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Meeting
Search Results for Culture
Abstract Number: 369
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Efforts to improve value within hospitals must engage frontline clinicians to enhance organizational culture. Culture surveys have been used to drive improvements, but currently no such tool exists for measuring high-value care culture. We aimed to develop a High-Value Care Culture Survey (HVCCS) that can be used by hospitalist leaders and residency programs to […]
Abstract Number: 386
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The United States is responsible for 43% of lab expenditures worldwide, and up to 30% of lab tests may be unnecessary. Purpose: This project aims to determine if a human “best practice alert (BPA)” could decrease the number of unnecessary labs ordered by residents at a major academic medical center. Description: Three internal medicine […]
Abstract Number: 406
SHM Converge 2024
Background: Urine culture testing should primarily be reserved for patients with clinical symptoms or other limited indications. Unfortunately, many admitted patients undergo unnecessary urine culture testing, leading to overdiagnosis and overtreatment of asymptomatic bacteriuria (ASB). Unnecessary antibiotic treatment for ASB does not improve outcomes and exposes patients to side effects. The negative implications may include […]
Abstract Number: 444
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 52-year-old homeless man with a history of a remote stroke with residual left sided hemiparesis and dysarthria, and poorly controlled diabetes presented with fever, diarrhea, left sided body pain and altered mental status for two days.The initial vital: tachycardia and temperature of 101.2 F. On exam, he had poor dentition, dysarthria, left-sided […]
Abstract Number: 478
SHM Converge 2021
Case Presentation: This is a case of a 37-year-old female with a 9 month history of moderate ulcerative pancolitis (UC) who was admitted with worsening abdominal pain, a 30 lb weight loss, nausea, vomiting, and bloody diarrhea. She had been treated with mesalamine, vedolizumab, and infliximab with no improvement and refused corticosteroid therapy due to […]
Abstract Number: 658
SHM Converge 2024
Case Presentation: A 45 y.o. man presented with fever, night sweats, and hemoptysis for one week. He had immigrated to the United States from Mexico 4 years prior. Initial laboratory evaluation was notable for c-reactive protein 134.3mg/dL (normal: < 8mg/dL) and D-dimer 1646ng/mL (normal: < 500ng/mL). Chest CT showed multiple focal regions of consolidation with […]
Abstract Number: 719
Hospital Medicine 2020, Virtual Competition
Case Presentation: Coccidioidomycosis is a highly variable disease endemic to the southwest with 60% of infected individuals remaining asymptomatic or suffering mild respiratory illness. Less than 1% of cases result in life-threatening dissemination with immunocompromised hosts being most at risk. We present a rare case of multifocal disseminated coccidioidomycosis (DC) in an immunocompetent young male […]
Abstract Number: 729
SHM Converge 2023
Case Presentation: We present a case of a 44-year-old male with a history of FN liver abscess, diagnosed two years ago (treated with four weeks of ertapenem to complete resolution), who was brought to the emergency department with confusion, expressive aphasia, fever, and ataxia for three weeks. The patient was vitally stable. Lab workup showed […]
Abstract Number: G14
SHM Converge 2022
Background: The ABIM Foundation’s Choosing Wisely Campaign and The Infectious Diseases Society of America recommend against screening and treating for suspected urinary tract infections (UTI) unless patients are symptomatic or meet specific clinical parameters (1). Inappropriate testing for UTIs with urinalysis and urine cultures is prevalent in healthcare and may lead to waste in resources, […]
Abstract Number: P21
SHM Converge 2022
Background: Our multicenter academic health system has developed an outreach organization focused on helping international healthcare systems develop patient safety culture and improve hospital quality to meet international quality and safety standards. We established a relationship with a 500-bed comprehensive community hospital in Southern China to activate improvement efforts in clinical care and administrative work. […]