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Abstract Number: 476
Hospital Medicine 2020, Virtual Competition
Background: COPD is the third leading cause of death and hospital readmissions. Inpatient care for patients with COPD exacerbations varies widely across the US which can lead to patients failing to receive recommended evaluation, treatment, education, and follow-up to reduce the likelihood of recurrent exacerbations and unnecessary acute care utilization. In an effort to innovate […]
Abstract Number: 481
Hospital Medicine 2020, Virtual Competition
Background: There is growing adoption of Observation units as an answer to increasing payment denials in short stay admissions (ranging from 24-72 hours), overcrowding in emergency room, need for inpatient capacity and mismatched resource utilization. There is quite a bit of variation in the type of OBS units like Level I OBS unit- which is […]
Abstract Number: 483
Hospital Medicine 2020, Virtual Competition
Background: The merging of academic and community hospitals into a single large healthcare system often does not account for the differences in health care delivery between sites, despite attempts by the system to streamline care through standardized policies, common metrics, and a shared medical record system. Multi-site service lines can be an effective strategy for […]
Abstract Number: 657
SHM Converge 2023
Case Presentation: Our patient is a 42-year-old female with a past medical history notable for bulimia nervosa that presented to the hospital with a several-month history of worsening confusion and disorientation. The patient’s daughter reported that during this time she had occasional nausea, vomiting, poor appetite, and lower extremity weakness. She also reported that the […]
Abstract Number: 711
SHM Converge 2023
Case Presentation: A 50-year-old African-American male with a past medical history of essential hypertension presented to the emergency department with a 3-day history of worsening substernal chest pain and shortness of breath. He had no fever, chills, cough, recent immobility, or changes in his medications. He was compliant with hydrochlorothiazide. A review of systems was […]
Abstract Number: C14
SHM Converge 2022
Background: The AHRQ-funded REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) study was designed to improve teamwork and quality for hospitalized patients by providing mentorship and resources to hospitals as they implemented 5 interventions, which included (1) Unit-based Physician Teams, (2) Unit Nurse-Physician Co-leadership, (3) Enhanced Interprofessional Rounds, (4) Unit-level Performance Reports, […]
Abstract Number: G27
SHM Converge 2022
Case Presentation: A 76 year-old woman with coronary artery disease, hypertension, and chronic kidney disease presented to the ER with a one-day history of profound generalized weakness and acute severe anemia. She had known diverticulosis and was taking aspirin 81 mg twice daily status-post a left total hip arthroplasty three weeks prior. Review of systems […]
Abstract Number: I22
SHM Converge 2022
Background: With the COVID-19 pandemic overwhelming the hospital systems rapidly, our Manhattan hospital was no exception. Supplies were in high demand, donning and doffing was taking precious time from patient care. We implemented geographic teams on several units to prevent the spread of COVID-19, decrease supply usage and time spent outside the patients’ rooms. When […]
Abstract Number: O12
SHM Converge 2022
Background: The REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) study sought to improve teamwork and quality for hospitalized patients by providing mentorship and resources to hospitals as they implemented: (1) Unit-based Physician Teams, (2) Unit Nurse-Physician Co-leadership, (3) Enhanced Interprofessional Rounds, (4) Unit-level Performance Reports, and (5) Patient Engagement Activities. Two […]
Oral Presentations
Abstract Number: OP4
SHM Converge 2022
Background: Prior studies have tested interventions to redesign aspects of the care delivery system for hospitalized medical patients, but the majority have evaluated the effect of single interventions. We sought to implement a set of complementary interventions and evaluate the effect on interprofessional teamwork and patient safety. Methods: The REdesigning SystEms to Improve Teamwork and […]