Session Type
Meeting
Search Results for Diagnosis
Abstract Number: 126
SHM Converge 2023
Background: Clinically, cough is classified by the duration which has implications for diagnosis and subsequent treatment. For example, chronic coughs lasting more than eight weeks, such as those related to allergies or gastroesophageal reflux disease, will have very different implications than acute coughs that less three weeks, such as those caused by the common cold. […]
Abstract Number: 138
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Treating alcohol withdrawal in the inpatient medical setting requires timely identification of the severity of alcohol withdrawal so appropriate treatment can be administered. Delayed or missed diagnosis can lead to increased morbidity and mortality, increased cost and length of stay, and ICU admissions. CIWA-Ar is the most commonly used scale, but it is lengthy […]
Abstract Number: 157
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delays in antibiotic administration in sepsis – particularly after the development of hypotension – are associated with increased mortality. Current guidelines recommend antibiotic initiation within one hour of sepsis recognition. However, it is not known how timing of hypotension relates to the timing of meeting sepsis diagnostic criteria and the initiation of treatment. We […]
Abstract Number: 162
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Diagnostic error in medicine is increasingly recognized as “the next frontier for patient safety”. Current research has explored the etiologies of diagnostic errors in two unique dimensions: as systems-based or cognitive-based causes. One study, however, suggests that roughly half of all errors stem from both domains. Using a focused ethnographic approach, we sought to […]
Abstract Number: 168
SHM Converge 2021
Background: D-dimer is one of the most commonly used tests because of its high sensitivity, but a high false positive rate prevents healthcare providers from efficiently diagnosing pulmonary embolism (PE). This leads to many patients unnecessarily undergoing CT pulmonary angiography (CTPA) scans in the emergency department (ED). This study sought to determine if there is […]
Abstract Number: 202
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The observation unit is frequently a destination for patients with yet undifferentiated conditions. The goal of the observation stay is to complete a crucial diagnostic test or treatment trial that should help specify the diagnosis, but that is not always the case. Understanding the frequency of diagnoses that remain unspecified after an observation visit […]
Abstract Number: 215
SHM Converge 2021
Background: A growing number of hospitalists are incorporating point-of-care ultrasound (POCUS) into their daily practice to answer specific diagnostic questions or guide performance of invasive bedside procedures. This study at a 464 bed community hospital investigated hospital medicine department physicians’ choices regarding POCUS as a branch point in clinical decision making. Methods: During shifts covering […]
Abstract Number: 292
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider and patient. Previous studies have shown the value of shared decision-making between patients and providers requiring a mutual understanding of […]
Abstract Number: 293
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence is conflicting. CXR currently receives a Class I recommendation by the AHA in the evaluation of decompensated heart failure. Given […]
Abstract Number: 294
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies including pulmonary edema. The number of sonographic B-lines on LUS has been used as a test to detect pulmonary congestion in patients with chronic heart failure. However, its ability to detect elevated left-sided filling pressures relative to accepted noninvasive measure […]