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Abstract Number: 413
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling rushed in the 24 hours before discharge. Increased work intensity may contribute to burnout for the interdisciplinary team. Few studies […]
Abstract Number: 595
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 […]
Abstract Number: G12
SHM Converge 2022
Background: Provider-level practice variation is common and may impact clinical outcomes, such as length of stay and imaging ordering. However, it is unclear which provider characteristics lead to variations in practice. Using individual performance data from a provider-level dashboard, we aimed to evaluate variability in clinical performance and predictors of high or low performance. Methods: […]
Abstract Number: H11
SHM Converge 2022
Background: Medical providers are often hesitant to perform bedside procedures in patients with an INR >2 or in patients who have received chemoprophylaxis or therapeutic anticoagulation, despite previously conducted studies suggesting cirrhotic patients with elevated INRs are not at higher risk for complications from a paracentesis or thoracentesis (1)(2). The Hospital Medicine Advanced Practice Provider […]
Abstract Number: I13
SHM Converge 2022
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey distributed by The Center for Medicare and Medicaid (CMS) services measures patient perceptions of hospital experience and impacts annual CMS reimbursement. This study focuses on the “Quiet at Night” variable, to identify the top box institutions and identify the key characteristics that enable […]
Abstract Number: J13
SHM Converge 2022
Background: Literature on the timing of inpatient laboratory test collection is limited. Most studies suggest that physicians and patients are satisfied with morning collection [1], more specifically, intermittent late morning lab collection to decrease sleep disruption [2,3]. Evening labs put increasing demands on healthcare providers given limited resources available outside standard work hours. We sought […]
Abstract Number: N13
SHM Converge 2022
Background: Healthcare provider burnout is highly prevalent, has been increasing during the COVID pandemic, and affects both physician and advanced practice providers (APP) wellbeing in hospital medicine (HM). The purpose of this study is to characterize and understand HM physician and APP stressors in their work environment, including workload. Methods: We distributed anonymous, online surveys […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: Patient experience is increasingly recognized as a measure of healthcare quality and patient-centered care. However, there is insufficient understanding of patient expectations during hospitalization, and of how these are perceived by physicians, nurses, and administrators. The best way to apply the HCAHPS ratings remain elusive due to variability in practice environments, patient and clinician […]