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Search Results for DIC
Abstract Number: 322
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Although the intended purpose of the hospital gown is not to cause harm, it reinforces the role of being subordinate to the physician. Gowns put patients in a vulnerable position because they can be readily exposed all day. The identical, interchangeable patient gown reinforces the role of the lowly patient in the hospital hierarchy, […]
Abstract Number: 334
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Telemetry utilization for a long time has been dependent on individual physician experiences, preference as there were no good randomized controlled trails or guidelines from any scientific organization. American Heart Association has released the guidelines for appropriate use of telemetry in Oct 2004. Even more than a decade of these guidelines been available there […]
Abstract Number: 339
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: First year hospitalists have higher inpatient and 30 day post discharge mortality than hospitalists with at least a year of experience. The Joint Commission found that improper orientation and training is the second leading cause of sentinel events in hospitals. There is neither literature nor guidelines to inform best practices for Hospital Medicine (HM) […]
Abstract Number: 352
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium is an acute change in mental status affecting 10-64% of hospitalized patients, and may be preventable in 30-40% cases. There was no standardized protocol for delirium at our hospital prior to 2014. In October 2013, we formed a task force for delirium prevention and early identification across 18 medical-surgical units in our hospital. […]
Abstract Number: 355
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The EMR does not provide readily available information that conveys an at-a-glance understanding of discharge progress for a given patient. Healthcare workers have different workflows and need to manage the information in different ways, with a reliance on one-to-one conversations. We believe that optimizing patient length of stay is hindered by lack of: data […]
Abstract Number: 361
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Utilization of MRI as diagnostic imaging continues to increase in the pediatric population. MRI with sedation accounts for 23% of pediatric MRI studies with 31% of those being inpatient. Barriers to completion of an MRI in pediatric populations includes the frequent use of sedation and poor communication amongst pediatric hospitalist, anesthesia and radiology. With […]
Abstract Number: 375
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interprofessional rounding has improved patient safety and provider engagement (1). Our institution implemented interdisciplinary patient rounds (IPR) similarly described in the literature (2). Despite praise for our nursing safety checklist, declining emphasis on bedside teaching and brief patient interactions lead to provider dissatisfaction. Purpose: To provide high-quality patient care, foster interprofessional collaboration, and provide […]
Abstract Number: 384
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Telemedicine allows for remote patient evaluation and treatment. Traditionally this model has been applied to rural medical centers with physician shortages. Implementation of a telehospitalist program at well-staffed tertiary care centers may streamline services provided by on-site physicians and improve patient satisfaction. Purpose: Successfully implement a telehospitalist consultation service at a tertiary referral hospital, […]
Abstract Number: 385
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diabetes is common, present in up to one third of hospitalized patients and up to 50% of critically ill patients. Studies have shown that hyperglycemia among hospitalized patients leads to worse clinical outcomes and increases readmission rates by over 30% relative to normo-glycemic patients. Insulin is the only medication recommended for treatment of diabetes […]
Abstract Number: 393
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sepsis is one of the top causes of inpatient mortality and rapid detection presents numerous challenges. In March, 2016, an interdisciplinary team consisting of top clinicians, data scientists and machine learning experts at a large academic medical center (AMC) embarked on an innovation pilot to develop a novel machine learning model to detect sepsis. […]