Hospital Medicine 2017

/Hospital Medicine 2017

HM2018 Abstract Number: 387

CALL THAT DASH! ACUTE NONRHEUMATIC STREPTOCOCCAL MYOCARDITIS MIMICKING STEMI

Case Presentation: A 50 year old male with no past medical history presented with severe chest pain that progressively worsened over 2 days. His chest pain was described as left sided, non-radiating, and constant. He [...]

By | 2018-03-22T15:50:13-04:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Poster, Finalist Posters, Hospital Medicine 2018|Comments Off on CALL THAT DASH! ACUTE NONRHEUMATIC STREPTOCOCCAL MYOCARDITIS MIMICKING STEMI

HM2018 Abstract Number: 376

A RARE FORM OF CARDIOMYOPATHY: LEFT VENTRICULAR NON-COMPACTION MANIFESTING AS NEWLY DIAGNOSED CONGESTIVE HEART FAILURE

Case Presentation: A 60-year-old African American man with diabetes presented with progressive dyspnea on exertion and swelling of lower extremities for 3 months. He reported a decline in his previously unlimited exercise tolerance to 1 [...]

By | 2018-03-22T15:49:30-04:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Poster, Finalist Posters, Hospital Medicine 2018|Comments Off on A RARE FORM OF CARDIOMYOPATHY: LEFT VENTRICULAR NON-COMPACTION MANIFESTING AS NEWLY DIAGNOSED CONGESTIVE HEART FAILURE

HM2018 Abstract Number: 388

MASSES NOT AS THEY APPEAR: NOCARDIA MASQUERADING AS MALIGNANCY IN AN IMMUNOCOMPETENT INDIVIDUAL

Case Presentation: 61-year-old male with a known history of alcohol and tobacco abuse was admitted with 3 months history of headache, confusion, unsteady balance and unintentional weight loss. Laboratory tests included normal chemistry panel, complete [...]

By | 2018-03-22T15:50:13-04:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Poster, Finalist Posters, Hospital Medicine 2018|Comments Off on MASSES NOT AS THEY APPEAR: NOCARDIA MASQUERADING AS MALIGNANCY IN AN IMMUNOCOMPETENT INDIVIDUAL

HM2018 Abstract Number: 384

DRESSLER’S SYNDROME WITHOUT A MYOCARDIAL INFARCTION: A RARE COMPLICATION OF PACEMAKER IMPLANTATION

Case Presentation: A 77-year-old woman with a history of recent pacemaker implantation for sick sinus syndrome presented to the ED with progressively worsening fatigue, shortness of breath, fevers, and chest pain. She was previously admitted [...]

By | 2018-03-22T15:50:13-04:00 March 19th, 2018|Adult, Clinical Vignettes, Finalist Poster, Finalist Posters, Hospital Medicine 2018|Comments Off on DRESSLER’S SYNDROME WITHOUT A MYOCARDIAL INFARCTION: A RARE COMPLICATION OF PACEMAKER IMPLANTATION

HM2017 Abstract Number: 157

MALNUTRITION CARE: “LOW HANGING FRUIT” FOR HOSPITALIST CLINICAL PERFORMANCE IMPROVEMENT

Background: As public and private stakeholders demand higher quality of care in the hospital setting, hospitalists play a critical role in leading performance improvement. As hospitalists seek ways to improve quality and lower costs, malnutrition [...]

By | 2018-03-15T20:51:00-04:00 May 10th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on MALNUTRITION CARE: “LOW HANGING FRUIT” FOR HOSPITALIST CLINICAL PERFORMANCE IMPROVEMENT

HM2017 Abstract Number: 52

GERIATRICS EDUCATIONAL INTERVENTIONS FOR HOSPITALISTS: A SYSTEMATIC REVIEW

Background: With nearly 12.3 million inpatient discharges per year attributed to geriatric patients, hospitalists need to be proficient in the practice of geriatric medicine. Our objective was to conduct a systematic literature review to identify [...]

By | 2018-03-15T20:51:00-04:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on GERIATRICS EDUCATIONAL INTERVENTIONS FOR HOSPITALISTS: A SYSTEMATIC REVIEW

HM2017 Abstract Number: 51

FACTORS ASSOCIATED WITH DNR ORDERS ON ADMISSION IN JAPAN

Background: Although code status discussion does not routinely happen at hospitals in Japan, many people reportedly start to think of their end of life issue and would like to express it, according to questionnaire survey [...]

By | 2018-03-15T20:51:00-04:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on FACTORS ASSOCIATED WITH DNR ORDERS ON ADMISSION IN JAPAN

HM2017 Abstract Number: 50

DELIRIUM DETECTION BY A SIMPLIFIED EEG DEVICE IN GENERAL MEDICINE HOSPITALIST SERVICE AND ORTHOPEDIC SERVICE

Background: Delirium is a prevalent and dangerous state of confusion that affects millions >65 years of age (1-3). Delirium is underdiagnosed and undertreated due to lack of effective screening methods (4, 5).  Undetected delirium in [...]

By | 2018-03-15T20:51:00-04:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on DELIRIUM DETECTION BY A SIMPLIFIED EEG DEVICE IN GENERAL MEDICINE HOSPITALIST SERVICE AND ORTHOPEDIC SERVICE

HM2017 Abstract Number: 48

SURVIVAL AFTER ADJUVANT AND NEOADJUVANT CHEMOTHERAPY IN ELDERLY PATIENTS WITH TRIPLE NEGATIVE BREAST CANCER: A CLEVELAND CLINIC EXPERIENCE

Background: Triple negative breast cancer (TNBC) comprises of approximately 15% of the total breast cancers. There is limited data on treatment outcome of these patients in elderly population. We report our experience with elderly patients [...]

By | 2018-03-15T20:51:00-04:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on SURVIVAL AFTER ADJUVANT AND NEOADJUVANT CHEMOTHERAPY IN ELDERLY PATIENTS WITH TRIPLE NEGATIVE BREAST CANCER: A CLEVELAND CLINIC EXPERIENCE

HM2017 Abstract Number: 47

CHARLSON COMORBIDITY INDEX FOR PREDICTING SHORT-TERM OUTCOMES IN HOSPITALIZED OLDER ADULTS

Background: The Charlson comorbidity index (CCI) has been one of the most commonly used and validated prognostication tools. In addition to being a valuable resource for health services researchers, the CCI is being used in [...]

By | 2018-03-15T20:51:00-04:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on CHARLSON COMORBIDITY INDEX FOR PREDICTING SHORT-TERM OUTCOMES IN HOSPITALIZED OLDER ADULTS

HM2017 Abstract Number: 285

EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

Background: Earlier discharge time is an important satisfaction metric for patients, maximizes the utilization of hospital beds, and reduces waste and capacity issues in EDs /PACUs. Overall, early discharge represents high-value care and responsible stewardship [...]

By | 2018-03-15T20:51:00-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

HM2017 Abstract Number: 312

AN ITIM OF NECESSITY FOR TEAMWORK – THE INTERPROFESSIONAL TEAMWORK INNOVATION MODEL (ITIM©)

Background: Interprofessional teamwork in healthcare organizations is crucial to the delivery of quality patient care. Efforts to improve teamwork on hospital medicine units commonly fail due to clinicians and other care team members (case managers [...]

By | 2018-03-15T20:51:00-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on AN ITIM OF NECESSITY FOR TEAMWORK – THE INTERPROFESSIONAL TEAMWORK INNOVATION MODEL (ITIM©)

HM2017 Abstract Number: 185

ELECTRONIC MEDICAL RECORD SIGN OUT TOOL IMPROVEMENT PROJECT: A NARRATIVE DESCRIPTION OF THE EFFECTIVENESS OF THE UNIVERSITY OF MICHIGAN’S HOUSE OFFICER QUALITY AND SAFETY COUNCIL.  

Background: The American College of Graduate Medical Education requires resident involvement in patient safety and quality improvement (PS/QI) but it remains difficult to engage house officers (HOs) in meaningful and sustainable projects. In 2011, the [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on ELECTRONIC MEDICAL RECORD SIGN OUT TOOL IMPROVEMENT PROJECT: A NARRATIVE DESCRIPTION OF THE EFFECTIVENESS OF THE UNIVERSITY OF MICHIGAN’S HOUSE OFFICER QUALITY AND SAFETY COUNCIL.  

HM2017 Abstract Number: 764

INPATIENT INTERMITTENT CONFUSION AND HYPOXIA – THINKING OUT OF THE BOX BUT FROM THE BOTTLE

Inpatient Intermittent Confusion and Hypoxia – Thinking out of the Box but From the Bottle Case Presentation: A 62-year old Caucasian female, a Psychiatrist, was brought by her friend for multiple falls and heavy alcohol [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INPATIENT INTERMITTENT CONFUSION AND HYPOXIA – THINKING OUT OF THE BOX BUT FROM THE BOTTLE

HM2017 Abstract Number: 521

A DIAGNOSTIC DILEMMA – APICAL MYOCARDIAL INFARCTION (MI)

Case Presentation: A 29 year old African American male presented with non-radiating, mid-sternal chest pain, which was relieved by sitting up. His vital signs and physical examination were unremarkable. His initial EKG showed J point elevation in [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A DIAGNOSTIC DILEMMA – APICAL MYOCARDIAL INFARCTION (MI)

HM2017 Abstract Number: 526

“CAN’T SEED, CAN’T PEE, CAN’T CLIMB A TREE”: A CASE OF NEUROSARCOID ASSOCIATED MYELOPATHY

Case Presentation: A 42-year-old male with a history of T2DM, subacute bilateral LE weakness and paresthesia presented with UTI, urinary retention and anejaculation. One month prior to admission the patient was taken to the ED [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on “CAN’T SEED, CAN’T PEE, CAN’T CLIMB A TREE”: A CASE OF NEUROSARCOID ASSOCIATED MYELOPATHY

HM2017 Abstract Number: 425

ITCHY EOSINOPHILIA

Case Presentation: A 64 year old male presented with a three day history of fever, hand soreness and rash.  On the day of presentation, he had just returned from the Caribbean, however denied any history [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ITCHY EOSINOPHILIA

HM2017 Abstract Number: 246

IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

Background: Hospital admissions are the majority contributor to the cost in caring for diabetes, accounting for about 40% of the costs. As most hospital reimbursements are based upon diagnosis-related groups, hospitals have strong financial incentives [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPACT OF ‘TRANSITION OF CARE MODEL’ ON HOSPITAL DIABETIC KETOACIDOSIS READMISSION RATES

HM2017 Abstract Number: 241

“BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

Background: Hospitalized older adults are increasingly referred to skilled nursing facilities (SNFs) for post-acute care following hospitalization. However, whether hospitalized older adults are enabled to make high-quality decisions about different post-acute care options is unclear. [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on “BECAUSE THEY SAID SO I GUESS”: EVALUATING THE QUALITY OF OLDER ADULTS’ DECISION-MAKING REGARDING POST-ACUTE CARE OPTIONS

HM2017 Abstract Number: 313

DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

Background: As part of the ABIM Foundation’s Choosing Wisely campaign the Society of Hospital Medicine recommended providers avoid performing repetitive CBC and chemistry testing in the face of clinical and lab stability. In 2014 as [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DOES EVERYONE NEED DAILY LABS? CHOOSE WISELY AND REDUCE THE OVERUSE: A HIGH VALUE CARE PROJECT

HM2017 Abstract Number: 311

THE DEVELOPMENT AND VALIDATION OF A HIGH VALUE CARE ROUNDING TOOL USING THE DELPHI METHOD

Background: In response to skyrocketing healthcare costs, providing high value care is an increasing priority for health care systems. Physicians are responsible for translating high value care (HVC) to the bedside, however there is a [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THE DEVELOPMENT AND VALIDATION OF A HIGH VALUE CARE ROUNDING TOOL USING THE DELPHI METHOD

HM2017 Abstract Number: 310

PHYSICIAN REIMBURSEMENT MODELS AND VALUE-BASED PAYMENTS: A SURVEY OF FACULTY AND TRAINEE KNOWLEDGE AND INTEREST

Background: Guiding health care delivery towards patient-centered value can be accelerated by reforming physician reimbursement. Recent legislation including the Medicare Access and CHIP Reauthorization Act (MACRA) and the Affordable Care Act have created frameworks for value-based [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on PHYSICIAN REIMBURSEMENT MODELS AND VALUE-BASED PAYMENTS: A SURVEY OF FACULTY AND TRAINEE KNOWLEDGE AND INTEREST

HM2017 Abstract Number: 308

WHY ORDER TWO WHEN YOU CAN GET ONE FOR HALF THE PRICE?: EVALUATING THE RELIABILITY OF POINT OF CARE ARTERIAL BLOOD GAS ELECTROLYTE MEASUREMENTS FOR USE IN STANDARD SUPPLEMENTATION PROTOCOLS

Background: Frequent blood draws are implicated in hospital-acquired anemia as well as rising costs. Critically ill patients undergo frequent venous and arterial blood sampling, both providing electrolyte concentrations. In this study, we sought to examine [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on WHY ORDER TWO WHEN YOU CAN GET ONE FOR HALF THE PRICE?: EVALUATING THE RELIABILITY OF POINT OF CARE ARTERIAL BLOOD GAS ELECTROLYTE MEASUREMENTS FOR USE IN STANDARD SUPPLEMENTATION PROTOCOLS

HM2017 Abstract Number: 307

THRESHOLDS FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS IN HOSPITALIZED MEDICAL PATIENTS — A COST-EFFECTIVENESS ANALYSIS

Background: Venous thromboembolism (VTE) is a common preventable condition in hospitalized medical patients. Chemoprophylaxis with heparin or fondaparinux has been recommended for all hospitalized patients who are not at low risk, and appropriate thromboprophylaxis is [...]

By | 2018-03-15T20:50:29-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THRESHOLDS FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS IN HOSPITALIZED MEDICAL PATIENTS — A COST-EFFECTIVENESS ANALYSIS

HM2017 Abstract Number: 305

DRAWING WISELY BEYOND EDUCATIONAL SESSIONS: THE IMPACT OF ADMISSION ORDER SET ADJUSTMENT ON INPATIENT LABORATORY ORDERING PRACTICES

Background: In an era where the cost of healthcare in the United States is rising at an unsustainable rate, promoting high value care has never been more important. As highlighted by the Society of Hospital [...]

By | 2018-03-15T20:50:29-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DRAWING WISELY BEYOND EDUCATIONAL SESSIONS: THE IMPACT OF ADMISSION ORDER SET ADJUSTMENT ON INPATIENT LABORATORY ORDERING PRACTICES

HM2017 Abstract Number: 304

CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

Background: Inappropriate laboratory utilization in hospitalized patients is a significant contributing factor to health care expenditures, iatrogenic anemia, downstream testing, and poor patient satisfaction. For these reasons, the Society of Hospital Medicine has recommended through [...]

By | 2018-03-15T20:50:29-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on CONTINUOUS BLOOD COLLECTION: A REVIEW OF CURRENT CBC UTILIZATION, PROVIDER SURVEY, AND PILOT INTERVENTION AT A LARGE ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 303

REPETITIVE CBC TESTING IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA: A MULTICENTER STUDY

Background: Avoiding repeated complete blood count (CBC) testing in the face of clinical and laboratory stability is a Choosing Wisely initiative recommendation endorsed by the Society of Hospital Medicine. We investigated the prevalence and clinical [...]

By | 2018-03-15T20:50:29-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on REPETITIVE CBC TESTING IN PATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA: A MULTICENTER STUDY

HM2017 Abstract Number: 301

EVALUATION OF TELEMETRY USE IN THE PATIENT AT RISK FOR ALCOHOL WITHDRAWAL

Background: Cardiac telemetry is frequently overused in the hospital. Our institution requires telemetry while patients are on the Clinical Institute Withdrawal Assessment (CIWA) protocol, regardless of the presence or severity of alcohol withdrawal (AW).  Telemetry use [...]

By | 2018-03-15T20:50:29-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EVALUATION OF TELEMETRY USE IN THE PATIENT AT RISK FOR ALCOHOL WITHDRAWAL

HM2017 Abstract Number: 300

IF YOU BUILD IT, THEY WILL ORDER IT…APPROPRIATELY: USE OF A TELEMETRY ORDER SET IMPROVES ADHERENCE TO EVIDENCE-BASED PRACTICE

Background: Inappropriate telemetry use has been associated with increased health care cost and unnecessary diagnostic procedures. For these reasons, the Society of Hospital Medicine’s Choosing Wisely campaign promoted use of both American Heart Association (AHA) [...]

By | 2018-03-15T20:50:29-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on IF YOU BUILD IT, THEY WILL ORDER IT…APPROPRIATELY: USE OF A TELEMETRY ORDER SET IMPROVES ADHERENCE TO EVIDENCE-BASED PRACTICE

HM2017 Abstract Number: 298

OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

Background: Misuse of laboratory tests can be difficult to determine unless tests are clearly overused or repeated routinely. However, excessive testing of chronically critically ill patients treated in long-term acute care hospitals (LTACHs) can be [...]

By | 2018-03-15T20:50:08-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on OPTIMIZING LABORATORY TEST UTILIZATION IN LONG-TERM ACUTE CARE HOSPITALS

HM2017 Abstract Number: 297

DRIVERS OF OVERUSE OF PANCREATIC ENZYME LAB TESTING AT AN ACADEMIC MEDICAL CENTER

Background: Decades-old clinical data and practice guidelines support the use of lipase over amylase in the workup and management of acute pancreatitis. Yet, laboratory testing for amylase continues to cost the Center for Medicare and [...]

By | 2018-03-15T20:50:08-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DRIVERS OF OVERUSE OF PANCREATIC ENZYME LAB TESTING AT AN ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 296

DERIVATION OF A CLINICAL PREDICTION MODEL TO PREDICT UNCHANGED INPATIENT ECHOCARDIOGRAMS

Background:  Transthoracic echocardiography (TTE) is one of the most popular tests in healthcare. Studies of Medicare beneficiaries for example have shown that each year approximately 20% undergo at least one TTE. Repeat TTE defined as [...]

By | 2018-03-15T20:50:09-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on DERIVATION OF A CLINICAL PREDICTION MODEL TO PREDICT UNCHANGED INPATIENT ECHOCARDIOGRAMS

HM2017 Abstract Number: 295

UTILIZATION AND COST EFFECTIVENESS OF A RISK STRATIFIED DIAGNOSTIC APPROACH TO PATIENTS WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA

Background: Thrombotic thrombocytopenic purpura (TTP) is a rare but deadly thrombotic microangiopathy (TMA) that is caused by ADAMTS13 deficiency. The PLASMIC clinical scoring system was developed and validated to determine the pretest probability of severe [...]

By | 2018-03-15T20:50:09-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on UTILIZATION AND COST EFFECTIVENESS OF A RISK STRATIFIED DIAGNOSTIC APPROACH TO PATIENTS WITH SUSPECTED THROMBOTIC THROMBOCYTOPENIC PURPURA

HM2017 Abstract Number: 294

AN INNOVATIVE HOSPITAL MEDICINE ELECTIVE: NOT JUST ANOTHER FLOOR MONTH

Background: Hospital Medicine is a rapidly growing specialty and a higher percentage of patients are under the care of hospitalists across the country.  Like other internal medicine subspecialties, an increasing number of residents have expressed [...]

By | 2018-03-15T20:50:09-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on AN INNOVATIVE HOSPITAL MEDICINE ELECTIVE: NOT JUST ANOTHER FLOOR MONTH

HM2017 Abstract Number: 292

THE INCIDENCE RATE AND CAUSE OF NON-COMPLIANCE OF THE DNR ORDERS

Background: End of life discussion is very important for preventing undesired cardiopulmonary resuscitation (CPR). It is reportedly associated with less aggressive medical care near death and better quality of life. Its importance has been gradually [...]

