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Abstract Number: 208
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite widespread awareness of best practices in the early management of sepsis, sepsis continues to burden our healthcare systems with high mortality, prolonged length of stay and excessive cost. Early recognition of sepsis and adherence to evidence-based initial resuscitation protocols is known to reduce both mortality and costs associated with care. In 2013, a […]
Abstract Number: 211
Hospital Medicine 2020, Virtual Competition
Background: Up to 12% of hospitalized patients require high dose parenteral thiamine treatment to prevent Wernicke’s Encephalopathy, a devastating and easily preventable neurologic disorder that can lead to death. Despite the fact that it is as simple and relatively inexpensive therapy with no known side effects, high dose thiamine continues to be underutilized. Attempts to […]
Abstract Number: 214
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Voluntary incident reporting systems are an essential component of a high reliability organization (HRO). Historically, housestaff contribute just 1% of all patient safety intelligence (PSI) events reported at our tertiary care academic institution. This is a missed opportunity, as housestaff spend a significant amount of their time in direct patient care and can see […]
Abstract Number: 215
SHM Converge 2024
Background: Evidence-based guidelines/protocols for electrolyte replacement that safely encourage oral (PO) and/or intravenous (IV) dosing attain goal levels more successfully than standard care.1-17 PO is generally more comfortable and less dangerous than IV. Between 5/2017-11/2017, Jefferson dosed ~300,000 doses of potassium (K) and magnesium (Mg), with 30% and 19% of doses being PO, respectively. Guiding […]
Abstract Number: 219
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients admitted to our hospital with chest pain concerning for Acute Coronary Syndrome (ACS) have a length of stay exceeding the community average. We postulated that unnecessary stress test orders in some cases may be contributing to this increased length of stay. We hypothesized that implementation of a clinical decision support tool (CDST) would […]
Abstract Number: 227
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital admission presents an important opportunity to engage with patients about goals of care (GOC) and advanced care planning. The significant and sensitive nature of GOC conversations requires that documentation of a patient’s goals be accurate, clear, and easily found in the medical record. This has become increasingly relevant in the setting of frequent […]
Abstract Number: 227
SHM Converge 2024
Background: Social determinants of health (SDOH) are thought to account for up to half of modifiable outcomes related to health. Children from minority groups and/or lower socioeconomic backgrounds are at higher risk for hospitalization. Efforts have been made to screen for social risk factors in the outpatient setting. However, few studies describe inpatient SDOH screening […]
Abstract Number: 227
SHM Converge 2021
Background: A designated ‘nocturnist’ position is a relatively new but rapidly growing, valuable addition to academic centers. However, institutions find it difficult to attract and retain nocturnists. Among the solutions proposed, one that benefits both the nocturnist and the institution is scholarly activity. (1) This is particularly important in the academic setting where scholarly work […]
Abstract Number: 228
Hospital Medicine 2020, Virtual Competition
Background: Nationwide death by suicide burnout continues to rise in physicians (1). The key drivers of burnout are increased emotional exhaustion (EE) and depersonalization (DP) and low levels of personal accomplishment(PA). In a 2014 the Annals of Family Medicine survey revealed that 73% of general internists would not choose the same specialty again, attributing burnout […]
Abstract Number: 234
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: All hospitals strive for service excellence. In 2014, there were more than 40,000 hospitalists delivering the lion’s share of inpatient care in our nation’s hospitals. No empiric research has characterized hospitalist comportment and communication patterns as they care for patients so as to establish norms and expectations. We set out to establish a metric […]