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Abstract Number: 235
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Vascular access is an integral part of inpatient care. Difficult access can result in delays and inappropriate access selection or technical placement can have quality and financial implications, particularly those associated with catheter-line associated blood stream infections (CLABSI). At our institution, vascular access had historically been provider driven resulting in non-standardized selection practices with […]
Abstract Number: 256
SHM Converge 2024
Background: eHealth interventions provide opportunities to enhance asthma or COPD self-management, though eHealth literacy (eHL) needs to be evaluated in this population. We evaluated the association between eHL and self-efficacy, as well as the willingness to use eHealth applications in patients hospitalized for chronic lung diseases (i.e., asthma and COPD). Methods: This cross-sectional observational study […]
Abstract Number: 263
SHM Converge 2024
Background: Inhaled treatments are the cornerstone of management of obstructive lung disease, though patients frequently misuse inhalers, leading to worse disease outcomes. Since the COVID-19 pandemic, there has been increased interest in video-module based interventions for patients with chronic diseases. However, patients’ ability to interact with such educational resources necessitates access to technology and proficiency […]
Abstract Number: 269
SHM Converge 2024
Background: As hospital care becomes increasingly reliant on technology, it is important to address disparities in access and use of technology among hospitalized patients. While access to technology itself is becoming more widespread, older inpatients may still experience technology-related disparities due to varying abilities to use/obtain support for technology use. We sought to compare access, […]
Abstract Number: 273
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opiates, frequently used to provide analgesia, are associated with post-analgesia related tolerance effects such as hyperalgesia and hyperkatifeia, which lead to worsening of the pain experience. Patients can subsequently experience dissatisfaction with their care and seek further opiate use as a solution, worsening their experience further. Due to pharmacologic and healthcare-associated operational factors, the […]
Abstract Number: 300
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Growing use of peripherally inserted central catheters (PICCs) has led to the development of certification programs for PICC operators. Much like the debate regarding certification in medicine, whether such certification influences clinical care is unknown. This knowledge gap is relevant for health systems that hire operators based on certification status and for hospitalists who […]
Abstract Number: 327
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: It is challenging for patients to navigate through complex healthcare systems after-hours. This leads to delays in patient care, patient/provider dissatisfaction, inappropriate resource utilization, readmissions, and higher healthcare costs. Prior to August 2015, non-medical staff at external call centers with invalidated standard work, poor work cell co-location, and inadequate active daily management addressed the […]
Abstract Number: 399
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are one of the most widely used means for long term vascular access. When compared to traditional central venous catheters (CVCs), PICCs offer several advantages including safer insertion in the arm, cost-effectiveness, and easier self-care for patients outside the hospital. Despite these advantages, numerous studies have found complications associated […]
Abstract Number: 407
SHM Converge 2024
Background: Timeliness in transitional care improves clinical outcomes by delivering medical care at the most vulnerable post-hospitalization time. Primary care access to in-network and out-of-network patients’ post-hospitalization has been a challenge, especially to sicker patients with high risk of readmissions. Our institution Post-Discharge Clinic bridges this need by developing processes that will improve timely transitional […]
Abstract Number: 408
SHM Converge 2023
Background: Timely, effective follow-up after hospital discharge can improve the efficiency and outcomes of care by increasing hospital throughput and decreasing readmissions and other adverse events after discharge. The University of Chicago Medical Center (UCMC) has chronic bed shortages and a medically and socially complex patient population that makes optimal management of post-discharge care especially […]