Session Type
Meeting
Search Results for MS
Abstract Number: 192
Hospital Medicine 2020, Virtual Competition
Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves ever-increasingly complex treatment plans, including fluid resuscitation and a variety of medications. Severe Migraine headache may require more aggressive therapy such as dihydroergotamine (DHE) and sphenopalatine ganglion (SPG) block that may prolong hospital stay and increase […]
Abstract Number: 200
SHM Converge 2024
Background: Routine patient care including vital signs checks, lab draws, medication administration, during the night contributes to the already disturbed sleep of inpatients. This study aimed to assess the performance of automated risk scores to stratify the risk of an overnight deterioration to better inform letting low-risk patients sleep and more intensively monitoring and/or intervening […]
Abstract Number: 204
SHM Converge 2024
Background: Asking patients “what matters” to them is one of the 4 evidence-based elements of care developed by the Age-Friendly Health Systems initiative to improve the care of older adults, and the question “what matters most” has been extended to other settings. We conducted a study to assess the frequency and categories of responses to […]
Abstract Number: 212
SHM Converge 2023
Background: Minority and low-income populations are more likely to be hospitalized and/or re-hospitalized for acute asthma, a key indicator of poorly controlled disease. While hospitals have attempted to improve asthma care by implementing individual-level care interventions, inequities persist during inpatient stays and in intervention delivery. Little is known about the impact of “bundled” systems-level interventions […]
Abstract Number: 235
SHM Converge 2024
Background: Venous thromboembolism (VTE) is a leading cause of preventable in-hospital mortality and a primary focus of quality improvement/patient safety efforts. VTE prophylaxis reduces the incidence of in-hospital VTE, but nonadministration rates—primarily attributed to patient refusal—often reach 10-15%. Notably, nonadministration of VTE prophylaxis may correlate with higher incidence of hospital acquired VTE. Prior studies showed […]
Abstract Number: 255
SHM Converge 2021
Background: At Barnes-Jewish Hospital/Washington University residency programs, non-internal medicine interns undergo a significant portion of their training via the Hospitalist Medicine Division to fulfill their ACGME requirement of inpatient internal medicine. The hospitalist schedule is a 7-on and 7-off rotation, resulting in new attendings each week for both supervising direct patient care and leading intern […]
Abstract Number: 258
Hospital Medicine 2020, Virtual Competition
Background: In order to reduce overuse, many hospitals have conducted studies and implemented protocols with the goal of reducing non-indicated telemetry monitoring. A common tool that institutions utilize for these changes are the clinical decision support systems (CDSS). In this report, we will present the telemetry protocol utilized by our hospital and review its effects […]
Abstract Number: 260
Hospital Medicine 2020, Virtual Competition
Background: The designation of a patient as outpatient versus inpatient status at time of discharge affects how hospitals bill Medicare for services because the center for Medicaid and Medicare services (CMS) reimburses hospitals at a higher rate for inpatient when compared to outpatient designation(1). Since the fiscal year of 2014, one of the major benchmarks […]
Abstract Number: 262
SHM Converge 2023
Background: The care management and discharge planning of psychiatric patients experiencing homelessness (PPEH) is an area of debate. Due to the lack of research on best practices and community resources available, there are currently insufficient actionable guidelines in place to properly assist PPEH in their psychiatric care post-discharge, leading to high rates of readmission. Though […]
Abstract Number: 262
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Lean-Kaizen approach of implementing patient-centered systems change by reducing waste and adding value has been widely used in health systems in the US to provide incremental process improvement. This approach to streamlining health care processes has been under-utilized in resource-poor regions of the world, even though the Lean-Kaizen approach was developed in under-resourced […]