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Search Results for Diagnostic
Abstract Number: 56
Hospital Medicine 2020, Virtual Competition
Background: Despite a commitment to high-quality medical education, diagnostic errors continue to be pervasive. Clinical presentations with nonspecific symptoms and diagnoses with wide differentials are prone to diagnostic errors; dizziness may be the epitome of this conundrum. Dizziness is a common symptom, costly to assess, and frequently misdiagnosed. Diagnostic decisions have high stakes, given the […]
Abstract Number: 66
SHM Converge 2024
Background: Diagnostic consultations between the General Internal Medicine (GIM) departments and specialty departments are becoming increasingly important to achieve team-based diagnosis and diagnostic excellence, but there have been limited studies on the appropriateness of the GIM diagnostic consultations with specialty departments. We conducted this study to clarify the appropriateness of diagnostic consultations from the GIM […]
Abstract Number: 76
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Development of diagnostic reasoning is a critical component of medical education, and feedback related to clinical outcomes is an important means of calibrating one’s diagnostic decision-making. The hospital is a key training ground for the development of skills in diagnostic reasoning. However, given the multiple provider handoffs that now occur during the care of […]
Abstract Number: 79
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Although diagnostic errors are common in hospitals, little is known about the resulting economic burden. Whether the increasing attention to patient safety has led to a decrease in diagnostic error-related claims and cost over time is also unknown. Using a publicly available dataset, we examined incidence costs and outcomes associated with diagnostic errors in […]
Abstract Number: 93
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: While understanding the cognitive contributions to diagnosis has become important, few studies have aimed to understand physician diagnostic reasoning in real-time. Using a case-based approach, we sought to: (a) characterize differences in diagnostic reasoning among hospitalists; and (b) identify factors associated with diagnostic accuracy. Methods: A total of 10 hospital medicine attending physicians from […]
Abstract Number: A2
SHM Converge 2022
Background: Diagnostic errors (DE) often occur in the hospital and can lead to preventable harm. As part of our AHRQ-funded Patient Safety Learning Laboratory, we previously estimated the prevalence of DE to be 22.7% in a stratified cohort of patients hospitalized on the general medicine service. Using a structured electronic health record (EHR) chart review […]
Abstract Number: J9
SHM Converge 2022
Background: Multiple factors can lead to overuse of diagnostic imaging for venous thromboembolism (VTE). These include fear of missing a potentially fatal diagnosis, low predictive accuracy of clinical gestalt, prediction rules, and risk assessment models for VTE, and increased access to imaging. Diagnostic imaging for deep venous thrombosis (DVT) with doppler ultrasonography, or for pulmonary […]
Abstract Number: M2
SHM Converge 2022
Case Presentation: A 44-year-old man with multiple myeloma and cardiac amyloidosis on chemotherapy, and atrial fibrillation on apixaban, presented with three days of worsening shortness of breath and edema. He was admitted to the emergency room observation unit for treatment of a mild heart failure exacerbation. He was noted on admission to have rapidly developed […]
Abstract Number: P4
SHM Converge 2022
Background: Hospitalists routinely precept third year medical students on general internal medicine wards. One of the key patient care tasks for students is to present and interpret common laboratory test abnormalities. Formal training in interpreting routine diagnostic tests is lacking for students transitioning from preclinical to clinical years. We designed and implemented a module on […]
Abstract Number: 113
SHM Converge 2024
Background: The integration of Point of Care Ultrasound (POCUS) in hospital medicine, particularly for inferior vena cava (IVC) assessment, promises significant advancements in patient care. This study investigates the efficacy of POCUS with IVC evaluation in guiding fluid management decisions upon admission, a crucial aspect of hospitalist care. Methods: Conducted from January 1, 2021, to […]