By | 2018-03-15T20:50:09-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on THE INCIDENCE RATE AND CAUSE OF NON-COMPLIANCE OF THE DNR ORDERS

HM2017 Abstract Number: 291

A QUANTITATIVE ASSESSMENT OF REDUNDANT LAB ORDERS AT AN ACADEMIC MEDICAL CENTER

Background: The Choosing Wisely Campaign encourages physicians to avoid over-utilizing routine labs in hospitalized patients with clinical and laboratory stability.  A number of studies have shown adverse effects on hospitalized patients from lab overutilization.  In [...]

By | 2018-03-15T20:50:09-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on A QUANTITATIVE ASSESSMENT OF REDUNDANT LAB ORDERS AT AN ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 290

EFFECT OF ADMISSION LOCATION ON COST AND CLINICAL AND SAFETY OUTCOMES IN PATIENTS WITH DIABETIC KETOACIDOSIS

Background: Diabetic ketoacidosis (DKA) is a serious, acute complication of diabetes mellitus caused by a state of insulin deficiency requiring exogenous insulin administration.  Significant variation in intensive care unit (ICU) admission rates for DKA exists [...]

By | 2017-04-25T22:21:25-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EFFECT OF ADMISSION LOCATION ON COST AND CLINICAL AND SAFETY OUTCOMES IN PATIENTS WITH DIABETIC KETOACIDOSIS

HM2017 Abstract Number: 288

CONSULTATION TO A CARDIOLOGIST PRIOR TO LOW RISK PROCEDURES SIGNIFICANTLY INCREASES INPATIENT LENGTH OF STAY WITHOUT AFFECTING OUTCOMES

Background: The healthcare system in the United States is often times costly and inefficient. Some estimates suggest that 20-34% of healthcare dollars are spent ineffectively. Despite efforts such as the Choosing Wisely Campaign to limit [...]

By | 2017-04-25T22:22:44-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on CONSULTATION TO A CARDIOLOGIST PRIOR TO LOW RISK PROCEDURES SIGNIFICANTLY INCREASES INPATIENT LENGTH OF STAY WITHOUT AFFECTING OUTCOMES

HM2017 Abstract Number: 284

RESIDENT PERSPECTIVES ON LABORATORY OVER-UTILIZATION: DIFFERENCES BETWEEN RESIDENCY PROGRAM SITES

Background: Unnecessary diagnostic testing contributes to the escalating cost of health care in the US and can cause harm to patients. Daily blood work has become a routine part of care for hospitalized adults though [...]

By | 2017-04-25T22:23:24-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on RESIDENT PERSPECTIVES ON LABORATORY OVER-UTILIZATION: DIFFERENCES BETWEEN RESIDENCY PROGRAM SITES

HM2017 Abstract Number: 283

TEST, PATIENT, AND PHYSICIAN CHARACTERISTICS ASSOCIATED WITH ACTIONABLE TESTS PENDING AT DISCHARGE: CAN WE ORDER TESTS MORE WISELY?

Background: Previous studies have determined that a small subset (~10%) of the results of tests pending at discharge (TPADs) require action. Challenges for hospitalists in dealing with actionable TPADs include identifying TPADs that are truly [...]

By | 2017-04-26T01:06:24-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on TEST, PATIENT, AND PHYSICIAN CHARACTERISTICS ASSOCIATED WITH ACTIONABLE TESTS PENDING AT DISCHARGE: CAN WE ORDER TESTS MORE WISELY?

HM2017 Abstract Number: H

HOSPITALISTS BREAK WITH CONVENTION TO DRIVE DISCHARGE THROUGHPUT AND MAKING HUGE IMPACT

Background: We identified a number of quality, patient satisfaction, and staff satisfaction issues that all seemed to be linked to throughput challenges. We had trouble getting patients out of the hospital on discharge day, which [...]

By | 2017-04-26T01:07:21-04:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on HOSPITALISTS BREAK WITH CONVENTION TO DRIVE DISCHARGE THROUGHPUT AND MAKING HUGE IMPACT

HM2017 Abstract Number: 281

PROCALCITONIN UTILIZATION IN PATIENTS HOSPITALIZED WITH PNEUMONIA IN MICHIGAN HOSPITALS: A COHORT STUDY

Background: Inappropriate antibiotic use is associated with bacterial resistance, adverse events, and an increased risk of Clostridium difficileinfection. However, providers often prescribe antibiotics for viral respiratory infections and treat infections such as bacterial pneumonia for [...]

By | 2017-04-26T01:08:08-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on PROCALCITONIN UTILIZATION IN PATIENTS HOSPITALIZED WITH PNEUMONIA IN MICHIGAN HOSPITALS: A COHORT STUDY

HM2017 Abstract Number: 280

IDENTIFYING PERCEIVED BARRIERS TO CONTINUATION AFTER COMPLETING A WHOLE FOODS PLANT-BASED DIET WORKSHOP

Background: Amanda Guay, outreach coordinator at North Country HealthCare in Flagstaff, Arizona, believes that affordable nutrition based meals are an important issue in the Flagstaff community, especially for underserved populations. Diabetes, obesity, hypertension, and hyperlipidemia [...]

By | 2017-04-26T01:08:54-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on IDENTIFYING PERCEIVED BARRIERS TO CONTINUATION AFTER COMPLETING A WHOLE FOODS PLANT-BASED DIET WORKSHOP

HM2017 Abstract Number: 279

INPATIENT PALLIATIVE CARE CONSULTATIONS AND THE IMPACT ON LENGTH OF STAY

Background: Reducing LOS promotes value, and when aligned with patient preferences, can improve care. Patients referred for palliative care (PC) generally have longer length of stay (LOS) due to their serious illness, multiple complex management [...]

By | 2017-04-26T01:09:38-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on INPATIENT PALLIATIVE CARE CONSULTATIONS AND THE IMPACT ON LENGTH OF STAY

HM2017 Abstract Number: 278

MRSA SWAB AS A PREDICTOR OF MRSA INFECTION

Background: Septic patients that require ICU level of care are treated empirically with vancomycin. Although this treatment is effective for MRSA infections, prolonged vancomycin exposure can cause nephrotoxicity and antibiotic resistance. A test to identify [...]

By | 2017-04-26T01:12:44-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on MRSA SWAB AS A PREDICTOR OF MRSA INFECTION

HM2017 Abstract Number: 277

IS PICC LINE RELATED THROMBOEMBOLISM ASSOCIATED WITH ABO BLOOD GROUP? RESULTS OF CASE-CONTROL STUDY

Background: Peripherally inserted peripheral catheter (PICC) use is associated with many complications including line related thromboembolism. Several studies and meta- analyses confirmed the increased risk to develop venous thromboembolism in non-O blood group patients. We [...]

By | 2017-04-26T01:13:32-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on IS PICC LINE RELATED THROMBOEMBOLISM ASSOCIATED WITH ABO BLOOD GROUP? RESULTS OF CASE-CONTROL STUDY

HM2017 Abstract Number: 276

PREDICTORS OF RECURRENT HOSPITAL ADMISSIONS AMONG PROSTATE CANCER SURVIVORS

Background:  By 2026 the number of prostate cancer survivors is expected to reach 4.5 million. Although the mortality from prostate cancer has been steadily decreasing, cancer survivors usually have poor outcomes compared to their peers [...]

By | 2017-04-20T20:43:00-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on PREDICTORS OF RECURRENT HOSPITAL ADMISSIONS AMONG PROSTATE CANCER SURVIVORS

HM2017 Abstract Number: 275

HOW MANY OUTPATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA BECOME INPATIENTS? A U.S. HEALTH INSURANCE CLAIM ANALYSIS FROM 2011-2015

Background: Approximately 1-2% of the U.S. population gets community-acquired pneumonia (CAP) annually in the U.S. and CAP is associated with substantial mortality, morbidity and costs.  While the incidence of CAP is well-defined, the incidence of [...]

By | 2017-04-26T01:14:27-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on HOW MANY OUTPATIENTS WITH COMMUNITY-ACQUIRED PNEUMONIA BECOME INPATIENTS? A U.S. HEALTH INSURANCE CLAIM ANALYSIS FROM 2011-2015

HM2017 Abstract Number: 274

PICC LINE- RELATED THROMBOSIS; DOES PHARMACOLOGICAL DEEP VEIN THROMBOSIS HELP?

Background: Peripherally inserted center catheter (PICC) use is associated with many complications including thromboembolism. The role of pharmacological prophylaxis in prevention of PICC line related thromboembolism is controversial. In our study,we assessed the role of pharmacological [...]

By | 2017-04-26T02:30:37-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on PICC LINE- RELATED THROMBOSIS; DOES PHARMACOLOGICAL DEEP VEIN THROMBOSIS HELP?

HM2017 Abstract Number: G

ACCURACY AND THE PROPER USE OF THE POINT-OF-CARE ANALYSIS IN HEMOGLOBIN A1C MEASUREMENT

Background: Diabetes Mellitus is one of the most common chronic diseases in the United States and worldwide.1-2 Hemoglobin A1C is a surrogate marker for the average blood glucose level over the previous 3 months.3 In [...]

By | 2017-04-26T02:31:20-04:00 April 20th, 2017|Research Abstracts, Translating Research into Practice|Comments Off on ACCURACY AND THE PROPER USE OF THE POINT-OF-CARE ANALYSIS IN HEMOGLOBIN A1C MEASUREMENT

HM2017 Abstract Number: 272

FACTORS ASSOCIATED WITH THE ABILITY OF INPATIENTS TO RECALL THEIR OUTPATIENT PRESCRIPTION MEDICATION LIST

Background: Patient understanding of prescription medication regimens is an important aspect of health literacy and inpatient medication reconciliation. There is a lack of data regarding patient knowledge of their own outpatient prescription medications. This study [...]

By | 2017-04-26T02:32:32-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on FACTORS ASSOCIATED WITH THE ABILITY OF INPATIENTS TO RECALL THEIR OUTPATIENT PRESCRIPTION MEDICATION LIST

HM2017 Abstract Number: 269

IMPROVEMENT IN 24-HOUR DISCHARGE SUMMARY COMPLETION RATE DOES NOT CORRELATE WITH REDUCED READMISSIONS

Background: Multiple studies have established that delays in discharge summary transmission were associated with higher rates of all-cause hospital readmissions.    It has been recently shown that delaying the completion of discharge summaries beyond 72 hours [...]

By | 2017-04-26T02:33:32-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPROVEMENT IN 24-HOUR DISCHARGE SUMMARY COMPLETION RATE DOES NOT CORRELATE WITH REDUCED READMISSIONS

HM2017 Abstract Number: 267

IMPROVING TRANSITIONS OF CARE: IMPLEMENTING A TRAINING PROGRAM FOR INCOMING RESIDENTS

Background: Transition of care between physicians remains a vulnerability in providing optimal patient care. The Clinical Learning Environment Review (CLER) program identifies Care Transitions as a core pathway for evaluation. Specifically, they assess a program’s [...]

By | 2017-04-26T02:34:10-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPROVING TRANSITIONS OF CARE: IMPLEMENTING A TRAINING PROGRAM FOR INCOMING RESIDENTS

HM2017 Abstract Number: 265

BARRIERS TO IMPLEMENTATION OF A TRANSTIONAL CARE INTERVENTION: A QUALITATIVE ANALYSIS

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. Many interventions have been tried, with varying degrees of success, and often the problem has been with implementation rather than theoretical [...]

By | 2017-04-26T02:34:47-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on BARRIERS TO IMPLEMENTATION OF A TRANSTIONAL CARE INTERVENTION: A QUALITATIVE ANALYSIS

HM2017 Abstract Number: 264

WARM HANDOFFS: A STRATEGY TO IMPROVE END-OF-ROTATION CARE TRANSITIONS AMONG HOUSESTAFF

Background: Hospitalized medical patients transitioning to new house staff at the end of an inpatient resident rotation are associated with an increased risk of mortality as compared with patients not exposed to such handoffs, yet [...]

By | 2017-04-26T02:35:19-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on WARM HANDOFFS: A STRATEGY TO IMPROVE END-OF-ROTATION CARE TRANSITIONS AMONG HOUSESTAFF

HM2017 Abstract Number: 261

PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

Background: U.S. healthcare costs are rising due to the increase in polypharmacy, which is a potential risk factor for hospital readmission.1 In a cohort study of 5,507 patients with ≥10 discharge medications, more than 25% of [...]

By | 2017-04-26T02:36:27-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PHARMACY-DRIVEN CONTINUUM OF CARE PROGRAM: REDUCING RELATED READMISSIONS IN PATIENTS WITH HIGH-VOLUME HOME MEDICATIONS ON THE GENERAL MEDICINE SERVICE

HM2017 Abstract Number: 260

EDUCATION OF RESIDENTS TO IMPROVE DISCHARGE SUMMARY VARIABILITY AND OUTPATIENT PRIMARY CARE PROVIDER SATISFACTION

Background: Discharge summaries (DS) play a large role in transition of care from the inpatient to outpatient setting. At academic centers DS are largely completed by house staff, though few residency programs and medical schools [...]

By | 2017-04-20T20:30:55-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on EDUCATION OF RESIDENTS TO IMPROVE DISCHARGE SUMMARY VARIABILITY AND OUTPATIENT PRIMARY CARE PROVIDER SATISFACTION

HM2017 Abstract Number: 259

ARE PATIENTS TRANSFERRED TO HOSPITALS THAT CAN APPROPRIATELY TREAT THEM?

Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In [...]

By | 2017-04-26T02:37:02-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ARE PATIENTS TRANSFERRED TO HOSPITALS THAT CAN APPROPRIATELY TREAT THEM?

HM2017 Abstract Number: 258

PATIENT EXPERIENCE WITH INTER-HOSPITAL TRANSFER: A QUALITATIVE STUDY

Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate [...]

By | 2017-04-26T02:37:34-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PATIENT EXPERIENCE WITH INTER-HOSPITAL TRANSFER: A QUALITATIVE STUDY

HM2017 Abstract Number: 257

IMPACT OF POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

Background: According to Medicare Payment Advisory Commission, about 75% of hospital readmissions are potentially preventable, representing an estimated $12 billion in Medicare spending. Prompt follow-up of hospital patients before primary care and subspecialist appointment may decrease [...]

By | 2017-04-26T02:38:02-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPACT OF POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

HM2017 Abstract Number: 256

AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): INTERIM RESULTS FROM A RANDOMIZED CONTROLLED QUALITY IMPROVEMENT TRIAL

Background: Hospital readmissions remain highly prevalent despite being the target of policies and financial penalties.  Evidence comparing effectiveness and costs of interventions to reduce readmissions is lacking, leaving healthcare systems with little guidance on how [...]

By | 2017-04-26T02:38:33-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): INTERIM RESULTS FROM A RANDOMIZED CONTROLLED QUALITY IMPROVEMENT TRIAL

HM2017 Abstract Number: 255

TRANSITIONS OF CARE: ASSESSING SATISFACTION OF DISCHARGE COMMUNICATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS

Background: Poor communication between healthcare providers has been identified as an important contributor to poor patient outcomes and adverse events. The transition period from inpatient to outpatient care is a particularly high risk time for [...]

By | 2017-04-26T02:39:02-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on TRANSITIONS OF CARE: ASSESSING SATISFACTION OF DISCHARGE COMMUNICATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS

HM2017 Abstract Number: 253

COGNITIVE IMPAIRMENT AMONG HOSPITALIZED HOMELESS PATIENTS

Background: Homeless patients have a higher incidence of medical and psychiatric diagnoses, which often necessitate hospitalization. Studies show that homeless persons have increased lengths of stay with an average excess of 4.1 days, accounting for [...]

By | 2017-04-26T02:39:34-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on COGNITIVE IMPAIRMENT AMONG HOSPITALIZED HOMELESS PATIENTS

HM2017 Abstract Number: 252

A PILOT STUDY OF READMISSIONS WITHIN 28 DAYS TO AN AMAU (ACUTE MEDICAL ASSESSMENT UNIT) IN THE MIDDLE EAST REGION

Background: Readmissions after hospitalisation are a healthcare quality indicator and carry considerable financial penalties in some healthcare systems. Internationally, readmission rates at 28 – 30 days for medical inpatients range between 10 - 22%. However [...]

By | 2017-04-25T23:21:38-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on A PILOT STUDY OF READMISSIONS WITHIN 28 DAYS TO AN AMAU (ACUTE MEDICAL ASSESSMENT UNIT) IN THE MIDDLE EAST REGION

HM2017 Abstract Number: 250

ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

Background: Financial readmission penalties hold hospitals responsible for 30-day readmissions regardless of whether the patient was readmitted to another hospital.  Emerging evidence suggests patients readmitted to non-index hospitals may experience higher mortality rates.  Hospitals with [...]

By | 2017-04-26T02:40:24-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ARE YOUR PATIENTS BEING READMITTED ELSEWHERE? INSIGHTS FROM THE NATIONAL READMISSIONS DATABASE

HM2017 Abstract Number: 249

IMPLEMENTING A HOSPITAL BASED TRANSITIONAL CARE MANAGEMENT INITIATIVE REDUCES READMISSION RATES

Background: National readmission rates for all-cause hospitalizations are as high as 14 readmits per 100 index admissions and have been relatively unchanged for at least the last 5 years (Fingar K, et al. Agency for [...]

By | 2017-04-26T02:40:55-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on IMPLEMENTING A HOSPITAL BASED TRANSITIONAL CARE MANAGEMENT INITIATIVE REDUCES READMISSION RATES

HM2017 Abstract Number: 245

WHEN ARE WE TOO BUSY TO SUMMARIZE? ASSOCIATION OF PRACTICE CHARACTERISTICS WITH HOSPITALISTS’ PERCEIVED BURDEN OF PREPARING HOSPITAL DISCHARGE SUMMARIES

Background: Patients admitted to inpatient hospital services are increasingly cared for by hospitalists rather than their primary care providers. When transitioning from hospital-based to ambulatory care, suboptimal information transfer can lead to serious adverse events [...]

By | 2017-04-26T02:41:30-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on WHEN ARE WE TOO BUSY TO SUMMARIZE? ASSOCIATION OF PRACTICE CHARACTERISTICS WITH HOSPITALISTS’ PERCEIVED BURDEN OF PREPARING HOSPITAL DISCHARGE SUMMARIES

HM2017 Abstract Number: 244

PROTECTING THE VULNERABLE: PRACTICE PATTERNS OF PROVIDERS WHO DISCHARGE PATIENTS AGAINST MEDICAL ADVICE

Background: Patients discharged against medical advice (AMA) have disproportionately high healthcare costs and increased morbidity, mortality, and hospital readmissions. While patient risk factors for discharge AMA are known, there is little data regarding providers’ practice [...]

By | 2017-04-26T02:42:02-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on PROTECTING THE VULNERABLE: PRACTICE PATTERNS OF PROVIDERS WHO DISCHARGE PATIENTS AGAINST MEDICAL ADVICE

HM2017 Abstract Number: 243

ASSESSING PERCEPTIONS AND EXPERIENCES OF ADULT-CARE PROVIDERS WITH TRANSITION FROM PEDIATRIC TO ADULT MEDICAL CARE

Background: With advances in medical care, there is a growing population with childhood-onset chronic health conditions reaching adulthood. A 2011 consensus statement by the AAP, AAFP and ACP identified an algorithm for transition from pediatric [...]

By | 2017-04-26T02:42:32-04:00 April 20th, 2017|Research Abstracts, Transitions of Care|Comments Off on ASSESSING PERCEPTIONS AND EXPERIENCES OF ADULT-CARE PROVIDERS WITH TRANSITION FROM PEDIATRIC TO ADULT MEDICAL CARE

HM2017 Abstract Number: 239

HOW ORIGINAL: CHARACTERIZING THE SOURCE OF TEXT IN PROGRESS NOTES

Background: The original goal of progress notes is to provide a concise, up-to-date reflection of the patient’s condition and the provider’s thought processes.  Electronic health records (EHRs) allow physicians to supplement traditional manual data entry [...]

