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Search Results for Hospital
Abstract Number: 120
SHM Converge 2021
Background: The knowledge regarding the association between increased blood pressure variability (BPV) and risk of subsequent clinical outcomes following acute ischemic stroke is not entirely clear. We constructed a cohort of patients hospitalized for new AIS to examine the effect of systolic BPV (SBPV) on the risk of dependency at discharge and 1 year readmission […]
Abstract Number: 122
SHM Converge 2021
Background: Although in-person hospitalist presence, increasingly staffed by dedicated nocturnists, has become the norm overnight in the hospital (1-2), the scope of nocturnist practice and the typical workload has not been defined. Methods: In November 2019 a survey was created by a panel of nocturnists made up of members of the SHM Night Medicine Special […]
Abstract Number: 131
SHM Converge 2021
Background: The coronavirus disease 2019 (COVID-19) pandemic has dramatically altered how clinicians care for hospitalized patients in the setting of a highly contagious respiratory disease. Changes seen across hospitals include implementation of medical distancing guidelines (i.e. reduced in-person patient contact) and creation of respiratory isolation units (RIUs) for patients with COVID-19. While medical distancing has […]
Abstract Number: 142
SHM Converge 2021
Background: Adolescents have poor access to preventive care and outpatient providers face many barriers to addressing sexual health with adolescents. Recent literature advises providers to address sexual health in nontraditional settings including emergency department (ED) visits and hospitalizations. In our previous work we identified missed opportunities to address sexual health on the hospital medicine service, […]
Abstract Number: 151
SHM Converge 2021
Background: Most large academic medical centers across the United States have been facing hospital-capacity strain and hospital census fluctuations for years, though these fluctuations of inpatient census have significantly increased with the COVID-19 pandemic. Hospitalists and hospital leaders are uniquely capable of identifying innovations to improve patient flow. Prior research has been insufficient to consistently […]
Abstract Number: 157
SHM Converge 2021
Background: Clinical decision making pathways (pathways) embedded within electronic medical record (EMR) systems are an innovative tool intended to assist providers in diagnosing and managing patient conditions. Pathways provide clinical decision trees with the ability access online risk score calculators and select orders for lab and imaging tests, medications, and consultations. Studies have shown that […]
Abstract Number: 162
SHM Converge 2021
Background: Accurate clinical documentation is necessary for many aspects of modern health care, including excellent communication, quality metrics reporting, and legal documentation. However, since coding rules and terminology differ from common clinical language, there is a risk that the clinical reality will get lost in translation. This is where clinical documentation improvement (CDI) programs come […]
Abstract Number: 189
SHM Converge 2021
Background: Thirty-day readmission rates are increasingly used among hospitals as a quality of care indicator since research has shown that higher than expected readmission rates often lead to poor patient outcomes and high financial costs. Causes of readmission tend to be multifactorial and possibly variable dependent on systems. To investigate predictors of 30-day readmission rates, […]
Abstract Number: 205
SHM Converge 2021
Background: Interhospital transfer (IHT), which is often performed to provide patients with necessary procedural and specialized care, is a common occurrence in modern healthcare. Racial/ethnic inequities in IHT have been described using nationally representative data, however such inequities have not been characterized at a more local level, which can provide more granular data to adjust […]
Abstract Number: 209
SHM Converge 2021
Background: Readmission among Inflammatory Bowel Disease (IBD) inpatients is common, as is opioid use. Opioid use for IBD has been associated with an increased risk of infection and death, but inconsistently with readmissions. Increasingly, cannabis is viewed as a potentially safer alternative to opioids, though with limited study of potential adverse outcomes such as hospital […]