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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: 593
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left […]
Abstract Number: 631
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68 year old man with past medical history of rheumatoid arthritis with recent travel to Mexico was admitted after clinically worsening at home roughly a week after a previous 10 day admission for intermittent high fevers. The patient had had a prostate biopsy 2 weeks prior to his first admission and he […]
Abstract Number: 652
SHM Converge 2023
Case Presentation: A 30 year old male presented with symptoms of intermittent episodes of chest pain with palpitations, tremors associated with night sweats, heat intolerance, and unintentional weight loss for the last 6 months. He had no significant past medical history, did not take any medications at home, and had no prior surgeries. He denies […]
Abstract Number: C18
SHM Converge 2022
Background: Current guidelines recommend against routine neurodiagnostic testing for evaluation of simple febrile seizures. We aimed to assess variation in rates of neurodiagnostic testing and establish Achievable Benchmarks of Care (ABCs) for children evaluated for simple febrile seizures at children’s hospitals. Methods: We conducted a cross-sectional study of children 6 months to 5 years with […]
Abstract Number: D15
SHM Converge 2022
Background: Patients’ satisfaction has been shown to be associated with improved health outcomes and reduced health care utilization. The Center for Medicare Services (CMS) has linked patient satisfaction to financial incentives as part of the value-based purchasing program. Patient satisfaction in the inpatient setting is measured using the Hospital Consumer Assessment of Healthcare Providers and […]
Abstract Number: G20
SHM Converge 2022
Background: The ongoing global COVID-19 pandemic has stressed patients, hospital systems, and society and, while treatment modalities are continuously evolving. A phase 3 clinical trial of monoclonal antibody infusion in appropriate patients with Casirivimab and Imbdevimab demonstrated a 70% reduction in hospitalization or all-cause death compared to placebo (ref 1). An emergency use authorization by […]
Abstract Number: K17
SHM Converge 2022
Background: Patient safety indicators (PSI) are hospital quality measures designed by the Agency for Healthcare Research and Quality (AHRQ) to capture potentially-preventable adverse events. PSI-12 is defined as perioperative pulmonary embolism (PE) or deep vein thrombosis (DVT). It is unclear how active COVID-19 infection, which is known to be associated with coagulopathy, has impacted PSI-12 […]
Abstract Number: M23
SHM Converge 2022
Background: Symptomatic venous thromboembolism (VTE) occurs in about 1% of patients within 3 months after admission to a medicine ward.1,2 The 9th Edition American College of Chest Physicians Guidelines recommends the use of pharmacologic VTE prophylaxis in acutely ill hospitalized medical patients at increased risk of thrombosis and suggests against its use in low risk […]
Abstract Number: O21
SHM Converge 2022
Background: Evidence-based guidelines/protocols for electrolyte replacement that safely encourage oral (PO) and/or intravenous (IV) dosing attain goal levels more successfully than standard care. PO is generally more comfortable and less dangerous than IV. Between 5/2017-11/2017, our institution dosed ~300,000 doses of potassium (K) and magnesium (Mg), with 30% and 19% of doses being PO, respectively. […]