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Search Results for Hospital Medicine
Abstract Number: 365
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Altered Mental Status in a Psychiatric Patient: A Case of Anti-NMDA Encephalitis Case Presentation: 29-year-old female with a history of Bipolar I Disorder, in remission off medication, presented to the Psychiatric Emergency Department with hyperactivity, insomnia, impulsive purchasing and audiovisual hallucinations for two weeks. The patient was admitted to psychiatry for treatment of mania with […]
Abstract Number: 366
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly imaging studies that are unlikely to change management. The purpose of the study is to determine when obtaining CT imaging […]
Abstract Number: 369
SHM Converge 2023
Background: Admitted patients with Type II Diabetes Mellitus (T2DM) are often placed on sliding scale insulin with four fingerstick blood glucose (FSBG) tests per day, regardless of home insulin use or baseline glycemic control. FSBG testing in the inpatient setting allows for real-time insulin adjustment to protect patients from significant hypo- or hyperglycemia, but FSBG […]
Abstract Number: 377
Hospital Medicine 2020, Virtual Competition
Background: As the field of HM continues to evolve, many hospital medicine groups (HMGs) are expanding their scope of practice outside of the care of the hospitalized patient. Our HMG, a 120-physician team working at 2 tertiary care hospitals in the New York Metropolitan area, is no exception. Over the past 3 years, our HMG […]
Abstract Number: 390
SHM Converge 2024
Background: Though the ACGME dictates that Internal medicine residents should be exposed to the domains of quality improvement (QI) and medical education (Med Ed), most residency programs provide limited opportunities to develop these skills. Furthermore, most existing hospital medicine electives which attempt to cover these topics are 4 weeks in length. Purpose: We sought to […]
Abstract Number: 408
Hospital Medicine 2020, Virtual Competition
Background: Shared decision making is a key component of patient-centered care, allowing physicians and patients to balance the capabilities of the medical system with the values of the patient. However, the concept of shared decision making is not unique to a physician-patient relationship. Institutions from Athens, Greece to Silicon Valley have recognized the benefits of […]
Abstract Number: 420
SHM Converge 2023
Background: Electronic medical records (EMR) often allow automated recurring orders of different components of hospital care, including lab tests, vital signs, and telemetry monitoring. However, as patients clinically stabilize during a hospital admission the frequency and intensity of these recurring orders may be unwarranted (1). Well-designed EMR order sets have shown potential to decrease inappropriate […]
Abstract Number: 433
Hospital Medicine 2020, Virtual Competition
Background: Over the last 2 decades there has been increasing adoption of Observation (OBS) units across the healthcare facilities in United States. Health reforms like 2 midnight rule and 30 day readmission penalties, congestion in the ED, poor operational outcomes in OBS population mixed with inpatients (IP) etc. further added to the need for dedicated […]
Abstract Number: 443
SHM Converge 2024
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a post-discharge survey which captures patient experience during and after hospitalization (1). Previous studies have demonstrated that high quality discharge communication is vital for patient safety, with poor communication leading to decreased medication adherence, unplanned readmissions, and poorer health outcomes—important implications for both […]
Abstract Number: 449
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The use of maintenance fluids (MF, continuous intravenous fluid (IVF)) to prevent dehydration is common, yet highly variable in practice. Unnecessary MF can cause patient harm including fluid overload, sleep disruption (associated alarms), and increase falls risks. In 2017, Hurricane Maria destroyed Puerto Rican facilities that were critical in producing IVF, exacerbating an existing […]