Session Type
Meeting
Search Results for veteran
Abstract Number: 54
SHM Converge 2021
Background: Frailty is a clinical syndrome characterized by vulnerability to stressors resulting from a loss of physiological reserve across multiple systems. Frailty is a common condition in older adults and is associated with disability, morbidity, increased healthcare utilization, and mortality. Frailty assessments derive from two major frameworks: the frailty phenotype and the deficit accumulation model. […]
Abstract Number: 106
SHM Converge 2021
Background: Throughout the COVID-19 pandemic, clinicians have sought to identify risk factors for severe disease to help guide hospital algorithms, resource allocation and therapeutics. Older age, high Charlson Comorbidity Index (CCI), D-dimer and C-reactive protein (CRP) are associated with severe disease (1-5). CCI and SaO2/FiO2 ratio are associated with mortality, but the changing SaO2 in […]
Abstract Number: 176
Hospital Medicine 2020, Virtual Competition
Background: Availability of acute medical services (e.g., emergency department, intensive care unit) has been associated with adverse clinical outcomes. The association between acute psychiatric inpatient beds and suicide has not been well described. In the Veterans Health Administration (VHA), suicide rates among veterans have increased despite mental health care investments. Our objective was to examine […]
Abstract Number: 186
Hospital Medicine 2020, Virtual Competition
Background: Between 2007 and 2015, inpatient fluoroquinolone use declined in U.S. Veterans Affairs (VA) hospitals. Whether fluoroquinolone use at discharge has also declined, in particular since antibiotic stewardship programs became mandated at VA hospitals in 2014, is unknown. Methods: In this retrospective cohort study of hospitalizations with infection between January 1, 2014 and December 31, […]
Abstract Number: 200
SHM Converge 2021
Background: Communication between referring Veterans Health Administration (VHA) facilities and home health care agencies in the community is imperative for comprehensive care for Veterans. However, to date little is known about communication during care transitions from VHA facilities to home health care. The purpose of the present study is to conduct a preliminary exploratory survey […]
Abstract Number: 348
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High-quality medication reconciliation is key to reducing medication errors during care transitions. This concept is of paramount importance to Veterans living in rural areas due to less access to clinical pharmacy services. We adapted MARQUIS (Multicenter Medication Reconciliation Quality Improvement Study), in which hospitalists mentored teams in implementation of best practices for inpatient medication […]
Abstract Number: 389
SHM Converge 2024
Background: Communication between team members is fundamental to providing high quality care to hospitalized patients (1). Breakdowns in communication lead to compromised patient safety, delays in care, and poor utilization of resources (2). Our Veterans Affairs (VA) hospital has about 200 inpatient beds, primarily staffed by resident physician teams. Bedside nurses use the admission order […]
Abstract Number: 443
Hospital Medicine 2020, Virtual Competition
Background: Rural areas are disproportionately affected by physician shortages, and small rural hospitals in particular struggle to staff acute medicine services 24/7. Telehospitalist models are emerging as an alternative to provide inpatient medicine services in rural settings. In a 2018 needs assessment of rural Veterans Health Administration (VHA) hospitals, 60% percent reported being short on […]