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Abstract Number: 374
SHM Converge 2023
Background: Scholarship is crucial in academic medicine. However, most URiM medical students don’t feel prepared to engage in scholarly activity, especially due to lack of mentorship. The URiM Mentorship Platform is a peer mentoring platform at the Medical College of Wisconsin (MCW), designed to organize collaborative networks and interactions between students and faculty with common […]
Abstract Number: 375
SHM Converge 2023
Background: Increasingly, hospitalizations are becoming more complex and patients are frequently discharged from the hospital with new medical diagnoses, medications, and need for close follow up care (1,2). In 2009, the Health Information Technology for Economic and Clinical Health Act published meaningful use rules for using the Electronic Health Record (EHR), which included that the […]
Abstract Number: 376
SHM Converge 2023
Background: Hospital-acquired delirium induced via disruptions of the sleep cycle contributes to increased mortality and morbidity in hospitalized patients (1,2). Surveys of hospitalized general internal medicine patients at our institution, a tertiary academic medical center, have found that sleep duration is decreased in the hospital, with inpatients sleeping on average 4-6 hours, and reporting worse […]
Abstract Number: 377
SHM Converge 2023
Background: Structured peer observation programs – in which clinicians observe one another and provide feedback – are potential mediators for spreading “best practices” and encouraging feedback among a group. Studies show hospitalist peer observation programs are feasible, perceived favorably by participants, and lead to improvements in self-reported assessments of teaching abilities. However, existing peer-observation models […]
Abstract Number: 378
SHM Converge 2023
Background: Morbidity and Mortality (M&M) conferences are ubiquitous among internal medicine (IM) residency programs, but often fail to improve patient safety and foster learning.1,2 One key determinant of a successful M&M conference is the choice of patient safety event (i.e. M&M case) that is analyzed or presented. However, the characteristics of an effective M&M case […]
Abstract Number: 379
SHM Converge 2023
Background: Early recognition of clinically deteriorating patients and subsequent deployment of rapid response (RR) teams can result in “rescue” and avert irreversible patient harm or death. However, early detection of clinical deterioration may be impeded by communication barriers between patients and healthcare providers. In a previous study we published, adult hospitalized primary language Spanish (PLS) […]
Abstract Number: 380
SHM Converge 2023
Background: Boarding of admitted patients in the Emergency Department has become an increasingly large problem throughout the country. Longer boarding times are associated with a wide range of adverse effects, ranging from patient discomfort to medical errors and death. Emergency Departments are not designed to provide inpatient care and require frequent diversion of attention and […]
Abstract Number: 381
SHM Converge 2023
Background: Lost or improperly labeled specimens may be medically detrimental to patients and have legal implications for the medical professionals and healthcare facility involved. Endoscopy is an especially high-risk location for specimen errors given the large number of biopsies obtained and the high volume of patients served daily by the same team. A 61-year-old male […]
Abstract Number: 382
SHM Converge 2023
Background: The American Board of Internal Medicine (ABIM) Foundation developed the Choosing Wisely project in 2012 as a way to identify commonly used tests that may be overused or inappropriately used. The Society of Hospital Medicine created a subcommittee in this project focused on recommendations affecting hospitalists, and made the recommendation in 2013 to stop […]
Abstract Number: 383
SHM Converge 2023
Background: Hospital overcrowding and extended Emergency Department (ED) wait times are challenges facing most urban hospitals today. There is growing evidence to show that overcrowding in the ED is associated with increased morbidity, mortality and patient dissatisfaction. To improve overcrowding, hospitals have focused on discharge before noon (DBN) as an impactful and sustainable remedy. While […]