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Abstract Number: 181
SHM Converge 2023
Background: The placement of peripherally inserted central catheters (PICCs) is increasingly performed primarily by vascular access nurses (VAN) in United States hospitals1. Despite the increased use of these specially trained clinicians, little is known about the patient and device characteristics of the PICCs they placed compared to those placed by interventional radiology (IR) providers. While […]
Abstract Number: 182
SHM Converge 2023
Background: Recent work by the authors showed that over half of the incidences of hypoglycemia in hospitalized diabetics involved patients with CKD, and that 18% of patients with diabetes and end-stage renal disease (ESRD) had a hypoglycemic episode while hospitalized. The importance of reducing inpatient hypoglycemia is reflected in the Centers for Medicare and Medicaid […]
Abstract Number: 183
SHM Converge 2023
Background: Patent Foramen Ovale (PFO) is a common abnormality that affects between 25% and 34% of the general population. For most people, it is a benign finding; however, in some, the PFO can be wider, allowing a paradoxical embolus to transit from the venous to the arterial circulation, which is associated with cryptogenic stroke, migraine, […]
Abstract Number: 184
SHM Converge 2023
Background: With the recent consolidation of hospital systems and the increasing complexity of inpatient care, receiving inter-hospital transfers (IHT) has become more common for large academic medical centers. Notably, studies have shown IHT to be associated with increased length of hospital stay (1,2), increased cost of care (2,3), as well as delays in care and […]
Abstract Number: 185
SHM Converge 2023
Background: Physical restraint use among patients hospitalized with dementia and behavioral disturbances has not been studied on a national level in the United States. We aimed to determine rates of physical restraint use among hospitalized patients with dementia and behavioral disturbances and to characterize associations with mortality and utilization metrics. Methods: National Inpatient Sample database […]
Abstract Number: 186
SHM Converge 2023
Background: For most infections, shorter antibiotic durations are similarly effective to longer durations but have lower risk for side effects and antibiotic resistance.1-9 Since 2019, community-acquired pneumonia (CAP) guidelines have recommended hospitalized patients with CAP be treated until clinical “stability and for no less than a total of 5 days.”10 However, randomized clinical trials have […]
Abstract Number: 187
SHM Converge 2023
Background: Failure to follow-up on lab tests and radiology results can lead to major patient safety concerns due to missed or delayed diagnoses and can be a cause for litigation for health care practitioners. With increasing patient loads, the volume of follow-up testing and clarifications to documentation needed for billing can be a significant burden […]
Abstract Number: 201
SHM Converge 2023
Background: We evaluated whether a catheter-to-vein ratio (CVR) of >45% increases the risk of venous thromboembolism [VTE] and catheter occlusion associated with peripherally inserted central catheters (PICCs). Methods: From August 2020 to April 2022, trained abstractors collected demographic and clinical data on patients receiving PICCs while admitted at 52 hospitals participating in the Michigan Hospital […]
Abstract Number: 202
SHM Converge 2023
Background: Duplicate medical records, where one patient possesses multiple medical record numbers and corresponding charts within a single electronic health record (EHR), pose significant patient safety risks due to incomplete data and repeated interventions, among other areas. The risk is amplified for patients admitted to the hospital, where rapid pace decision making is the norm. […]
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 […]