Session Type
Meeting
Search Results for Acquired
Plenary Presentations
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital-associated venous thromboembolism (HA-VTE) is a serious condition with controversy regarding ideal risk assessment and VTE prophylaxis (VTEP), especially in medical patients. We conducted a collaborative VTE quality improvement project, supported by a charitable grant from the Gordon and Betty Moore Foundation, in 35 hospitals across three states and assessed the impact on HA-VTE […]
Plenary Presentations
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital-associated venous thromboembolism (HA-VTE) is a serious condition with controversy regarding ideal risk assessment and VTE prophylaxis (VTEP), especially in medical patients. We conducted a collaborative VTE quality improvement project, supported by a charitable grant from the Gordon and Betty Moore Foundation, in 35 hospitals across three states and assessed the impact on HA-VTE […]
Abstract Number: 15
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay (LOS), cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% within one year in older patients who develop delirium. Because hospital-acquired delirium is often under-recognized and prevention and treatment involves […]
Abstract Number: 26
Hospital Medicine 2020, Virtual Competition
Background: Digital bedside information displays can alert clinicians about patient safety hazards, but the unintended consequences of these interventions are not well understood. Introducing new digital interventions may have implications for clinician satisfaction with the electronic environment, clinical team communication, and patient-centered care. Toward greater understanding of these unintended consequences, we described the content, form, […]
Abstract Number: 107
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital-acquired disability (HAD) is common, and a key contributor to this process is low hospital physical activity. This study examines whether objective measures of hospital physical activity from wearable accelerometers can be used to predict HAD. Methods: Prospective observational study of community-dwelling older adults aged ≥ 60 years, admitted to an academic hospital’s general […]
Abstract Number: 121
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: With standard diagnostic methods, the etiologic pathogen of community acquired pneumonia (CAP) is detected in ≤ 50% hospitalized CAP patients. In our previous studies using a diagnostic “bundle”, we were able to detect etiologic pathogens in ≥ 70 % of the patients. Our bundle consisted of a nasopharyngeal swab for Biofire film array, that […]
Abstract Number: 186
SHM Converge 2023
Background: For most infections, shorter antibiotic durations are similarly effective to longer durations but have lower risk for side effects and antibiotic resistance.1-9 Since 2019, community-acquired pneumonia (CAP) guidelines have recommended hospitalized patients with CAP be treated until clinical “stability and for no less than a total of 5 days.”10 However, randomized clinical trials have […]
Abstract Number: 197
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In line with the American Board of Internal Medicine’s (ABIM) Choosing Wisely® initiative, the Society of Hospital Medicine (SHM) recommends not performing repetitive complete blood count (CBC) and chemistry (CHEM7) testing in the face of clinical and lab stability. In addition to decreasing the risk of hospital acquired anemia (HAA), reducing unnecessary routine blood work can ultimately result in significant […]
Abstract Number: 206
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The prevalence of delirium among hospitalized patients ranges up to 56% and results in increased hospital mortality and duration of hospitalization. Symptoms of delirium may be subtle in early stages and may present clinically as hyperactive, hypoactive or mixed type. As such delirium often evades early detection. In addition, delirium in the hospital setting […]
Abstract Number: 229
Hospital Medicine 2020, Virtual Competition
Background: Identification of pathogens causing community-acquired pneumonia (CAP) in hospitalized patients has improved with the utilization of nasopharyngeal (NP) polymerase chain reaction (PCR). Literature shows that 20-25% of pathogens are identified when using urine antigens, sputum and blood cultures, and can improve up to 70% when adding NP PCR for viruses, Staphylococcus aureus and Streptococcus […]