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Oral

Abstract Number: Oral

BUILDING PATIENT SAFETY CULTURE USING A MULTI-MODAL STRATEGY INCREASES SELF-REPORTED ‘SAFETY REPORTING’ BY CLINICIANS: A NOVEL METRIC OF SAFETY CULTURE

Hospital Medicine 2020, Virtual Competition

Background: According to AHRQ, patient safety culture refers to the beliefs, values, and norms shared by health care practitioners and other staff throughout the organization that influence their actions and behaviors. Safety reporting (or incident reporting) is an important aspect of safety culture. Safety reporting of adverse events is a valuable epidemiological tool to measure [...]

Oral

Abstract Number: Oral

CATALYZING HOSPITAL MEDICINE LEADERSHIP DEVELOPMENT

Hospital Medicine 2020, Virtual Competition

Background: Large hospital medicine groups of 30 or more physicians comprise over 20% of practices (SHM 2018). Our academic hospital medicine service is comprised of 65 faculty members. We recognized a need for multiple levels of leadership beyond the immediate chief and director of clinical operations. Our team, like most hospital medicine groups, is comprised [...]

Oral

Abstract Number: Oral

COMPARISON OF COMPLICATIONS OF MIDLINES AND PERIPHERALLY INSERTED CENTRAL CATHETERS FOR DIFFICULT VASCULAR ACCESS AND INTRAVENOUS ANTIBIOTICS

Hospital Medicine 2020, Virtual Competition

Background: Midlines are peripheral vascular devices inserted in the veins of the upper extremity with the tip located at or below the axillary vein. Greater appreciation of complications associated with peripherally inserted central catheters (PICC) and the diffusion of catheter appropriateness criteria has led to expanded use of these devices. However, single center studies comparing [...]

Oral

Abstract Number: Oral

DEARTH OF HOSPITAL MEDICINE CLINICIAN INVESTIGATORS ACROSS UNITED STATES ACADEMIC MEDICAL CENTERS

Hospital Medicine 2020, Virtual Competition

Background: Hospital medicine is the fastest growing subspecialty within internal medicine, growing from 10,000 hospitalists in 2002 to over 50,000 in 2016. Despite this growth, there remain relatively few hospitalists who are clinician investigators. We sought to quantify the number of clinician investigators, their dedicated time for research at major United States academic medical centers, [...]

Oral

Abstract Number: Oral

DECREASING RISK OF OPIOID OVERDOSES IN HOSPITALIZED PATIENTS

Hospital Medicine 2020, Virtual Competition

Background: There were approximately 46,000 opioid overdose deaths in 2017. It is known that opioid overdose risk is increased in patients with a diagnosis of substance use disorder, prior opioid overdose, and high suspicion of risk as assessed by clinical teams. The Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression (RIOSORD) is a validated [...]

Oral

Abstract Number: Oral

DELIRIUM PREVENTION: STRATEGY DEVELOPMENT AND IMPLEMENTATION

SHM Converge 2021

Background: Delirium is a common complication within the hospital setting with nearly one in three older patients experiencing it during hospitalization. Reduction in delirium is associated with decreased falls, decreased distress of patients and caregivers, and decreased length of stay as a result. Identification and reduction of delirium, therefore, is of the utmost importance to [...]

Oral

Abstract Number: Oral

HOSPITALIST CO-MANAGEMENT OF TRAUMA SURGERY PATIENTS REDUCES MORTALITY AND IMPROVES QUALITY MEASURES

Hospital Medicine 2020, Virtual Competition

Background: Trauma co-management is a growing field within hospital medicine. While improvements in quality metrics have been documented in other co-management services, the impact of co-management of trauma patients is uncertain. This study aimed to determine whether a hospitalist trauma co-management program improves clinical outcomes. Methods: This was a pre- and post-implementation study comparing trauma [...]

Oral

Abstract Number: Oral

IMPLEMENTATION OF A HOSPITAL MEDICINE PROCEDURE SERVICE: 5-YEAR EXPERIENCE OF AN ACADEMIC MEDICAL CENTER

SHM Converge 2021

Background: Procedural complications are a common source of adverse events in hospitalized patients(1, 2). In academic centers, bedside procedures have traditionally been performed by trainees, often without experienced proceduralist supervision, or referred to interventional radiology or consultant services, often with an associated delay in procedure performance. Many trainees report discomfort with their skill in performing [...]

Oral

Abstract Number: Oral

IS LESS REALLY MORE? FLUID RESUSCITATION AND CLINICAL OUTCOMES IN SEPSIS PATIENTS WITH AND WITHOUT CONGESTIVE HEART FAILURE (CHF)

Hospital Medicine 2020, Virtual Competition

Background: Sepsis is a common and life-threatening complication of infection that disproportionately affects patients with chronic comorbidities. Timely fluid resuscitation is a key initial management strategy for reducing sepsis mortality; however, patients with serious comorbidities are often excluded from clinical trials. The Surviving Sepsis guidelines suggest that patients meeting severe sepsis criteria should be administered [...]

Oral

Abstract Number: Oral

MEASURING THE EFFECTIVENESS OF CHOOSING WISELY CAMPAIGN (MC2 STUDY)

SHM Converge 2021

Background: The Choosing Wisely Campaign started in 2012 with the aim of promoting high-value care. On its Choosing Wisely List, the Society of Hospital Medicine cited daily basic metabolic panel (BMP) and complete blood count (CBC) testing in the absence of clinical suspicion as unnecessary practice. Since the implementation of Choosing Wisely, there have been [...]

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