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Search Results for Medicine
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: 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 […]
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: 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: 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: 429
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The most acute patients presenting to the Emergency Department (ED) requirean admission to the inpatient setting. A timely triage and admission process can improve the outcomes of these critically ill patients. Forty-six percent of admissions through our ED are admitted across multiple medicine services. We originally utilized a rotating Medical Admitting Resident (MAR) to […]