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Abstract Number: 185
SHM Converge 2023
Background: Physical restraint use among patients hospitalized with dementia and behavioral disturbances has not been studied on a national level in the United States. We aimed to determine rates of physical restraint use among hospitalized patients with dementia and behavioral disturbances and to characterize associations with mortality and utilization metrics. Methods: National Inpatient Sample database […]
Abstract Number: 190
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Medical patients with comorbid psychiatric illness comprise 20-40% of general medicine inpatient admissions. These patients often have multiple providers involved in their care which can lead to poor communication, longer lengths of stay, and increased resource utilization. Despite substantial need, no standard model of care exists for this patient population. At our academic medical […]
Abstract Number: 200
Hospital Medicine 2020, Virtual Competition
Background: Intravenous (IV) low molecular weight iron dextran is a safe and effective treatment for iron deficiency anemia (1). However, oral (PO) iron supplementation remains a preferred mode of iron repletion due to low cost and ease of administration. Unfortunately, the efficacy of PO iron varies due to differences in drug absorption and patient adherence. […]
Abstract Number: 210
SHM Converge 2024
Background: Behavioral emergencies in the hospital are on the rise, leading to increased workplace violence. A small body of evidence recommends an inpatient Behavioral Emergency Response Team (BERT), a multi-disciplinary team to de-escalate behavioral emergencies that can be harmful to the patient or staff. Observational studies have reported that BERT can reduce workplace violence, use […]
Abstract Number: 211
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients receiving direct oral anticoagulants (DOACs) sometimes require bridging with unfractionated heparin (UFH). Monitoring UFH with anti-Xa assays has been shown to correlate with better outcomes. However, DOACs interfere with anti-Xa assays resulting in inappropriate UFH dose adjustments that can negatively impact patient care. In 2015, we deployed an electronic health record (EHR) […]
Abstract Number: 224
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The behavioral response team (BRT) at UNC Hospitals was established in 2015 and its purpose is to bring immediate resources to bear when hospitalized patients experience acute episodes of disruptive behavior that may cause harm to themselves or hospital staff. Our BRT is a multidisciplinary group consisting of a psychiatric nurse supervisor, medical nurse […]
Abstract Number: 241
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Over the course of several months, five adolescent patients were admitted to the hospital after intentional self-injurious behaviors involving foreign body ingestion. These patients were previously living in residential treatment centers, and via social media alerted each other of the benefits of being admitted to a children’s hospital including: private rooms/bathrooms, individualized attention, attendance […]
Abstract Number: 321
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: According to a report of the Healthcare Cost and Utilization Project (HCUP) that looked at hospital admissions in 2013, the care of hospitalized malnourished patients costs twice as much as those without malnourishment due to prolonged hospital stays and increased readmission rates. Furthermore, up to 30 to 50 percent of patients are malnourished upon […]
Abstract Number: 333
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients who are high utilizers of the health care system pose a significant burden to health care in the United States. These patients have higher rates of emergency department (ED) use, hospital readmission and cost compared to the general population, and tend to be medically, behaviorally and socially complex. Patients with high healthcare usage […]
Abstract Number: 341
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Clostridium difficile infections (CDI) is a notorious nosocomial threat to health and a leading cause of infectious diarrhea. It is associated with billions of dollars of US health care costs annually due to long hospital stays and readmissions. While CDI is mostly caused by toxin-producing strains, some strains do not express these proteins. These […]