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Search Results for RISK STRATIFICATION
Abstract Number: 139
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The In-hospital Mortality for Pulmonary embolism using Claims daTa (IMPACT) rule has been validated in a number of commercial and all-payer claims databases; classifying pulmonary embolism (PE) patients into low- and higher-risk in-hospital all-cause mortality categories with a sensitivity of 87% and specificity of 47%. We sought to directly compare the accuracy of IMPACT […]
Abstract Number: 168
SHM Converge 2021
Background: D-dimer is one of the most commonly used tests because of its high sensitivity, but a high false positive rate prevents healthcare providers from efficiently diagnosing pulmonary embolism (PE). This leads to many patients unnecessarily undergoing CT pulmonary angiography (CTPA) scans in the emergency department (ED). This study sought to determine if there is […]
Abstract Number: 173
SHM Converge 2023
Background: In-hospital venous thromboembolism (VTE) remains an important preventable cause of morbidity/mortality. Multiple risk assessment models (RAMs) for VTE in hospitalized medical patients have been developed, validated, and endorsed by several national societies. Despite evidence and guidelines supporting risk stratification for VTE prevention, data suggest that prophylactic measures are not appropriately utilized. In a nation-wide […]
Abstract Number: 215
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medication errors occur frequently at transitions of care and lead to significant patient harm. Robust medication reconciliation practices can mitigate these errors, but this process is complex and time-consuming. One of the conclusions of the first Multi-center Medication Reconciliation Quality Improvement Study (MARQUIS1) was that pharmacist team involvement in medication reconciliation is a key […]
Abstract Number: 229
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Risk stratifying patients for potential development of hospital-related venous thromboembolism (VTE) is an important aspect of inpatient safety and is recommended by current guidelines. Many risk stratification tools are cumbersome and require significant time to complete. Developments have been made to partially or fully automate risk stratification tools, however there are restrictions within the […]
Abstract Number: 353
SHM Converge 2023
Background: Novant Health is a leading healthcare provider in North Carolina, with 15 hospitals and 14 ambulatory surgery centers across the state. In the preoperative assessment arena, there are currently ten pre-admission testing clinics that are staffed by either hospitalists, anesthesia providers, or both. Variable preoperative assessment criteria exist for each surgical location, with no […]
Abstract Number: 437
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 48-year-old woman with recently diagnosed interstitial lung disease (ILD) presented with several weeks of progressive dyspnea on exertion and new bilateral lower extremity swelling. She was mildly tachycardic (110/min), normotensive (110/80), and hypoxemic requiring 15 liters high-flow nasal cannula. Her cardiac physical exam revealed a loudly split S2, elevated jugular venous pulsations, […]