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Search Results for PE
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: 45
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Risk of having a major adverse cardiac event in the perioperative period is known to be raised among those with underlying cardiovascular disease undergoing noncardiac surgery. ACC/AHA 2014 guideline is an excellent tool for the physicians to evaluate perioperative cardiac risk. However, the evidence-based set of algorithms are often under- or inappropriately utilized due […]
Abstract Number: 68
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Advanced Practice Fellowship at the University of Colorado Hospital is a 13-month post-graduate program designed to provide Nurse Practitioners and Physician Assistants with the medical knowledge and clinical skills necessary to practice hospital based medicine. As part of the program, Advanced practice fellows (APFs) have historically attended the internal medicine case conference, which […]
Abstract Number: 78
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In October 2016, the American Board of Medical Specialties (ABMS) officially recognized subspecialty certification for Pediatric Hospital Medicine (PHM). The American Board of Pediatrics (ABP), which sponsored the subspecialty application, has established Training and Practice Certification Pathways for current fellowship trainees and practicing clinicians, respectively. However, for individuals beginning pediatrics residency on or after […]
Abstract Number: 89
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization can easily become over-treatment once patients return home, increasing patients’ risk of adverse drug events including syncope and falls. Thus, […]
Abstract Number: 98
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The 2016 State of Hospital Medicine report showed that the average hospitalist compensation model is composed of 80% base pay, 15% productivity, and 5% performance. Much variation exists by region in the make-up of the performance component with a rise in measures focused on patient satisfaction and readmission and significant differences in weight given […]
Abstract Number: 99
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The healthcare workforce suffers from high levels of burnout, disengagement, and perceived isolation due to constant and unpredictable stresses. While multifactorial, the extent to which clinicians’ experience wellness and maintain resilience in a complex work environment is in part driven by connection to purpose and consciousness of elements of everyday activities that give joy. […]
Abstract Number: 100
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The aging population along with increasing multi-morbidity and stricter regulations on house staff duty hours have played an integral role in fueling the drive for medical co-management of surgical patients. Parallel to these trends is an increasing demand for surgical services and risk for postoperative complications. While a positive impact on clinical outcomes has […]
Abstract Number: 105
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In most hospitals, physicians provide care to patients across multiple units while nurses are often unit-based, resulting in team dispersion, and potentially impairing teamwork. Geographically localized care teams may demonstrate improved communication between team members and with patients, potentially enhancing coordination of care. However, the impact of geographically localized teams on patient experience scores […]