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Search Results for Management
Abstract Number: 198
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon, and may contribute to higher mortality. We implemented a unique surgical co-management (SCM) model in July 2014 at our institution where two SCM hospitalists were dedicated to Colorectal surgery year round. Each patient was screened daily by a […]
Abstract Number: 199
SHM Converge 2023
Background: Written discharge instructions frequently lack guidance on how patients should address problems and questions that arise at home, and this represents an opportunity to enhance discharge safety and prevent readmissions. This study aimed to increase the number of discharge instructions that included anticipatory guidance and self-management among patients discharged from internal medicine teaching services […]
Abstract Number: 201
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hip fractures are a major health problem in the geriatric population in the United States, with estimated costs of $18B annually. Hip fractures are highly morbid in the elderly, as deconditioning and acute complications compound chronic comorbidities. To improve care for this high-risk population, hip fracture patients are preferentially admitted to our medicine hospitalist […]
Abstract Number: 203
SHM Converge 2023
Background: Point-of-care ultrasound (POCUS) is a diagnostic tool that is being increasingly utilized within the hospitalist sector of internal medicine; however, there is currently no summative source of information for POCUS in perioperative medical management. To address this gap in knowledge, we conducted a systematic review of studies assessing the impact of POCUS on clinical […]
Abstract Number: 206
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patient pass-offs represent a known vulnerability in patient care. The Hospital Medicine Unit at Massachusetts General Hospital has several specialized roles including an admitting hospitalist, a rounding hospitalist, and a nocturnist. Our on-service time is typically four or five days in a row. Our hospitalists and nocturnists work in six hour, ten hour and […]
Abstract Number: 209
SHM Converge 2024
Background: Diabetes Mellitus is a growing concern in the USA, affecting around 10.5% of the population or approximately 34.2 million people. West Virginia has the highest prevalence of adult diabetes, with 16.2% of the population diagnosed in 2018. In noncritical care hospitalized patients, new-onset hyperglycemia and patient with diabetes make up 25-30% of the census. […]
Abstract Number: 212
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Capacity constraints are a common problem at many academic institutions. At Duke University Hospital (DUH) , capacity constraints continue to result in critical bed shortages. Our affiliated hospital, Duke Regional Hospital (DRH) which is less than 5 miles away, has the capacity and capability to provide care to these general medicine patients. Shifting general […]
Abstract Number: 216
SHM Converge 2024
Background: Project Caring for Patients with Opioid Misuse through Evidence-Based Treatment (COMET) launched in 2019 to provide patients with opioid use disorders (OUD) individualized and evidence-based care at Duke University Hospital (DUH). Patients with OUD have higher rates of self-directed discharge (SDD) which is associated with higher healthcare utilization costs, hospital readmissions, and adverse health […]
Abstract Number: 217
SHM Converge 2023
Background: Multiple organizations have published clinical guidelines on hyperglycemia management in the acute care setting in non-critically ill patients [1–3], and the Society of Hospital Medicine offers additional support through its Glycemic Control program [4]. However, there remains little consensus regarding specific dosing regimens when designing insulin protocols in the inpatient setting. At our institution, […]
Abstract Number: 228
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three standardized interventions to improve neurosurgical patient outcomes and experiences. Methods: Hospitalists partnered with Anesthesia and Neurosurgery leaders from five large […]