By | 2017-04-26T02:42:59-04:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on HOW ORIGINAL: CHARACTERIZING THE SOURCE OF TEXT IN PROGRESS NOTES

HM2017 Abstract Number: 234

PROBLEM BASED CHARTING: A METHOD FOR IMPROVING PROBLEM LIST UTILIZATION AND COMPLETENESS

Background: Accurate problem lists linked to the electronic medical record (EMR) can be a source of structured clinical data useful for communication among clinicians for patient care, clinical decision support design, and EMR phenotyping.  Nevertheless, [...]

By | 2017-04-26T02:43:30-04:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on PROBLEM BASED CHARTING: A METHOD FOR IMPROVING PROBLEM LIST UTILIZATION AND COMPLETENESS

HM2017 Abstract Number: 232

CLINICIAN PERCEPTION OF THE EFFECTIVENESS OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

Background: Sepsis is a leading cause of mortality among hospitalized patients. Early detection and intervention reduces sepsis-related mortality. We implemented a novel early warning system (EWS 2.0) based on a machine-learning algorithm to prospectively identify [...]

By | 2017-04-26T02:44:03-04:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on CLINICIAN PERCEPTION OF THE EFFECTIVENESS OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

HM2017 Abstract Number: 231

IMPLEMENTATION AND IMPACT OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

Background: Sepsis is a leading cause of death among hospitalized patients. Early detection of sepsis has the potential to reduce mortality by facilitating timely evidence-based interventions. Past studies have used electronic health records (EHR) to [...]

By | 2017-04-26T02:44:35-04:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on IMPLEMENTATION AND IMPACT OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

HM2017 Abstract Number: 227

PROVIDER PERCEIVED BARRIERS TO EARLY HOSPITAL DISCHARGE: A CROSS-SECTIONAL STUDY AT FIVE ACADEMIC HOSPITALS

Background: Increased Emergency Department (ED) boarding times have been linked to increased patient length of stay, increased mortality and lower patient satisfaction scores. Discharging hospitalized patients earlier in the day has been proposed as one [...]

By | 2017-04-26T02:45:08-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PROVIDER PERCEIVED BARRIERS TO EARLY HOSPITAL DISCHARGE: A CROSS-SECTIONAL STUDY AT FIVE ACADEMIC HOSPITALS

HM2017 Abstract Number: 225

FOLLOW-UP OF INCIDENTAL PULMONARY NODULES: A SURVEY OF HOSPITALISTS NATIONWIDE

Background: Incidental pulmonary nodules are prevalent in hospital medicine, and many require follow-up imaging to exclude lung cancer. The Fleischner Society Guidelines were developed to guide practitioners in their management of these nodules. The purpose [...]

By | 2017-04-26T02:45:40-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on FOLLOW-UP OF INCIDENTAL PULMONARY NODULES: A SURVEY OF HOSPITALISTS NATIONWIDE

HM2017 Abstract Number: 224

HOW SWEET IT IS…REDUCING DUPLICATE HEMOGLOBIN A1C

Background: A widely used test for glucose control is the hemoglobin A1c, which correlates with the patient’s mean blood glucose levels over the previous 2-3 months.  To evaluate long-term glycemic control during an inpatient hospitalization, [...]

By | 2017-04-26T02:46:10-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on HOW SWEET IT IS…REDUCING DUPLICATE HEMOGLOBIN A1C

HM2017 Abstract Number: 223

DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

Background: A “safe” hospitalist workload - that is, the point at which caring for too many patients leads to poorer outcomes for each individual patient – has not been defined.  We sought to understand whether [...]

By | 2017-04-26T02:46:42-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

HM2017 Abstract Number: 221

REASSESSING THE FLUID REQUIREMENT IN PATIENTS WITH SEPSIS

Background: It has long been recognized that a comprehensive bundled and coordinated care affects sepsis mortality.   The Center for Medicare and Medicaid Service’s (CMS) has mandated reporting of severe sepsis/septic shock management with emphasis on [...]

By | 2017-04-26T02:47:19-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on REASSESSING THE FLUID REQUIREMENT IN PATIENTS WITH SEPSIS

HM2017 Abstract Number: 220

CREATING CONTINUITY ON A 7 ON 7 OFF HOSPITALIST STAFFING MODEL

Background: Hospital medicine has significantly grown over the last two decades with increasing focus on providing improved quality of care while also reducing cost.  A recent focus has been on transitions of care and handoffs, [...]

By | 2017-04-26T02:48:17-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on CREATING CONTINUITY ON A 7 ON 7 OFF HOSPITALIST STAFFING MODEL

HM2017 Abstract Number: 219

IMPROVING HEPATITIS C SCREENING IN A RESIDENT BASED CLINIC: RESULTS OF INDIVIDUAL VERSUS SYSTEMS BASED INTERVENTIONS

Background: Approximately 75% of patients with hepatitis C virus (HCV) are born in the years 1945 to 1965. The CDC recommends a one-time screen for patients within that age range, regardless of risk factors. The [...]

By | 2017-04-26T02:48:46-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IMPROVING HEPATITIS C SCREENING IN A RESIDENT BASED CLINIC: RESULTS OF INDIVIDUAL VERSUS SYSTEMS BASED INTERVENTIONS

HM2017 Abstract Number: 216

USEFULNESS OF THE SURPRISE QUESTION ON AN INPATIENT ONCOLOGY SERVICE

Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding.  Prognostic disagreement occurs even amongst providers and is a less studied phenomenon.  We introduced the Surprise Question (SQ), [...]

By | 2017-04-26T02:49:51-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USEFULNESS OF THE SURPRISE QUESTION ON AN INPATIENT ONCOLOGY SERVICE

HM2017 Abstract Number: 215

PLEASE ‘THINK’ BEFORE YOU ORDER: A MULTIDISCIPLINARY APPROACH TO DECREASING OVERUTILIZATION OF DAILY LABS

Background: The Society of Hospital Medicine and the ABIM Foundation‘s Choosing Wisely Campaign have made tackling overutilization of routine labs part of their mission.  Based on the literature, 30-50% of routine labs ordered for hospitalized [...]

By | 2017-04-26T02:50:23-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PLEASE ‘THINK’ BEFORE YOU ORDER: A MULTIDISCIPLINARY APPROACH TO DECREASING OVERUTILIZATION OF DAILY LABS

HM2017 Abstract Number: 214

OPTIMIZING THE STANFORD INTERNAL MEDICINE DISCHARGE FOLLOW-UP APPOINTMENT PROCESS

Background: Hospital discharge handover is a primary metric for measuring healthcare quality and patient safety. Effective post-discharge follow-up (FUPD) reduces costly readmissions, adverse medical events, and preventable deaths. Despite the importance of hospital discharge follow [...]

By | 2017-04-26T02:50:55-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on OPTIMIZING THE STANFORD INTERNAL MEDICINE DISCHARGE FOLLOW-UP APPOINTMENT PROCESS

HM2017 Abstract Number: 213

A MULTI-DISCIPLINARY APPROACH WITH MULTI-LEVEL INTERVENTIONS TO REDUCE HOSPITAL READMISSIONS

Background: Frequent readmissions pose a challenge to hospitals across the country. They are associated with increasing healthcare costs and display a failure to effectively care for certain groups of patients. The Centers for Medicare and [...]

By | 2017-04-25T23:18:03-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on A MULTI-DISCIPLINARY APPROACH WITH MULTI-LEVEL INTERVENTIONS TO REDUCE HOSPITAL READMISSIONS

HM2017 Abstract Number: 211

COMMUNICATING POSITIVE CT PE RESULTS-A TEAM BASED SOLUTION TO A COMMON PROBLEM AT OUR INSTITUTION

Background: Regulatory agencies have set a 60-minute window to communicate positive CT PE (computed tomography pulmonary embolism) results to ordering providers. Improving the effectiveness of communication among caregivers for critical results of tests is a [...]

By | 2017-04-26T02:51:48-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on COMMUNICATING POSITIVE CT PE RESULTS-A TEAM BASED SOLUTION TO A COMMON PROBLEM AT OUR INSTITUTION

HM2017 Abstract Number: 209

SAVE THE BLOOD: REDUCING INPATIENT PHLEBOTOMY AT AN ACADEMIC HOSPITAL

Background: The majority of patients on medicine wards are phlebotomized daily. This is particularly problematic in academic centers where trainees are primarily responsible for patient care. Unnecessary phlebotomy is not only costly, but can lead [...]

By | 2017-04-26T02:52:20-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on SAVE THE BLOOD: REDUCING INPATIENT PHLEBOTOMY AT AN ACADEMIC HOSPITAL

HM2017 Abstract Number: 207

ONE DAY AT A TIME: SUSTAINED CHANGES IN LABORATORY ORDERING PRACTICES ON HOSPITALIST SERVICES AT AN ACADEMIC MEDICAL CENTER

Background: Unnecessary laboratory (lab) testing contributes to excess health care expenditures and patient harm.  Multiple professional societies have recommended avoiding repetitive lab testing in the absence of clinical indications and some institutions have reduced lab [...]

By | 2017-04-26T02:52:50-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on ONE DAY AT A TIME: SUSTAINED CHANGES IN LABORATORY ORDERING PRACTICES ON HOSPITALIST SERVICES AT AN ACADEMIC MEDICAL CENTER

HM2017 Abstract Number: 205

STRATEGIES FOR GUIDELINE ADHERENCE IN SYNCOPE DIAGNOSIS

Background: Evidence-based medicine is inconsistently used in the evaluation of syncope, leading to misutilization of resources. We studied the effect of a multifaceted intervention on the adherence to evidence based recommendations. Methods: A multidisciplinary group [...]

By | 2017-04-26T02:53:28-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on STRATEGIES FOR GUIDELINE ADHERENCE IN SYNCOPE DIAGNOSIS

HM2017 Abstract Number: 203

AVOIDABLE DAYS: IDENTIFYING AND QUANTIFYING DELAYS IN INPATIENT CARE

Background: Delays in care may lead to increased length of stay and cost. Identifying and quantifying the reasons for these delays could help target interventions and reduce unnecessary hospital days. Methods: We conducted a cross-sectional [...]

By | 2017-04-26T02:53:57-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on AVOIDABLE DAYS: IDENTIFYING AND QUANTIFYING DELAYS IN INPATIENT CARE

HM2017 Abstract Number: 202

THE DATA TRIAL: A RANDOMIZED CONTROLLED TRIAL OF NEXT GENERATION AUDIT AND FEEDBACK

Background: Audit and feedback improves clinical care by highlighting the gap between current and ideal practice.  Electronic health record (EHR) data can provide contemporaneous data for quality improvement but has not yet been studied extensively.  [...]

By | 2017-04-26T02:54:25-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE DATA TRIAL: A RANDOMIZED CONTROLLED TRIAL OF NEXT GENERATION AUDIT AND FEEDBACK

HM2017 Abstract Number: 199

USE OF UNIT-BASED INTERVENTIONS TO IMPROVE THE QUALITY OF CARE FOR HOSPITALIZED MEDICAL PATIENTS: A NATIONAL SURVEY

Background: Evidence is equivocal that unit-based interventions improve quality on inpatient medical services, but most studies have reported their effect in isolation. These interventions may be better conceptualized as complementary components of a redesigned clinical [...]

By | 2017-04-26T02:54:54-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USE OF UNIT-BASED INTERVENTIONS TO IMPROVE THE QUALITY OF CARE FOR HOSPITALIZED MEDICAL PATIENTS: A NATIONAL SURVEY

HM2017 Abstract Number: 198

EVALUATING THE UTILITY OF ROUTINE BLOOD CULTURES IN HOSPITALIZED CHILDREN WITH COMMUNITY ACQUIRED PNEUMONIA

Background: The 2011 the updated IDSA guideline on Community Acquired Pneumonia (CAP) in children recommends a blood culture in children with moderate to severe bacterial CAP requiring hospitalization.  This recommendation was included in the Seattle [...]

By | 2017-04-26T02:55:41-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on EVALUATING THE UTILITY OF ROUTINE BLOOD CULTURES IN HOSPITALIZED CHILDREN WITH COMMUNITY ACQUIRED PNEUMONIA

HM2017 Abstract Number: 196

IMPACT OF SOCIOECONOMIC STATUS ON HOSPITAL READMISSION AND HEALTHCARE ACCESS IN URBAN HISPANIC COMMUNITIES

Background: It has been detailed in the literature that a patient’s socioeconomic status (SES) may play a role in their risk of readmission for specific diseases. For instance, factors such as low income, low educational [...]

By | 2017-04-26T02:56:16-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IMPACT OF SOCIOECONOMIC STATUS ON HOSPITAL READMISSION AND HEALTHCARE ACCESS IN URBAN HISPANIC COMMUNITIES

HM2017 Abstract Number: 195

PATIENT-CENTERED PERSPECTIVE OF READMISSIONS AMONG HISPANIC POPULATION

Background: In 2016, the Centers for Medicare & Medicaid Services (CMS) released a guide to preventing readmissions among diverse patient populations. According to CMS, once the health system effectively picks up the root causes and [...]

By | 2017-04-26T02:56:51-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PATIENT-CENTERED PERSPECTIVE OF READMISSIONS AMONG HISPANIC POPULATION

HM2017 Abstract Number: 194

GENDER DISPARITIES IN RESEARCH PRODUCTIVITY IN A STUDENT AND RESIDENT SCHOLARLY COMPETITION

Background: With gender inequalities decreasing in the Western Hemisphere, the number of women physicians has increased. However, women are not equally represented in leadership roles in academic medicine. One heoryabstract?te referenc es  isubmissionseukocytosiser'petition were selected. [...]

By | 2017-04-26T02:57:22-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on GENDER DISPARITIES IN RESEARCH PRODUCTIVITY IN A STUDENT AND RESIDENT SCHOLARLY COMPETITION

HM2017 Abstract Number: 193

USING QUALITY IMPROVEMENT METHODOLOGY TO ANALYZE AND OPTIMIZE THE INPATIENT PEDIATRIC DISCHARGE PROCESS

Background: Inpatient hospital care cost $971.8 billion in 2014 and costs are projected to rise by 5.8% per year. Inpatient operational efficiency and waste reduction have become the focus of cost-reduction measures. A recent study [...]

By | 2017-04-26T02:57:57-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USING QUALITY IMPROVEMENT METHODOLOGY TO ANALYZE AND OPTIMIZE THE INPATIENT PEDIATRIC DISCHARGE PROCESS

HM2017 Abstract Number: 192

RISK FACTORS FOR ADVERSE DRUG EVENTS AND 30-DAY READMISSIONS IN AN INPATIENT GENERAL MEDICINE WARD

Background: Adverse drug events (ADE's) are a major problem in healthcare and can lead to increased hospital admissions, length of stay, and healthcare costs. With appropriate intervention, ADE's are largely preventable. The purpose of this [...]

By | 2017-04-26T02:58:34-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on RISK FACTORS FOR ADVERSE DRUG EVENTS AND 30-DAY READMISSIONS IN AN INPATIENT GENERAL MEDICINE WARD

HM2017 Abstract Number: 189

WHO FIBS ON A-FIB?: RATE CONTROL OF INPATIENTS WITH PERMANENT ATRIAL FIBRILLATION

Background: Atrial Fibrillation is the most common cardiac arrhythmia in medical practice. In 2010, the RACE II trial demonstrated that lenient rate control (resting bpm < 110) in patients with permanent A-fib was just as [...]

By | 2017-04-26T02:59:03-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on WHO FIBS ON A-FIB?: RATE CONTROL OF INPATIENTS WITH PERMANENT ATRIAL FIBRILLATION

HM2017 Abstract Number: 188

TIER OPIATES FOR POTENT PAIN MANAGEMENT

Background: Administering opiates safely in hospitalized patients with acute on chronic pain is challenging. There is limited data to guide pain management in this population due to high prevalence of opiate tolerance and variance in daily opiate exposure. There [...]

By | 2017-04-26T02:59:32-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on TIER OPIATES FOR POTENT PAIN MANAGEMENT

HM2017 Abstract Number: 187

NOVEL METHODS FOR REDUCING LENGTH OF STAY AT THE ALBUQUERQUE VA MEDICAL CENTER

Background: The development of systems that optimize quality of care, reduce costs, and enhance safety is vital to patient care. The VA healthcare system utilizes 27 quality metrics which allow for institutions to assess their [...]

By | 2017-04-26T03:00:02-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on NOVEL METHODS FOR REDUCING LENGTH OF STAY AT THE ALBUQUERQUE VA MEDICAL CENTER

HM2017 Abstract Number: 184

LABORATORY TESTING IN A RESIDENT-RUN CLINIC: THE IMPACT OF AN EDUCATIONAL INTERVENTION PROGRAM ON RESOURCE CONSERVATION

Background: Laboratory testing is an integral part of modern medicine with an estimated 4-5 billion tests performed in the United States each year, and accounts for 3-5% of healthcare spending. At our resident-run clinic in [...]

By | 2017-04-26T03:00:35-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on LABORATORY TESTING IN A RESIDENT-RUN CLINIC: THE IMPACT OF AN EDUCATIONAL INTERVENTION PROGRAM ON RESOURCE CONSERVATION

HM2017 Abstract Number: 183

UTILITY OF POWER PLAN IN STANDARDIZING CARE OF HOSPITALIZED COPD PATIENT

Background: Several studies attest the effectiveness of physician order set, also known as Power Plan (PP) in standardizing patient care and improving outcomes. In general, PP use is suboptimal. We hypothesized that PP use in [...]

By | 2017-04-26T03:01:06-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on UTILITY OF POWER PLAN IN STANDARDIZING CARE OF HOSPITALIZED COPD PATIENT

HM2017 Abstract Number: 182

HOSPITAL-ACQUIRED VTE: AN ANALYSIS OF ADEQUACY OF THROMBOPROPHYLAXIS

Background: Compared with patients in the community, patients acutely hospitalized are at higher risk of developing venous thromboembolism (VTE), contributing to patient morbidity and mortality and healthcare costs. The need for thromboprophylaxis for post-surgical patients [...]

By | 2017-04-26T03:01:39-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on HOSPITAL-ACQUIRED VTE: AN ANALYSIS OF ADEQUACY OF THROMBOPROPHYLAXIS

HM2017 Abstract Number: 181

THROMBOPHILIA TESTING IN THE INPATIENT SETTING: AN EDUCATIONAL INTERVENTION

Background: Thrombophilia testing is frequently ordered in the inpatient setting. However, testing is costly and can be misleading in the setting of acute thromboembolism or concurrent anticoagulation use. Furthermore, hereditary thrombophilias do not predict a [...]

By | 2017-04-26T03:02:20-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THROMBOPHILIA TESTING IN THE INPATIENT SETTING: AN EDUCATIONAL INTERVENTION

HM2017 Abstract Number: 180

APPROPRIATENESS OF PREOPERATIVE EVALUATION- A QUALITY ASSESSMENT

Background: Preoperative assessment is a common medical practice, with latest guidelines emphasizing use of additional diagnostic testing only in patients to whom it would bring substantial change in management. The objective of our study is [...]

By | 2017-04-26T03:02:54-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on APPROPRIATENESS OF PREOPERATIVE EVALUATION- A QUALITY ASSESSMENT

HM2017 Abstract Number: 179

THE EFFECT OF AN IMPACT COLLABORATIVE CARE MODEL ON LENGTH OF STAY AND THE PATIENT EXPERIENCES

Background: Interprofessional rounds have the potential to improve patient safety, quality, and experience.  Although increasingly implemented, significant variation in rounding practice patterns exist and few data are available to evaluate impact on patients’ experiences. We [...]

By | 2017-04-26T03:03:25-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE EFFECT OF AN IMPACT COLLABORATIVE CARE MODEL ON LENGTH OF STAY AND THE PATIENT EXPERIENCES

HM2017 Abstract Number: 177

DOES DO-NOT-RESUSCITATION ORDERS AFFECT THE QUALITY OF CLINICAL PERFORMANCE IN PATIENTS HOSPITALIZED WITH ACUTE HEART FAILURE?

Background: Do-not-resuscitate (DNR) orders are intended to allow patients to forgo cardiopulmonary resuscitate (CPR) in the event of cardiac arrest. They are applied to cases of cardiac arrest, and they cannot be applied to any [...]

