Session Type
Meeting
Search Results for Medication
Abstract Number: I1
SHM Converge 2022
Background: Duplicate as-needed (referred to hereafter as “PRN”) orders for common indications such as pain, nausea, insomnia, and constipation are frequent in hospitalized patients. Without explicit instructions for circumstances or order of administration, therapeutic duplication can cause confusion for nurses and violates both Join Commission and the Centers for Medicare & Medicaid Services (CMS) guidelines. […]
Abstract Number: I4
SHM Converge 2022
Background: Diabetes is an exceedingly common disease encountered by medical trainees, with over 8 million hospitalizations in 2018 listing type 1 or type 2 diabetes as a diagnosis (1). Evidence supports continuing certain oral diabetes medications during admission when safe, reflected in recent consensus statements from professional societies (2,3). Nevertheless, oral medications are often held […]
Abstract Number: 117
SHM Converge 2023
Background: Proton pump inhibitors (PPIs) have been associated with adverse events and increased mortality in patients diagnosed with cirrhosis (1). PPIs are commonly prescribed to patients with cirrhosis who present to the hospital with gastrointestinal bleeds (2). However, guidelines do not suggest routine usage of PPI in patients with cirrhosis without gastroesophageal reflux disease (GERD) […]
Abstract Number: 117
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Determining the quality of medication reconciliation (MR) is a laborious and time-intensive process, often involving chart review and detailed patient interviews. Purpose: To identify meaningful, measurable process measures for high-quality MR obtainable from electronic health records (EHR), and to determine if performance on these measures responded to a campaign focused on improving MR. Description: […]
Abstract Number: 122
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Adverse drug events (ADEs) are common during transitions from the hospital to the ambulatory setting, with approximately 20% of patients experiencing an ADE within 30 days of discharge. ADEs are often due to patient misunderstanding of the prescribed medication regimen or non-adherence to the regimen. New approaches are needed to address this problem. Purpose: […]
Abstract Number: 147
SHM Converge 2024
Background: As of 2020, a reported 2.7 million people in the United States have opioid use disorder (OUD). Hospitalizations related to opioid use have risen dramatically over the last two decades. Inpatients with substance use disorders are at increased risk of leaving the hospital prior to treatment completion which can further lead to poor health […]
Abstract Number: 149
SHM Converge 2023
Background: The effects of diabetes medications on COVID-19 hospitalization outcomes have not been consistent. We sought to determine the effect of metformin, DPP-4 inhibitors (DPP-4i), and insulin on admission to the intensive care unit (ICU), need for assisted ventilation, development of renal insufficiency, and mortality, in patients admitted with COVID-19 infection after controlling for clinical […]
Abstract Number: 152
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Cost-related medication non-adherence (CRN) is a persistent and serious challenge among the elderly population in the US. For elderly patients with limited economic means at increased risk of hospitalization, CRN may elevate the risk of repeated hospitalizations and emergency department visits, and lead patients into a downward spiral of worse heath and higher non-adherence. […]
Abstract Number: 154
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Up to 67% of patients have at least one medication error on admission to the hospital with over a quarter of hospital prescribing errors attributed to incomplete medication histories at admission. Key aspects of successful interventions to date include intensive pharmacy staff involvement. However, pharmacists are in short supply in many hospitals. Methods: A […]
Abstract Number: 164
SHM Converge 2024
Background: Delirium is a neuropsychiatric syndrome that can occur in hospitalized patients. The negative impact that delirium has on the patient and the health system are well described and include increased mortality, risk of falls, length of stay and overall healthcare utilization. Delirium can have a heterogenous presentation including hyperactivity with agitation, restlessness and psychosis […]