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Abstract Number: 180
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are associated with an increased risk of central line-associated bloodstream infection (CLABSI) and venous thromboembolism (VTE). Catheters that are coated or impregnated with antimicrobial and/or antithrombotic agents have been developed to prevent these complications. However, their effectiveness in preventing CLABSI and VTE is unclear. Using data from a large […]
Abstract Number: 185
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are frequently used to deliver intravenous (IV) antibiotic therapy. Infectious disease (ID) physicians are often consulted prior to PICC placement, but whether their engagement influences PICC appropriateness and complications is not known. Methods: Using data from the Michigan Hospital Medicine Safety Consortium on PICCs placed in hospitalized medical patients […]
Abstract Number: 219
Hospital Medicine 2020, Virtual Competition
Background: Fall for hospitalized patients can cause significant injury and have devastating long term consequences for patients with 33% resulting in injury, 4-6% causing serious injury (1). Information is available regarding risk factors for falls and specific patient or nursing centric interventions to prevent falls, but there is little known about the physician perspective in […]
Abstract Number: 232
Hospital Medicine 2020, Virtual Competition
Background: Penicillin class antibiotics are the most frequently reported drug allergy in the electronic health record (EHR), but recent studies find
Abstract Number: 266
Hospital Medicine 2020, Virtual Competition
Background: Traumatic brain injuries (TBIs) pose a unique problem because prognosis is difficult to predict; therefore, treatment decisions are complex with uncertain outcomes. According to the American College of Surgeons 2018 Trauma Quality Improvement Project (TQIP), identified patients should receive a palliative care assessment within 24 hours, a family conversation should be held within 72 […]
Abstract Number: 320
Hospital Medicine 2020, Virtual Competition
Background: Self-reported penicillin (PCN) allergy affects 7-10% of the community population and affects almost 20% of hospitalized patients nationally [1,2]. Mislabeling of side effects (gastrointestinal symptoms) or coincidental events (headache) as a true allergic reaction (IgE-mediated type I hypersensitivity) contributes largely to statistics. In recent studies, the rate of positive skin test results to PCN […]
Abstract Number: 407
Hospital Medicine 2020, Virtual Competition
Background: Early and sustained mobilization of patients throughout admission is a goal we all strive to achieve. Inpatient immobility leads to the development of medical complications such as pressure ulcers, acute venous thrombosis, nosocomial infections, decreased muscle mass, and overall functional decline. Additionally, patients become deconditioned from their baseline and require potentially preventable additional services […]
Abstract Number: 415
Hospital Medicine 2020, Virtual Competition
Background: Over 35 million patients are hospitalized annually in the United States, with patients experiencing functional deconditioning due to acute illness and hospital acquired limitations on their mobility such as bed rest orders and lack of timely assessment of their functional status. Other contributing factors include medical devices such as chest tubes, drains, IV lines, […]
Abstract Number: 431
Hospital Medicine 2020, Virtual Competition
Background: Congestive heart failure (CHF) is a major cause of mortality and morbidity among general population despite recent advancements in goal-directed therapies. The advent of mechanical circulatory devices, the increased availability and improvement in heart transplant techniques have improved some metrics; however, CHF patients continue to have multiple readmissions for acute exacerbations. The frequency of […]
Abstract Number: 453
Hospital Medicine 2020, Virtual Competition
Background: Hospital readmissions within 30 days of discharge have gained national attention and account for more than $17 billion in avoidable U.S. Medicare expenditures each year. (1) In 2011 alone, there were approximately 3.3 million adult 30-day all-cause hospital readmissions, costing the US $41.3 billion.(2) As such, efforts have been made to create algorithms to […]