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Search2020-05-20T12:01:36-05:00
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Plenary Presentations
A RANDOMIZED CONTROLLED TRIAL OF AN EHR-EMBEDDED CLINICAL DECISION SUPPORT TOOL TO PROMOTE SLEEP IN THE HOSPITAL
Hospital Medicine 2020, Virtual Competition
Background: Overnight vital sign assessment can disrupt sleep in the hospital and may be unnecessary in clinically stable patients. However, providers may not feel comfortable determining which patients can safely forego overnight vitals. We studied the effect of a clinical decision support (CDS) tool embedded in the electronic health record (EHR) that automatically identified clinically […]
Abstract Number: 4
“IS YOUR PATIENT GOING TO DIE?: A NOVEL MORTALITY PREDICTIVE MODEL FOR TRANSFER PATIENTS AT AN ACADEMIC HEALTH CENTER”
Hospital Medicine 2020, Virtual Competition
Background: Assessing severity of illness using available electronic medical record (EMR) data on admission and predicting inpatient mortality is very challenging. Lacking standardized practices around end of life issues, hospitalists use their clinical judgment in making these crucial decisions. Prolonged discussions may be needed in medically complex patients to direct an optimal plan of care […]
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: 22
ASK ABOUT WHAT MATTERS: IMPROVING ADVANCE CARE PLANNING DOCUMENTATION FOR HOSPITALIZED PATIENTS USING A NOVEL EHR-BASED TOOL
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists often care for patients with serious illness and commonly review and discuss advance care planning (ACP). Documented ACP conversations can be difficult to access in the electronic health record (EHR) due to the lack of a centralized location for ACP documentation and individual clinician practice variation leading to ACP documentation existing in multiple […]
Abstract Number: 30
LOST IN TRANSLATION: OVERCOMING LANGUAGE BARRIERS BY PARTNERING WITH LANGUAGE SERVICES
Hospital Medicine 2020, Virtual Competition
Background: The Limited English Proficiency (LEP) population is at higher risk of receiving poorer care and worse health outcomes compared to their English-speaking counterparts. Interpreters should be utilized to help improve these encounters, but physicians are rarely trained on how to work with interpreters effectively. This is reflected in a prior study showing that residents […]
Abstract Number: 40
AN INTERNALLY DEVELOPED AND IMPLEMENTED BUNDLED INTERVENTION IMPROVES HOSPITAL MEDICINE PATIENT EXPERIENCE
Hospital Medicine 2020, Virtual Competition
Background: Improving a patient’s experience with the health care system improves outcomes of care. Glickman et al found that higher patient satisfaction is associated with improved adherence and lower inpatient mortality rates. Boulding et al found that higher patient satisfaction was associated with lower 30- day readmission rates for patients with heart failure, acute MI […]
Abstract Number: 70
NON-ICU DELIRIUM INCIDENCE AT A LARGE ACADEMIC HOSPITAL
Hospital Medicine 2020, Virtual Competition
Background: Delirium is a common and costly occurrence in hospitalized patients, particularly elderly patients. Diagnosing delirium can be challenging, particularly given the fluctuating nature of presentation and subtle hypoactive motor subtypes. The Brief Confusion Assessment Method (bCAM) is a delirium screening tool that has been validated for use in the med-surg clinical area. As part […]
Abstract Number: 78
FRACTURED CARE: IMPROVING EVALUATION AND TREATMENT FOR OSTEOPOROSIS AMONG PATIENTS WITH HIP FRACTURE CARED FOR BY A HOSPITAL MEDICINE SERVICE
Hospital Medicine 2020, Virtual Competition
Background: Although hip fractures in the elderly are largely due to osteoporosis, rates of treatment for osteoporosis after fragility fracture have been reported as
Abstract Number: 147
EVOLVING SEPSIS GUIDELINES: ASSOCIATION OF TIME-TO-ANTIBIOTICS AND INPATIENT MORTALITY AMONG SEPSIS PATIENTS WITH AND WITHOUT MAJOR ORGAN DYSFUNCTION
Hospital Medicine 2020, Virtual Competition
Background: The 2016 Surviving Sepsis Campaign guidelines recommend antibiotic administration within 1 hour of emergency department (ED) presentation for patients with sepsis. While early antibiotics are associated with reduced mortality, the 1 hr policy has been criticized for its one-size-fits-all approach and risk for over-diagnosis and treatment. Clinicians and quality leaders have called, instead, for […]
Abstract Number: 187
MISDIAGNOSIS OF URINARY TRACT INFECTION AND MISDIAGNOSIS OF PNEUMONIA LINKED AT THE HOSPTIAL LEVEL: A MULTI-HOSPITAL COHORT STUDY
Hospital Medicine 2020, Virtual Competition
Background: Clinicians often diagnose bacterial infections such as urinary tract infection (UTI) and pneumonia in patients who are asymptomatic or have non-bacterial causes of their symptoms. Misdiagnosis of infection leads to unnecessary antibiotic use and potentially delays correct diagnoses. Interventions to improve diagnosis often focus on infections separately. However, if misdiagnosis is linked at the […]
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  • EVERY RED IS NOT CELLULITIS: DEPENDENT RUBOR RARE BUT CLASSICAL FINDING OF SEVERE ARTERIAL INSUFFICIENCY
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
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  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
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  • 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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