Session Type
Meeting
Search Results for Mortality
Abstract Number: 257
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The Obesity Paradox postulates that obesity is a protective factor against mortality in certain chronic conditions such as chronic kidney disease (CKD) and congestive heart failure. Although this paradox is established in CKD, few studies have analyzed the paradox in acute kidney injury (AKI). There are both short and long term ramifications to AKI […]
Abstract Number: 263
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Palliative care (PC) has been shown to be cost-effective and improve the quality of life for patients facing incurable and life-threatening illness. However, identifying patients benefiting from PC consultation remains a challenge in the inpatient setting. As part of a quality improvement initiative, we created a PC screening tool by adapting elements from existing outpatient […]
Abstract Number: 268
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opening new residency programs in community hospitals is one strategy to address physician shortage. Previous reports showed better outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting well- established workflows in community hospitals is feared to cause an increased cost and possibly a slide in quality of care. Our […]
Abstract Number: 273
SHM Converge 2023
Background: Troponin is a big molecule, with its fragments not readily cleared by impaired renal function or during dialysis [1]. Oftentimes diagnosing myocardial injury/infarction (MI) is challenging in patients with ESRD due to atypical clinical features coupled with indeterminate ECG changes [2], and elevation of troponin levels with lower PPV [3]. In this study, we […]
Abstract Number: 274
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Since the 1999 IOM report To Err is Humanhighlighted that up to 98,000 preventable deaths occur annually in U.S. hospitals, efforts have intensified to understand and eliminate preventable mortality. At our institution, we developed an in-person, near real-time, multidisciplinary mortality review to capture the insight of frontline providers and improve care. In the analysis presented […]
Abstract Number: 297
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Traditional review approaches to inpatient mortality remain flawed. M&M conferences, administrative data analysis, and chart review do not effectively leverage the frontline perspective, are frequently delayed, and may be perceived as punitive if not peer review protected. Purpose: We developed an electronic mortality review tool that would: (1) permit rapid review of all inpatient […]
Abstract Number: 298
Hospital Medicine 2020, Virtual Competition
Background: Limited data exist about the magnitude of and the factors associated with one-year mortality of medical patients after their hospital discharge. Factors known during the hospitalization may be associated with high mortality risk. One may also wonder whether healthcare utilization during the first 30 days after discharge are also of any prognostic value for […]
Abstract Number: 314
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: After a patient death, experienced physicians have reported feelings of sadness, guilt, and self-doubt. Residents and interns experience a strong emotional impact to these deaths as well, and previous studies have shown that they only feel adequately supported 50% of the time. Residents feel more supported by their attendings and are better able to […]
Abstract Number: 332
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sepsis is a leading cause of death in US hospitals, and is a major contributor to hospital mortality and length of stay. Much has been done in hospitals nationwide to identify and treat sepsis early. Similarly, at Bridgeport Hospital, a clinical redesign was initiated to identify and act on patients with signs of sepsis […]
Abstract Number: 346
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: As electronic health records (EHR) become ubiquitous, the impact on patient outcomes remains largely unknown. One major communication barrier during patient transfers is the lack of interoperability between EHR systems. Inter-hospital transfers involve transitioning high acuity patients between hospital systems that may not be able to directly communicate with one another, creating the ideal […]