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Abstract Number: 127
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Revefenacin (REV), a once-daily, long-acting muscarinic antagonist for nebulized inhalation, was recently approved for maintenance treatment of chronic obstructive pulmonary disease (COPD). We present post hoc efficacy and safety data from three phase 3 trials in patients with moderate to very severe COPD by patient subgroup (<65 y, 65–75 y, >75 y). Methods: This […]
Abstract Number: 138
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital-acquired delirium is a common cause of increased morbidity and mortality. In an earlier pilot study, we identified through surveys that adult medicine inpatients slept an average of 4 hours. Also, multiple factors including environmental noise, vital sign checks, and lab draws were recognized as barriers to sleep. Based on this information and prior […]
Abstract Number: 139
Hospital Medicine 2020, Virtual Competition
Background: Mitochondrial disease (MD) refers to a group of clinically heterogeneous disorders that result from dysfunctional oxidative phosphorylation and subsequent cellular incapability to meet energy demands. Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS), myoclonus, epilepsy, ataxia with ragged red fibers (MERRFs), chronic progressive ophthalmoplegia, Kearns–Sayre syndrome, and sensory ataxia neuropathy dysarthria ophthalmoplegia are among […]
Abstract Number: 148
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The role of aspirin in primary prevention of cardiovascular events remains controversial, Especially in diabetic patients. We have conducted a meta-analysis of all randomized controlled trials (RCTs) to evaluate the efficacy and safety of aspirin for primary prevention in diabetic patients. Methods: Literature search of Pubmed, MEDLINE, Cochrane Library and Clinicaltrials.gov for related RCTs […]
Abstract Number: 152
SHM Converge 2023
Background: Diabetes mellitus (DM) is a chronic disease where treatment is directed toward reducing and delaying its potentially severe short- and long-term complications. The estimated population (20-79 years old) with diabetes is 32.22 million in the United States, and 12.5% of people live with undiagnosed diabetes (Figure 1). Diabetes Mellitus is currently the most prevalent […]
Abstract Number: 153
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The total cost for treatment of pressure ulcers in the United States is estimated at more than $11 billion annually. The Braden Scale is a risk stratification tool that assesses a patient’s risk of developing a pressure ulcer. It allows clinicians to develop risk-appropriate preventative interventions. Though used widely in the acute care setting, […]
Abstract Number: 163
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In the inpatient setting, opioids are the most commonly prescribed medication and the 2nd most frequent cause of adverse drug events (ADE). Identifying patients at high risk for ADEs related to narcotics is essential. These ADEs include ileus, altered mental status, and respiratory depression. Obstructive sleep apnea, organ impairment, and other medication use (i.e. […]
Abstract Number: 163
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Incident reporting systems are widely utilized to detect adverse events and remain central to many hospital patient safety programs. It is well established that non-physicians file the majority of incident reports, but the barriers to physician reporting are not well understood. Therefore the aims of this study are to understand physicians’ perceived barriers to […]
Abstract Number: 169
SHM Converge 2024
Background: Elderly patients have a higher risk of developing aspiration pneumonia and have a higher risk of death if hospitalized for aspiration pneumonia. This study was conducted to confirm the effectiveness of an aspiration prevention program using the Gugging Swallowing Screen (GUSS) for elderly patients hospitalized with acute medical illness. Methods: Starting in April 2021, […]
Abstract Number: 171
SHM Converge 2023
Background: Diagnostic errors (DEs) are common and can lead to preventable harm in hospitalized patients.[1] To address this problem as part of our AHRQ-funded Patient Safety Learning Laboratory, we characterized diagnostic process failures that contribute to DEs.[2,3] Next, we refined three interventions (Figure 1) that addressed common process failures and were embedded into our electronic […]