By | 2017-04-26T03:04:10-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES DO-NOT-RESUSCITATION ORDERS AFFECT THE QUALITY OF CLINICAL PERFORMANCE IN PATIENTS HOSPITALIZED WITH ACUTE HEART FAILURE?

HM2017 Abstract Number: 175

DETAILED RAPID RESPONSE PAGER MESSAGES DO NOT IMPROVE RESPONDENTS PERCEPTION OF TEAM PERFORMANCE

Background: Although controversy exists regarding the effectiveness of rapid response teams (RRTs), they are an essential tool in most hospitals to address rapid patient deterioration and ideally optimize patient safety (1-5). The utility of RRTs is [...]

By | 2017-04-26T03:04:36-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DETAILED RAPID RESPONSE PAGER MESSAGES DO NOT IMPROVE RESPONDENTS PERCEPTION OF TEAM PERFORMANCE

HM2017 Abstract Number: 172

TRANSFUSING WISELY: CLINICAL DECISION SUPPORT IMPROVES BLOOD TRANSFUSION PRACTICES

Background: Many red blood cell transfusions (RBCT) are unnecessary or harmful according to clinical trials and guidelines. These RBCT put patients at risk and waste scarce healthcare resources. Clinical decision support (CDS) using the Epic™ [...]

By | 2017-04-26T03:05:36-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on TRANSFUSING WISELY: CLINICAL DECISION SUPPORT IMPROVES BLOOD TRANSFUSION PRACTICES

HM2017 Abstract Number: 171

PROTON PUMP INHIBITOR OVERUSE: LEVERAGING TECHNOLOGY TO DEPRESCRIBE

Background: Proton pump inhibitors (PPIs) are commonly started inpatient for stress ulcer prophylaxis and wrongly continued on discharge. But in addition to polypharmacy and patient cost, there are significant adverse events associated with chronic use [...]

By | 2017-04-26T03:06:06-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on PROTON PUMP INHIBITOR OVERUSE: LEVERAGING TECHNOLOGY TO DEPRESCRIBE

HM2017 Abstract Number: 170

IMPLEMENTING EVIDENCE-BASED, HEALTH SYSTEM-WIDE PATIENT BLOOD MANAGEMENT PROGRAM

Background: Blood transfusion is the most common procedure performed in US hospitals.1 The Joint Commission recently determined that transfusion is among the top five overused procedures,2 and now five societies have Choosing Wisely aims to [...]

By | 2017-04-26T03:06:34-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IMPLEMENTING EVIDENCE-BASED, HEALTH SYSTEM-WIDE PATIENT BLOOD MANAGEMENT PROGRAM

HM2017 Abstract Number: 169

MULTIDISCIPLINARY PROCESS ANALYSIS TO IMPROVE MANAGEMENT OF OSTEOPOROSIS RELATED HIP FRACTURES

Background: One year all-cause mortality rates after a fragility fracture are as high as 24%. Treatment of osteoporosis following fracture reduces mortality, recurrent fractures rates, and healthcare costs. Without endocrinology involvement, clinicians often fail to [...]

By | 2017-04-26T03:07:03-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on MULTIDISCIPLINARY PROCESS ANALYSIS TO IMPROVE MANAGEMENT OF OSTEOPOROSIS RELATED HIP FRACTURES

HM2017 Abstract Number: 168

VALIDATION OF THE PRINCIPAL DIAGNOSIS IN THE 30-DAY RISK STANDARDIZED READMISSION RATE IN A LARGE ACADEMIC TERTIARY CARE HOSPITAL

Background: CMS and other entities have focused on reduction of readmissions as a national quality improvement goal. The 30-day risk standardized readmission rate is derived from administrative data and requires the accurate coding of a [...]

By | 2017-04-26T03:07:34-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on VALIDATION OF THE PRINCIPAL DIAGNOSIS IN THE 30-DAY RISK STANDARDIZED READMISSION RATE IN A LARGE ACADEMIC TERTIARY CARE HOSPITAL

HM2017 Abstract Number: 167

THE ED HOSPITALIST TEAM – A COORDINATED STRATEGY FOR CARING FOR ADMITTED PATIENTS WHO ARE STILL IN THE EMERGENCY DEPARTMENT

Background: Patients admitted to the Medicine Service from the Emergency Department (ED) at times when no beds are available pose a particular challenge to workflow, staffing and patient care. Due to the expansion of our [...]

By | 2017-04-26T03:08:13-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE ED HOSPITALIST TEAM – A COORDINATED STRATEGY FOR CARING FOR ADMITTED PATIENTS WHO ARE STILL IN THE EMERGENCY DEPARTMENT

HM2017 Abstract Number: 166

COMPLEX CARE ROUNDS – A COORDINATED INTERDISCIPLINARY STRATEGY FOR CARING FOR OUR SICKEST PATIENTS

Background: Extended stay (> 30 day stay) cases strain hospital resources, psychologically burden staff, increase average length of stay (ALOS) and ultimately are not patient-centric. In 2008, extended stay patients represented 15% of the average daily [...]

By | 2017-04-26T03:08:46-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on COMPLEX CARE ROUNDS – A COORDINATED INTERDISCIPLINARY STRATEGY FOR CARING FOR OUR SICKEST PATIENTS

HM2017 Abstract Number: 165

AN EVALUATION OF THE UTILITY OF TELEMETRY MONITORING FOR SYNCOPE IN AN OBSERVATION UNIT

Background: The number of hospitals with dedicated observation units has grown in recent years to one-third of all United States hospitals and 80% of academic medical centers, though much is still unknown about how to [...]

By | 2017-04-26T03:09:18-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on AN EVALUATION OF THE UTILITY OF TELEMETRY MONITORING FOR SYNCOPE IN AN OBSERVATION UNIT

HM2017 Abstract Number: 162

NOT A REFLECTION OF THE QUALITY OF MY CARE: RESIDENT AND ATTENDING PERCEPTIONS OF BI-MONTHLY TEAM

Background: With the advent of the electronic health records an increasing amount of data is available for feedback to physicians. However, the impact of regular team-based feedback is unknown particularly physician perceptions of the relevance [...]

By | 2017-04-26T03:09:46-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on NOT A REFLECTION OF THE QUALITY OF MY CARE: RESIDENT AND ATTENDING PERCEPTIONS OF BI-MONTHLY TEAM

HM2017 Abstract Number: 161

DRAWING BLOOD IN THE LIGHT OF DAY TO INCREASE SLEEP FOR HOSPITALIZED PATIENTS

Background: Sleep is generally poor in hospitalized patients and sleep deprivation has many harmful effects, including delirium, insulin resistance, hypertension, and impaired function of the immune system. In this quality improvement (QI) project, our goal [...]

By | 2017-04-26T03:10:21-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DRAWING BLOOD IN THE LIGHT OF DAY TO INCREASE SLEEP FOR HOSPITALIZED PATIENTS

HM2017 Abstract Number: 159

DO BEDSIDE VISUAL TOOLS IMPROVE PATIENT AND CAREGIVER SATISFACTION? A SYSTEMATIC REVIEW OF THE LITERATURE

Background: Communication failure between patients and providers in hospital settings lead to patient dissatisfaction. Simple, low-cost interventions, (e.g., bedside whiteboards and face cards), have been used to enhance communication between patients, families and medical teams. [...]

By | 2017-04-26T03:10:57-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DO BEDSIDE VISUAL TOOLS IMPROVE PATIENT AND CAREGIVER SATISFACTION? A SYSTEMATIC REVIEW OF THE LITERATURE

HM2017 Abstract Number: 156

PATIENT EDUCATION TO REDUCE COLSTRIDIUM DIFFICILE RELATED READMISSIONS

Background: Kaiser Permanente Roseville Medical Center is a 340 bed facility in Northern California.  Reducing readmissions has been a focus, and the current observed over expected rate is 0.77.  Starting from this relatively low readmission [...]

By | 2017-04-26T03:11:26-04:00 April 20th, 2017|Research Abstracts|Comments Off on PATIENT EDUCATION TO REDUCE COLSTRIDIUM DIFFICILE RELATED READMISSIONS

HM2017 Abstract Number: 155

THE INFECTION IN INFLAMMATION: DIAGNOSING CLOSTRIDIUM DIFFICILE INFECTION IN INFLAMMATORY BOWEL DISEASE

Background: The overall incidence of Clostridium difficile infection (CDI) is higher among patients with inflammatory bowel disease (IBD). The nature of this disease association is unknown but likely involves an altered gut microbiome and impaired [...]

By | 2017-04-26T03:11:56-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE INFECTION IN INFLAMMATION: DIAGNOSING CLOSTRIDIUM DIFFICILE INFECTION IN INFLAMMATORY BOWEL DISEASE

HM2017 Abstract Number: 154

MULTIDISCIPLINARY HUDDLE IMPROVES ADMISSION MEDICATION RECONCILIATION COMPLETION AND ACCURACY

Background: Up to 67% of patients have at least one medication error on admission to the hospital with over a quarter of hospital prescribing errors attributed to incomplete medication histories at admission. Key aspects of [...]

By | 2017-04-26T03:12:27-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on MULTIDISCIPLINARY HUDDLE IMPROVES ADMISSION MEDICATION RECONCILIATION COMPLETION AND ACCURACY

HM2017 Abstract Number: 153

THE VALUE OF NEGATIVE STUDIES IN QUALITY IMPROVEMENT: A CASE STUDY OF MINI-COG AND PERI-HOSPITALIZATION INTERVENTIONS TO REDUCE CARDIAC READMISSIONS

Background: Cardiac readmissions are an ever expanding burden spanning from patients, to hospitals, all the way up to the national healthcare system. Currently, there is a lack of consensus regarding appropriate inpatient screening tests for [...]

By | 2017-04-26T03:12:54-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on THE VALUE OF NEGATIVE STUDIES IN QUALITY IMPROVEMENT: A CASE STUDY OF MINI-COG AND PERI-HOSPITALIZATION INTERVENTIONS TO REDUCE CARDIAC READMISSIONS

HM2017 Abstract Number: 152

SLEEPLESS IN THE HOSPITAL: PREVALENCE & SIGNIFICANCE OF INSOMNIA AND SLEEP LOSS IN HOSPITALIZED ADULTS

Background: Although 1 in 10 people suffer from chronic insomnia, the prevalence among hospitalized patients is likely higher, due to common comorbidities such as depression and chronic pain in this population. We aimed to assess [...]

By | 2017-04-26T03:13:21-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on SLEEPLESS IN THE HOSPITAL: PREVALENCE & SIGNIFICANCE OF INSOMNIA AND SLEEP LOSS IN HOSPITALIZED ADULTS

HM2017 Abstract Number: 150

FREQUENCY OF IMAGING FINDINGS INDETERMINATE OR SUSPICIOUS FOR MALIGNANCY IN HOSPITALIZED PATIENTS

Background: Imaging exams performed on hospitalized patients commonly reveal findings representing possible cancer and requiring follow-up. Our objective was to quantify how often indeterminate or suspicious masses are detected on inpatient abdominal and pelvic imaging [...]

By | 2017-04-26T03:13:49-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on FREQUENCY OF IMAGING FINDINGS INDETERMINATE OR SUSPICIOUS FOR MALIGNANCY IN HOSPITALIZED PATIENTS

HM2017 Abstract Number: 145

MISSED AND REFUSED CHEMOPROPHYLAXIS: WHAT IS THE IMPACT ON VTE?

Background: Chemoprophylaxis with subcutaneous heparin or low-molecular weight heparin is recommended for venous thromboembolism (VTE) prevention in appropriate medical patients.  However, all doses are not always administered and the consequences are unclear.  We sought to [...]

By | 2017-04-26T03:15:28-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on MISSED AND REFUSED CHEMOPROPHYLAXIS: WHAT IS THE IMPACT ON VTE?

HM2017 Abstract Number: 144

HOSPITAL READMISSIONS FROM PATIENTS’ PERSPECTIVES

Background: Health care expenditures in the United States have been increasing exponentially while hospital care accounts for one-third of the costs. Approximately 18% of hospitalized Medicare beneficiaries are being readmitted within 30 days following their [...]

By | 2017-04-26T03:15:55-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on HOSPITAL READMISSIONS FROM PATIENTS’ PERSPECTIVES

HM2017 Abstract Number: 142

STOPPING THINGS WE DO FOR NO REASON: REDUCING UNNECESSARY NPO ORDERS PRIOR TO THORACENTESIS AND PARACENTESIS

Background: Ultrasound-guided thoracentesis and paracentesis are frequently performed for both diagnostic and therapeutic indications. While the risk of aspiration is low, our institution has historically required patients to be fasting for 4 hours prior to [...]

By | 2017-04-26T03:16:21-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on STOPPING THINGS WE DO FOR NO REASON: REDUCING UNNECESSARY NPO ORDERS PRIOR TO THORACENTESIS AND PARACENTESIS

HM2017 Abstract Number: 140

USING A DECISION-SUPPORT TOOL TO IMPROVE COGNITIVE AWARENESS OF UNNECESSARY TELEMETRY AND URINARY CATHETERS

Background: The Society of Hospital Medicine’s Choosing Wisely guidelines recommend regular assessment of inpatients’ need for urinary catheters and telemetry monitoring. Since studies suggest clinicians are not aware which patients have an indwelling catheter or [...]

By | 2017-04-26T03:16:52-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USING A DECISION-SUPPORT TOOL TO IMPROVE COGNITIVE AWARENESS OF UNNECESSARY TELEMETRY AND URINARY CATHETERS

HM2017 Abstract Number: 139

DIAGNOSTIC UTILITY OF ULTRASOUND IN THE MANAGEMENT OF AN AKI IN A COMMUNITY HOSPITAL; A RETROSPECTIVE CROSS SECTIONAL STUDY

Background: AKI occurs in 10% of hospitalized patients and the incidence is rising. Renal Ultrasound (US) is frequently performed but its clinical utility has been questioned. The goal of this study was to evalaute US diagnostic yield in [...]

By | 2017-04-26T03:17:21-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DIAGNOSTIC UTILITY OF ULTRASOUND IN THE MANAGEMENT OF AN AKI IN A COMMUNITY HOSPITAL; A RETROSPECTIVE CROSS SECTIONAL STUDY

HM2017 Abstract Number: 138

WHY SO DELIRIOUS? THE IMPLEMENTATION OF A DELIRIUM PREVENTION PROTOCOL IN HOSPITALIZED ELDERLY PATIENTS

Background: Hospital-acquired delirium is a common cause of increased morbidity and mortality. In an earlier pilot study, we identified through surveys that adult medicine inpatients slept an average of 4 hours. Also, multiple factors including [...]

By | 2017-04-26T03:17:51-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on WHY SO DELIRIOUS? THE IMPLEMENTATION OF A DELIRIUM PREVENTION PROTOCOL IN HOSPITALIZED ELDERLY PATIENTS

HM2017 Abstract Number: 137

DOES SITTING ENHANCE PATIENT SATISFACTION IN THE HOSPITAL?

Background: Patient experience scores are now widely accepted as a measure of healthcare quality and contribute to Medicare’s value-based purchasing quality reimbursement program. In order to enhance the patient’s experience, we must first seek to [...]

By | 2017-04-26T03:18:20-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES SITTING ENHANCE PATIENT SATISFACTION IN THE HOSPITAL?

HM2017 Abstract Number: D

IGNORING THE ELEPHANT IN THE ROOM: SUBSTANCE USE DISORDERS IN PATIENTS WITH INTRAVENOUS DRUG USE AND INFECTIVE ENDOCARDITIS

Background: The opioid epidemic continues to exert a significant impact on our health care system. Patients with intravenous drug use (IVDU) often develop life threating infections leading to prolonged hospitalizations with poor outcomes. Traditionally, the [...]

By | 2017-04-26T03:18:49-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on IGNORING THE ELEPHANT IN THE ROOM: SUBSTANCE USE DISORDERS IN PATIENTS WITH INTRAVENOUS DRUG USE AND INFECTIVE ENDOCARDITIS

HM2017 Abstract Number: E

NEW WORK IMPROVEMENT METHOD: TRAINING FOR EFFECTIVE & EFFICIENT ACTION IN MEDICAL SERVICE (TEAMS) TO REDUCE DOOR-TO-BALLOON TIME IN JAPAN

Background: Although the national quality improvement campaigns are implemented to reduce Door-to-Balloon (DTB) time in the U.S.A., the community hospitals in Japan lack human resources and appear to be particularly challenging to implement these strategies [...]

By | 2017-04-26T03:19:22-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on NEW WORK IMPROVEMENT METHOD: TRAINING FOR EFFECTIVE & EFFICIENT ACTION IN MEDICAL SERVICE (TEAMS) TO REDUCE DOOR-TO-BALLOON TIME IN JAPAN

HM2017 Abstract Number: F

EFFECTIVENESS OF MULTIPLE OBSERVATION UNITS IN REDUCING LENGTH OF STAY

Background:   Observation care has evolved significantly since its original inception by the Centers for Medicare and Medicaid Services (CMS).  Originally intended to span less than 48 hours in the majority of cases, the Office of [...]

By | 2017-04-26T03:19:59-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on EFFECTIVENESS OF MULTIPLE OBSERVATION UNITS IN REDUCING LENGTH OF STAY

HM2017 Abstract Number: C

COMPUTER-BASED PIXILATION OF PLEURAL FLUID ECHOGENICITY BY ULTRASOUND TO DIFFERENTIATE TRANSUDATIVE VS. EXUDATIVE EFFUSIONS

Background: National guidelines recommend sampling unilateral pleural effusions to characterize the fluid as either transudative or exudative.  Currently, the only method to characterize pleural fluid is by collecting a sample through an invasive drainage procedure [...]

By | 2017-04-26T03:20:49-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on COMPUTER-BASED PIXILATION OF PLEURAL FLUID ECHOGENICITY BY ULTRASOUND TO DIFFERENTIATE TRANSUDATIVE VS. EXUDATIVE EFFUSIONS

HM2017 Abstract Number: 135

CHARACTERISTICS AND OUTCOMES OF PATIENTS OF HIP FRACTURE SURGERY WITH SEVERE AORTIC STENOSIS

Background: Severe aortic stenosis (SAS) had been identified as being at elevated risk for non-cardiac surgery. However, two reports demonstrated that SAS did not increase mortality of intermediate to high risk non-cardiac surgery. The European [...]

By | 2017-04-26T03:21:43-04:00 April 20th, 2017|Perioperative, Research Abstracts|Comments Off on CHARACTERISTICS AND OUTCOMES OF PATIENTS OF HIP FRACTURE SURGERY WITH SEVERE AORTIC STENOSIS

HM2017 Abstract Number: 134

PREOPERATIVE ANTIBIOTIC KNOWLEDGE AND PRESCRIBING PRACTICES: A CASE FOR A CENTRALIZED AND STANDARDIZED APPROACH

Background: Surgical site infections (SSI) can complicate any operative procedure although this risk is mitigated through the use of preoperative antibiotic prophylaxis.  While antibiotic prophylaxis can provide great benefit, inappropriate use can lead to the [...]

By | 2017-04-26T03:22:16-04:00 April 20th, 2017|Perioperative, Research Abstracts|Comments Off on PREOPERATIVE ANTIBIOTIC KNOWLEDGE AND PRESCRIBING PRACTICES: A CASE FOR A CENTRALIZED AND STANDARDIZED APPROACH

HM2017 Abstract Number: 133

IMPROVING PHYSICIAN-PATIENT CONTINUITY IN THE GENERAL PEDIATRIC UNIT

Background: Many pediatric hospitalist programs in community hospitals around the country function with a 24-hour shift model for 24/7 coverage. This creates significant discontinuity and daily inefficiencies in patient care. Furthermore, there is a robust [...]

By | 2017-04-26T03:22:50-04:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on IMPROVING PHYSICIAN-PATIENT CONTINUITY IN THE GENERAL PEDIATRIC UNIT

HM2017 Abstract Number: 132

RESOURCE UTILIZATION AFTER DISCHARGE OF BABIES ADMITTED TO THE NICU FOR MATERNAL CHORIOAMNIONITIS

Background: Maternal chorioamnionitis usually means an otherwise healthy appearing newborn gets cultured and treated for presumptive bacterial infection pending culture results. This is often done in a NICU setting. These babies are overwhelmingly well and [...]

