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Search Results for Value
Abstract Number: 7
Hospital Medicine 2020, Virtual Competition
Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical […]
Abstract Number: 8
Hospital Medicine 2020, Virtual Competition
Background: Assessing vitals at regular intervals can be disruptive to a patient’s rest and unnecessary if the patient is clinically stable. These interruptions may lead to impaired sleep, parental fatigue and anxiety, delayed discharge, and increased cost of care. Moreover, alarm fatigue has been described with over-monitoring of patients, as has the overuse of staff […]
Oral Presentations
Abstract Number: 14
SHM Converge 2023
Background: Subspecialty consultation among hospitalists varies significantly across and within hospitals. While in many cases consultation is clinically necessary, in other cases it may represent overuse. Recent studies have explored predictors of consultation using observational administrative and EHR data. Qualitative methods may generate knowledge about additional factors and complex processes influencing consultation behavior not ascertainable […]
Abstract Number: 15
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay (LOS), cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% within one year in older patients who develop delirium. Because hospital-acquired delirium is often under-recognized and prevention and treatment involves […]
Abstract Number: 17
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Excessive daily routine laboratory testing for hospitalized patients is a contributor to poor hospital sleep, iatrogenic anemia, and excessive costs. Recommendations from the Choosing Wisely™ campaign specifically state to avoid sleep interruptions for routine care (American Academy of Nursing) and to avoid routine labs for stable patients (Society of Hospital Medicine). The purpose of […]
Abstract Number: 19
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Publically reported data is increasingly important to a hospital’s reputation and bottom line. Programs such as CMS Hospital Value Based Purchasing (HVBP) place 2% of a hospital’s base payments at risk, while the CMS Star Rating is frequently used by consumers to select a hospital for elective care. Both programs incorporate claims data to […]
Abstract Number: 27
SHM Converge 2021
Background: Conducting early serious illness conversations (SICs) is a high-value intervention that improves the patient and family experience while aligning care with patient preferences. Given the constraints of hospital-based clinicians, using the EHR to identify appropriate patients for SICs remains a key challenge. The aims of this study were to explore whether the EHR’s readmission […]
Abstract Number: 27
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Internal medicine residency contains procedural training, including guidance in paracentesis, thoracentesis, lumbar puncture, arthrocentesis, and central line placement. As a result, most hospitalists are able to perform these bedside procedures. However, national trends confirm that these procedures are increasingly referred to interventional radiology, and these referrals are associated with higher direct hospital costs.1 Enhancing […]
Abstract Number: 31
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: An estimated one-third of national healthcare spending is waste, with the largest contribution stemming from unnecessary use of services. Published efforts to enhance cost consciousness have largely focused on residents and practicing physicians. Few curricula have been designed to educate and engage medical students in the delivery of high value care (HVC) in the […]
Abstract Number: 37
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Multidisciplinary team-based care is a novel concept in hospital medicine where, healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies have shown that team-based care is associated with improved length of stay (LOS) and increased staff satisfaction but the data on patient safety and patient satisfaction is conflicting. […]