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Search Results for IPA
Abstract Number: 237
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Outside Medical Records are essential for accurate continuity of care when patients are transferred from one healthcare system to another. Despite their importance, obtaining records in a timely manner is a notoriously difficult process. At Stanford Hospital, the medicine teams were burdened with 5 pages of paperwork per record request for a single patient. […]
Abstract Number: 242
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Communication has been cited as the most common root cause in sentinel events, with failed patient care handoffs contributing to an estimated 80% of serious preventable adverse events. Handoffs to sub-acute care such as nursing homes are at particularly high risk for communication breakdown given high patient complexity and comorbidity. Our healthcare system includes […]
Abstract Number: 260
SHM Converge 2023
Background: One of the tools providers use in the discharge process to promote a safe transition of care is the written discharge instructions. Optimization of these instructions has been identified by physicians as a potential strategy to prevent readmissions. Our survey aimed to assess knowledge, attitudes, and self-reported practices of providers related to anticipatory guidance […]
Abstract Number: 280
SHM Converge 2023
Background: Racial minorities are underrepresented in cancer-related clinical trials. One commonly recognized contributor to this is medical mistrust. Methods: This study used data from the 2020 National Cancer Institute’s Health Information National Trends Survey (HINTS), a cross-sectional, nationally representative sample of 3865 participants. We sought to determine the prevalence of medical mistrust and its impact […]
Abstract Number: 362
SHM Converge 2021
Case Presentation: A 24-year-old man with a past medical history of mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS), malnutrition status-post percutaneous endoscopic gastrostomy (PEG) tube placement, and superior mesenteric artery (SMA) syndrome presented to the hospital with generalized tonic-clonic seizures and severe lactic acidosis. His seizures were treated with levetiracetam, and his lactic […]
Abstract Number: 402
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 21 month old male presents to the hospital for constipation that failed outpatient therapy. Parents describe one hard difficult to pass bowel movement (BM) every other day, without pencil thin stools, blood or mucus. Constipation began at 3 months of age when they introduced formula. He passed meconium within the 24 hours of […]
Abstract Number: 434
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Subcutaneous (SC) methylnaltrexone (MNTX) is approved for opioid-induced constipation (OIC) in adults with chronic noncancer pain and OIC in adults with advanced illness or with active cancer who require opioid dosage escalation for palliative care. This post hoc analysis evaluated data pooled from 3 randomized studies of patients with advanced illness and OIC. Methods: […]
Abstract Number: 472
SHM Converge 2021
Case Presentation: A 70-year-old male with a history of type 2 diabetes mellitus complicated by neurogenic bladder with indwelling catheter and severe peripheral vascular disease status post bilateral below knee amputations (BKAs) presented with watery diarrhea and nausea for 1 day. Both amputations were in the preceding four months. He required multiple rounds of antibiotics […]
Abstract Number: 477
SHM Converge 2021
Case Presentation: A 78-year-old man with heart failure, chronic kidney disease, and hereditary spastic paralysis was hospitalized with hyperkalemia to 7.7 mmol/L. He was admitted a month prior with heart failure and discharged on lisinopril with a new prescription for spironolactone. The patient had decreased appetite, limited oral intake, mild nausea, and no vomiting with […]
Abstract Number: 553
SHM Converge 2021
Case Presentation: We present a 55-year-old male with a history of chronic constipation refractory to extensive bowel regimens, disimpactions and colonoscopies. Patient presented to the Emergency Department with 5 months of constipation and a history of long periods of constipation since birth, sometimes lasting a year. On exam, patient’s abdomen was distended with decreased bowel […]