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Search Results for VA
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: “Hospital at Home” (HaH) models of care have existed for over 20 years in the U.S. Demand for healthcare value has driven renewed attention to HaH, including from the Centers for Medicare and Medicaid Services. The COVID-19 pandemic has only magnified consideration of alternative sites of care. Where studied, HaH models have had desirable […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: Midlines are peripheral vascular devices inserted in the veins of the upper extremity with the tip located at or below the axillary vein. Greater appreciation of complications associated with peripherally inserted central catheters (PICC) and the diffusion of catheter appropriateness criteria has led to expanded use of these devices. However, single center studies comparing […]
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: The Choosing Wisely Campaign started in 2012 with the aim of promoting high-value care. On its Choosing Wisely List, the Society of Hospital Medicine cited daily basic metabolic panel (BMP) and complete blood count (CBC) testing in the absence of clinical suspicion as unnecessary practice. Since the implementation of Choosing Wisely, there have been […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: On a daily basis, hospitalists prescribe Venous Thromboembolism (VTE) prophylaxis. While of benefit to certain populations, VTE prophylaxis has not been proven to benefit medical patients at low risk for VTE. Pharmacologic prophylaxis may increase the risk of serious bleeding, mechanical prophylaxis is associated with an increased risk of delirium, and both methods are […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Unit-based care teams offer inherent benefits to hospitalist services, including opportunity for improved efficiency, interdisciplinary collaboration, and enhanced patient experience. However, many barriers exist to creation of these care teams such as high occupancy rates and conflicting interests among stakeholders. Failure to account for such barriers has led to unsuccessful initiatives to achieve regionalization, […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Both the ACP through its High Value, Cost-Conscious Care Initiative, and the ABIM through its Choosing Wisely campaign, have called on clinicians to engage in efforts to improve the value of the care we provide Purpose: We sought to develop a curriculum to provide internal medicine residents both a theoretical and a practical exposure […]
Oral Presentations
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Point-of-care ultrasound (POCUS) of the inferior vena cava (IVC) can help to noninvasively predict the effectiveness of treatment for volume-sensitive conditions, such as acute heart failure and shock. Recently POCUS-IVC has also been used to iteratively tailor fluid treatment to patient-specific targets. In real-world clinical settings, such iterative assessments are necessarily obtained by multiple […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High value care is a key priority in healthcare, but strategies are needed to empower frontline clinicians to work with organizational leadership to reduce healthcare costs and improve care. Purpose: Caring Wisely (CW) is a program we developed that is designed to engage frontline clinicians and staff, connect them with implementation experts, and […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Successful inpatient glycemic control programs achieve both improved glycemic control and low rates of hypoglycemia. Using results from the analysis of performance in glycemic control and hypoglycemia, we identified top performers and those demonstrating the most improvement. We sought to describe their key characteristics. Methods : Participating hospitals (84 for ICU, 94 for non-ICUs) […]
Oral Presentations
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: A variety of risk prediction scores have been devised to identify patients at increased risk for VTE in different patient populations and settings. Guideline recommendations for VTE risk assessment vary greatly. We performed a systematic review to identify and synthesize evidence on clinical risk prediction scores for VTE in medical and surgical hospitalized patients. […]