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Search Results for pons
Abstract Number: 328
SHM Converge 2024
Background: Microaggressions were first described by Dr. Chester Pierce in 1997 as “subtle and stunning” daily racial offenses and then by Sue et al. as “brief and commonplace daily verbal, behavioral, and environmental indignities, whether intentional or unintentional” which often target marginalized groups. Many studies have demonstrated the harmful effect of microaggressions on the target […]
Abstract Number: 332
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sepsis is a leading cause of death in US hospitals, and is a major contributor to hospital mortality and length of stay. Much has been done in hospitals nationwide to identify and treat sepsis early. Similarly, at Bridgeport Hospital, a clinical redesign was initiated to identify and act on patients with signs of sepsis […]
Abstract Number: 344
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Direct hospital admissions from outside emergency departments and hospitals comprise a large proportion of admissions to tertiary medical centers. Clinical stability in these acutely ill patients can fluctuate, even during transport to a receiving medical center. Here, we report data obtained as part of an internal quality improvement initiative to identity clinical criteria present […]
Abstract Number: 348
SHM Converge 2023
Background: A working group was created to look at the care of behavioral patients in the hospital. This group focused primarily on the rapid response teams (RRTs) related to behavioral emergencies in this patient population. Currently if a patient decompensates psychiatrically, rather than their psychiatric issue be addressed promptly, an RRT gets called and many […]
Abstract Number: 366
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly imaging studies that are unlikely to change management. The purpose of the study is to determine when obtaining CT imaging […]
Abstract Number: 373
SHM Converge 2024
Background: Critical event management skills are required for resident training. Critical events include rapid response events, acute clinical decompensation, and code blue events. Evidence supports simulation-based training to improve mastery and retention of these skills. We recognized a need for resident training in critical event management following concerns raised by interprofessional teams and safety event […]
Abstract Number: 379
SHM Converge 2023
Background: Early recognition of clinically deteriorating patients and subsequent deployment of rapid response (RR) teams can result in “rescue” and avert irreversible patient harm or death. However, early detection of clinical deterioration may be impeded by communication barriers between patients and healthcare providers. In a previous study we published, adult hospitalized primary language Spanish (PLS) […]
Abstract Number: 391
Hospital Medicine 2020, Virtual Competition
Background: Incidences of workplace violence have increased over the past decade and remain a major public health issue among health care workers. In response, there have been recent innovations in responses to perceived threats of violence in place of initiating a security emergency, i.e., “code grey,” which triggers immediate presence of hospital security at the […]
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: 464
SHM Converge 2023
Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]