By | 2017-04-26T03:23:20-04:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on RESOURCE UTILIZATION AFTER DISCHARGE OF BABIES ADMITTED TO THE NICU FOR MATERNAL CHORIOAMNIONITIS

HM2017 Abstract Number: 130

TRENDS IN NATIONAL PEDIATRIC BED CENSUS RELATIVE TO PEDIATRIC POPULATION: A POTENTIAL TOOL TO IDENTIFY UNDERSERVED AREAS

Background: Nationally, there has been a loss of pediatric inpatient beds (-4.3%), and large swings in ward (-7.2%) and pediatric (non-neonatal) intensive care (PICU; +15.8%) beds.  These shifts have important implications for access, safety and [...]

By | 2017-04-26T03:23:56-04:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on TRENDS IN NATIONAL PEDIATRIC BED CENSUS RELATIVE TO PEDIATRIC POPULATION: A POTENTIAL TOOL TO IDENTIFY UNDERSERVED AREAS

HM2017 Abstract Number: 129

IT’S NOT ME; IT’S YOU! PHYSICIAN PERCEPTIONS ABOUT VIRAL TESTING IN BRONCHIOLITIS

Background: Bronchiolitis is a clinical diagnosis, with growing research supporting limited use of diagnostic tests and interventions. Hospitals have reduced use of bronchodilators and imaging, but the national average of respiratory viral testing (RVT) in [...]

By | 2017-04-26T03:24:31-04:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on IT’S NOT ME; IT’S YOU! PHYSICIAN PERCEPTIONS ABOUT VIRAL TESTING IN BRONCHIOLITIS

HM2017 Abstract Number: 128

ROLE OF OBESITY IN ASTHMA RELATED HOSPITAL UTILIZATION AND ADMISSION IN AN INNER CITY COHORT

Background: Increased asthma and obesity prevalence are independently associated with health disparities.  This study sought to examine the relationship between these two conditions, particularly within the pediatric population at a major inner city teaching hospital. [...]

By | 2017-04-26T03:25:18-04:00 April 20th, 2017|Pediatrics, Research Abstracts|Comments Off on ROLE OF OBESITY IN ASTHMA RELATED HOSPITAL UTILIZATION AND ADMISSION IN AN INNER CITY COHORT

HM2017 Abstract Number: 127

THE RESULTS OF A PROCEDURE TEAM IN A TEACHING HOSPITAL AT BRAZIL

Background: The systematization of the teaching and training of internal medicine residents should be done with the standardization of techniques, simulations, use of manikins and theoretical lessons. A procedure team was created in a tertiary [...]

By | 2017-04-26T03:26:09-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on THE RESULTS OF A PROCEDURE TEAM IN A TEACHING HOSPITAL AT BRAZIL

HM2017 Abstract Number: 126

COMPUTERIZED ORDERS AS A PROXY FOR PATIENT CLINICAL ACUITY

Background: Given the widespread adoption of electronic health record systems, the majority of patient orders are now enacted through electronic orders. We aimed to describe the average number of electronic orders entered for medicine patients [...]

By | 2017-04-20T19:17:52-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on COMPUTERIZED ORDERS AS A PROXY FOR PATIENT CLINICAL ACUITY

HM2017 Abstract Number: 125

RELATIONSHIP BETWEEN PSYCHOLOGICAL WELL-BEING AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION

Background: While studies in the ambulatory care setting have found that patients with high level of psychological well-being have high satisfaction with their physicians, no study has evaluated the relationship between psychological well-being and satisfaction [...]

By | 2017-05-02T17:09:10-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on RELATIONSHIP BETWEEN PSYCHOLOGICAL WELL-BEING AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION

HM2017 Abstract Number: 123

REDUCING INAPPROPRIATE USE OF QT PROLONGING MEDICATION IN HIGH RISK PATIENTS

Background: Drug-induced prolonged QT syndrome significantly increases the risk of fatal arrhythmias such as torsades de pointes.  Patients with baseline QTc prolongation are particularly vulnerable.  Limiting administration of QT-prolonging medications to high-risk individuals is important [...]

By | 2017-04-20T19:17:56-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on REDUCING INAPPROPRIATE USE OF QT PROLONGING MEDICATION IN HIGH RISK PATIENTS

HM2017 Abstract Number: 121

DON’T BE ATYPICAL – RETHINK QUETIAPINE: REDUCING QUETIAPINE FOR ICU DELIRIUM AT TRANSITIONS OF CARE

Background: Delirium is associated with increased duration of mechanical ventilation, longer intensive care unit (ICU) length of stay, increased mortality and cognitive impairment after discharge. Quetiapine has been associated with faster resolution but long-term use [...]

By | 2017-04-20T19:17:57-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on DON’T BE ATYPICAL – RETHINK QUETIAPINE: REDUCING QUETIAPINE FOR ICU DELIRIUM AT TRANSITIONS OF CARE

HM2017 Abstract Number: 120

DO USERS OF TECHNOLOGY DIFFER FROM NON-USERS IN PERIPHERALLY INSERTED CENTRAL CATHETER PRACTICE? AN ANALYSIS OF THE PICC1 SURVEY

Background: While use of technologies such as ultrasound and electrocardiographic (EKG) guidance systems to place peripherally inserted central catheters (PICCs) has grown, little is known about the setting, experience or practice of providers that use [...]

By | 2017-04-20T19:17:59-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on DO USERS OF TECHNOLOGY DIFFER FROM NON-USERS IN PERIPHERALLY INSERTED CENTRAL CATHETER PRACTICE? AN ANALYSIS OF THE PICC1 SURVEY

HM2017 Abstract Number: 119

SHOULD WE MODIFY ANTICOAGULANT VENOUS THROMBOEMBOLISM PROPHYLAXIS FOR UNDERWEIGHT PATIENTS?

Background: Prophylactic anticoagulation is effective at reducing the risk of venous thromboembolism (VTE), but can also increase the risk of bleeding. Whether anticoagulant prophylaxis should be modified for underweight patients to minimize bleeding complications is [...]

By | 2017-04-20T19:18:01-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on SHOULD WE MODIFY ANTICOAGULANT VENOUS THROMBOEMBOLISM PROPHYLAXIS FOR UNDERWEIGHT PATIENTS?

HM2017 Abstract Number: 118

PATTERNS AND PREDICTORS OF SHORT-TERM USE OF PERIPHERALLY INSERTED CENTRAL CATHETERS, A MULTI-SITE PROSPECTIVE STUDY

Background: Guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated use is 5 or fewer days.  However, short-term PICC use is common in hospitals. We sought to identify patient-, provider- and [...]

By | 2017-04-20T19:18:03-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on PATTERNS AND PREDICTORS OF SHORT-TERM USE OF PERIPHERALLY INSERTED CENTRAL CATHETERS, A MULTI-SITE PROSPECTIVE STUDY

HM2017 Abstract Number: 115

TOLERANCE OF INTRAVENOUS IRON DEXTRAN AT A SINGLE ACADEMIC FACILITY

Background: Intravenous low-molecular weight iron dextran is indicated for patients with iron deficiency who are unable to take oral iron or experience insufficient efficacy with oral replacement. Adverse effects have been reported, including anaphylaxis and [...]

By | 2017-04-20T19:18:06-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on TOLERANCE OF INTRAVENOUS IRON DEXTRAN AT A SINGLE ACADEMIC FACILITY

HM2017 Abstract Number: 114

OPIATE PRESCRIBING IN HOSPITALIZED OLDER ADULTS: PATTERNS AND OUTCOMES

Background: As of December 2015, 49 states initiated the CMS mandated legislation on “Prescription Drug Monitoring Programs.” Yet opiates continue to be commonly prescribed in older adults, despite their well-known risks. This study aims to [...]

By | 2017-04-20T19:18:08-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on OPIATE PRESCRIBING IN HOSPITALIZED OLDER ADULTS: PATTERNS AND OUTCOMES

HM2017 Abstract Number: 113

THE EFFECT OF SIMULATION-BASED TRAINING ON THE INCIDENCE RATE OF CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS

Background: Central line-associated bloodstream infection (CLABSI) is a preventable complication. In the United States, there are more than 20,000 CLABSI per year, resulting in a cost of about $30,000 per infection. A number of interventions [...]

By | 2017-04-20T19:19:58-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on THE EFFECT OF SIMULATION-BASED TRAINING ON THE INCIDENCE RATE OF CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS

HM2017 Abstract Number: 111

IS THE NEW ORLEANS CRITERIA FOR HEAD CT USEFUL FOR INPATIENT FALLS?

Background: Inpatient falls are a patient safety concern in all healthcare facilities. There is currently limited data on the utility of head computed tomography (CT) for inpatient falls. The New Orleans Criteria (NOC) is a [...]

By | 2017-04-20T19:20:00-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on IS THE NEW ORLEANS CRITERIA FOR HEAD CT USEFUL FOR INPATIENT FALLS?

HM2017 Abstract Number: 108

PREDICTORS FOR SHORT TERM CARDIAC ARREST FROM SEVERE AORTIC STENOSIS

Background: Clinicians encounter sudden death among aortic stenosis (AS) patients especially after they become symptomatic. Mortality is 50% at 1 year and 70 to 80% at 2 years without aortic valve replacement. However, there have [...]

By | 2017-04-20T19:20:01-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on PREDICTORS FOR SHORT TERM CARDIAC ARREST FROM SEVERE AORTIC STENOSIS

HM2017 Abstract Number: 107

ASSOCIATIONS BETWEEN TELEMETRY USE AND MORTALITY RISK, HOSPITAL LENGTH OF STAY AND READMISSION RATES IN PATIENTS WITH RESPIRATORY ILLNESS: A RETROSPECTIVE ANAYSIS OF 765 PATIENTS

Background: Advancements in technology have expanded accessibility to telemetry via remote monitoring and resulted in increased application in hospitalized patients. The American Heart Association (AHA) telemetry guidelines restrict use to patients with sepsis, severe electrolyte [...]

By | 2017-04-20T19:20:03-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on ASSOCIATIONS BETWEEN TELEMETRY USE AND MORTALITY RISK, HOSPITAL LENGTH OF STAY AND READMISSION RATES IN PATIENTS WITH RESPIRATORY ILLNESS: A RETROSPECTIVE ANAYSIS OF 765 PATIENTS

HM2017 Abstract Number: 104

CLOSING THE COMMUNICATION LOOP FOR CLINICALLY SIGNIFICANT TESTS PENDING AT DISCHARGE: DOES AUTOMATED EMAIL NOTIFICATION IMPACT ACKNOWLEDGMENT AND ACTION?

Background:  Physician awareness of the finalized results of tests pending at discharge (TPAD) is poor (~40%). We previously designed and implemented a system that automatically notifies the inpatient attending and primary care physician (PCP) of [...]

By | 2017-04-20T19:20:05-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on CLOSING THE COMMUNICATION LOOP FOR CLINICALLY SIGNIFICANT TESTS PENDING AT DISCHARGE: DOES AUTOMATED EMAIL NOTIFICATION IMPACT ACKNOWLEDGMENT AND ACTION?

HM2017 Abstract Number: 103

WHY IS EVERYONE BREATHING 20 TIMES A MINUTE? PATTERNS OF RESPIRATORY RATES IN HOSPITALIZED ADULTS

Background: Respiratory rate (RR) is an independent predictor of in-patient mortality, intensive care unit admission and cardiac arrest across a variety of conditions. It is also an integral component of many risk prediction calculators (such [...]

By | 2017-04-20T19:20:07-04:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on WHY IS EVERYONE BREATHING 20 TIMES A MINUTE? PATTERNS OF RESPIRATORY RATES IN HOSPITALIZED ADULTS

HM2017 Abstract Number: 102

SAFETY AND EFFICACY OF THROMBOPOIETIN RECEPTOR AGONISTS IN PATIENTS WITH PREVIOUSLY TREATED CHRONIC IMMUNE THROMBOCYTOPENIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: The current American Society of Hematology (ASH) guideline recommends the use of thrombopoietin receptor agonists, eltrombopag or romiplostim as one of the second-line therapies for chronic immune thrombocytopenia (ITP). The efficacy and safety of [...]

By | 2017-04-20T19:04:59-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on SAFETY AND EFFICACY OF THROMBOPOIETIN RECEPTOR AGONISTS IN PATIENTS WITH PREVIOUSLY TREATED CHRONIC IMMUNE THROMBOCYTOPENIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2017 Abstract Number: 101

EFFECTIVENESS OF AN ADVANCED PRACTICE MODEL OF CARE ON POST-ACUTE OUTCOMES IN A TRANSITIONAL CARE UNIT

Background: The convergence of rising post-acute health care costs with incomparable outcomes havemade reform a priority resulting in the development of new models of care that often extend the scope of practice andjob duties among [...]

By | 2017-04-20T19:05:10-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on EFFECTIVENESS OF AN ADVANCED PRACTICE MODEL OF CARE ON POST-ACUTE OUTCOMES IN A TRANSITIONAL CARE UNIT

HM2017 Abstract Number: 100

A CROSS SECTIONAL STUDY REVEALS AN ASSOCIATION BETWEEN ELECTRONIC CIGARETTE USE AND MYOCARDIAL INFARCTION

Background:  Electronic cigarettes (E-cigarettes) have grown in popularity as an alternative to traditional cigarettes especially among consumers who want to reduce the risk of morbidity and mortality associated with smoking. Nonetheless, a recent study showed that [...]

By | 2017-04-20T19:05:28-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on A CROSS SECTIONAL STUDY REVEALS AN ASSOCIATION BETWEEN ELECTRONIC CIGARETTE USE AND MYOCARDIAL INFARCTION

HM2017 Abstract Number: 98

NUTRITION BASED INTERVENTIONS DECREASE READMISSION RATES AND LENGTH OF STAY AMONG MALNOURISHED HOSPITALIZED ADULT PATIENTS WITH CARDIOVASCULAR, ONCOLOGICAL, AND GASTROINTESTINAL DIAGNOSES

Background: Limited research exists exploring the impact of nutrition interventions, including oral nutritional supplement (ONS) usage, on clinical outcomes of patients at risk/with malnutrition. We aimed to assess the impact of a hospital-based, comprehensive nutrition-focused [...]

By | 2017-04-20T18:59:41-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on NUTRITION BASED INTERVENTIONS DECREASE READMISSION RATES AND LENGTH OF STAY AMONG MALNOURISHED HOSPITALIZED ADULT PATIENTS WITH CARDIOVASCULAR, ONCOLOGICAL, AND GASTROINTESTINAL DIAGNOSES

HM2017 Abstract Number: 97

OUTCOME OF TIMELY PALLIATIVE CARE CONSULTATION ON ICU PATIENTS WITH SEVERE SEPSIS/SEPTIC SHOCK

Background: In 2011, sepsis accounted for more than $20 billion (5.2%) of total US hospital costs.  The CDC estimates that hospitalizations for sepsis or septicemia increased from 621,000 to 1,141,000 in 2000 and 2008 respectively. [...]

By | 2017-04-20T19:05:41-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on OUTCOME OF TIMELY PALLIATIVE CARE CONSULTATION ON ICU PATIENTS WITH SEVERE SEPSIS/SEPTIC SHOCK

HM2017 Abstract Number: 96

CODE BLUE OUTCOMES: RELATION TO THE MODIFIED EARLY WARNING SCORE

Background: The Modified Early Warning Score (MEWS) is a physiological scoring system developed to identify patients in early stages of clinical deterioration and prevent delays in proper care. It consists of systolic blood pressure, heart [...]

By | 2017-04-20T19:05:53-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on CODE BLUE OUTCOMES: RELATION TO THE MODIFIED EARLY WARNING SCORE

HM2017 Abstract Number: 95

THE USE OF A PATIENT SAFETY CHECKLIST REDUCES HOSPITAL-ASSOCIATED INFECTIONS

Background: The Center for Disease Control and Prevention estimates that 1.7 million patients per year develop hospital-associated infections (HAI), of whom 99,000 die. HAIs financially impact the United States healthcare system with an estimated cost [...]

By | 2017-04-20T19:06:09-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on THE USE OF A PATIENT SAFETY CHECKLIST REDUCES HOSPITAL-ASSOCIATED INFECTIONS

HM2017 Abstract Number: 94

PREOPERATIVE STATIN THERAPY IN CARDIAC SURGERY AND ACUTE KIDNEY INJURY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CLINICAL TRIALS

Background: Acute kidney injury (AKI) following cardiac surgery occurs in 30% of cases with 1% requiring dialysis resulting in significant morbidity and mortality.  HMG-CoA Reductase Inhibitors (“statins”) have been postulated to be of benefit in [...]

By | 2017-04-20T19:06:24-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREOPERATIVE STATIN THERAPY IN CARDIAC SURGERY AND ACUTE KIDNEY INJURY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CLINICAL TRIALS

HM2017 Abstract Number: 93

IMPACT OF INPATIENT PENICILLIN ALLERGY TESTING ON ANTIBIOTIC SELECTION DURING HOSPITALIZATION

Background: A documented penicillin allergy is associated with increased length of hospital stay and an increased incidence of Clostridium difficile, methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterocci. These findings are attributed to use of broader-spectrum ‘second-line’ [...]

By | 2017-04-20T18:59:51-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IMPACT OF INPATIENT PENICILLIN ALLERGY TESTING ON ANTIBIOTIC SELECTION DURING HOSPITALIZATION

HM2017 Abstract Number: 92

READMISSIONS, REDEFINED: A PATIENT-CENTRIC DEFINITION INCLUSIVE OF OUTPATIENT OBSERVATION AND INPATIENT STAYS

Background: Hospitals are incentivized to reduce 30-day readmissions under the Affordable Care Act. Medicare payments can be reduced when inpatient readmissions are excessive. The Centers for Medicare & Medicaid Services (CMS) readmission measure is defined [...]

By | 2017-04-20T19:06:39-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on READMISSIONS, REDEFINED: A PATIENT-CENTRIC DEFINITION INCLUSIVE OF OUTPATIENT OBSERVATION AND INPATIENT STAYS

HM2017 Abstract Number: 91

INFLUENCE OF PUBLIC OR PRIVATE ASSISTANCE IN THE CLINICAL CHARACTERISTICS AND OUTCOMES OF PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION

Background: Previous studies suggest that the type of healthcare is associated with distinct clinical characteristics and outcomes,  but there are few studies addressing this in patients with a ST-elevation myocardial infarction (STEMI) in our country. Methods: [...]

By | 2017-04-20T19:00:58-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on INFLUENCE OF PUBLIC OR PRIVATE ASSISTANCE IN THE CLINICAL CHARACTERISTICS AND OUTCOMES OF PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION

HM2017 Abstract Number: 90

FACTORS AFFECTING HOSPITAL VISITS AND LENGTH OF STAY IN ADULT PATIENTS WITH SICKLE CELL DISEASE

Background: Sickle cell disease (SCD) affects about 100,000 people in the US. The disease causes significant mortality, morbidity and frequent hospitalizations secondary to primary manifestations of the disease and its complications. We conducted a retrospective, [...]

By | 2017-04-20T19:06:56-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on FACTORS AFFECTING HOSPITAL VISITS AND LENGTH OF STAY IN ADULT PATIENTS WITH SICKLE CELL DISEASE

HM2017 Abstract Number: 88

REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the [...]

By | 2017-04-20T19:07:09-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

HM2017 Abstract Number: 87

THE REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

Background: Reduced payments from Medicare related to high rates of hospital-acquired pressure injuries has prompted hospitals to invest in new technologies and strategies to improve wound care and prevention. While many hospitals have increased the [...]

By | 2017-04-20T19:07:22-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on THE REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY

HM2017 Abstract Number: 86

MISSING THE YELLOW FLAGS: DOES A TARDY RESPONSE TRIGGER THE RAPID RESPONSE?

