Session Type
Meeting
Search Results for health
Abstract Number: 700
SHM Converge 2024
Case Presentation: A 33-year-old Kenyan male school teacher presented to the hospital with a 3-day history of a gradually worsening diffuse headache, nausea and vomiting, and fevers. His past medical history was notable for liver cirrhosis of unknown etiology (Child-Pugh class B), complicated by portal hypertension. He had no known history of tuberculosis. His vital […]
Abstract Number: 802
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 60 year old female was admitted for rapid cognitive and functional decline over 6 weeks. Three months prior, she ceased working as an OR nurse due to depression and emotional outbursts and was being treated by an outpatient psychiatrist for depression. On presentation she was aphasic, echolalic and apraxic with notable outstretched […]
Abstract Number: 818
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A twenty-two-year-old male with unknown history was brought in with altered mental status (AMS). On exam he was lying in bed, clutching a taco sauce packet mid-air as if perpetually about to pour; he remained immobile for 10 minutes, exhibited waxy flexibility, and did not respond to questions or commands. Bush-Francis Catatonia score […]
Abstract Number: A10
SHM Converge 2022
Background: The rate of young adults with complex medical needs and chronic illnesses hospitalized at children’s hospitals is increasing faster than any other age group of pediatric patients. There have been multiple studies showing the impact of young adult and adult aged patients as they are admitted to a pediatric hospital, however little has been […]
Abstract Number: A13
SHM Converge 2022
Background: Confidentiality within adolescent medicine is imperative in establishing a trusting patient-physician relationship. In April 2021, the 21st Century Cures Act granted patients’ guardians immediate access to select patient electronic medical records. Whereas Pediatric Hospital Medicine (PHM) history and physical (H&P) notes are visible to guardians, adolescent sensitive notes (ASN) remain confidential. At our institution, […]
Abstract Number: B11
SHM Converge 2022
Background: Oxygen saturation (SpO2) is often overestimated in darker skinned individuals (1–3), but the ideal method to quantify this phenomenon and measure its impact on clinical outcomes is unclear. Studying the distributions of SpO2 may not be the appropriate method because these distributions are influenced by clinicians’ real time efforts to maintain SpO2 in a […]
Abstract Number: B22
SHM Converge 2022
Background: Ensuring that hospitalized patients have a clearly documented Advance Care Plan (ACP) is important to provide them with goal-concordant care. Our institution undertook an inpatient Quality Improvement (QI) initiative to improve accessible ACP documentation. Though this work significantly improved ACP documentation rates, ACP rates for Latinx patients were significantly lower than those of the […]
Abstract Number: C17
SHM Converge 2022
Background: Cirrhosis was the fifteenth leading cause of death in the United States in 2019, with ascites being the most common major complication leading to hospital admission. Patients with ascites have recurrent hospital admissions with disproportionate use of hospital resources. Large volume abdominal paracentesis can be done safely by trained providers and is associated with […]
Abstract Number: C21
SHM Converge 2022
Background: The onset of the global COVID-19 pandemic created innumerable challenges and demanded rapid innovation for perioperative medicine. In March 2020, in response to our institution’s expectations, our hospitalist-led preoperative medicine clinic rapidly pivoted to patient care via telehealth. Purpose: Before the pandemic, our hospitalist-led preoperative medicine clinic was already in the early planning stages […]
Abstract Number: D22
SHM Converge 2022
Background: Quality Improvement (QI) is a methodology for solving complex systems problems, and QI methods have been adapted from industry and spread widely across healthcare over the past two decades. QI methods are particularly well-suited for examining clinical processes for effectiveness, reliability, and efficiency. However, Design Thinking (DT) is a problem solving methodology that applies […]