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Abstract Number: 393
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sepsis is one of the top causes of inpatient mortality and rapid detection presents numerous challenges. In March, 2016, an interdisciplinary team consisting of top clinicians, data scientists and machine learning experts at a large academic medical center (AMC) embarked on an innovation pilot to develop a novel machine learning model to detect sepsis. […]
Abstract Number: 394
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As of 2017, 96% of non-federal acute care hospitals had an electronic health record (EHR). Hospitalists interact with the EHR for several hours each day. Many studies have suggested a direct correlation between physician burnout and frustrations with the EHR. Data has been published regarding physician time studies in the outpatient setting, but there […]
Abstract Number: 402
Hospital Medicine 2020, Virtual Competition
Background: New Mexico has the highest number of alcohol-related deaths in the country, a title held since 1981. Nationally 1 in 10 deaths in working-aged adults are alcohol-associated whereas in New Mexico the ratio is 1 in 6 deaths. About 130,000 New Mexicans report alcohol dependence or abuse within the past year, but only 3% […]
Abstract Number: 404
Hospital Medicine 2020, Virtual Competition
Background: In an increasingly digital world, there are still many manual and paper based workflows in healthcare. Paper scripts are an area that is prevalent and is the gold standard for certain prescribing behaviors. Paper scripts have numerous challenges, they can be lost, are difficult to track, and physically have to be delivered to the […]
Abstract Number: 420
SHM Converge 2023
Background: Electronic medical records (EMR) often allow automated recurring orders of different components of hospital care, including lab tests, vital signs, and telemetry monitoring. However, as patients clinically stabilize during a hospital admission the frequency and intensity of these recurring orders may be unwarranted (1). Well-designed EMR order sets have shown potential to decrease inappropriate […]
Abstract Number: 422
SHM Converge 2024
Background: Goal-concordant care is an ongoing challenge in hospital settings. Failures in communication with patients and caregivers can lead to unwanted usage of hospital resources, including the ICU. This leads to lower quality care for patients and increased burden on the hospital. Goals of care conversations can be utilized to ensure that care aligns with […]
Abstract Number: 423
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to execute a safe discharge plan and less likely to be readmitted. Educational videos focused on self-management may increase patient activation […]
Abstract Number: 423
SHM Converge 2023
Background: In the inpatient setting, serum potassium (K) and magnesium (Mg) are frequently replaced for patients with values within the reference range (generally K 3.5-5.0 mEq/L, Mg 1.3-2.2 mEq/L) to target an arbitrary goal of 4 mEq/L for K and 2 mEq/L for Mg.(1,2) For certain high-risk non-pregnant adults, K and Mg replacement to these […]
Abstract Number: 440
Hospital Medicine 2020, Virtual Competition
Background: As inpatient medical care has increased in complexity and fragmentation, rounding has become siloed away from patients and by discipline, resulting in disjointed and inefficient care models. In response, hospitalist groups across the country have been implementing unit-based rounding programs to centralize communication and align work-flow of health care team members. At UC San […]
Abstract Number: 488
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 58- year-old female presented with vomiting, dizziness, and a blood pressure of 80/60 mmHg. Laboratory: serum creatinine 3.1 mg/dl (baseline 1 mg/dl), BUN 34 mg/dl (baseline 10 mg/dl), corrected calcium 12.3 mg/dl, low PTH , normal 25-OH vitamin D, and normal PTH-related protein. Two months prior, serum calcium was normal and 25-OH […]