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Oral

Abstract Number: 14

DRIVERS OF SUBSPECIALTY CONSULTATION AMONG PEDIATRIC HOSPITALISTS

SHM Converge 2023

Background: Subspecialty consultation among hospitalists varies significantly across and within hospitals. While in many cases consultation is clinically necessary, in other cases it may represent overuse. Recent studies have explored predictors of consultation using observational administrative and EHR data. Qualitative methods may generate knowledge about additional factors and complex processes influencing consultation behavior not ascertainable [...]

Oral

Abstract Number: 14

ELECTRONIC FEEDBACK ON CLINICAL REASONING FOR HOSPITALISTS: A PILOT STUDY

SHM Converge 2024

Background: In hospital medicine, around 250,000 diagnostic errors occur yearly in American hospitals and a significant proportion are attributed to failures in clinical reasoning. Feedback on the diagnostic process has been proposed as one method of improving clinical reasoning. However, in the current healthcare system barriers to the delivery and receipt of feedback include limited [...]

Oral

Abstract Number: 14

FROM PROTOCOL TO PRECISION: EMPOWERING TEAMS TO OPTIMIZE SEPSIS FLUID RESUSCITATION IN A COMMUNITY HOSPITAL

SHM Converge 2026

Background: Despite decades of standardized sepsis protocols, fluid resuscitation practices remain variable across hospital settings. At our community hospital, compliance with the 30 mL/kg fluid requirement for severe sepsis and septic shock patients lagged behind national benchmarks, driven by inconsistent documentation, variable order set use, and lack of confidence in assessing fluid responsiveness. Standardized bundles [...]

Oral

Abstract Number: 15

EFFECTIVENESS OF A DELIRIUM REDUCTION WORKFLOW ON ADULT INPATIENT OUTCOMES

SHM Converge 2023

Background: Complex non-pharmacologic interventions containing multiple, or bundled, components can successfully prevent and treat hospital-acquired delirium in older adults. However consistent implementation, and the measurement of compliance, of these bundled interventions can be challenging to sustain in hospital settings especially in presence of COVID-19. Developing workflows with a smaller sub-set of components that are feasible [...]

Oral

Abstract Number: 15

FROM SUMMARIZATION TO STRUCTURED CONTROL: REAL-WORLD IMPLEMENTATION AND EVOLUTION OF AN EHR-NATIVE GENERATIVE AI ASSISTANT

SHM Converge 2026

Background: Clinical documentation is a major contributor to hospitalist burnout due to the time spent on note writing and chart review. Generative artificial intelligence (AI) may help reduce this burden, yet most tools offer limited control over source information or output structure. Additionally, little is known about how clinicians actually use these tools in practice [...]

Oral

Abstract Number: 15

IMPROVED ALCOHOL USE DISORDER TREATMENT LEADING TO DECREASED READMISSION RATES

SHM Converge 2024

Background: Affecting approximately 5.9% of the US population, alcohol use disorder (AUD) has been established as a prevalent disease in this country (1). Through repeated hospital admissions for alcohol use disorder (including alcohol withdrawal syndromes), hospital costs have steadily risen to recent estimates of 7.6 billion dollars in 2017 (2). Without the establishment of outpatient [...]

Oral

Abstract Number: 16

INTEGRATING HOSPITAL AND COUNTY HOMELESSNESS DATA TO IMPROVE CARE TRANSITIONS

SHM Converge 2026

Background: Hospitals nationwide increasingly shoulder the cost of unaddressed social determinants of health (SDOH). Preventable readmissions and prolonged hospital stays among patients experiencing homelessness increase healthcare expenditures and highlight unmet social needs linked to poorer outcomes. Every county in the United States administers housing assistance – including Permanent Supportive Housing, rapid rehousing, and emergency shelter [...]

Oral

Abstract Number: 16

PHARMACIST REVIEW IMPROVES HOSPITAL TO SKILLED NURSING FACILITY TRANSITIONS

SHM Converge 2023

Background: Post hospital discharge review during the transition from hospital to skilled nursing facility (SNF) is critical to avoid medication errors, improve patient outcomes and reduce hospital readmissions (1-3). Despite increased integration of electronic health records (EHR) across health entities, communication gaps and discharge-related medication errors still persist (2,4). These challenges can be more predominant [...]

Oral

Abstract Number: 16

SAPPHIRE: A COLLABORATIVE INITIATIVE FOR PATIENTS IN THE EMERGENCY DEPARTMENT

SHM Converge 2024

Background: The traditional role of hospitalists is to provide care to patients hospitalized with acute medical conditions. Over the past few years, this has evolved to improve care transitions and stewardship of hospital resources. Many hospitals may embed hospitalists in the Emergency Department (ED) to improve patient flow into the hospital; however, there are sparse [...]

Oral

Abstract Number: OP1

AGE-BASED DIFFERENCES IN THE EFFICACY AND SAFETY OF REMOTE BIOMETRIC MONITORING OF COVID-19 PATIENTS WITH EXERTIONAL HYPOXIA

SHM Converge 2022

Background: Hospitalizations to treat SARS-CoV-2 infected patients have strained health systems worldwide. Monitored outpatient management of select low-risk COVID-19 patients with isolated exertional hypoxia could help preserve hospital resources and reduce costs while aiming to maintain a high standard of care. In this retrospective cohort analysis, we aimed to evaluate the safety and effectiveness of [...]

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