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Search Results for model
Abstract Number: 261
SHM Converge 2024
Background: The personal statement (PS) is a crucial factor in a residency program’s evaluation of applicants and has traditionally been helpful in understanding applicants’ journeys in medicine, values, and written communication skills. Now, with accessible large language models (i.e. ChatGPT) designed for language composition, there is interest in how these models may be utilized by […]
Abstract Number: 266
SHM Converge 2024
Background: Diagnostic uncertainty, defined as the subjective perception of an inability to provide an accurate explanation of the patient’s health problem, has been implicated in diagnostic error.1 Clinician notes, such as the admission notes, often include hedging terms, uncertainty phrases, and diagnostic differentials that can be used to assess uncertainty in unstructured documentation.1,2 Quantifying diagnostic […]
Abstract Number: 280
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delays in care can lead to patient harm. At our large urban academic medical center, we have been struggling with increasing inpatient volumes and delays, particularly to enter our medicine, observation, and cardiology units. With a desire to provide more timely care, we used a model that employed queuing theory to predict expected delays […]
Abstract Number: 311
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Previous studies demonstrate patient readmissions to the Medical Intensive Care unit (MICU) from the ward are potentially associated with worse outcomes due to breakdowns in communication during ICU-ward transfer. Though previous work highlights the importance of shared mental models (whether clinicians have a mutual understanding) during handoffs, no studies examined the prevalence of a […]
Abstract Number: 312
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Interprofessional teamwork in healthcare organizations is crucial to the delivery of quality patient care. Efforts to improve teamwork on hospital medicine units commonly fail due to clinicians and other care team members (case managers and pharmacists) are responsible for patients scattered across numerous floors and units. UK HealthCare developed and implemented the Interprofessional Teamwork […]
Abstract Number: 343
SHM Converge 2024
Background: The benefits of recruiting health care professionals with lived experiences which reflect the patients they serve are well known. Ethnic and racial concordance between physicians and patients has been shown to improve care for marginalized patients as well as decrease the implicit biases of their fellow colleagues. Systemic racism’s impact on physician representation necessitates […]
Abstract Number: 372
SHM Converge 2024
Background: To address the risk of missed or delayed diagnoses, organizations need to identify and learn from their diagnostic opportunities. However, current approaches to identifying diagnostic opportunities are insensitive, resource intensive and often have low yield.(1,2) Evaluation of diagnostic trajectories can highlight diagnostic opportunities. For example, a patient may re-present to the healthcare system with […]
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: 397
SHM Converge 2023
Background: 22% of the hospitals overall STAR rating is based on readmission reduction for the following disease specific groups: pneumonia, chronic obstructive pulmonary disease, acute myocardial infarction and congestive heart failure. Creating strategies surrounding prevention of readmissions that create workload balance leads to improved ability to manage these patients. The hospitalist medicine, emergency medicine, pulmonary, […]
Abstract Number: 398
Hospital Medicine 2020, Virtual Competition
Background: The United States government has made decreasing 30-day unplanned readmissions a national priority, as early hospital readmissions are a common and costly occurrence. Establishment of the Hospital Readmission Reduction Program (HRRP) in 2012 led to financial penalties to hospitals with high 30-day readmission rates. As such, decreasing 30-day unplanned readmissions has become a key […]