Background: A Rapid Response (RR) Team is activated when there is an acute change in a patient’s condition. Rapid responses are called when certain criteria are met. A delay in activation of the rapid response [...]

By | 2017-04-20T19:07:35-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on MISSING THE YELLOW FLAGS: DOES A TARDY RESPONSE TRIGGER THE RAPID RESPONSE?

HM2017 Abstract Number: 85

IMPACTS OF ANXIOLYTIC MEDICATION TYPE ON INTENSIVE CARE UNIT LENGTH OF STAY

Background: Mechanically ventilated patients are often administered analgesic medications such as dexmedetomidine (DEX) and lorazepam (LZP) to reduce pain and anxiety. Studies have suggested that benzodiazepines may increase the risk of developing acute brain dysfunction, [...]

By | 2017-04-20T19:07:53-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IMPACTS OF ANXIOLYTIC MEDICATION TYPE ON INTENSIVE CARE UNIT LENGTH OF STAY

HM2017 Abstract Number: 84

ANTIMOTILITY USE IN PATIENTS WITH C DIFFICILE–POTENTIALLY SAFE?

Title: ANTI-MOTILITY USE IN PATIENTS WITH C. DIFFICILE --POTENTIALLY SAFE? Background: Anti-motility agents have typically been avoided in patients with Clostridium difficile diarrheal infections (CDI) due to fear of gastrointestinal complications such as toxic mega-colon. [...]

By | 2017-04-20T19:01:11-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on ANTIMOTILITY USE IN PATIENTS WITH C DIFFICILE–POTENTIALLY SAFE?

HM2017 Abstract Number: 83

PREVALENCE OF CHEMOPREVENTIVE AGENT USE AMONG HOSPITALIZED WOMEN AT HIGH RISK FOR BREAST CANCER: A CROSS-SECTIONAL STUDY

Background: Approximately 15% of women in the United States aged 35-79 year are at high risk for developing breast cancer, however less than 0.2% of these women reported taking chemoprevention to reduce their risk. Objective [...]

By | 2017-04-25T14:52:37-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREVALENCE OF CHEMOPREVENTIVE AGENT USE AMONG HOSPITALIZED WOMEN AT HIGH RISK FOR BREAST CANCER: A CROSS-SECTIONAL STUDY

HM2017 Abstract Number: 82

BURDEN OF 30-DAY READMISSIONS FOLLOWING HOSPITALIZATION FOR PNEUMONIA IN YOUNG AND MIDDLE-AGED ADULTS

Background: While pattern of readmissions in young survivors of acute myocardial infarction and heart failure has been described, burden of 30-day readmissions following hospitalization for pneumonia in young adults is poorly understood. Further, gender differences [...]

By | 2017-04-20T19:01:15-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on BURDEN OF 30-DAY READMISSIONS FOLLOWING HOSPITALIZATION FOR PNEUMONIA IN YOUNG AND MIDDLE-AGED ADULTS

HM2017 Abstract Number: 81

IMPACT OF ADMISSION URINE CULTURE ON ANTIBIOTIC USE AND HOSPTIAL LENGTH OF STAY

Background: Overuse of urine testing may result in downstream events that impact antibiotic use and hospital length of stay (LOS). The aims of this study were to examine the impact of inpatient urine culture testing [...]

By | 2017-04-20T19:08:23-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IMPACT OF ADMISSION URINE CULTURE ON ANTIBIOTIC USE AND HOSPTIAL LENGTH OF STAY

HM2017 Abstract Number: 80

IDENTIFYING GAPS IN CARE OF MALNOURISHED PATIENTS AND THE EFFECTS ON LENGTH OF STAY AND READMISSION IN AN ACUTE CARE SETTING

Background: Malnourished patients compose 25% to 54% of the admitted patient population. Much attention has been given to identifying these malnourished patients. However, few published articles have focused on identifying the gaps in care that [...]

By | 2017-04-20T19:02:04-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on IDENTIFYING GAPS IN CARE OF MALNOURISHED PATIENTS AND THE EFFECTS ON LENGTH OF STAY AND READMISSION IN AN ACUTE CARE SETTING

HM2017 Abstract Number: 79

TRENDS IN INCIDENCE AND LIABILITY COSTS FROM DIAGNOSTIC ERROR IN INPATIENT SETTINGS: INSIGHTS FROM THE NATIONAL PRACTITIONER DATA BANK

Background: Although diagnostic errors are common in hospitals, little is known about the resulting economic burden. Whether the increasing attention to patient safety has led to a decrease in diagnostic error-related claims and cost over [...]

By | 2017-04-20T19:08:45-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on TRENDS IN INCIDENCE AND LIABILITY COSTS FROM DIAGNOSTIC ERROR IN INPATIENT SETTINGS: INSIGHTS FROM THE NATIONAL PRACTITIONER DATA BANK

HM2017 Abstract Number: 78

PRIOR STATIN USE MIGHT BE ASSOCIATED WITH LOWER SEPSIS MORTALITY – RESULTS FROM A “BIG DATA” STUDY

Background: The randomized controlled ANZ-STATInS trial demonstrated that de novo statin use did not alter interleukin-6 levels or Sequential Organ Failure Assessment (SOFA) score in of what before SEPSIS-3 was known as severe sepsis. Prospective [...]

By | 2017-04-20T19:08:58-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PRIOR STATIN USE MIGHT BE ASSOCIATED WITH LOWER SEPSIS MORTALITY – RESULTS FROM A “BIG DATA” STUDY

HM2017 Abstract Number: 77

LONG-TERM CLINICAL AND ECONOMIC OUTCOMES OF INTENSIVE VS STANDARD BLOOD PRESSURE REDUCTION IN NON-DIABETICS AT HIGH CARDIOVASCULAR RISK – EXTRAPOLATIONS FROM THE SPRINT TRIAL

Background: Results from the recent SPRINT trial demonstrate lower rates of fatal and non-fatal major cardiovascular events and all-cause mortality in non-diabetics at high cardiovascular risk with intensive versus standard treatment, i.e., less than 120 [...]

By | 2017-04-20T19:09:11-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on LONG-TERM CLINICAL AND ECONOMIC OUTCOMES OF INTENSIVE VS STANDARD BLOOD PRESSURE REDUCTION IN NON-DIABETICS AT HIGH CARDIOVASCULAR RISK – EXTRAPOLATIONS FROM THE SPRINT TRIAL

HM2017 Abstract Number: 76

PREDICTORS OF COPD READMISSIONS – A RETROSPECTIVE STUDY

Background: The Centers for Medicare & Medicaid Services (CMS) started penalizing hospitals with “excess” 30-day readmissions, as determined by observed-to-expected ratio, for patients discharged after treatment for an acute exacerbation of chronic obstructive pulmonary disease [...]

By | 2017-04-20T19:09:22-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREDICTORS OF COPD READMISSIONS – A RETROSPECTIVE STUDY

HM2017 Abstract Number: 75

OUTCOME TRENDS FOLLOWING OUT-OF-HOSPITAL CARDIAC ARREST IN THE UNITED STATES: 1995-2013

Background: In the United States, studies have reported mixed results on outcomes following out–of–hospital cardiac arrest. We postulated that such variation is not only dependent on the populations included or excluded in these studies but [...]

By | 2017-04-20T19:02:15-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on OUTCOME TRENDS FOLLOWING OUT-OF-HOSPITAL CARDIAC ARREST IN THE UNITED STATES: 1995-2013

HM2017 Abstract Number: 74

COPING SELF-EFFICACY IN HIV-POSITIVE PATIENTS: WHAT THE NUMBERS LOOK LIKE

Background: As of 2016, there are approximately 36.7 million people living with HIV around the world. HIV infection is associated with tremendous psychological burden. Improvements in coping methods would be highly beneficial in this scenario. [...]

By | 2017-04-20T19:09:38-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on COPING SELF-EFFICACY IN HIV-POSITIVE PATIENTS: WHAT THE NUMBERS LOOK LIKE

HM2017 Abstract Number: 73

CHARACTERISTICS OF MORTALITY CASES WITH ADVANCE CARE PLANNING ISSUES

Background: The UCLA Department of Medicine (DOM) Rapid Mortality Review (RMR) is an innovative in-person, near real-time review of all deaths to capture the unique insight of the care providers into aspects of end-of-life care [...]

By | 2017-04-20T19:09:50-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on CHARACTERISTICS OF MORTALITY CASES WITH ADVANCE CARE PLANNING ISSUES

HM2017 Abstract Number: 72

THE RISK OF VENOUS THROMBOEMBOLISM WITH ASPIRIN COMPARED TO ANTICOAGULANTS AFTER HIP OR KNEE ARTHROPLASTY

Background: Recent guidelines include aspirin as an option to prevent venous thromboembolism (VTE) in selected patients undergoing hip or knee replacement surgery. However, the efficacy of aspirin after arthroplasty has not been well-defined, particularly in [...]

By | 2017-04-20T19:10:05-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on THE RISK OF VENOUS THROMBOEMBOLISM WITH ASPIRIN COMPARED TO ANTICOAGULANTS AFTER HIP OR KNEE ARTHROPLASTY

HM2017 Abstract Number: 71

PICTURE MAKES PERFECT: DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN PARACENTESIS?

Background: Ultrasound-guidance has become the standard for bedside procedures in the Emergency and Inpatient setting due to its perceived impact on first success rate and reduced complications. However, literature data on the rate of complications [...]

By | 2017-04-20T19:02:24-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PICTURE MAKES PERFECT: DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN PARACENTESIS?

HM2017 Abstract Number: 70

A RISK TOOL TO PREDICT CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION IN PATIENTS WITH PICCS

Background: Evidence suggests that risk of central line-associated bloodstream infection (CLABSI) between patients with traditional central venous catheters (CVC) vs. peripherally inserted central catheters (PICC) is similar. However, how best to predict CLABSI in patients [...]

By | 2017-04-20T19:11:39-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on A RISK TOOL TO PREDICT CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION IN PATIENTS WITH PICCS

HM2017 Abstract Number: 69

A COMPARISON OF OUTCOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE AND PNEUMONIA AMONG TEACHING AND NONTEACHING SERVICES

Background:   Congestive heart failure (CHF) and pneumonia are amongst the leading causes of hospitalization in the United States.  Although a growing number of hospitals use both teaching and nonteaching hospitalist services for patient care, [...]

By | 2017-04-20T19:12:08-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on A COMPARISON OF OUTCOMES OF PATIENTS WITH CONGESTIVE HEART FAILURE AND PNEUMONIA AMONG TEACHING AND NONTEACHING SERVICES

HM2017 Abstract Number: 68

OBESE PATIENTS WITH ACUTE BACTERIAL SKIN AND SKIN STRUCTURE INFECTIONS (ABSSSI) HAVE DOUBLE THE RATE OF KEY COMORBIDITIES COMPARED TO NON-OBESE PATIENTS WHICH IMPACTS ANTIBIOTIC SELECTION

Background: The successful management of ABSSSI requires prompt assessment and appropriate antibiotic therapy. Antibiotic selection requires consideration of patient comorbidities to ensure appropriate pathogen coverage and to avoid contraindications related to comorbidities and concomitant medications. [...]

By | 2017-04-20T19:03:14-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on OBESE PATIENTS WITH ACUTE BACTERIAL SKIN AND SKIN STRUCTURE INFECTIONS (ABSSSI) HAVE DOUBLE THE RATE OF KEY COMORBIDITIES COMPARED TO NON-OBESE PATIENTS WHICH IMPACTS ANTIBIOTIC SELECTION

HM2017 Abstract Number: 67

PREDICTORS OF 1 YEAR MORTALITY AMONG PATIENTS ADMITTED IN THE HOSPITAL WITH ACUTE HEART FAILURE

Background: Acute heart failure (AHF) is the major cause of hospital admission and death. Furthermore, patients admitted with AHF have high readmission rates and  postdischarge mortality. Although there have been some reports, which demonstrated the [...]

By | 2017-04-20T19:11:53-04:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PREDICTORS OF 1 YEAR MORTALITY AMONG PATIENTS ADMITTED IN THE HOSPITAL WITH ACUTE HEART FAILURE

HM2017 Abstract Number: 66

MUSIC TO MY EARS: BRIGHTENING THE DAY OF HOSPITALIZED PATIENTS

Background: For most people, music serves as a calming influence or as a pleasurable stimulus that lifts their spirits. Hospitalized patients may experience boredom, fear, and unease while in the hospital, away from the comforts [...]

By | 2017-04-20T18:42:47-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on MUSIC TO MY EARS: BRIGHTENING THE DAY OF HOSPITALIZED PATIENTS

HM2017 Abstract Number: 65

RELATIONSHIP BETWEEN SPIRITUALITY AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION: RESULTS FROM THE SPIRITUALITY AND HOSPITALIZATION EXPERIENCE OF PATIENTS STUDY (SHEPS)

Background: Studies have shown a direct relationship between patient satisfaction and patients following their physician’s recommendations which leads to favorable patient outcomes. While several physician and patient-specific characteristics have been found to be associated with [...]

By | 2017-04-20T18:42:49-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on RELATIONSHIP BETWEEN SPIRITUALITY AND PATIENT SATISFACTION WITH PHYSICIANS DURING HOSPITALIZATION: RESULTS FROM THE SPIRITUALITY AND HOSPITALIZATION EXPERIENCE OF PATIENTS STUDY (SHEPS)

HM2017 Abstract Number: 64

CLINICAL CHARACTERISTICS OF PATIENTS WITH ISCHEMIC AND NON-ISCHEMIC COMPLETE HEART BLOCK

Background: New onset third degree or complete heart block (CHB) is a medical emergency and usually requires permanent pacemaker. CHB can be caused by cardiac ischemia or non-ischemic conditions such as infiltrative diseases or fibrosis. [...]

By | 2017-04-20T18:42:51-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on CLINICAL CHARACTERISTICS OF PATIENTS WITH ISCHEMIC AND NON-ISCHEMIC COMPLETE HEART BLOCK

HM2017 Abstract Number: 62

CONSISTENTLY INCONSISTENT: VARIABILITY IN CONSENT REQUIREMENTS AMONG INTERNAL MEDICINE JOURNALS THAT PUBLISH CLINICAL IMAGES

Background: Clinical images are photographs that serve as succinct and memorable lessons. Importantly, patient right to privacy dictates appropriate consent be obtained prior to publication. Significant disagreement exists surrounding what makes a photograph identifiable, and [...]

By | 2017-04-20T18:42:53-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on CONSISTENTLY INCONSISTENT: VARIABILITY IN CONSENT REQUIREMENTS AMONG INTERNAL MEDICINE JOURNALS THAT PUBLISH CLINICAL IMAGES

HM2017 Abstract Number: 61

RIFAXIMIN FOR THE PREVENTION OF COMPLICATIONS OF CIRRHOSIS

Background: Cirrhosis-related complications and resulting decompensation are associated with poor prognosis. Reducing the risk of cirrhosis-related complications is an important goal when managing patients with cirrhosis. Bacterial-derived endotoxins are hypothesized to be a major contributor [...]

By | 2017-04-20T18:42:56-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on RIFAXIMIN FOR THE PREVENTION OF COMPLICATIONS OF CIRRHOSIS

HM2017 Abstract Number: 60

PHYSICIAN TRAINEES’ EXPERIENCES OF MORAL DISTRESS REGARDING POTENTIALLY FUTILE TREATMENTS AT THE END OF LIFE IN THE UNITED KINGDOM: A QUALITATIVE STUDY

Background: Moral distress, the inability to act in accordance with one’s ethical beliefs due to hierarchical or institutional constraints, has been associated with burnout and poorer well-being.  Significant moral distress amongst American physician trainees might [...]

By | 2017-04-20T18:42:58-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on PHYSICIAN TRAINEES’ EXPERIENCES OF MORAL DISTRESS REGARDING POTENTIALLY FUTILE TREATMENTS AT THE END OF LIFE IN THE UNITED KINGDOM: A QUALITATIVE STUDY

HM2017 Abstract Number: 59

CONTRAST-INDUCED NEPHROPATHY IN ELDERLY HOSPITALIZED PATIENTS: A SYSTEMATIC REVIEW OF CURRENT LITERATURE

Background: Contrast-induced Nephropathy (CIN) is a major cause of mortality and morbidity among elderly patients. Its occurrence increases with the patient’s age. Elderly patients who suffer from impaired renal function constitute a large percentage of [...]

By | 2017-04-20T18:43:00-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on CONTRAST-INDUCED NEPHROPATHY IN ELDERLY HOSPITALIZED PATIENTS: A SYSTEMATIC REVIEW OF CURRENT LITERATURE

HM2017 Abstract Number: 57

KEYS TO CAREER SUCCESS: RESOURCES AND BARRIERS IDENTIFIED BY ACADEMIC HOSPITALISTS

Background: Prior research in the field of academic hospital medicine has described unique challenges to achieving promotion for academic hospitalists.  A consensus conference identified challenges for academic hospitalist success including alignment of hospitalists with clinical [...]

By | 2017-04-20T18:43:02-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on KEYS TO CAREER SUCCESS: RESOURCES AND BARRIERS IDENTIFIED BY ACADEMIC HOSPITALISTS

HM2017 Abstract Number: 56

ACADEMIC HOSPITALIST PERSPECTIVES ON CAREER SUCCESS

Background: Prior research in the field of academic hospital medicine has used promotion as the measure of success, but little is understood about what motivates individual academic hospitalists or how individuals define career success. Conceptual [...]

By | 2017-04-20T18:43:04-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on ACADEMIC HOSPITALIST PERSPECTIVES ON CAREER SUCCESS

HM2017 Abstract Number: 55

ASSOCIATIONS BETWEEN HOSPITALISTS’ RACE/GENDER AND PATIENT ASSESSMENT OF PHYSICIAN PERFORMANCE

OBJECTIVES:  To study the influence of physician-patient gender and race concordance on patients’ assessment of the hospitalist physician’s performance.  Background: In the United States, there have been numerous studies showing health disparities and inequities in care related [...]

By | 2017-04-20T18:43:06-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on ASSOCIATIONS BETWEEN HOSPITALISTS’ RACE/GENDER AND PATIENT ASSESSMENT OF PHYSICIAN PERFORMANCE

HM2017 Abstract Number: 54

LINKED DNR AND DNI ORDERS AND FACTORS ASSOCIATED WITH DNI ORDERS: A RETROSPECTIVE CHART REVIEW AT AN URBAN TERTIARY CARE CENTER

Background: Code status discussions often link do-not-intubate (DNI) orders with do-not-resuscitate (DNR) orders, although cardiac arrest accounts for less than 2% of endotracheal intubations. DNR orders are more commonly implemented for older patients with more [...]

By | 2017-04-20T18:43:46-04:00 April 20th, 2017|Other, Research Abstracts|Comments Off on LINKED DNR AND DNI ORDERS AND FACTORS ASSOCIATED WITH DNI ORDERS: A RETROSPECTIVE CHART REVIEW AT AN URBAN TERTIARY CARE CENTER

HM2017 Abstract Number: 42

HOSPITALIST PERCEPTION OF THE IMPACT OF AN INPATIENT MEDICINE PHYSICIAN ASSISTANT STUDENT CURRICULUM

Background: The number of physician assistants (PA) practicing hospital medicine is increasing.1 The number of PA schools in the US has also increased from 54 in 1992 to 218 in 2015.2While there is an increasing [...]

By | 2017-04-20T18:36:09-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on HOSPITALIST PERCEPTION OF THE IMPACT OF AN INPATIENT MEDICINE PHYSICIAN ASSISTANT STUDENT CURRICULUM

HM2017 Abstract Number: 40

APPARENT CHANGES IN HEALTHCARE COSTS AND UTILIZATION THAT MAY HAVE BEEN ASSOCIATED WITH DUTY HOUR REFORMS

Background: After Libby Zion died tragically in a teaching hospital, much attention from the medical community, public and government, was directed at resident training and the number of hours worked consecutively. This marked a new [...]

