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Abstract Number: F11
SHM Converge 2022
Background: Over two-thirds of workplace assaults in the United States occur in healthcare and social services settings. Patients/visitors are the most common source of workplace violence (WPV), called type II WPV. Nurses, clinicians working in the emergency room, behavioral and psychiatry wards are at high risk for type II WPV. National and international organizations recommend […]
Abstract Number: G23
SHM Converge 2022
Background: Communication related to medications is an important metric on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to measure patient experience after discharge from the hospital. There are many factors which can lead to poor communication about medications (Figure 1). Over 20% of readmissions can be related to medications, and of […]
Abstract Number: I11
SHM Converge 2022
Background: Opioid analgesia is an important treatment modality for patients with chronic pain, including pain attributed to cancer- and noncancer-related illness. Unfortunately, an estimated 40%–80% of opioid users experience opioid-induced constipation (OIC). Methylnaltrexone (MNTX) is indicated for the treatment of OIC. In clinical trials, the most common adverse events (AEs) were gastrointestinal (GI) in nature. […]
Abstract Number: N20
SHM Converge 2022
Background: There has been a national push over the last few decades to integrate patient safety within clinical care delivery. Despite an increased focus by educators and accrediting bodies, successful involvement of learners in high fidelity event review resulting in systems-level improvement lags behind expectations. Specific areas for improvement include faculty skillset development, involving interprofessional […]
Abstract Number: P25
SHM Converge 2022
Case Presentation: A 78-year-old male presented to the emergency department with past medical history of hypertension, hyperlipidemia, benign prostatic hyperplasia, and asthma presented to the emergency department with progressively worsening shortness of breath and substernal chest pain 2 days after undergoing Electrophysiology Studies (EPS), Radiofrequency Ablation (RFA) with pulmonary vein isolation (PVI), and Cavo-tricuspid isthmus […]
Abstract Number: 1083
Hospital Medicine 2020, Virtual Competition
Case Presentation: Dejerine-Roussy syndrome is a rare condition usually caused by ischemic or hemorrhagic strokes involving the thalamus. Patients develop dysesthesia or allodynia, weeks to months after the initial stroke. We present a case of central thalamic pain in a patient who presented with a middle cerebral artery (MCA) infarct with thalamic involvement. A 77 […]
Abstract Number: 1105
Hospital Medicine 2020, Virtual Competition
Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his […]
Abstract Number: 1117
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 84 year-old female with metastatic bladder cancer was admitted for a one month history of progressively worsening fatigue, bilateral ptosis, dysphagia, dyspnea, and lower extremity weakness. She was previously diagnosed with localized urothelial carcinoma in 2005 with recurrence in 2017 with pelvic metastases seen on surveillance imaging. She underwent chemotherapy, cystectomy, and […]