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Abstract Number: 144
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Venous thromboembolism (VTE) is a serious and all too frequent hospital complication, therefore assessing each patient’s individual risk of VTE is an important part of their care. Multiple models are available for risk assessment, however most not only include multiple data points requiring redundant entry, but can be labor intensive and time-consuming to complete on […]
Abstract Number: 176
SHM Converge 2021
Background: Surgical risk stratification tools have existed since Goldman created the cardiac risk index in 1977. Since then, there has been a proliferation of risk calculators: the three most notable being the Revised Cardiac Risk Index (RCRI), the American College of Surgeons-Surgical Risk Calculator (ACS-SRC), and the Gupta Myocardial Infarction and Cardiac Arrest calculator (MICA). […]
Abstract Number: 177
Hospital Medicine 2020, Virtual Competition
Background: With the advancement of technology and medical care, more critically ill patients are surviving the medical intensive care unit (ICU) and are transferred to the general wards, where they spend the majority of their hospitalization. While there are guidelines that address common complications in the ICU (delirium and functional decline), once patients are transferred […]
Abstract Number: 185
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rapid Response System (RRS) was designed as a safety tool for early detection and intervention of a deteriorating patient on a general floor in a hospital and Modified Early Warning System (MEWS) scores can be used to identify these patients. Obstructive Sleep Apnea (OSA) has been described as an independent risk factor for long […]
Abstract Number: 204
Hospital Medicine 2020, Virtual Competition
Background: Risk assessment for venous thromboembolism (VTE) is a part of every hospital admission. The workflow of who completes the assessment varies between hospitals, but often it is carried out by trainees. VTE risk assessment is further complicated by the variety of methods to identify those patients who are appropriate for chemoprophylaxis, mechanical prophylaxis, or […]
Abstract Number: 209
SHM Converge 2023
Background: Disposition planning is a vital part of clinical care in the hospital setting and requires a collaborative multidisciplinary approach. Physical therapy (PT) assessments are often a key part of this process but due to staffing shortages and high acuity – both of which were exacerbated by the COVID pandemic – therapists at a large […]
Abstract Number: 215
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: It is widely accepted that hospitalized patients warrant risk assessment for venous thromboembolism (VTE) upon hospital admission. Although many VTE risk assessment models include a patient mobility element for calculating risk, a standardized method of determining mobility is lacking. We sought to determine if physician assessment of anticipated patient mobility upon hospital admission using […]
Abstract Number: 233
Hospital Medicine 2020, Virtual Competition
Background: Sickle cell disease (SCD) is characterized by lifelong, recurrent episodes of vaso-occlusive pain that often require inpatient hospitalization. Readiness for discharge is dictated by the patient’s pain intensity rated on the Numeric Rating Scale (0-10). Pain is an individualized multidimensional experience and a pain intensity score only measures one facet. Physical function is another […]
Abstract Number: 233
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: It is often challenging to assess pain in patients on chronic opioids either in acute care setting or in outpatient centers. Pain assessment in this group is more challenging especially if they are hospitalized with acute or acute on chronic pain. Opioid uses associated with increased pain perception and increased self-report of pain. Further, […]
Abstract Number: 252
SHM Converge 2021
Background: General medicine consultation (GMC) requires familiarity with consultative medicine and effective collaboration, as well as understanding distinctions between consultation and co-management.1-6 Although GMC is a requirement of internal medicine training, little guidance exists in developing curricula, and co-management may be neglected.2 A GMC curriculum exists within the Section of Hospital Medicine at University of Chicago, […]