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Search Results for MAC
Abstract Number: 286
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Electronic prescribing (eRx) at discharge enhances safety and quality of care transitions. It results in improved medication adherence and a decreased chance of readmission. Stage 3 Meaningful Use goals include discharge eRx rates of greater than 25%. As of September 2017, our large academic medical center had a year-to-date discharge eRx rate of 18.3%, […]
Abstract Number: 286
Hospital Medicine 2020, Virtual Competition
Background: Observation status was designed to reduce health care costs for patients in need of short hospital stays. CMS suggests that observation care should typically require less than 24 hours, and only rarely last more than 48 hours. However, studies suggest that length of stay for observation patients is often longer than CMS guidance.[1,2] An […]
Abstract Number: 287
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medication errors harm 1.5 million patients yearly, designating medication reconciliation a National Patient Safety Goal. The average hospitalized patient is subject to at least 1 medication error per day (IOM,2007), with 70% of patients experiencing a medication discrepancy at either admission or discharge(Leapfrog,2018). Medication Reconciliation, creating the most accurate list of medications patients take […]
Abstract Number: 291
SHM Converge 2024
Background: Medication errors during hospital discharge can lead to adverse outcomes, medication-related readmissions, and increased healthcare costs [1,2]. Pharmacist-led medication reconciliation at discharge (PMRD) has emerged as a potential solution to mitigate poor outcomes and optimize medication safety [3-7]. The main objectives of this study were to determine the number of errors identified at discharge […]
Abstract Number: 306
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), affects one to two per one thousand persons annually in the US. Treatment of VTE consists of anticoagulation therapy, and evidence supports treating patients with low-risk VTEs as outpatients. Novel oral agents such as rivaroxaban, an oral factor Xa inhibitor, require less […]
Abstract Number: 309
Hospital Medicine 2020, Virtual Competition
Background: Obtaining the Best Possible Medication History (BPMH) is the protocolized gold standard in obtaining medication histories and well known to decrease the total number of medication errors during transitions in care. Trained technicians require an average of 15-30 minutes to collect a BPMH [2]. Our facility conducted a categorical analysis and within subject study […]
Abstract Number: 336
Hospital Medicine 2020, Virtual Competition
Background: Older adults commonly lose mobility during hospitalization. This loss of mobility may be preventable if it is identified and addressed early in a patient’s hospital course. However, currently there is no systematic method to identify these patients early, and current practices are guided by physician experience and intuition. To this end, we used machine […]
Abstract Number: 340
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 90-year-old man with a history of left upper lobe pulmonary nodule on prior imaging presented with dark tarry stools, fatigue and syncope. He had not had an EGD or colonoscopy done in about 10 yrs. Five months prior to this presentation, a 2.4 cm left upper lobe pulmonary nodule suspicious for neoplasm […]
Abstract Number: 346
Hospital Medicine 2020, Virtual Competition
Background: Timely and efficient communication between pharmacists and physician providers in the hospital setting is integral to patient care. Inpatient care involves discussions regarding medication dosing, timing, contraindications, side-effect surveillance, and medication reconciliation during admission and discharge, often requiring pharmacy consultation. The current system of communication in our institution relies on electronic pages to be […]
Abstract Number: 367
SHM Converge 2021
Case Presentation: A 49-year-old male presented with shortness of breath, fatigue and four weeks of dark stools. He had previously been diagnosed with IgG lambda multiple myeloma (MM) with renal insufficiency and hypertension. He had MM disease progression despite completing chemotherapy and had declined further treatment. Physical exam revealed an ill-appearing, pale mane with a […]