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Search2020-05-20T12:01:36-05:00
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Search Results for Cardiac Monitoring
Abstract Number: 257
A Blast from the Past Sent Straight to the Heart
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45‐year‐old man with no medical history presented with a 3‐week history of progressively worsening chest pain. The pain was sharp, exertional, and worsened by lying flat. He denied fever, chills, or recent illness. Vital signs were normal, and the only notable exam finding was muffled heart sounds. Initial EKG showed diffuse, concave […]
Abstract Number: 257
EFFECT OF AN EHR TELEMETRY ORDER WITH DECISIONAL SUPPORT ON NON-ICU INPATIENT TELEMETRY UTILIZATION
Hospital Medicine 2020, Virtual Competition
Background: Overuse of non-ICU continuous adult cardiac (telemetry) monitoring is a well-documented problem that can lead to increase hospital cost, alarm desensitization, nursing time loss, and patient discomfort 1,2. Previous studies assessing reduction of inappropriate telemetry use have employed a combination of electronic health record (EHR) order, nursing protocol changes, intensive educational, and/or feedback initiatives […]
Abstract Number: 258
Hemophagocytic Lymphohistiocytosis: Two Patients with This Increasingly Recognized Secondary Phenomenon
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient 1 is a 22‐year‐old man with no medical history who presented with progressively worsening fevers, severe nausea, and nonbloody severe emesis with a diagnosis of infectious mononucleosis. The patient had fevers to 104°F with chills and a pulse of 100. On physical examination, he was ill appearing and diaphoretic. The patient's CBC […]
Abstract Number: 258
USING CLINICAL DECISION SUPPORT SYSTEMS TO GUIDE THE REDUCTION IN TELEMETRY OVERUSE IN A COMMUNITY TEACHING HOSPITAL
Hospital Medicine 2020, Virtual Competition
Background: In order to reduce overuse, many hospitals have conducted studies and implemented protocols with the goal of reducing non-indicated telemetry monitoring. A common tool that institutions utilize for these changes are the clinical decision support systems (CDSS). In this report, we will present the telemetry protocol utilized by our hospital and review its effects […]
Abstract Number: 263
Acute Calcific Periarthritis Presenting in a Woman with Hyperthyroidism and Normocalcemia
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24‐year‐old woman presented to our emergency department with right fifth‐finger metacarpophalangeal (MCP) pain. She had a history of overt hyperthyroidism and had self‐discontinued her methimazole several years prior to admission, and had been lost to medical follow‐up. One week prior to presentation, the patient had noticed mild swelling around the joint and […]
Abstract Number: 263
WAIT WAIT…DON’T TELE ME: DECREASING INAPPROPRIATE TELEMETRY UTILIZATION ACROSS A HEALTHCARE SYSTEM
Hospital Medicine 2020, Virtual Competition
Background: Telemetry over utilization increases wasted spending, increases alarm fatigue, and creates patient safety risks. Despite the presence of American Heart Association (AHA) practice guidelines, patients are often placed on telemetry for inappropriate reasons at the discretion of the medical provider and are monitored for longer than anticipated. The goal of this quality improvement project […]
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  • This Month

  • A Case of Jamaican Stone
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • All Time

  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • A Case of Jamaican Stone
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