By | 2017-04-20T18:36:10-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on APPARENT CHANGES IN HEALTHCARE COSTS AND UTILIZATION THAT MAY HAVE BEEN ASSOCIATED WITH DUTY HOUR REFORMS

HM2017 Abstract Number: 38

EFFECTS OF AN EDUCATION INITIATIVE ON APPROPRIATE UTILIZATION OF TELEMETRY

Background: Patients at high risk for cardiac events often receive telemetry, however, overutilization of cardiac monitoring leads to unnecessary interventions and increased healthcare costs. The American Heart Association (AHA) recommends classification of cardiac risk via [...]

By | 2017-04-20T18:36:13-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on EFFECTS OF AN EDUCATION INITIATIVE ON APPROPRIATE UTILIZATION OF TELEMETRY

HM2017 Abstract Number: 33

PREDICTORS OF HAND HYGIENE ATTITUDE AND PRACTICE IN MEDICAL SCHOOL

Background: Previous studies demonstrate that hand hygiene compliance among healthcare workers is suboptimal. To better understand drivers of poor compliance, we investigated changes in hand hygiene (HH) attitudes and practices among medical students to determine [...]

By | 2017-04-20T18:36:15-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on PREDICTORS OF HAND HYGIENE ATTITUDE AND PRACTICE IN MEDICAL SCHOOL

HM2017 Abstract Number: 31

TEMPORAL TRENDS IN ADMISSION COMPLEXITY: A 15-YEAR REVIEW OF MEDICAL ADMISSIONS TO A VETERAN’S AFFAIRS HOSPITAL

Background: Duty hour limitations have raised concern that shorter work shifts are compressing resident workload, which may result in a negative learning environment. Increasing patient complexity intensifies workload compression; however, temporal trends in complexity of [...]

By | 2017-04-20T18:36:17-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on TEMPORAL TRENDS IN ADMISSION COMPLEXITY: A 15-YEAR REVIEW OF MEDICAL ADMISSIONS TO A VETERAN’S AFFAIRS HOSPITAL

HM2017 Abstract Number: 29

CLINICAL EXCELLENCE IN HOSPITAL MEDICINE: A QUALITATIVE STUDY

Background: In 2016, there were more than 50,000 hospitalists working in the United States. The Society of Hospital Medicine (SHM) published ‘The Core Competencies in Hospital Medicine’ as a blueprint to standardize expectations of practicing [...]

By | 2017-04-20T18:36:19-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on CLINICAL EXCELLENCE IN HOSPITAL MEDICINE: A QUALITATIVE STUDY

HM2017 Abstract Number: 27

DIFFERENCES IN GOALS DURING RESIDENCY TRAINING BETWEEN THE UNITED STATES AND JAPAN

Background: Medical educators worldwide have been aspiring to transition from time based training to a competency based medical education model. The degree of alignment between competencies, residents’ self-identified training goals, and variations in different countries [...]

By | 2017-04-20T18:36:22-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on DIFFERENCES IN GOALS DURING RESIDENCY TRAINING BETWEEN THE UNITED STATES AND JAPAN

HM2017 Abstract Number: 25

IMPACT OF A ONE MONTH POINT OF CARE ULTRASOUND ELECTIVE ON INTERNAL MEDICINE RESIDENT USE, KNOWLEDGE AND CONFIDENCE

Background: Point-of-care ultrasound (POCUS) is a diagnostic modality that can improve diagnosis, reduce cost, and increase patient satisfaction. POCUS is being increasingly utilized in internal medicine (IM), and IM residents desire training in POCUS. A [...]

By | 2017-04-20T18:36:24-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on IMPACT OF A ONE MONTH POINT OF CARE ULTRASOUND ELECTIVE ON INTERNAL MEDICINE RESIDENT USE, KNOWLEDGE AND CONFIDENCE

HM2017 Abstract Number: 24

A CONTEMPORARY ASSESSMENT OF MECHANICAL COMPLICATION RATES AND TRAINEE PERCEPTIONS OF CENTRAL VENOUS CATHETER INSERTION

Background: Limited data exist regarding rates of mechanical complications associated with placement of non-tunneled acute central venous catheters (CVC) at a training institution. Additionally, trainee perceptions and experiences managing CVC complications are unknown. Our objective [...]

By | 2017-04-20T18:36:26-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on A CONTEMPORARY ASSESSMENT OF MECHANICAL COMPLICATION RATES AND TRAINEE PERCEPTIONS OF CENTRAL VENOUS CATHETER INSERTION

HM2017 Abstract Number: 23

TRAINING FAMILY MEDICINE RESIDENTS FOR HOSPITAL-BASED WORK: A SURVEY OF ADULT INPATIENT MEDICINE CURRICULA

Background: Accreditation Council for Graduate Medical Education (ACGME) program requirements for family medicine permit wide variability in adult inpatient medicine curricula. Family physicians compose a significant percentage of the hospitalist workforce, and the American Board [...]

By | 2017-04-20T18:36:28-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on TRAINING FAMILY MEDICINE RESIDENTS FOR HOSPITAL-BASED WORK: A SURVEY OF ADULT INPATIENT MEDICINE CURRICULA

HM2017 Abstract Number: 22

INTERNAL MEDICINE EDUCATION FOR PSYCHIATRY RESIDENTS: AN UNMET NEED

Background: Patients with serious mental illness die an average of eight years earlier than the general US population, partly related to their higher burden of chronic medical conditions. With the development of patient-centered medical homes, [...]

By | 2017-04-20T18:37:05-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on INTERNAL MEDICINE EDUCATION FOR PSYCHIATRY RESIDENTS: AN UNMET NEED

HM2017 Abstract Number: B

ROSIGLITAZONE AND CARDIOVASCULAR OUTCOME

Background: Rosiglitazone is one of the thiazolidinedione groups which enhance insulin sensitivity through stimulating peroxisome proliferator-activated receptors in the adipose tissue, liver and muscle. Resulted in decrease glucose production and enhances its utilization. Fluid retention [...]

By | 2017-04-20T18:37:08-04:00 April 20th, 2017|Education, Research Abstracts|Comments Off on ROSIGLITAZONE AND CARDIOVASCULAR OUTCOME

HM2017 Abstract Number: 19

IMPACT OF CONSULTATION ON HOSPITAL OUTCOMES AND RESOURCE UTILIZATION FOR PATIENTS WITH ACUTE CHF

Background: Consultation in hospital is an important tool for acquiring subspecialty support when managing patients with acute congestive heart failure (CHF). The effect of consult utilization on hospital outcomes and resource utilization of acute CHF [...]

By | 2017-04-20T18:24:27-04:00 April 20th, 2017|Consultative Medicine, Research Abstracts|Comments Off on IMPACT OF CONSULTATION ON HOSPITAL OUTCOMES AND RESOURCE UTILIZATION FOR PATIENTS WITH ACUTE CHF

HM2017 Abstract Number: 16

IMPROVING ADVANCE CARE PLANNING IN HOSPITALIZED PATIENTS WITH A LETTER PROJECT

Background: Advance care planning is nationally recognized as important for honoring patient wishes at the end of life. Despite this widespread recognition, many patients lack advance care planning and spend their last days in ways [...]

By | 2017-04-20T18:19:16-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on IMPROVING ADVANCE CARE PLANNING IN HOSPITALIZED PATIENTS WITH A LETTER PROJECT

HM2017 Abstract Number: 15

THE EFFECT OF HOSPITALIST GENDER ON PATIENT SATISFACTION SCORES

Background: Patient evaluation of satisfaction with their physician has been utilized for several years and is now being included as a parameter utilized to calculate reimbursement. Despite the routine use of these evaluations by most [...]

By | 2017-04-20T18:19:18-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE EFFECT OF HOSPITALIST GENDER ON PATIENT SATISFACTION SCORES

HM2017 Abstract Number: 14

PRELIMINARY FACTOR ANALYSIS OF PATIENT EVALUATIONS OF HOSPITALIST PERFORMANCE

Background: Patient evaluation of satisfaction with their physician has been utilized for several years and is now being included as a parameter utilized to calculate reimbursement. Despite the routine use of these evaluations by most [...]

By | 2017-04-20T18:19:20-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on PRELIMINARY FACTOR ANALYSIS OF PATIENT EVALUATIONS OF HOSPITALIST PERFORMANCE

HM2017 Abstract Number: 13

A QUALITATIVE APPROACH TO DEFINING PATIENT PERCEPTIONS OF QUALITY OF LIFE IN THE SETTING OF GOALS OF CARE DISCUSSIONS

Background: Effective communication between health-care providers, patients and their families is a key aspect of the discussion surrounding a patient’s goals of care.  One crucial part of this process is reaching a shared understanding of [...]

By | 2017-04-20T18:19:22-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on A QUALITATIVE APPROACH TO DEFINING PATIENT PERCEPTIONS OF QUALITY OF LIFE IN THE SETTING OF GOALS OF CARE DISCUSSIONS

HM2017 Abstract Number: 11

THE SILENT TREATMENT: AN ANALYSIS OF WHY NO-ONE RESPONDED

Background: Lack of urgency indicators and receipt confirmation are two of several known alphanumeric paging limitations. To address absence of urgency indicators, a Priority Structured Paging (PSP) system that allowed nurses to communicate priority was [...]

By | 2017-04-20T18:19:24-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE SILENT TREATMENT: AN ANALYSIS OF WHY NO-ONE RESPONDED

HM2017 Abstract Number: 6

ETHINIC DIFFERENCES IN THE UNDERSTANDING OF DNR(DO-NOT-RESUSCITATE) ORDERS: A COMPARISON OF KOREAN VS. NON-KOREAN POPULATIONS

Background: Understanding of the Do-Not-Resuscitate (DNR) order varies among different ethnic backgrounds. In Korea, the concept of DNR is not well-known. We therefore conducted a questionnaire-based study to explore and characterize ethnic differences (Korean vs. [...]

By | 2017-04-20T18:19:26-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on ETHINIC DIFFERENCES IN THE UNDERSTANDING OF DNR(DO-NOT-RESUSCITATE) ORDERS: A COMPARISON OF KOREAN VS. NON-KOREAN POPULATIONS

HM2017 Abstract Number: 5

THE RELATIONSHIP BETWEEN PROGNOSIS AND PALLIATIVE CARE PRIOR TO CARDIAC ARREST ON THE GENERAL WARDS

Background: Cardiac arrest on the wards may be preceded by unmet palliative care needs, including advance care planning and specialty palliative consultation that can seek to align patients’ prognoses and goals for care. Identification of [...]

By | 2017-04-20T18:19:29-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE RELATIONSHIP BETWEEN PROGNOSIS AND PALLIATIVE CARE PRIOR TO CARDIAC ARREST ON THE GENERAL WARDS

HM2017 Abstract Number: 1

THE IMPACT OF GENERAL MEDICINE SERVICE REGIONALIZATION ON INTERPROFESSIONAL TEAMWORK

Background: Most academic general medical services cover patients across several different care units in the hospital. Studies have shown that de-regionalized care leads to a lack of team cohesion and poor communication between healthcare providers. [...]

By | 2017-04-25T14:42:45-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE IMPACT OF GENERAL MEDICINE SERVICE REGIONALIZATION ON INTERPROFESSIONAL TEAMWORK

HM2017 Abstract Number: A

AT-THE-BEDSIDE WALKING INTERDISCIPLINARY ROUNDS: STREAMLINED COMMUNICATION BUT NOT YET THE ANSWER FOR PATIENT SATISFACTION

Background: Prior To March 2016 interdisciplinary rounds were held in the back of the nurses’ stations on two inpatient medial units. Patients satisfaction scores around the discharge process and communication were consistently low. Medical director [...]

By | 2017-04-20T18:19:34-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on AT-THE-BEDSIDE WALKING INTERDISCIPLINARY ROUNDS: STREAMLINED COMMUNICATION BUT NOT YET THE ANSWER FOR PATIENT SATISFACTION

HM2017 Abstract Number: 316

STANFORD CLINICAL EXCELLENCE RESEARCH CENTER: TRAINING LEADERS IN VALUE-BASED CARE THROUGH MENTORED HEALTH SYSTEMS DESIGN

Background: Rising healthcare costs have driven both the government and the private sector to seek cost-saving innovations in health care delivery. The Center for Medicare and Medicaid Innovation (CMMI) is leading this charge from a [...]

By | 2017-04-20T18:08:39-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on STANFORD CLINICAL EXCELLENCE RESEARCH CENTER: TRAINING LEADERS IN VALUE-BASED CARE THROUGH MENTORED HEALTH SYSTEMS DESIGN

HM2017 Abstract Number: 314

STATUS RECOVERY SERVICE (SRS): A NOVEL APPROACH TO HOSPITAL GROUP-PAYER INTERACTIONS

Background: Determination of patient stay status, e.g. inpatient vs. observation, is highly important to payers, physicians, and patients alike. Non-Medicare payers perform near concurrent review of admission notes and orders in order to approve the [...]

By | 2017-04-20T18:08:41-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on STATUS RECOVERY SERVICE (SRS): A NOVEL APPROACH TO HOSPITAL GROUP-PAYER INTERACTIONS

HM2017 Abstract Number: 309

DO PROVIDERS CHOOSE WISELY? PROVIDER KNOWLEDGE AND APPROPRIATE USE OF ACUTE CARE TELEMETRY MONITORING

Background: Telemetry is a useful tool to detect malignant cardiac arrhythmias but may be associated with increased cost and patient inconvenience. In 2004 the American Heart Association (AHA) established recommendations regarding appropriate telemetry use for [...]

By | 2017-04-20T18:08:43-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on DO PROVIDERS CHOOSE WISELY? PROVIDER KNOWLEDGE AND APPROPRIATE USE OF ACUTE CARE TELEMETRY MONITORING

HM2017 Abstract Number: 306

USING PEER COACHING TO REDUCE INAPPROPRIATE OR DUPLICATE LABORATORY TESTING

Background: The Choosing Wisely campaign was launched in 2012 with a goal of “advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments, and procedures.[1] ”  The Society of Hospital Medicine published 5 [...]

By | 2017-04-20T18:08:44-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on USING PEER COACHING TO REDUCE INAPPROPRIATE OR DUPLICATE LABORATORY TESTING

HM2017 Abstract Number: 302

EXPENSIVE FREE HOSPITALIZATIONS — A NOVEL APPROACH TO REDUCING OUTPATIENT MEDICATION COST

Background: Up to forty-five percent of Americans do not fill prescriptions secondary to cost. Medication non-adherence leads to morbidity and mortality (~$100-300B annually). The majority of physicians cannot price medications within 25% of cost. Our [...]

By | 2017-04-20T18:08:47-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on EXPENSIVE FREE HOSPITALIZATIONS — A NOVEL APPROACH TO REDUCING OUTPATIENT MEDICATION COST

HM2017 Abstract Number: 299

INTRODUCING THE HOSPITAL MEDICINE MODEL TO THE MIDDLE EAST REGION

Background: Hospital medicine is the fastest growing specialty in the United States. An interesting aspect of the rapid expansion of hospital medicine is the current expansion of the field beyond North America. While the health [...]

By | 2017-04-20T18:08:49-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on INTRODUCING THE HOSPITAL MEDICINE MODEL TO THE MIDDLE EAST REGION

HM2017 Abstract Number: 293

A HOSPITALIST-RUN OBSERVATION UNIT: AN EVOLVING MODEL

Background: Observation units were initially intended to function as a short stay unit for lower acuity patients with specific diagnoses, however this traditional model is currently evolving.  Rising health care costs and changing health care [...]

By | 2017-04-25T23:15:44-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on A HOSPITALIST-RUN OBSERVATION UNIT: AN EVOLVING MODEL

HM2017 Abstract Number: 287

NOT TO BE DENIED: REDUCING DENIED DAYS THROUGH AUDIT AND FEEDBACK

Background: Reducing denied days, or days of hospitalization that aren’t reimbursed by payers, is critical for hospital financial stability, and to ensure efficient, patient-centered care. In 2015, payers denied payment on ~20% of all hospital [...]

By | 2017-04-20T18:08:54-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on NOT TO BE DENIED: REDUCING DENIED DAYS THROUGH AUDIT AND FEEDBACK

HM2017 Abstract Number: 286

STUDENT HIGH VALUE CARE COMMITTEE: A MODEL FOR STUDENT-LED IMPLMENTATION

Background: Formal curricula for teaching medical students high value care are lacking, and there is little evidence identifying strategies that can effectively impact students’ knowledge and skills. Research is needed to develop models for student-led [...]

By | 2017-04-20T18:08:56-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on STUDENT HIGH VALUE CARE COMMITTEE: A MODEL FOR STUDENT-LED IMPLMENTATION

HM2017 Abstract Number: 282

REDUCING CAUTI THROUGH CRUX: THE CATHETER REDUCTION AND URINE CULTURE STEWARDSHIP INITIATIVE

Background: Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-acquired infection nationally, and in the era of publically reporting and reimbursement based on outcomes, represents a preventable hospital-acquired infection that harms patients and institutions. [...]

By | 2017-04-20T17:58:09-04:00 April 20th, 2017|Innovations Abstracts, Translating Research into Practice|Comments Off on REDUCING CAUTI THROUGH CRUX: THE CATHETER REDUCTION AND URINE CULTURE STEWARDSHIP INITIATIVE

HM2017 Abstract Number: 273

THE DISCHARGE HOTLINE INITIATIVE: IMPROVING TRANSITIONS OF CARE

Background: Patient safety can be jeopardized if there is inadequate transitional care planning as patients move from the hospital to the outpatient setting. A reliable means for patients and their caregivers to reach a physician [...]

By | 2017-04-20T17:50:39-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on THE DISCHARGE HOTLINE INITIATIVE: IMPROVING TRANSITIONS OF CARE

HM2017 Abstract Number: 271

THE BRIDGE PROJECT: AN INTERVENTION TO IMPROVE ATTENDANCE RATES AT POST-DISCHARGE FOLLOW-UP APPOINTMENTS

Background: Post-discharge follow-up appointments (PDFA) are an important component of care transitions. Many hospital medicine groups dedicate substantial time arranging these visits. In a one year retrospective analysis of patients discharged from our hospitalist service, [...]

By | 2017-04-20T17:50:41-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on THE BRIDGE PROJECT: AN INTERVENTION TO IMPROVE ATTENDANCE RATES AT POST-DISCHARGE FOLLOW-UP APPOINTMENTS

HM2017 Abstract Number: 270

EFFECT OF AN EMR HANDOFF TOOL ON MEDICINE RESIDENTS’ HANDOFF QUALITY

Background: Communication breakdown plays a part in the majority of adverse events in healthcare. Physician to physician handoffs are particularly prone to communication errors, yet have been shown to be more complete when systematized according [...]

By | 2017-04-20T17:50:42-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on EFFECT OF AN EMR HANDOFF TOOL ON MEDICINE RESIDENTS’ HANDOFF QUALITY

HM2017 Abstract Number: 268

HOSPITAL MEDICINE AND EMERGENCY MEDICINE COLLABORATIVE WORKGROUP: A UNIQUE EFFORT TO IMPROVE THROUGHPUT FROM EMERGENCY DEPARTMENT TO MEDICAL FLOORS AND ENHANCE INTER-DEPARTMENTAL COLLEGIALITY

Background: Emergency department (ED) overcrowding is a commonly encountered challenge and is associated with adverse events and poor patient satisfaction.  One of the factors that can contribute to ED overcrowding is the boarding of admitted [...]

By | 2017-04-20T17:50:45-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on HOSPITAL MEDICINE AND EMERGENCY MEDICINE COLLABORATIVE WORKGROUP: A UNIQUE EFFORT TO IMPROVE THROUGHPUT FROM EMERGENCY DEPARTMENT TO MEDICAL FLOORS AND ENHANCE INTER-DEPARTMENTAL COLLEGIALITY

HM2017 Abstract Number: 266

IMPROVING TRANSITIONS FOR ELDERS FROM THE HOSPITAL TO SKILLED NURSING FACILITIES THROUGH HOPE (HEALTH OPTIMIZATION PROGRAM FOR ELDERS)

Background: Transitioning patient care between hospitals and skilled nursing facilities (SNFS) brings many challenges.  Patient and family anxiety, unfamiliarity and even misinformation about SNFs increase the opportunity for unsatisfactory outcomes and readmissions to the hospital..  [...]

