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Search2020-05-20T12:01:36-05:00
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Search Results for High Value Care
Abstract Number: 7
CREATING AN ATYPICAL PATHOGEN ASSESSMENT PROTOCOL TO DECREASE LOW YIELD CULTURES IN PEDIATRICS
Hospital Medicine 2020, Virtual Competition
Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical […]
Abstract Number: 7
CREATING AN ATYPICAL PATHOGEN ASSESSMENT PROTOCOL TO DECREASE LOW YIELD CULTURES IN PEDIATRICS
Hospital Medicine 2020, Virtual Competition
Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical […]
Abstract Number: 8
PROJECT DRIVE: DECREASING REDUNDANT AND IRRELEVANT VITALS EVERYDAY
Hospital Medicine 2020, Virtual Competition
Background: Assessing vitals at regular intervals can be disruptive to a patient’s rest and unnecessary if the patient is clinically stable. These interruptions may lead to impaired sleep, parental fatigue and anxiety, delayed discharge, and increased cost of care. Moreover, alarm fatigue has been described with over-monitoring of patients, as has the overuse of staff […]
Abstract Number: 8
PROJECT DRIVE: DECREASING REDUNDANT AND IRRELEVANT VITALS EVERYDAY
Hospital Medicine 2020, Virtual Competition
Background: Assessing vitals at regular intervals can be disruptive to a patient’s rest and unnecessary if the patient is clinically stable. These interruptions may lead to impaired sleep, parental fatigue and anxiety, delayed discharge, and increased cost of care. Moreover, alarm fatigue has been described with over-monitoring of patients, as has the overuse of staff […]
Abstract Number: 126
HOSPITALIST YEARS OF EXPERIENCE AND ASSOCIATION WITH INPATIENT LABORATORY TESTING
Hospital Medicine 2020, Virtual Competition
Background: Thoughtful laboratory testing is a key component of high-value and cost-effective patient care. Studies estimate that nearly half of laboratory tests may be unnecessary in certain patient populations. The drivers of observed variation in laboratory testing are not clearly established; our study aims to examine whether testing varies by hospitalist years of experience. Methods: […]
Abstract Number: 126
Value of Clinical Judgment in Detection of Clinical Deterioration: A Prospective Blinded Validation of the Patient Acuity Rating Score in Comparison with the Modified Early‐Warning Score
Hospital Medicine 2020, Virtual Competition
Background: Failure and delay in identifying clinical deterioration in hospitalized ward patients can result in adverse outcomes. Although many hospitals have instituted rapid response teams to quickly treat and triage unstable patients, early and reliable identification of high‐risk patients remains a challenge. Objective, vital sign–based risk prediction scores, such as the Modified Early Warning Score […]
Abstract Number: 247
Let's Go Clubbing: Hypertrophic Osteoarthropathy and Lung Cancer
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56‐year‐old woman presented with worsening bilateral ankle and knee swelling for 10 months, causing difficulty walking. She reported a 20‐pound weight loss over the same time. She denied family history of arthritis, autoimmune disorders, or malignancy, but did endorse a 45‐year smoking history. She was afebrile on presentation. Lung exam showed diffuse […]
Abstract Number: 247
OVERTESTING HEAD CT SCAN FOR PATIENTS IN JAPAN
Hospital Medicine 2020, Virtual Competition
Background: Computed tomography (CT) can provide critical information for diagnosis and is a prevalent and easy-to-use imaging test, but overtesting becomes a big problem. The previous report showed 30-40% of abdominal CT scans were medically unnecessary. Therefore, head CT is a research topic in overtesting, and clinical predictive scores have been developed to avoid overtesting […]
Abstract Number: 331
An Indolent Case of Av Endocarditis: Heuristics and Mindfulness Over Matter
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29‐year‐old woman with a medical history of “heart murmur” and remote anxiety diagnosis presented to the ER with a 10‐day history of fever/chills (103°F–104°F), fatigue, and shortness of breath. The patient denied cough, nausea, vomiting, diarrhea, abdominal pain, chest pain, IV drug use, skin lesions, or travel. She reported a 1‐year history […]
Abstract Number: 331
IMPROVEMENT OF QUALITY OF CARE BY INTRODUCING HOSPITALIST SYSTEM IN A COMMUNITY TEACHING HOSPITAL IN JAPAN
Hospital Medicine 2020, Virtual Competition
Background: In the US, hospitalist system has been introduced with improvement of quality and safety of care, education and value. Japan now face rapidly declining birthrate and aging population. Organ-based subspecialty system has difficulty in managing patients with multiple diseases. Patient-centered general medical care is required for inpatient management. However, in Japan, there are only […]
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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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