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Search2020-05-20T12:01:36-05:00
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Abstract Number: 171
ARE PORTS SAFER THAN PICCS IN PATIENTS WITH CANCER? A SYSTEMATIC REVIEW AND META-ANALYSIS
Hospital Medicine 2020, Virtual Competition
Background: Patients with cancer require reliable venous access for therapy. Although peripherally inserted central catheters (PICCs) and implanted ports are often used to meet infusion needs, risk of complications between these devices is unknown. We did a systematic review and meta-analysis to compare the risk of deep vein thrombosis (DVT), exit-site complications and central line-associated […]
Abstract Number: 171
Presumed Versus Confirmed Full Code
Hospital Medicine 2020, Virtual Competition
Background: Many problems exist regarding inpatient code status: advance directives are rarely completed in outpatient and inpatient settings, patients' preferences regarding code status are often not elicited, physicians do not provide adequate information to allow patients to make informed decisions about code status, code status discussions are often delayed during an admission until it is […]
Abstract Number: 175
A Unique Hospitalist/pain Management Collaboration to Improve Pain Outcomes
Hospital Medicine 2020, Virtual Competition
Background: Pain management is complex, and multiple variables may affect pain relief for patients. It is estimated that roughly 40% of hospitalized patients experience moderate to severe pain. Because hospitalists now care for an increasing number of inpatients across the United States, developing hospitalist‐based quality improvement for pain is essential, both for improving patient care […]
Abstract Number: 175
HOW IS PICC-RELATED BLOODSTREAM INFECTION DOCUMENTED IN MEDICAL RECORDS? A MULTI-CENTER STUDY ACROSS MICHIGAN HOSPITALS
Hospital Medicine 2020, Virtual Competition
Background: Central line-associated bloodstream infection (CLABSI) is a morbid and potentially lethal complication. National policies related to CLABSI mandate public reporting of this adverse event, with hospitals receiving penalties based on their CLABSI rates. Contemporary data suggest that peripherally inserted central catheters (PICCs) placed outside critical care settings are a large contributor to hospital CLABSI […]
Abstract Number: 338
A Costly, Stressful Unilateral Belladona
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49‐year‐old woman with a medical history significant for congenital hypofibrinogenemia and platelet dysfunction was admitted to the hospital for observation following percutaneous biliary drain removal. Because of a significant bleeding history, following her procedure, she was admitted for administration of cryoprecipitate and hemoglobin monitoring. During her hospitalization, the patient was prescribed a […]
Abstract Number: 338
THE VALUE OF ROUTINE SCREENING LAB TESTS IN HOSPITALIZED PATIENTS WITH ALTERED MENTAL STATUS
Hospital Medicine 2020, Virtual Competition
Background: Altered mental status (AMS) is prevalent in hospitalized patients, especially the elderly (1). The work up of AMS is based on history, physical exam, pertinent labs and imaging. Common etiologies include fluid and electrolyte disturbances, infections, drug toxicity, drug withdrawal and metabolic derangements. Many routine labs drawn in the evaluation of acute encephalopathy are […]
Abstract Number: 384
IMPLEMENTATION OF DAILY SAFETY HUDDLES TO REDUCE HARM EVENTS AT A SAFETY NET HOSPITAL
Hospital Medicine 2020, Virtual Competition
Background: In March 2019, the CEO of our public teaching hospital set a goal for the institution to become a high reliability organization. At that time, the hospital’s rates of catheter associated urinary tract infections (CAUTIs), central line associated blood stream infections (CLABSIs), and hospital acquired pressure injuries (HAPIs) were above the national average. Evaluation […]
Abstract Number: 384
Itchy and Scratchy: A 14‐Month‐Old Boy with Cholestasis
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 14‐month‐old boy was admitted with failure to thrive. He had 10–14 stools daily, occurring within 15 minutes of eating. He had pruritis. There were no recent fevers or vomiting. There was no history of jaundice, icterus, or meconium ileus. Medical history included solitary left kidney with mild hydronephrosis and poor weight gain. […]
Abstract Number: 482
Acute Renal Failure in a Young Healthy Male
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 20‐year‐old healthy man with no significant medical history presented to the emergency department with multiple episodes of watery, bilious, nonbloody vomiting associated with nausea and poor oral intake for 3 days. He also had an episode of watery diarrhea. The patient denied any fever, chills, abdominal pain, recent respiratory tract infections, ill […]
Abstract Number: 482
RATIONALIZING USE OF ROUTINE LAB TESTS THROUGH COST TRANSPARENCY
Hospital Medicine 2020, Virtual Competition
Background: While multiple organizations have recommended reducing unnecessary and repetitive lab tests in hospitalized patients, this has not resulted in a widespread change in behavior. There is agreement that unwarranted labs increase costs, but data around specific lab costs have not been readily available. At baseline, there were 125,586 labs ordered by the UNC Rex […]
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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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