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Search Results for MS
Abstract Number: 124
SHM Converge 2023
Background: Axial spondyloarthritis (axSpA) takes two forms – radiographic (also known as ankylosing spondylitis(AS)) and non-radiographic (nr-axSpA). The symptoms caused are similar with chronic back pain, but nr-axSpA damage cannot be seen on X-rays. Historically, nonradiographic axial spondyloarthritis (nr-axSpA) did not have any approved codes so clinicians had to use AS and other codes. Starting […]
Abstract Number: 126
SHM Converge 2023
Background: Clinically, cough is classified by the duration which has implications for diagnosis and subsequent treatment. For example, chronic coughs lasting more than eight weeks, such as those related to allergies or gastroesophageal reflux disease, will have very different implications than acute coughs that less three weeks, such as those caused by the common cold. […]
Abstract Number: 127
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The hospitalist role is gaining increasing presence for inpatient care, with the opportunity to care for a variety of higher acuity patient across a breadth of specialties in the hospital setting. Further examination into the types and amount of MS-DRG categories seen by hospitalists and their ordering volumes can provide a better picture of […]
Abstract Number: 129
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Chronic pain is a healthcare problem that significantly affects the physical and mental health of patients and impact their quality of life. It can complicate many disorders and represents a common symptom of rheumatologic diseases. Patients with Scleroderma report pulmonary and gastrointestinal symptoms as the limiting factor on their daily functioning, however pain remains […]
Abstract Number: 140
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The US healthcare system is under increasing pressure to improve value and affordability. Acute care is responsible for a large proportion of overall health costs, but the complexities and pace in this environment have left an evidence gap in value-based care transformation. Novel improvement and evaluation strategies are thus needed more than ever to […]
Abstract Number: 143
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Alarm fatigue is a serious patient safety issue and represents a 2015 National Patient Safety Goal. False alarms can mask true alarms, and may contribute to suboptimal patient care practices. Cardiac telemetry monitoring in particular has been a focus in the Choosing Wisely campaign and at our institution. Purpose: A comprehensive, multidisciplinary approach was […]
Abstract Number: 152
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: TeamSTEPPS (Strategies and Tools to Enhance Performance and Patient Safety) has been shown to improve patient safety by improving teamwork and communication skills amongst all members of the interdisciplinary team. Methods: We developed a 4-hour TeamSTEPPS multi-disciplinary training session, conducted in our simulation center. We invited 90 core members of the medicine service to […]
Abstract Number: 153
SHM Converge 2023
Background: ST-segment elevation myocardial infarction (STEMI) is a cardiac emergency that requires timely reperfusion preferably with cardiac catheterization. The coronavirus disease-2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV2), has adversely impacted the delivery of healthcare to patients with STEMI. Several process changes were observed across the world during this period, including alternative cardiac […]
Abstract Number: 154
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Quality and patient safety initiatives are often role-specific with minimal emphasis on cross-discipline collaboration and communication. Prior to project implementation, each discipline’s patient care plans were made in silos without an aligned emphasis on quality and safety initiatives. With implementation of a daily interdisciplinary safety brief based on a shared mental model, our aim […]
Abstract Number: 162
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Diagnostic error in medicine is increasingly recognized as “the next frontier for patient safety”. Current research has explored the etiologies of diagnostic errors in two unique dimensions: as systems-based or cognitive-based causes. One study, however, suggests that roughly half of all errors stem from both domains. Using a focused ethnographic approach, we sought to […]