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Search Results for DIC
Abstract Number: 122
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The ratio of partial pressure of arterial oxygen to the fraction of inspired oxygen (P:F ratio) has known clinical utility. For example, it is a key component of the sequential organ failure assesment (SOFA) score which is a validated mortality predictor and the new operational defintion of sepsis. Yet, its use is limited because […]
Abstract Number: 125
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Issues with the quality and safety of hospital care have been well-documented, and serve as the basis for improvement strategies and research. However, what is less understood are the perspectives of patients, families, caregivers, and other stakeholders regarding what they feel are the most important targets of improvement research. We systematically engaged a broad […]
Abstract Number: 135
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Black seniors have historically had higher readmission rates than white seniors, and hospitals that treat more black seniors have been disproportionately penalized the Medicare Hospital Readmissions Reduction Program (HRRP). Consequently, the policy could exacerbate racial disparities. We sought to determine whether, under the HRRP, trends in 30-day post-discharge mortality differed between black and white […]
Abstract Number: 140
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Academic hospitalists aspire to be highly effective teachers and must demonstrate excellence in teaching to be promoted. Internal Medicine (IM) residency programs increasingly rely on such hospitalists to supervise residents when they are on inpatient service. Accordingly, outstanding resident teaching and evaluations are imperative to the advancement of academic hospitalists and the success of […]
Abstract Number: 164
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Specialty wards (e.g., cardiology or oncology wards) group clinically similar hospitalized patients in efforts to improve outcomes and costs. When these wards exceed capacity, subsequent patients overflow to “geographically dispersed” alternate wards. Geographic dispersion has been associated with care inefficiency and worse outcomes on specialty wards, but has not been studied in a large, […]
Abstract Number: 176
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients hospitalized with hematologic malignancy are particularly vulnerable to infection. Clostridium difficile infection (CDI) has become the most common cause of healthcare-associated infections in U. S. hospitals, and the excess healthcare costs related to CDI are estimated to be as much as 4. 8 billion dollars for acute care facilities alone. We sought to […]
Abstract Number: 180
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who get readmitted within 30 days of their index admission discharge may have higher short and long-term mortality. Methods: Using administrative […]
Abstract Number: 206
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Since 1951, medical television dramas have impacted how the public views, understands, and learns about the medical profession. Previous studies have examined how these shows depict topics such as cardiopulmonary resuscitation; other studies have shown that medical television dramas influence viewers’ perceptions of the healthcare profession. Our particular area of interest is that of […]
Abstract Number: 211
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients receiving direct oral anticoagulants (DOACs) sometimes require bridging with unfractionated heparin (UFH). Monitoring UFH with anti-Xa assays has been shown to correlate with better outcomes. However, DOACs interfere with anti-Xa assays resulting in inappropriate UFH dose adjustments that can negatively impact patient care. In 2015, we deployed an electronic health record (EHR) […]
Abstract Number: 223
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medical Emergency Teams (METs) are utilized in an inpatient setting to identify patients who exhibit signs of clinical deterioration. Patients, family, or staff activate the team by calling a Code MET when there is a change in clinical status. Patients with End-Stage Renal Disease (ESRD) fare worse than age-, gender-, and race-matched populations. We […]