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Search Results for VA
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: 323
Hospital Medicine 2020, Virtual Competition
Background: There is a paucity of literature examining length of stay for medical patients requiring discharge to subacute rehabilitation facilities (SAR). At our institution, this subset of patients had an average length of stay (ALOS) of 8.2 days while medical patients being discharged to home had ALOS of 4.2 days during the first half of […]
Abstract Number: 331
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 […]
Abstract Number: 332
Hospital Medicine 2020, Virtual Competition
Background: Fingerstick blood glucose (FSBG) testing allows inpatient providers to adjust insulin in real time to protect patients from significant hypo- or hyperglycemia. Admitted diabetic patients are often placed on sliding scale insulin with four times per day FSBG testing, regardless of home insulin use. FSBG test materials cost $9 per use (1). We estimate […]
Abstract Number: 334
Hospital Medicine 2020, Virtual Competition
Background: Physical therapy (PT) is a valuable tool to help prevent the functional decline and loss of mobility hospitalized patients experience. Yet, it is a constrained resource in most hospital settings. The AM-PAC score is a validated tool that has been used to predict discharge destination within 48 hours of admission. It has also been […]
Abstract Number: 335
Hospital Medicine 2020, Virtual Competition
Background: In light of increasing healthcare costs, diagnostic stewardship is an important component of providing high-value healthcare. Order sets, a collection of orders aggregated in a single location for a given diagnosis, condition, or treatment, are designed to promote adherence to evidence-based practices and reduce variability in care—both known drivers of high-value care (Atlas SJ […]
Abstract Number: 338
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: 340
Hospital Medicine 2020, Virtual Competition
Background: The utility of procalcitonin (PCT) in pediatrics is debated. Proposed diseases in which PCT elevation is thought to be suggestive of a bacterial process include meningitis, urinary tract infection, pneumonia, neonatal fever, and sepsis of unknown source. However, elevated PCT is non-specific for bacterial infection and the strength of the test is generally felt […]
Abstract Number: 341
Hospital Medicine 2020, Virtual Competition
Background: Acute kidney injury (AKI) is common in adult hospitalized patients, with the incidence being reported as high as 7.2%. While evaluation of the cause of AKI is often necessary, in hospitalized patients the causes of AKI are more likely to be pre-renal or intrinsic. Previous studies have found that decreased renal perfusion, medications, radiographic […]
Abstract Number: 364
Hospital Medicine 2020, Virtual Competition
Background: Advanced Practice Providers (APPs) are becoming a very prevalent part of academic hospital medicine. From 2016 to 2018, APP utilization in academic hospital medicine groups has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. In our division, APPs have become an integral part of our educational fabric, teaching a wide array […]