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Abstract Number: 34
SHM Converge 2023
Background: The Palo Alto VA Hospital has an interdisciplinary Clinical Command Center (C3) that includes “Flow” nurse practitioners (NPs) who work closely with case management, social work and primary medical teams to identify and address barriers to care and assist in discharge planning and coordination. We have created a novel collaboration between a C3 Flow […]
Abstract Number: 69
SHM Converge 2023
Background: Despite benefits of early Serious Illness Conversations (SICs), including increased satisfaction and earlier hospice referral, rates of SICs remain low. The primary aim of this study is to assess if standardized documentation of SICs increase following implementation of interventions for providers to have more of these conversations with patients admitted to a general medicine […]
Abstract Number: 73
SHM Converge 2023
Background: Ascorbic acid (AA) deficiency affects disproportionally the older population. The recognition of AA deficiency is elusive since we do not measure AA routinely. We assessed the influence of AA supplementation on hospitalization outcomes for community geriatric patients. Methods: Single-center, retrospective study of community-dwelling patients older than 65-years old admitted to a community hospital from […]
Abstract Number: 74
SHM Converge 2023
Background: Most cases of pneumonia in older people are aspiration pneumonia,[1] and the prognosis among patients hospitalized for aspiration pneumonia is very poor.[2] After being hospitalized for aspiration pneumonia, a certain number of patients become unable to take orally, and some chronic conditions are reported to be negatively associated with the retrievement of oral intake.[3] […]
Abstract Number: 75
SHM Converge 2023
Background: The growth of oral muscle relaxant prescriptions among older adults in the U.S. raises safety concern. Baclofen is a commonly used gamma-aminobutyric acid (GABA) agonist muscle relaxant that is associated with encephalopathy. We aimed to compare the risk of fall and fracture associated with oral baclofen against other muscle relaxants (tizanidine or cyclobenzaprine) in […]
Abstract Number: 77
SHM Converge 2023
Background: The American Geriatric Society (AGS) creates a consensus report, the Beers Criteria, of medications that may potentially inappropriate for older persons. The 2019 Beers Criteria consists of medications across many classifications and indications that could have potentially harmful effects on older patients, including contributing delirium, falls, hypotension, and urinary retention. Providing the highest quality […]
Abstract Number: 78
SHM Converge 2023
Background: At our Level 1 trauma center, geriatric trauma (GT) patients are primarily managed by hospitalists with surgical consultation. This care model offloads the trauma surgical services, improving time to surgery and hospital throughput. As the number of injured GT patients rose, so did the need to address a higher complication risk, longer hospital stays, […]
Abstract Number: 79
SHM Converge 2023
Background: Identifying patients who may benefit from a Serious Illness Conversation (SIC) in the hospital is an important step in increasing SIC timeliness. Epic’s Readmission Risk Score (RRS) is an electronic health record integrated composite score (0-100%) that includes diagnostic, laboratory, medication, order, and utilization variables to predict unplanned, 30-day readmission and was found by […]