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Abstract Number: 354
SHM Converge 2023
Background: Proton Pump Inhibitors are widely misused in both the outpatient and inpatient setting. Often, they are initiated and continued for reasons that do not follow best practice guidelines. Purpose: A Proton Pump Inhibitor Stewardship Committee was created to address this problem as part of a Quality Improvement project. The goal was to determine the […]
Abstract Number: 355
SHM Converge 2023
Background: Medication reconciliation (MR) is a patient medication verification process performed by providers. Best practices and the intricacies of MR are poorly defined nationally, institutionally, and amongst individual providers. In graduate medical education, the skills of MR are implied and imperative in the Transitions of Care (TOC) Milestones 2.0. Prior institutional studies have indicated only […]
Abstract Number: 356
SHM Converge 2023
Background: The CDC recognizes antimicrobial resistance as an urgent global public health threat and supports antibiotic stewardship initiatives to combat antibiotic resistance. Pneumonia is a frequent condition treated by both hospitalists and emergency room physicians and the most common reason for inpatient antibiotic use and over prescribing. Recent IDSA guidelines for the treatment of community […]
Abstract Number: 357
SHM Converge 2023
Background: Discharge delays adversely affect patient flow leading to prolonged Emergency Department (ED) boarding time and decrease in hospital bed availability. Discharge improvement processes can mitigate these delays, but in practice it has been difficult to implement and create substantial impact on discharge delays. Purpose: To develop and implement a discharge physician assistant (DAP) role […]
Abstract Number: 358
SHM Converge 2023
Background: The incidence of Opioid Use Disorder (OUD) is rising around the world with nearly 27 million people living with OUD globally and over 100,000 opioid overdose deaths each year. The Society of Hospital Medicine recently released a consensus statement for management of patients with OUD admitted to the hospital. This statement included recommendations for […]
Abstract Number: 359
SHM Converge 2023
Background: Islam is the second-largest religious tradition in the world, with approximately 3.45 million members in the United States. New York State has the third largest Muslim population and recent data estimates 20,000 to 25,000 Muslims reside in the greater Rochester area. During the month of Ramadan, all Muslims who are physically capable are obligated […]
Abstract Number: 360
SHM Converge 2023
Background: Excess alarms cause a phenomenon, known as alarm fatigue, in which medical providers become desensitized to constant noise emitted from monitors & fail to notice or react to alarms which can lead to patient safety concerns. With the acceleration of remote monitoring & monitoring hubs, it is critical to minimize unactionable alarms and prevent […]
Abstract Number: 361
SHM Converge 2023
Background: Hospitalist-run Medical Procedure Services (MPS) have been shown to decrease time-to-procedure, overall length of stay, and interventional subspecialty consults for bedside procedures while increasing revenue for hospitalist groups [1,2,3,4]. However, significant challenges remain in the deployment of a financially sustainable MPS, and there is interest in identifying and deploying strategies to improve sustainability. Two […]
Abstract Number: 362
SHM Converge 2023
Background: Medication reconciliation (MR) is foundational to patient safety during and after a hospital admission. Although many electronic health records (EHRs) have a dedicated space for documenting home medications on admission, use of such EHR sections remains variable. Providers may opt to record the MR only in the admission H&P, which is not easily updated […]
Abstract Number: 363
SHM Converge 2023
Background: Clostroidiodes difficile (CD) is the most prevalent hospital-acquired infection in the United States, accounting for approximately 224,000 infections with 13,000 deaths and over 1 billion dollars spent in 2017, according to the Centers for Disease Control and Prevention (CDC). Clostroidiodes difficile accounts for 10-20% of diarrhea in the setting of recent antibiotics exposure.In St […]