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Search Results for control
Abstract Number: 236
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: New York State has identified a list of controlled medications that require frequent monitoring and review. New York State law dictates that these medications, when disbursed in a hospital setting, must be reviewed and re-ordered on a weekly basis. In order to maintain compliance with New York State law, the Electronic Medical Record (EMR) […]
Abstract Number: 242
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Critical lab values are those results that require rapid notification to clinical staff so that urgent interventions can be made to avoid morbidity or mortality. The Joint Commission requires that hospitals have an effective critical lab value process in place. The process is a time-consuming multi-step progression of phone calls with associated documentation. The […]
Abstract Number: 252
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Curbing antibiotic overutilization has become a priority in hospitals attempting to address the growing problem of antimicrobial resistance. One strategy being endorsed by Antibiotic Stewardship Programs is the adoption of an “antibiotic timeout,” during which the pharmacist reviews the appropriateness of the regimen every 72 hours. We elected to challenge hospitalists to perform a […]
Abstract Number: 266
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Timely Clostridium difficile Infection (CDI) testing is challenging but is important for faster and appropriate isolation and treatment of patients. Few studies have specifically addressed effective methods to hasten CDI testing without relying on PCR. We sought to use Quality Improvement methodologies including the Plan-Do-Study-Act (PDSA) Cycle and Control Charts to reduce CDI testing […]
Abstract Number: 296
Hospital Medicine 2020, Virtual Competition
Background: In 2011, ~3.3 million adult 30-day US hospital readmissions generated $41.3 billion in hospital costs. $8.26 billion (20%) of this was considered preventable. Numerous studies demonstrate relationships between hospital readmissions and social determinants of health (SDoH). Lack of education, socioeconomic status, and lack of social support have all been cited as core contributors to […]
Abstract Number: 310
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Vaso-occlusive acute pain crises are the leading cause for hospitalization in adult sickle cell patients. For our academic hospitalist group at a quaternary care center in New York, acute pain crises in 2017 accounted for 65 admissions, with an average length of stay (LOS) of 10.28 days, and readmission index (observed-over-expected ) of 1.10. […]
Abstract Number: 385
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 74-year-old Caucasian male presented to our emergency department with unintentional movements of right arm and right leg for 1 day. He was diagnosed with type 2 diabetes mellitus 20 years ago and is not compliant with his insulin regimen. His medical history is also significant for diabetic neuropathy, hypertension and depression. Physical […]
Abstract Number: 406
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 24 year old female with uncontrolled Type 1 Diabetes Mellitus was admitted with bilateral lower extremity swelling and abdominal fullness. Three weeks prior she visited the emergency department, was found to have mild bilateral pedal edema, and was given primary care physician follow-up. She was initiated on a diuretic regimen; B-type natriuretic […]
Abstract Number: 421
SHM Converge 2023
Background: Hospitals are facing increasing pressure to optimize throughput in order to reduce excess length of stay and improve emergency department (ED) boarding times. Improving coordination and throughput in complex organizations with multiple care sites can be particularly challenging. Health systems have implemented numerous initiatives to improve hospital throughput, but these efforts have mainly been […]
Abstract Number: 551
SHM Converge 2024
Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a […]