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Abstract Number: 428
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: End of shift sign out is a major part of inpatient care and occurs multiple times for each patient on a Hospital Medicine service. Sign out guidelines recommend specific elements of the written sign out process to ensure patient safety. Use of these standardized written sign outs has been shown to improve care when […]
Abstract Number: 429
Hospital Medicine 2020, Virtual Competition
Background: Measures to reduce hospital readmissions help to improve the quality of care patients receive, as well as reduce healthcare costs. The Institute for Healthcare Improvement’s Triple Aim of improving the quality of care through standardization, decreasing the cost of care by reducing hospital utilization, and patient-centeredness around transitions of care, resonate strongly with readmission […]
Abstract Number: 429
SHM Converge 2024
Background: Around one in five Americans live in rural areas, but only 5 percent of physicians practice in these same areas. As such, hospital located in rural area such as Roosevelt Rehabilitation and Specialty Hospitals (RRHS) struggle with physician staffing. Tele-hospital medicine has expanded rapidly since the Coronavirus Preparedness and Response Supplemental Appropriations Act in […]
Abstract Number: 431
SHM Converge 2024
Background: The inpatient acute care environment has faced increasing capacity constraints since the COVID-19 pandemic. Factors like deferred care, nursing shortages, and a sicker population contribute to these constraints. Many systems have sought to improve patient flow to alleviate these issues. Efficient patient movement through care steps enhances patient satisfaction, reduces stay length, and minimizes […]
Abstract Number: 433
Hospital Medicine 2020, Virtual Competition
Background: Over the last 2 decades there has been increasing adoption of Observation (OBS) units across the healthcare facilities in United States. Health reforms like 2 midnight rule and 30 day readmission penalties, congestion in the ED, poor operational outcomes in OBS population mixed with inpatients (IP) etc. further added to the need for dedicated […]
Abstract Number: 436
SHM Converge 2024
Background: Our healthcare institution serves a large low-income, minority, and historically underserved population. The shortage of primary care physicians (PCPs) in our city and the high complexity of patients that are cared for by our organization is a challenge. Patients are in need of transitional care our institution and need help to connect to other […]
Abstract Number: 437
SHM Converge 2024
Background: Inter-hospital transfer (IHT), defined as the transfer of patients between acute care facilities, is a common practice. Despite assumptions that IHT is done to provide patients with necessary specialized care, the factors which drive patient transfer are highly variable in ways that are not fully explained by differences in patients or hospitals. As such, […]
Abstract Number: 438
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delivering HVC is a core component of hospitalist practice, and equipping residents with skills and experience to lead HVC initiatives is a priority for training institutions and for society. We describe the design, founding and implementation of the nation’s first Housestaff Council on Value and Innovation (HCVI) as a platform for engaging trainees in […]
Abstract Number: 439
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hemoglobin and hematocrit, routinely measured in hospitalized patients, are likely affected by shifts in plasma volume related to posture. This could have important ramifications on hemoglobin trends overnight, resulting in over diagnosis of anemia and potentially unnecessary anemia work-up and treatment. We hypothesized that hemoglobin measured in early morning (supine) samples, after plasma shifts […]
Abstract Number: 439
SHM Converge 2024
Background: In 2006, the Institute of Medicine issued a report on the state of emergency care, which identified overcrowding and patient boarding as major concerns. Subsequent research has confirmed that boarding in the emergency department (ED) leads to adverse events including medication errors, higher mortality, and lower patient satisfaction. In answer to this, hospitalist groups […]