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Search Results for MAC
Abstract Number: 227
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Adverse drug events (ADEs) result in more than 770,000 injuries and deaths each year and cost up to $5.6 million per hospital, depending on size. The hospital admission is often where the patient is most vulnerable to ADEs. Medication reconciliation on admission is a formal process by which efforts are made to ascertain a […]
Abstract Number: 231
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sepsis is a leading cause of death among hospitalized patients. Early detection of sepsis has the potential to reduce mortality by facilitating timely evidence-based interventions. Past studies have used electronic health records (EHR) to trigger alerts at the onset of sepsis, or to predict general clinical deterioration. In this study we describe the impact […]
Abstract Number: 239
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Discharge checklists may reduce medical errors. Traditional paper checklists do not fit into the current workflow in centers that utilize electronic medical records (EMRs). In an era where team-based care is becoming widespread, defining each person’s role in discharge practices is increasingly important. Methods: Our aim was to develop and implement a standardized discharge […]
Abstract Number: 246
Hospital Medicine 2020, Virtual Competition
Background: Acutely-ill and multimorbid patients are frequently exposed to unintended medication errors after admission and their impacts on patient safety are profound. Designated ward-pharmacists as team members of our Hospital Medicine Center reconcile medications of hospitalized patients by identifying discrepancies in patients’ current medications and the medication used in acute care in emergency departments or […]
Abstract Number: 246
SHM Converge 2021
Background: Advance care planning (ACP) helps patients plan end of life care in accordance with their goals and values, but is often performed too late and infrequently. Hospitalists play an important role in delivering ACP for patients admitted for serious illnesses, but often cite competing inpatient priorities, lack of time and training, and uncertainty about […]
Abstract Number: 261
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Growing antimicrobial resistance, C. difficile infection and cost have triggered a greater reliance on antimicrobial stewardship. Most stewardship models rely upon a central team, often led by ID specialists, to oversee prescribing in an institution. However, there are limitations to this paradigm. Purpose: We believe opportunities exist for hospitalists to drive stewardship by integrating […]
Abstract Number: 261
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: U.S. healthcare costs are rising due to the increase in polypharmacy, which is a potential risk factor for hospital readmission.1 In a cohort study of 5,507 patients with ≥10 discharge medications, more than 25% of them were readmitted.1 At one of the largest public county hospitals in the U.S., readmission rates for patients with high-volume home […]
Abstract Number: 267
SHM Converge 2024
Background: There is growing interest in the use of artificial intelligence (AI) predictive models in hospital medicine. However, real-world implementation and evaluation of AI models lags the development of such models, with many such models being developed but never used in live practice. (1) Therefore, relatively less is known about the performance of these models […]
Abstract Number: 270
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharging patients in an efficient manner improves patient satisfaction and hospital throughput. In this project, we sought to improve patient throughput as well as benefit resident education. Prior to our project, 75% of patient discharges were delayed more than two hours after the patient was determined to be medically ready for discharge; 21% were […]
Abstract Number: 280
SHM Converge 2024
Background: Inadequate assessment and recognition of barriers to discharge at time of admission leads to delays in the discharge process and prolongation of hospital admissions. These delays are associated with multiple negative outcomes such as increased length of stay, decreased patient satisfaction, strain on hospital bed capacity, and higher readmission rates. Prior studies have shown […]