Session Type
Meeting
Search Results for Internal Medicine
Abstract Number: 264
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalized medical patients transitioning to new house staff at the end of an inpatient resident rotation are associated with an increased risk of mortality as compared with patients not exposed to such handoffs, yet no data exist on improvement strategies targeting this transition. Given the frequency with which residents rotate service, a transition in […]
Abstract Number: 270
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Communication breakdown plays a part in the majority of adverse events in healthcare. Physician to physician handoffs are particularly prone to communication errors, yet have been shown to be more complete when systematized according to a standardized bundle. However, the degree to which individual elements of this bundle, including written versus verbal handoffs, contribute […]
Abstract Number: 270
Hospital Medicine 2020, Virtual Competition
Background: Testing of ascitic fluid is recommended in all patients admitted to the hospital and delay in paracentesis has been shown to increase in-hospital mortality. Academic hospitalists in collaboration with internal medicine residency programs are establishing medicine procedure services to address concerns about resident training in procedures and patient safety. Our aim in this study […]
Abstract Number: 325
SHM Converge 2023
Background: The Accreditation Council for Graduate Medical Education (ACGME) requires residency programs to collect work hour data from trainees, with strict policies that no trainee should exceed an 80-hour work week (on average). Evaluating efforts to reduce work hours frequently relies on self-reported hours from trainees, which is subject to recall bias, inconsistency, and variable […]
Abstract Number: 343
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opioids are widely prescribed for cancer and non-cancer related pain in hospitalized patients. The opioid usage increased roughly three times in the past two decades. Pain is a feeling of distress evoked by sensory stimuli with/without organ damage and an associated emotional experience. Considering the subjective nature of pain, the need for medication is […]
Abstract Number: 348
SHM Converge 2021
Case Presentation: A 73-year-old woman with a past medical history of hypertension and osteoarthritis presented to the emergency department with progressive right lower back pain after a mechanical fall, subacute oropharyngeal dysphagia, and diffuse proximal and distal muscle weakness. On presentation, she was afebrile with unremarkable vital signs. Her labs were significant for a WBC […]
Abstract Number: 391
SHM Converge 2024
Background: The traditional Morbidity and Mortality Conference (MMC) is known for its punitive aspects. Some programs have met the ACGME Internal Medicine (IM) requirement for MMC or Quality Improvement (QI) conferences by focusing on general principles of patient safety. We describe the impact of a QI-based MMC on resident perceptions of psychological safety and the […]
Abstract Number: 443
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 65 year old male with a history of diabetes mellitus type II complicated by neuropathy presented with profound facial and oropharyngeal edema after ingesting his usual medications. He was hemodynamically stable and without urticaria on exam. The patient could not speak and his airway was deemed compromised, so he underwent urgent nasopharyngeal […]
Abstract Number: 608
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 57-year-old lady with rapidly progressive stage IV pulmonary adenocarcinoma who presented two months after diagnosis with findings of significant hyponatremia. Upon admission, she was afebrile, hypotensive and tachycardic. Sodium was 119 mEq/L, potassium 2.4 mEq/L, chloride 67 mEq/L, serum osmolality 246 mosm/kg, urine osmolality 684 mosm/kg and […]
Abstract Number: 695
SHM Converge 2023
Case Presentation: A 58-year-old male with a history of chronic anemia and schizophrenia presented to the emergency department (ED) from home for seven days of worsening COVID-19 respiratory disease. He was admitted for hypovolemic shock and non-ST-segment elevation myocardial infarction (NSTEMI). His home dose of haloperidol 5 mg daily and 20 mg nightly was continued. […]