curricula for teaching medical trainees interprofessional communication and teamwork skills in clinical settings are lacking. Purpose: To create […]
Abstract Number: 30
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Internal medicine residents face multiple barriers to participating in and documenting goals of care (GOC) meetings in the intensive care unit (ICU). Barriers include heavy workloads, need for urgent stabilization of critically ill patients, and inadequate communication skills training. Guidelines recommend regularly conducting and documenting GOC meetings for critically ill patients, to facilitate communication […]
Abstract Number: 34
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Electronic health applications that aim to share personalized medical information with patients are not frequently found in hospital settings. These inpatient applications can empower patients and caregivers to review and monitor their most updated medical information and improve communication between patients and their providers (such as clinicians, nurses, case managers etc.). However, these applications […]
Abstract Number: 36
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Many patients and their surrogates have a poor understanding of the process of cardiopulmonary resuscitation (CPR), its limitations, and its complications. Lack of knowledge about CPR may lead patients to choose a code status that does not align with their goals and values. Studies have shown that showing patients an educational video about code […]
Abstract Number: 37
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Multidisciplinary team-based care is a novel concept in hospital medicine where, healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies have shown that team-based care is associated with improved length of stay (LOS) and increased staff satisfaction but the data on patient safety and patient satisfaction is conflicting. […]
Abstract Number: 40
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Initial management of acute upper gastrointestinal bleeding (UGIB) aims towards aggressive fluid resuscitation to maintain hemodynamic stability. Existing evidence regarding benefit of early endoscopy is unclear with some studies suggesting mortality benefits and some suggesting otherwise. The purpose of this study is to evaluate if there is any mortality benefit of doing early endoscopy […]
Abstract Number: 41
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Nationally, the number of adult patients (18+ years of age) with chronic congenital and childhood conditions being admitted to children’s hospitals has been increasing, and in some cases outpacing the rate of increase in pediatric admissions. This is secondary to advances in treatment of once-fatal conditions. Our institution is a quaternary referral center with […]
Abstract Number: 46
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Vent withdrawal (VW) is a procedure offered when an intubated patient fails to demonstrate meaningful recovery, the patient is not likely to survive given the extent or burden of underlying medical conditions, or patient’s best anticipated outcome from ongoing ventilator support is inconsistent with patient’s known or presumed wishes. Comfort of the patient after […]
Abstract Number: 48
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Writing and presenting case reports provides opportunity for scholarly activities and promotes scientific writing and critical thinking. This study assesses Internal Medicine residents’ perceived benefits, challenges, and barriers regarding writing and presenting case reports. Methods: A Qualtrics survey was emailed to total 125 Internal Medicine Residents of the Medical College of Wisconsin. The survey […]