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Oral Presentations
Abstract Number: 15
SHM Converge 2023
Background: Complex non-pharmacologic interventions containing multiple, or bundled, components can successfully prevent and treat hospital-acquired delirium in older adults. However consistent implementation, and the measurement of compliance, of these bundled interventions can be challenging to sustain in hospital settings especially in presence of COVID-19. Developing workflows with a smaller sub-set of components that are feasible […]
Oral Presentations
Abstract Number: 15
SHM Converge 2023
Background: Complex non-pharmacologic interventions containing multiple, or bundled, components can successfully prevent and treat hospital-acquired delirium in older adults. However consistent implementation, and the measurement of compliance, of these bundled interventions can be challenging to sustain in hospital settings especially in presence of COVID-19. Developing workflows with a smaller sub-set of components that are feasible […]
Abstract Number: 36
SHM Converge 2023
Background: In the acute care environment, healthcare workers interface with patients who have limited access to medical care and a high prevalence of social determinants of health (SDoH) barriers.1 The inpatient setting presents a key intervention point where the social needs of vulnerable populations might be addressed. Standard inpatient medicine care teams, however, lack the […]
Abstract Number: 46
SHM Converge 2023
Background: Continuous cardiac monitoring (telemetry) is a vital but resource intensive component of patient care, allowing providers to quickly respond to signs of cardiovascular instability. Despite its importance, and existence of American Heart Association (AHA) guidelines, overreliance of telemetry is common. Since telemetry is restricted to specific units, over-use creates a bottleneck in patient flow […]
Abstract Number: 195
SHM Converge 2023
Background: Hospital-associated sleep loss and poor overall sleep efficiency are associated with poor glycemic control and exacerbated insulin resistance. in diabetic patients. The relationship between sleep, sleep hygiene, and diabetes is confounded by social determinants of health, such as health literacy. The evaluation of insomnia often utilizes complex sleep diaries or logs that may not […]
Abstract Number: 196
SHM Converge 2023
Background: Geographic localization (GL) has been shown to improve perceptions of physician-nurse, physician-physician, and physician-Case Management communication. However, data on other benefits of GL are mixed. While some studies show that GL improves time allocated by physicians for direct patient care, others report an increased frequency of workday interruptions and greater time spent on indirect […]
Abstract Number: 197
SHM Converge 2023
Background: 15% of hospitalized patients have a documented penicillin (PCN) allergy. However, fewer than 1% of those patients have a true IgE-mediated reaction that necessitates avoidance of beta-lactam antibiotics. Labeling a patient with a PCN allergy is associated with prescribing non beta-lactam (NBL) broad spectrum antibiotics and increased adverse outcomes. Patients with a documented PCN […]
Abstract Number: 198
SHM Converge 2023
Background: Advance care planning (ACP) informs future medical decision-making, particularly for hospitalized patients with older age or serious illness. The majority of end-of-life conversations are led by hospitalists in the inpatient setting. Despite the importance of ACP in end-of-life care, health disparities exist, with racial and ethnic minorities less likely to have advanced directives and […]
Abstract Number: 199
SHM Converge 2023
Background: Written discharge instructions frequently lack guidance on how patients should address problems and questions that arise at home, and this represents an opportunity to enhance discharge safety and prevent readmissions. This study aimed to increase the number of discharge instructions that included anticipatory guidance and self-management among patients discharged from internal medicine teaching services […]
Abstract Number: 200
SHM Converge 2023
Background: Asymptomatic bacteriuria (ASB), or bacterial growth on urine culture without localizing urinary symptoms, is common in hospitalized patients.1,2 ASB is often misdiagnosed as urinary tract infection (UTI) and treated with antibiotics3 despite no improvement in mortality1 and multiple harms associated with antibiotic overuse.4,5 To reduce treatment of ASB, many hospitals set urinalysis parameters (e.g. […]