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Search Results for Value
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: 369
Hospital Medicine 2020, Virtual Competition
Background: Developing contextualized curricula in diagnostic reasoning and clinical decision-making is crucial to improve medical education (1,2). Barriers to transition from classroom-based to workplace curricula include workflow constraints, the absence of standardized tools to assess clinical reasoning, the complexity of decision making, and outdated teaching methods (3,5). Aimed to bridge these gaps, we developed the […]
Abstract Number: 421
Hospital Medicine 2020, Virtual Competition
Background: VTE is associated with considerable morbidity and mortality, in fact, as many as 10% of deaths of hospitalized patients have been contributed to pulmonary embolism.1 The ACP and AACP in their 2011 and 2012 guidelines, respectively, recommend that all hospitalized patients be evaluated for risk of VTE, and subsequent prophylaxis be initiated if benefits […]
Abstract Number: 433
Hospital Medicine 2020, Virtual Competition
Background: Over the last 2 decades there has been increasing adoption of Observation (OBS) units across the healthcare facilities in United States. Health reforms like 2 midnight rule and 30 day readmission penalties, congestion in the ED, poor operational outcomes in OBS population mixed with inpatients (IP) etc. further added to the need for dedicated […]
Abstract Number: 472
Hospital Medicine 2020, Virtual Competition
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Recent demand for healthcare value and advances in relevant technologies have driven renewed attention to HaH models, including from the Center for Medicare and Medicaid Services (CMS), and have spawned several pilots within the U.S. Where studied, these […]
Abstract Number: 476
Hospital Medicine 2020, Virtual Competition
Background: COPD is the third leading cause of death and hospital readmissions. Inpatient care for patients with COPD exacerbations varies widely across the US which can lead to patients failing to receive recommended evaluation, treatment, education, and follow-up to reduce the likelihood of recurrent exacerbations and unnecessary acute care utilization. In an effort to innovate […]
Abstract Number: 478
Hospital Medicine 2020, Virtual Competition
Background: The Cost Savings Reinvestment Program (CSRP) was created to benefit both the School of Medicine (SoM) and Stanford Health Care by incentivizing physicians to develop and assist with the implementation of initiatives that reduce hospital costs while maintaining or enhancing the quality of care provided to hospital patients. Cost savings realized from successful initiatives […]