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Abstract Number: 261
SHM Converge 2024
Background: The personal statement (PS) is a crucial factor in a residency program’s evaluation of applicants and has traditionally been helpful in understanding applicants’ journeys in medicine, values, and written communication skills. Now, with accessible large language models (i.e. ChatGPT) designed for language composition, there is interest in how these models may be utilized by […]
Abstract Number: 266
SHM Converge 2024
Background: Diagnostic uncertainty, defined as the subjective perception of an inability to provide an accurate explanation of the patient’s health problem, has been implicated in diagnostic error.1 Clinician notes, such as the admission notes, often include hedging terms, uncertainty phrases, and diagnostic differentials that can be used to assess uncertainty in unstructured documentation.1,2 Quantifying diagnostic […]
Abstract Number: 313
SHM Converge 2024
Background: Historically, there has been a significant disparity in the number of patient experience Press Ganey survey responses between English-speaking patients and those who speak other languages. In 2022, our organization observed a remarkably low inpatient Press Ganey survey response rate for the Spanish-speaking patient population, standing at 5.7%. Out of 2,303 surveys sent, only […]
Abstract Number: 379
SHM Converge 2023
Background: Early recognition of clinically deteriorating patients and subsequent deployment of rapid response (RR) teams can result in “rescue” and avert irreversible patient harm or death. However, early detection of clinical deterioration may be impeded by communication barriers between patients and healthcare providers. In a previous study we published, adult hospitalized primary language Spanish (PLS) […]
Abstract Number: 382
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Providing patients access to their encounter notes has been found to have many benefits in health management. This evidence has led to a rapidly expanding national movement, OpenNotes, which encourages clinicians to provide patients access to their medical notes. A major barrier to the utility of open medical notes is the dense medical terminology […]
Abstract Number: 385
SHM Converge 2024
Background: The existing literature suggests there is no significant difference in risk adjusted inpatient mortality between patients whose preferred language is English and those who preferred a non-English language.1 However, these studies typically exclude patients with missing language data from analysis. Purpose: In our health system, missing language data is specified in the electronic health […]
Abstract Number: 430
SHM Converge 2024
Background: Immunosuppression regimens are highly effective at preventing rejection but carry risk of toxicity and can be complex. Clinical decision support (CDS) tools embedded in electronic health records have presented opportunity to systematically aid providers ordering such medications appropriately. However, discrepancy between a clinically-documented plan for use and provider orders may exist. Natural language processing […]
Abstract Number: 638
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60 year old female with past medical history of chronic migraines presents with chief complaint of nausea and vomiting, with associated headache and malaise. She reports recent emergency room visit two weeks prior at an outside hospital for a “cold” with stomach pain. She was told she had a urinary tract infection […]
Abstract Number: H18
SHM Converge 2022
Background: Residents receive little feedback on their clinical reasoning (CR) documentation due to time constraints of supervisors and lack of a shared mental model. We developed an innovative workplace-based assessment tool using machine learning (ML) to provide feedback on CR documentation. Here, we describe the impact of feedback using this assessment tool. Methods: In earlier […]