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Abstract Number: 242
Hospital Medicine 2020, Virtual Competition
Background: Correctional insulin is frequently used in the hospital to optimize blood glucose levels before meals or even before bedtime. Dosages are not set and are instead scaled to the blood glucose level obtained just prior to administration. Insulin is considered a high-risk medication as dosing errors can potentially lead to serious adverse events such […]
Abstract Number: 246
Hospital Medicine 2020, Virtual Competition
Background: Acutely-ill and multimorbid patients are frequently exposed to unintended medication errors after admission and their impacts on patient safety are profound. Designated ward-pharmacists as team members of our Hospital Medicine Center reconcile medications of hospitalized patients by identifying discrepancies in patients’ current medications and the medication used in acute care in emergency departments or […]
Abstract Number: 250
Hospital Medicine 2020, Virtual Competition
Background: Patients feel “uncomfortable, vulnerable, and exposed” in their gowns while providers are distressed at seeing and caring for their fellow human beings clad in sub-human “threadbare,” “ugly” garments. The purpose of this study was to create a patient gown based on design suggestions by patients and providers (physicians and nurses) and to refine the […]
Abstract Number: 257
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: 259
Hospital Medicine 2020, Virtual Competition
Background: Whether or not a specialty medical center provides better patient outcomes and lower cost compared to a general hospital is controversial. In addition, few studies have focused on the specialty orthopaedic centers. The objective of our study is to evaluate if hospital length of stay (LOS) and cost were improved after the building of […]
Abstract Number: 265
Hospital Medicine 2020, Virtual Competition
Background: Hospital discharge is a complex process that requires coordination from various parties. There still remains a significant rate of readmission, with a reported 30 day readmission of roughly 20% and annual cost of $18 Billion to Medicare. Patients with adequate discharge planning have a decreased readmission rate. Recent studies that demonstrated that high risk […]
Abstract Number: 286
Hospital Medicine 2020, Virtual Competition
Background: Observation status was designed to reduce health care costs for patients in need of short hospital stays. CMS suggests that observation care should typically require less than 24 hours, and only rarely last more than 48 hours. However, studies suggest that length of stay for observation patients is often longer than CMS guidance.[1,2] An […]
Abstract Number: 290
Hospital Medicine 2020, Virtual Competition
Background: Physicians increasingly utilize electronic health records (EHR) to deliver healthcare, and the EHR has been identified as leading source of physician burnout and frustration [Shanafelt et al]. Studies report up to 52.6% of hospitalists exhibit symptoms of burnout [Roberts et al]. However, there is no data to inform how hospital medicine physicians spend their […]
Abstract Number: 291
Hospital Medicine 2020, Virtual Competition
Background: The transitioning from pediatric to adult care has been correlated with worsened outcomes including increased mortality [1]. Improving patient experience (PEX) has been correlated to improved adherence and lower inpatient mortality rates [2] as well as lower 30-day readmission rates for patients with heart failure, acute MI and pneumonia [3]. Young adults transiting from […]
Abstract Number: 298
Hospital Medicine 2020, Virtual Competition
Background: Limited data exist about the magnitude of and the factors associated with one-year mortality of medical patients after their hospital discharge. Factors known during the hospitalization may be associated with high mortality risk. One may also wonder whether healthcare utilization during the first 30 days after discharge are also of any prognostic value for […]