Session Type
Meeting
Search Results for Evidence-Based Medicine
Abstract Number: 23
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Evidence-Based Medicine (EBM) improves physicians’ clinical decision-making through refining the skills of asking a clinical question, searching for and appraising the literature and then properly applying it to patient care. While EBM has been implemented as an essential module across medical schools worldwide, most graduates are not well versed in the fundamentals of effectively […]
Abstract Number: E2
SHM Converge 2022
Background: Evidence-based COVID-19 management has evolved with unprecedented speed; however, the rate and fidelity with which institutions have adopted new evidence into practice is unknown. Methods: We surveyed members of the Hospital Medicine Reengineering Network (HOMERuN) from 12/17/20-2/10/21 and compared their institutional COVID-19 management recommendations to available evidence from pivotal randomized controlled trials (RCTs) and […]
Abstract Number: 161
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Morbidity and Mortality (M&M) Conference is a traditional forum that provides residents with an opportunity to discuss medical errors, adverse events and near misses. Conventionally, most of the allotted time is spent on case presentation, unexpected outcomes and therapeutic debates. We demonstrate a unique approach to M&M, where we refocused the content by emphasizing […]
Abstract Number: 189
Hospital Medicine 2020, Virtual Competition
Background: Pediatric venous thromboembolism (VTE), although less common than in adults, is increasingly recognized as a significant and preventable cause of morbidity and mortality. There are no universal pediatric VTE guidelines, although the American College of Chest Physicians (ACCP) limits prophylaxis recommendations to a limited set of risk factors. Multiple centers have published institutional guidelines […]
Abstract Number: 210
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient telemetry monitoring began over 4 decades ago. However, recently hospitals have started to implement programs that aim to improve the appropriateness of telemetry use. Quality initiatives take the American Heart Association (AHA) guidelines for practice standards for EKG monitoring in hospital settings to reduce the numbers of patients on telemetry inappropriately. Our residency […]
Abstract Number: 225
SHM Converge 2021
Background: In the early stages of the COVID-19 pandemic, there was a lack of knowledge about this new disease. Keeping up to date with new, rapidly expanding literature was demanding. Evidence-Based Medicine (EBM) practices were ambiguous and critical evaluation of scientific articles was challenging. Management of patients with COVID-19 was often isolating for providers and […]
Abstract Number: 334
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Telemetry utilization for a long time has been dependent on individual physician experiences, preference as there were no good randomized controlled trails or guidelines from any scientific organization. American Heart Association has released the guidelines for appropriate use of telemetry in Oct 2004. Even more than a decade of these guidelines been available there […]
Abstract Number: 374
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Misdiagnosis of catheter associated asymptomatic bacteriuria as CAUTI leads to inappropriate use of antibiotics and related consequences, including medication side effects, antibiotic resistance, C. difficile infection, and potential financial penalties to hospitals. Purpose: To develop and implement an evidence-based pathway to improve evaluation of CAUTI in our academic health system. Description: Health system leadership […]
Abstract Number: B17
SHM Converge 2022
Background: The management of patients with COVID-19 is challenging for front-line healthcare providers given limited validated, evidence-based clinical decision support. Determining patient mortality risk is critical for effective triage, management, and discharge decision making. Numerous COVID-19 risk prediction models have been created, though the robustness of these models varies. The 4C Mortality Score, created by […]
Abstract Number: O19
SHM Converge 2022
Background: Evidence-Based and Informed Clinical Practice is identified by the ACGME as a core clinical milestone (PBLI1). The Evidence Based Medicine (EBM) curriculum in the University of Wisconsin (UW) Internal Medicine Residency Program previously focused on didactics, journal clubs, and independent study. The COVID-19 pandemic interrupted these traditional EBM teaching methods, prompting us to re-evaluate […]