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Search Results for Acquired
Abstract Number: 202
SHM Converge 2024
Background: In May 2022, Kaiser Permanente introduced “Enhanced Recovery Medical” (ERM). Modeled after “Enhanced Recovery After Surgery,” (ERAS), ERM aims to reduce hospital-acquired debility. Predefined ordersets and modified workflows help healthcare teams optimize elements key to recovery: nutrition, mobility, tethers, pain, sleep, and delirium. This ongoing quality improvement (QI) project examines how a resident-led initiative impacted co-resident […]
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: 217
SHM Converge 2024
Background: Inpatient phlebotomy-associated-anemia (PAA) has garnered significant attention in recent years, with numerous studies delving into this common and preventable condition’s implications for patient outcomes. During hospitalization, it is estimated that about 18% of patients develop anemia associated with phlebotomy. We evaluated the prevalence and impact of PAA at Grady Memorial, a public safety-net hospital. […]
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 […]
Abstract Number: 261
SHM Converge 2023
Background: Community acquired pneumonia (CAP) is one of the most common causes of hospitalization in the United States1 and a frequent source of antibiotic overuse.2 Two thirds of patients hospitalized for CAP receive excess antibiotic duration, primarily from excess therapy at discharge.3 Patients living in rural areas are known to have worse health outcomes than […]
Abstract Number: 265
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: There are 400,000 cases and 30,000 deaths from Clostridium difficile (C. diff) infections in the United States annually. Efforts to reduce the transmission of C. diff have focused on patients with diarrhea, however, many patients with C. diff are carriers who do not have symptoms. Because they are not isolated, carriers serve as a […]
Abstract Number: 275
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Approximately 1-2% of the U.S. population gets community-acquired pneumonia (CAP) annually in the U.S. and CAP is associated with substantial mortality, morbidity and costs. While the incidence of CAP is well-defined, the incidence of outpatients who fail antibiotics and eventually become hospitalized is less clear. The objective of this study was to provide real-world […]
Abstract Number: 330
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 61 years old male patient not known to have any medical problem presented to the emergency department after he noticed swelling in his mouth which increased in size to involve both lips, he reported loose bowel movements in the last couple weeks and mild arthralgia. His physical examination was completely normal apart […]
Abstract Number: 363
SHM Converge 2023
Background: Clostroidiodes difficile (CD) is the most prevalent hospital-acquired infection in the United States, accounting for approximately 224,000 infections with 13,000 deaths and over 1 billion dollars spent in 2017, according to the Centers for Disease Control and Prevention (CDC). Clostroidiodes difficile accounts for 10-20% of diarrhea in the setting of recent antibiotics exposure.In St […]
Abstract Number: 395
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 73 year old female with borderline diabetes mellitus and hypertension presented to the emergency department with the sudden onset of nontraumatic swelling, pain and ecchymosis of her right leg. She did report receiving an influenza vaccination at her left arm 3 weeks prior to this visit resulting in bruising from her shoulder […]