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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: 237
SHM Converge 2023
Background: Lab testing is critical for clinical decision-making and used throughout healthcare systems. Overuse of lab testing is known to be commonplace and contributes to shortages in lab testing materials. While practices exist at medical institutions that aim to limit lab test overuse, it is unclear which interventions are effective. Methods: We aimed to reduce […]
Abstract Number: 245
SHM Converge 2024
Background: Venous thromboembolism (VTE) is a prevalent and costly medical condition in hospitalized patients. Risk assessment tools like the Padua Predictive Score aim to differentiate low-risk and high-risk patients for targeted pharmaceutical prophylaxis (pPPX) administration. However, widespread adoption of risk assessment remains suboptimal. This study investigates HA VTE prophylaxis use in medicine inpatients within a […]
Abstract Number: 249
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Family Partners (FP) are peer mentors trained to support parents facing clinical situations similar to what FPs previously experienced with their own children. FPs offer a family-centered, cost-effective intervention that can improve outcomes, particularly for children with prematurity or chronic diseases. Children with medical complexity (CMC) are a high need, high cost population with […]
Abstract Number: 251
SHM Converge 2024
Background: Sepsis is a major cause of mortality in hospitalized patients, and early treatment is critical to survival. However, there is a paucity of research on methods to assist real-time clinical decision-making for sepsis treatment. Utilizing data on patients who had sepsis in the ICU, we propose a novel data-driven framework for recommending treatments by […]
Abstract Number: 258
Hospital Medicine 2020, Virtual Competition
Background: In order to reduce overuse, many hospitals have conducted studies and implemented protocols with the goal of reducing non-indicated telemetry monitoring. A common tool that institutions utilize for these changes are the clinical decision support systems (CDSS). In this report, we will present the telemetry protocol utilized by our hospital and review its effects […]
Abstract Number: 264
SHM Converge 2021
Background: The COVID-19 pandemic brought considerable stress to all healthcare providers. The inpatient setting has brought unique challenges to Hospitalists. As we were all adjusting to our new reality both at work and at home, the Division of Hospital Medicine at UC San Diego Health saw the importance of listening in a time of chaos. […]
Abstract Number: 269
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Nebraska Medicine is dedicated to the continuous, goal-directed improvement of: 1. Central venous catheter (CVC) duration 2. Indwelling urinary catheter (IUC) duration 3. Telemetry duration 4. VTE prophylaxis 5. Non-violent restraint order renewal Clinical decision support (CDS) is a cornerstone of quality improvement efforts despite historically sub-optimal response rates. After 2 years of improvements […]
Abstract Number: 270
SHM Converge 2024
Background: Hospital discharge requires coordination among multiple disciplines and may feel chaotic as discharge approaches. The 48-Hour Discharge Prediction Tool (48DPT) is an AI-based system developed to predict clinical readiness for discharge 48 hours beforehand, with the aim of alerting the interdisciplinary team and prompting earlier completion of preparatory procedures. This study assessed 48DPT’s impact […]
Abstract Number: 271
SHM Converge 2024
Background: Thromboprophylaxis of hospitalized COVID-19 patients – including extended, post-discharge thromboprophylaxis in high-risk patients – has been evaluated in multiple randomized trials and incorporated into antithrombotic guidelines. Yet, provider adoption of best practices remains sub-optimal. Our aim was to assess whether an electronic health record (EHR)-agnostic clinical decision support (CDS) tool incorporating the validated IMPROVE-DD […]