Session Type
Meeting
Search Results for DIC
Abstract Number: 227
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Since the publication of the Institute of Medicine report To Err Is Human in 1999, preventable inpatient deaths in the United States have been estimated as between 44,000 and 98,000 deaths annually. A more recent review concluded that the number of preventable deaths was over 250,000 cases annually. Critics have pointed out that these […]
Abstract Number: 231
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: There is evidence that physicians consider a variety of “non-medical” factors (e.g. lack of social support, barriers to access) in hospital admission decision-making out of concern for patient safety, and that patients are hospitalized even in the absence of a level of medical acuity warranting admission. The rationale underlying this decision may overvalue the […]
Abstract Number: 249
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Family Partners (FP) are peer mentors trained to support parents facing clinical situations similar to what FPs previously experienced with their own children. FPs offer a family-centered, cost-effective intervention that can improve outcomes, particularly for children with prematurity or chronic diseases. Children with medical complexity (CMC) are a high need, high cost population with […]
Abstract Number: 250
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Single-center studies have reported low yield of blood culture for skin and soft tissue infections (SSTIs) in children. Blood cultures are commonly obtained in cases of SSTI, though the degree of practice variation is uncertain. Study objectives include: 1) assess the degree of variation in rate of blood culture for SSTIs among children’s hospitals […]
Abstract Number: 251
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Infants ≤ 60 days of age with a urinary tract infection (UTI) represent a challenging population without clear guidelines for diagnostic evaluation or antibiotic therapy. UTI represents a significant percentage of serious bacterial infection in this age group and is a common management dilemma for pediatricians. Our study examined patterns of UTI management in […]
Abstract Number: 252
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hip fracture is a common reason for urgent inpatient surgery. In the last few years, several professional societies have identified preoperative echocardiography and stress testing for non-cardiac surgeries as low-value diagnostics. Delaying hip fracture surgery beyond 48 hours leads to worse outcomes. We sought to describe the prevalence of preoperative cardiac testing for inpatient […]
Abstract Number: 254
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The use of intraoperative dexamethasone has been on the rise because of its ability to reduce postoperative nausea, vomiting, pain and accelerate post-operative recovery. Use of intraoperative dexamethasone can result in uncontrolled hyperglycemia in the postoperative period especially in patients with a diagnosis of diabetes. The extent and duration of post-operative steroid-induced hyperglycemia is […]
Abstract Number: 268
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge from an in-patient hospital stay is a critical opportunity to teach patients about their medications. Communication about medications and appropriate transition of care are two domains of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey via which patients evaluate hospitals. Communication about new medications and side effects is one of […]
Abstract Number: 287
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medication errors harm 1.5 million patients yearly, designating medication reconciliation a National Patient Safety Goal. The average hospitalized patient is subject to at least 1 medication error per day (IOM,2007), with 70% of patients experiencing a medication discrepancy at either admission or discharge(Leapfrog,2018). Medication Reconciliation, creating the most accurate list of medications patients take […]
Abstract Number: 301
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to engage patients with OUD in opioid agonist treatment (OAT) during hospitalization. Buprenorphine is an effective OAT for OUD that is […]