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Abstract Number: 215
SHM Converge 2023
Background: Overuse of daily labs (DL), especially CBC and BMPs in hospitalized patients leads to increased costs and utilization of resources, iatrogenic anemia, and patient discomfort. Prior quality improvement (QI) efforts in hospital medicine have worked to reduce excessive lab utilization, but few have focused on labs ordered on the day of discharge (LOD) . […]
Abstract Number: 216
SHM Converge 2023
Background: Accountable Care Units (ACUs) with Structured Interdisciplinary Bedside Rounds (SIBR® rounds) have shown significant improvements in throughput, clinical outcomes, and satisfaction. Yet, prior studies have noted difficulties achieving such improvements or sustaining them. Interdisciplinary rounds are a predominantly physician-led teamwork process with efficacy vulnerable to inconsistent physician leadership and engagement. Our hospital had previously […]
Abstract Number: 217
SHM Converge 2023
Background: Multiple organizations have published clinical guidelines on hyperglycemia management in the acute care setting in non-critically ill patients [1–3], and the Society of Hospital Medicine offers additional support through its Glycemic Control program [4]. However, there remains little consensus regarding specific dosing regimens when designing insulin protocols in the inpatient setting. At our institution, […]
Abstract Number: 218
SHM Converge 2023
Background: Hospital crowding and subsequent resource strain have been associated with worse patient outcomes and increased length of stay (1–3). As pediatric hospitals face an overwhelming respiratory illness surge in the wake of the COVID pandemic (4–6), improving hospital patient flow is all the more critical. Nonetheless, a substantial proportion of patients, nearly 1 in […]
Abstract Number: 219
SHM Converge 2023
Background: Hospitalists have been at the frontlines of caring for hospitalized patients with COVID-19, placing unusually high stress on hospital-based providers. Attention to hospitalist well-being and resiliency has been essential. We have engaged in a quality improvement project seeking to measure and, more importantly, improve the well-being of hospitalists at a single, large academic hospital. […]
Abstract Number: 220
SHM Converge 2023
Background: Sepsis is a major cause of hospital mortality. Moreover, patients who survive sepsis have increased risk for morbidity, rehospitalization, and death in the months after sepsis. To address this, the 2021 Surviving Sepsis Campaign now provides recommendations addressing recovery and longer-term outcomes. We were interested in whether Michigan hospitals are consistently incorporating key elements […]
Abstract Number: 221
SHM Converge 2023
Background: National guidelines recommend hospitals implement standardized approaches to handoffs, and recent quantitative research has indicated that standardized approaches such as the I-PASS tool can lead to sustained improvements in patient safety and provider communication in a diverse array of settings.1 Our hospital medicine group piloted a formal written handoffs process based on the I-PASS […]
Abstract Number: 222
SHM Converge 2023
Background: More than 71,000 people are non-fatally injured by firearms annually in the US and forced to deal with the aftermath and sequela of surviving a gunshot wound (GSW). The social determinants of health (SDOH) needs in this vulnerable population are poorly understood, particularly at the time of discharge. Following up with healthcare providers after […]
Abstract Number: 223
SHM Converge 2023
Background: Over 50% of practicing physicians in the United States report burnout with internal medicine having some of the highest rates. The aim of our study is to identify factors that contribute to burnout in academic hospitalists and the impact that COVID-19 has had on this phenomenon. Methods: 19 academic hospitalists at Froedtert Hospital & […]
Abstract Number: 224
SHM Converge 2023
Background: Studies have demonstrated direct discharge to home with home care after hospitalization to be the optimal strategy for patients with social support. Even amongst sicker patients requiring intensive nursing and therapy services, evidence shows no difference in functional recovery when compared to those discharged to inpatient rehab. Furthermore, discharge location does not result in […]