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Search Results for IMU
Abstract Number: 143
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Warfarin and other anticoagulants increase the risk of hemorrhagic complications, including upper gastrointestinal hemorrhages (UGIB). Warfarin is commonly used in the management of atrial fibrillation to reduce the risk of ischemic stroke, and frequently resumed following UGIB. However, optimal timing of reinitiation remains unclear. Theory suggests that resuming warfarin immediately after UGIB would lead […]
Abstract Number: 152
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: TeamSTEPPS (Strategies and Tools to Enhance Performance and Patient Safety) has been shown to improve patient safety by improving teamwork and communication skills amongst all members of the interdisciplinary team. Methods: We developed a 4-hour TeamSTEPPS multi-disciplinary training session, conducted in our simulation center. We invited 90 core members of the medicine service to […]
Abstract Number: 166
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: While many institutions train housestaff to mitigate hospital hazards, few have exploited the crucial concept of situational awareness (i.e. mindfulness of the patient environment) to teach patient safety. One method to promote situational awareness is through the embedding of safety and low-value care hazards into simulation-based training exercises. Purpose: To assess incoming interns’ ability […]
Abstract Number: 186
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Bridging anticoagulation is commonly prescribed to patients with atrial fibrillation who are initiating therapy or require interruption of anticoagulation for procedures. Current guidelines recommend bridging for patients at high risk of stroke, but no data guide this recommendation. Among patients with atrial fibrillation and one or more risk factors for thromboembolic stroke, the recently […]
Abstract Number: 189
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Heart rate (HR) assessment is a vital component in the neonatal resuscitation (NR) algorithm. Research has consistently found auscultation to be an inaccurate means of assessing neonatal HR and may lead to incorrect resuscitation interventions. Current Neonatal Resuscitation Program (NRP) recommendations include auscultation for initial HR determination. Whether HR assessment via auscultation during NR […]
Abstract Number: 244
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Intermediate Care Unit was developed in the 1960s and 70s as a level of care between general medicine (GMU) and intensive care units (ICU) [1]. While all IMU patients could be cared for in an ICU, hospitals have too few ICU beds to accommodate patients who are not critically ill, and higher levels […]
Abstract Number: 245
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Intermediate Care Unit (IMU) was developed in the 1960s – 1970s as a level of care between general medicine (GMU) and intensive care units (ICU) [1]. The Society of Critical Care Medicine has established guidelines for admitting patients to an IMU based on severity of illness or need for frequent or complex nursing […]
Abstract Number: 261
SHM Converge 2021
Background: Feedback from last year’s Residency Essentials course identified cross-cover as a deficiency. We designed a simulation based cross-cover exercise for fourth-year medical students. The objective was to have students address common cross-cover scenarios and determine need to respond to a page in-person versus telephone. Purpose: Interns are expected to cross-cover but lack formal training. Cross-cover requires gathering pertinent […]
Abstract Number: 312
SHM Converge 2023
Background: Anti-racism education is increasing across academic institutions; however, physicians have varied levels of skill addressing racist microaggressions. Microresistance Communication Tools (MCTs) are frameworks developed to respond to microaggressions and are common devices used in microaggression trainings. Prior studies evaluating MCT trainings primarily measured change in confidence but rarely objectively assessed ability to apply these […]
Abstract Number: 326
SHM Converge 2024
Background: The hospitalist role has traditionally been within the hospital setting where a dedicated Rapid Response Team (RRT) and critical care support are available to respond to acute clinical events. While hospitalist involvement in RRT/Codes can vary by institution, the academic hospitalist is infrequently the RRT/Code team leader. As the hospitalist’s scope expands to new […]