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Search Results for emergency department
Abstract Number: 430
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: One of the challenges in hospital medicine is the effective and efficient evaluation of patients through the emergency department and admission. When this does not work well we see long wait times in the emergency department, patients leaving without being seen and decreased patient satisfaction. In the extreme case, we see ambulance diversion. This […]
Abstract Number: 438
SHM Converge 2024
Background: Hospital bed capacity is limited across the nation due to increased demand and staffing shortages. Capacity shortages result in hospital diversion and therefore impact Emergency Department (ED) length of stay and ED medical boarding. A large tertiary hospital typically serves as the referral hub for many smaller hospitals in the region, and optimizing bed […]
Abstract Number: 439
SHM Converge 2024
Background: In 2006, the Institute of Medicine issued a report on the state of emergency care, which identified overcrowding and patient boarding as major concerns. Subsequent research has confirmed that boarding in the emergency department (ED) leads to adverse events including medication errors, higher mortality, and lower patient satisfaction. In answer to this, hospitalist groups […]
Abstract Number: 473
Hospital Medicine 2020, Virtual Competition
Background: In many urban hospitals, Emergency Department (ED) crowding and patient boarding is an increasing challenge. Admitted patients often spend prolonged periods of time in the ED while waiting for an inpatient bed. These ED boarded patients can have delayed or inadequate care, increased adverse events and increased mortality. Furthermore, these ED boarded patients place […]
Abstract Number: K16
SHM Converge 2022
Background: Emergency room crowding has been proven to lead to poor outcomes (e.g., mortality) and has worsened during the COVID-19 pandemic. Novel clinics that work collaboratively with emergency departments (ED) to transfer lower acuity patients to receive care in ambulatory settings rather than the ED have emerged. Our innovative ED Surge program cares for these […]
Abstract Number: O14
SHM Converge 2022
Background: There are more than 1.2 million annual emergency department (ED) visits for syncope in the United States. Prior studies have demonstrated that many associated admissions and diagnostic studies, including echocardiogram, carotid ultrasound and head computed tomography (CT), may be unnecessary. Our objective was to determine the effectiveness of a novel protocol for syncope care […]
Oral Presentations
Abstract Number: OP3
SHM Converge 2022
Background: Early risk stratification scores utilizing data available at the bedside have been used regularly to identify patients at greatest risk of poor outcomes from rapidly evolving conditions like sepsis. Little is known about how point-of-care scores developed for sepsis perform at predicting outcomes in large, heterogeneous cohorts of patients with COVID-19. Our objective was […]
Abstract Number: 1204
Hospital Medicine 2020, Virtual Competition
Background: Preventable ED visits account for 20-50% of ED visits. (1, 2) Though student-run free clinics (SRFCs) could play an important role in decreasing unnecessary utilization, current ED utilization in SRFCs and risk factors have not been described. Methods: We conducted a cross-sectional study of patients receiving care at a student-run free clinic. We captured […]