By | 2017-04-20T17:50:47-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING TRANSITIONS FOR ELDERS FROM THE HOSPITAL TO SKILLED NURSING FACILITIES THROUGH HOPE (HEALTH OPTIMIZATION PROGRAM FOR ELDERS)

HM2017 Abstract Number: 263

CARING FOR PATIENTS ACROSS TRANSITIONS FROM ACUTE TO SUB-ACUTE CARE: AN INNOVATIVE HOSPITALIST STAFFING MODEL

Background: Care transitions between hospitals, nursing homes, and home are a vulnerable time for patients.  Given the increasing elderly population and the shortage of primary care physicians with training in geriatrics or nursing home care, [...]

By | 2017-04-20T17:50:50-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on CARING FOR PATIENTS ACROSS TRANSITIONS FROM ACUTE TO SUB-ACUTE CARE: AN INNOVATIVE HOSPITALIST STAFFING MODEL

HM2017 Abstract Number: 254

A RESIDENT-DRIVEN INTERDISCIPLINARY PROCESS TO HELP PATIENTS SUCCESSFULLY OBTAIN PRESCRIPTIONS POST-DISCHARGE

Background: Patients are discharged home on medications different than those they were taking before admission.  New and discontinued medications as well as dosage changes contribute to medication-related adverse events.  Purpose: To help address this problem, [...]

By | 2017-04-20T17:50:52-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on A RESIDENT-DRIVEN INTERDISCIPLINARY PROCESS TO HELP PATIENTS SUCCESSFULLY OBTAIN PRESCRIPTIONS POST-DISCHARGE

HM2017 Abstract Number: 251

IMPROVING PATIENT OUTCOMES BY STANDARDIZING INTRAHOSPITAL TRANSFER PROCESS

Background: Transfers to academic tertiary care centers often involve complicated patients requiring subspecialty consultation and coordination of care.   Therefore appropriate handoff and communication from sending to receiving institution is needed to streamline care and minimize [...]

By | 2017-04-20T17:50:55-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING PATIENT OUTCOMES BY STANDARDIZING INTRAHOSPITAL TRANSFER PROCESS

HM2017 Abstract Number: 248

BUNDLING A SMARTPHONE APP AND PATIENT NAVIGATION TO IMPROVE COMMUNICATION AND REDUCE POST-DISCHARGE COMPLICATIONS FOR PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

Background: Patients diagnosed in-hospital with acute venous thromboembolism (VTE) are at high risk for post-discharge complications and readmission similar to patients with chronic conditions. Patient navigation reduces post-discharge complications and readmissions in patients with chronic [...]

By | 2017-04-20T17:50:58-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on BUNDLING A SMARTPHONE APP AND PATIENT NAVIGATION TO IMPROVE COMMUNICATION AND REDUCE POST-DISCHARGE COMPLICATIONS FOR PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

HM2017 Abstract Number: 247

LESSONS LEARNED BY MEDICAL STUDENTS IN SYSTEMS-BASED PRACTICE AS PATIENTS TRANSITION THEIR CARE

Background:  Patient care may be enhanced as they transition from one health care setting or provider to another.  However, studies have shown that as many as 1 in 5 patients suffer an adverse event within [...]

By | 2017-04-20T17:51:00-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on LESSONS LEARNED BY MEDICAL STUDENTS IN SYSTEMS-BASED PRACTICE AS PATIENTS TRANSITION THEIR CARE

HM2017 Abstract Number: 242

IMPROVING HANDOFFS FROM HOSPITALS TO SUB-ACUTE CARE: AN INTERDISCIPLINARY HFMEA QUALITY IMPROVEMENT PROJECT

Background: Communication has been cited as the most common root cause in sentinel events, with failed patient care handoffs contributing to an estimated 80% of serious preventable adverse events. Handoffs to sub-acute care such as [...]

By | 2017-04-20T17:51:41-04:00 April 20th, 2017|Innovations Abstracts, Transitions of Care|Comments Off on IMPROVING HANDOFFS FROM HOSPITALS TO SUB-ACUTE CARE: AN INTERDISCIPLINARY HFMEA QUALITY IMPROVEMENT PROJECT

HM2017 Abstract Number: 240

ASSESSING THE IMPACT OF MYCHART BEDSIDE ON THE PATIENT ENCOUNTER

Background: It remains unclear how implementing new technology in the inpatient setting affects patients and providers. MyChart Bedside, a tool that allows patients open access to their health record, was implemented across several inpatient units [...]

By | 2017-04-20T17:42:23-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on ASSESSING THE IMPACT OF MYCHART BEDSIDE ON THE PATIENT ENCOUNTER

HM2017 Abstract Number: 238

UTILIZING PRECISE LOCATOR TECHNOLOGY TO MEASURE PHYSICIAN-NURSE ROUNDING HABITS

Background: The quality of communication between physicians and nurses plays an important role in patient safety and provider job satisfaction. Efforts to improve the effectiveness of MD-RN communication have traditionally disseminated new programs such as [...]

By | 2017-04-20T17:42:25-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on UTILIZING PRECISE LOCATOR TECHNOLOGY TO MEASURE PHYSICIAN-NURSE ROUNDING HABITS

HM2017 Abstract Number: 237

EXCEL AT TRIAGING: USING MICROSOFT’S WEB QUERY FUNCTIONALITY TO STREAMLINE THE TRIAGING PROCESS

Background: Triaging patients from the emergency room, an outside hospital or a service-line within your institution can be a challenging endeavor regardless of the size of your group. The Ohio State University Wexner Medical Center [...]

By | 2017-04-20T17:42:27-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on EXCEL AT TRIAGING: USING MICROSOFT’S WEB QUERY FUNCTIONALITY TO STREAMLINE THE TRIAGING PROCESS

HM2017 Abstract Number: 236

MAKING A BIG IMPACT IN HIV TESTING WITH A SMALL EHR MODIFICATION

Background: The Centers for Disease Control and Prevention (CDC) estimates over 1.2 million Americans are living with HIV (human immunodeficiency virus). Of those, approximately 14% are unaware of their HIV-positive status. In 2014, most hospitals [...]

By | 2017-04-20T17:42:29-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on MAKING A BIG IMPACT IN HIV TESTING WITH A SMALL EHR MODIFICATION

HM2017 Abstract Number: 235

ESTABLISHMENT OF AN INNOVATIVE CREDENTIALING POLICY AND PROCEDURE IN HOSPITAL MEDICINE POINT OF CARE ULTRASOUND

Background: Though the use of point of care ultrasound (POCUS) has increased over the last decade, hospitalists may still find it difficult to gain formal hospital credentialing for POCUS.  National organizations have not yet published [...]

By | 2017-04-20T17:42:32-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on ESTABLISHMENT OF AN INNOVATIVE CREDENTIALING POLICY AND PROCEDURE IN HOSPITAL MEDICINE POINT OF CARE ULTRASOUND

HM2017 Abstract Number: 233

UTILIZATION OF VIRTUAL HOSPITALISTS TO ADDRESS STAFFING NEEDS AT CRITICAL ACCESS HOSPITALS

Background: Current staffing models cannot deliver the benefits of hospital medicine to the 1300 critical access hospitals (CAHs) located throughout the rural United States.   Staffing each CAH with local hospitalists would require at least 5500 [...]

By | 2017-04-20T17:42:34-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on UTILIZATION OF VIRTUAL HOSPITALISTS TO ADDRESS STAFFING NEEDS AT CRITICAL ACCESS HOSPITALS

HM2017 Abstract Number: 230

ENGAGING PATIENTS IN DISCHARGE PREPARATION AND PATIENT-PROVIDER COMMUNICATION DURING TRANSITIONS: AN INTERACTIVE PATIENT-CENTERED DISCHARGE TOOLKIT

Background: The discharge process is often not initiated until late during hospitalization and typically perceived by patients as disorganized. Poor discharge planning is not only a source of dissatisfaction, but may adversely impact safety during [...]

By | 2017-04-20T17:42:37-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on ENGAGING PATIENTS IN DISCHARGE PREPARATION AND PATIENT-PROVIDER COMMUNICATION DURING TRANSITIONS: AN INTERACTIVE PATIENT-CENTERED DISCHARGE TOOLKIT

HM2017 Abstract Number: 229

PADUA TO IMPROVE: MATCHING VTE RISK STRATIFICAITON TOOL TO THE EHR

Background: Risk stratifying patients for potential development of hospital-related venous thromboembolism (VTE) is an important aspect of inpatient safety and is recommended by current guidelines.  Many risk stratification tools are cumbersome and require significant time [...]

By | 2017-04-20T17:42:38-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on PADUA TO IMPROVE: MATCHING VTE RISK STRATIFICAITON TOOL TO THE EHR

HM2017 Abstract Number: 228

IS THERE AN APP FOR THAT? DEPLOYMENT & EVALUATION OF AN APPLICATION PRESCRIBING PLATFORM IN HOSPITALIZED PATIENTS

Background: Patients, physicians and health technology developers are increasingly interested in mobile health applications. However, there are few examples of partnerships between hospitalists and the private companies to test novel health technologies in the inpatient [...]

By | 2017-04-20T17:42:41-04:00 April 20th, 2017|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on IS THERE AN APP FOR THAT? DEPLOYMENT & EVALUATION OF AN APPLICATION PRESCRIBING PLATFORM IN HOSPITALIZED PATIENTS

HM2017 Abstract Number: 226

EDUCATION AS A QUALITY INTERVENTION IN THROMBOPHILIA TESTING

Background: As hospitals continue to see increasing costs, quality improvement interventions are essential to maintaining a high level of quality care in the inpatient setting. Multiple studies have shown that a systems based approach offers [...]

By | 2017-04-20T17:34:35-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on EDUCATION AS A QUALITY INTERVENTION IN THROMBOPHILIA TESTING

HM2017 Abstract Number: 222

BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

Background : As part of the Choosing Wisely campaign, the Society of Hospital Medicine recommends against performing "repetitive complete blood count [CBC] and chemistry testing in the face of clinical and lab stability.” This recommendation [...]

By | 2017-04-20T17:34:38-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BEDSIDE ASSESSMENT OF THE NECESSITY OF DAILY LAB TESTING FOR PATIENTS NEARING DISCHARGE

HM2017 Abstract Number: 218

ENGAGING RESIDENTS IN BLOOD TRANSFUSION PROTOCOLS THROUGH QI

Background: In the past 20 years, the "10/30" rule for blood transfusions has been replaced with conservative guidelines which have demonstrated improved patient outcomes and reduced overall healthcare costs. Hospitals across the country have enlisted [...]

By | 2017-04-20T17:34:40-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on ENGAGING RESIDENTS IN BLOOD TRANSFUSION PROTOCOLS THROUGH QI

HM2017 Abstract Number: 212

A FULL HOUSE: RE-SHUFFLING PATIENTS TO MANAGE CAPACITY ACROSS A HEALTH SYSTEM

Background: Capacity constraints are a common problem at many academic institutions.  At Duke University Hospital (DUH) , capacity constraints continue to result in critical bed shortages.  Our affiliated hospital, Duke Regional Hospital (DRH) which is [...]

By | 2017-04-25T23:01:13-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on A FULL HOUSE: RE-SHUFFLING PATIENTS TO MANAGE CAPACITY ACROSS A HEALTH SYSTEM

HM2017 Abstract Number: 210

RADY’S HOMECARE ORDER SET: NO MORE GUESSES, NO MORE ERRORS! LET EMR WORK FOR YOU!

Background:  Children and Young Adults with Special Healthcare Needs (CSCHN), especially those with multiple organ systems involvement, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires [...]

By | 2017-04-20T17:34:45-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on RADY’S HOMECARE ORDER SET: NO MORE GUESSES, NO MORE ERRORS! LET EMR WORK FOR YOU!

HM2017 Abstract Number: 208

UTILIZING UNIT SPECIFIC PATIENT COMPLAINT DATA TO IMPROVE PERFORMANCE AND INCREASE PATIENT SATISFACTION: THE EXPERIENCE ON AN INPATIENT MEDICINE UNIT AT A LARGE URBAN ACADEMIC CENTER

Background: Patient complaints reflect their unmet expectations and are a valuable resource to understand key drivers of patient experience. It is unclear, however, how patient complaints can be used to improve service quality and guide [...]

By | 2017-04-20T17:34:49-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on UTILIZING UNIT SPECIFIC PATIENT COMPLAINT DATA TO IMPROVE PERFORMANCE AND INCREASE PATIENT SATISFACTION: THE EXPERIENCE ON AN INPATIENT MEDICINE UNIT AT A LARGE URBAN ACADEMIC CENTER

HM2017 Abstract Number: 206

IMPROVING ACCURACY IN MEASURING FLUID BALANCE ON A GENERAL MEDICINE WARD

Background: The measurement of fluid balance (FB) for hospitalized patients has been a standard of nursing practice for many years, but its utility and accuracy is questioned in the literature. There is no gold standard [...]

By | 2017-04-20T17:34:51-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on IMPROVING ACCURACY IN MEASURING FLUID BALANCE ON A GENERAL MEDICINE WARD

HM2017 Abstract Number: 201

IMPROVING HOSPITALIST SATISFACTION THROUGH CLINICAL SCHEDULE REDESIGN

Background: Control over work hours and schedule flexibility are important predictors of clinicians’ career satisfaction, work-life balance, and burnout, which are in turn linked to quality of patient care, recruitment, and retention.  In our rapidly [...]

By | 2017-04-20T17:34:54-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on IMPROVING HOSPITALIST SATISFACTION THROUGH CLINICAL SCHEDULE REDESIGN

HM2017 Abstract Number: 200

TEAM-BASED STRUCTURE OF DISCHARGE MULTIDISCIPLINARY ROUNDS LEADS TO EARLIER DISCHARGE

Background: Collaboration between multidisciplinary teams during the discharge process can optimize the safety of discharge planning. At our tertiary academic medical center, case managers (CM) and pharmacists have historically been assigned to patients by unit [...]

By | 2017-04-20T17:34:55-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on TEAM-BASED STRUCTURE OF DISCHARGE MULTIDISCIPLINARY ROUNDS LEADS TO EARLIER DISCHARGE

HM2017 Abstract Number: 197

DEVELOPMENT AND IMPLEMENTATION OF AN ALCOHOL WITHDRAWAL PROTOCOL USING A 5-ITEM BRIEF ALCOHOL WITHDRAWAL SCALE (BAWS)

Background: The standard of care for the treatment of alcohol withdrawal is symptom triggered treatment using the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale. However, this 10-item scale is cumbersome to use.   Purpose: [...]

By | 2017-04-20T17:34:58-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on DEVELOPMENT AND IMPLEMENTATION OF AN ALCOHOL WITHDRAWAL PROTOCOL USING A 5-ITEM BRIEF ALCOHOL WITHDRAWAL SCALE (BAWS)

HM2017 Abstract Number: 191

DIAGNOSING OUR DOCUMENTATION: A NOVEL ELECTRONIC PEER-FEEDBACK PROGRAM TO IMPROVE THE QUALITY OF HOSPITALISTS’ NOTES AT A LARGE TERTIARY CARE MEDICAL CENTER

Background: The advent of the Electronic Health Record (EHR) has changed the face of medical documentation. Illegibility and absence of data have all but disappeared, and EHRs can foster thoughtful assessments by providing a platform [...]

By | 2017-04-20T17:35:42-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on DIAGNOSING OUR DOCUMENTATION: A NOVEL ELECTRONIC PEER-FEEDBACK PROGRAM TO IMPROVE THE QUALITY OF HOSPITALISTS’ NOTES AT A LARGE TERTIARY CARE MEDICAL CENTER

HM2017 Abstract Number: 190

CAN WE DO BETTER? IMPLEMENTATION OF A HOSPITALIST-PSYCHIATRY COLLABORATIVE FOR THE IMPROVEMENT OF CARE FOR BEHAVIORALLY AND MEDICALLY COMPLEX PATIENTS

Background: Medical patients with comorbid psychiatric illness comprise 20-40% of general medicine inpatient admissions. These patients often have multiple providers involved in their care which can lead to poor communication, longer lengths of stay, and [...]

By | 2017-04-20T17:35:44-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on CAN WE DO BETTER? IMPLEMENTATION OF A HOSPITALIST-PSYCHIATRY COLLABORATIVE FOR THE IMPROVEMENT OF CARE FOR BEHAVIORALLY AND MEDICALLY COMPLEX PATIENTS

HM2017 Abstract Number: 186

THE DOCTOR IS IN: OVERHAULING AN ED ADMISSION PROCESS TO EMPHASIZE THE INITIAL PHYSICIAN-PATIENT ENCOUNTER

Background: Patients often must wait several hours before being seen by an admitting attending physician. Protracted admit wait times are undeniably associated with delays in care, patient and family dissatisfaction, and very likely increased lengths of [...]

By | 2017-04-20T17:35:47-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on THE DOCTOR IS IN: OVERHAULING AN ED ADMISSION PROCESS TO EMPHASIZE THE INITIAL PHYSICIAN-PATIENT ENCOUNTER

HM2017 Abstract Number: 178

A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part [...]

By | 2017-04-20T17:35:49-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

HM2017 Abstract Number: 176

APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

Background: Practical and financial pressures have placed a renewed focus on improving the human experience of healthcare from both the patient and provider perspective. Despite this, aligning patients and interdisciplinary providers around meaningful experience improvement [...]

By | 2017-04-20T17:35:52-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on APPLYING A USER-CENTERED DESIGN PROCESS TO CO-CREATE INPATIENT EXPERIENCE IMPROVEMENT STRATEGIES

HM2017 Abstract Number: 174

SLEEP IS VITAL: IMPROVING SLEEP BY REDUCING UNNECESSARY NOCTURNAL VITAL SIGNS

Background: Hospitalized patients get fewer than five hours of sleep a night. Poor sleep leads to increased rates of delirium, falls, and hypertension, and decreased patient satisfaction. Purpose: To improve sleep among hospitalized patients through [...]

By | 2017-04-20T17:35:55-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on SLEEP IS VITAL: IMPROVING SLEEP BY REDUCING UNNECESSARY NOCTURNAL VITAL SIGNS

HM2017 Abstract Number: 173

INCREASING MOBILITY AND REDUCING FALLS AND FALL-RELATED INJURIES IN HOSPITALIZED MEDICINE PATIENTS

Background: Hospitalized patients have significantly reduced ambulation, which leads to decreased muscle strength, coordination, and balance, all which increase the risk of falls. According to the Joint Commission, hundreds of thousands of patients fall in [...]

By | 2017-04-20T17:35:57-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on INCREASING MOBILITY AND REDUCING FALLS AND FALL-RELATED INJURIES IN HOSPITALIZED MEDICINE PATIENTS

HM2017 Abstract Number: 164

USE OF ELECTRONIC TOOL TO REDUCE ERRORS IN INPATIENT MEDICATION RECONCILIATION

Background: Inpatient medication reconciliation errors are common and can lead to serious adverse drug events. Most medication discrepancies are due to errors in taking an accurate medication history. Tools imbedded in the electronic medical record [...]

By | 2017-04-20T17:35:59-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on USE OF ELECTRONIC TOOL TO REDUCE ERRORS IN INPATIENT MEDICATION RECONCILIATION

HM2017 Abstract Number: 163

BUILDING A DASHBOARD TO IDENTIFY PATIENTS AT HIGH RISK FOR ADVERSE DRUG EVENTS RELATED TO OPIOIDS

Background: In the inpatient setting, opioids are the most commonly prescribed medication and the 2nd most frequent cause of adverse drug events (ADE).  Identifying patients at high risk for ADEs related to narcotics is essential. [...]

By | 2017-04-20T17:36:01-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on BUILDING A DASHBOARD TO IDENTIFY PATIENTS AT HIGH RISK FOR ADVERSE DRUG EVENTS RELATED TO OPIOIDS

HM2017 Abstract Number: 160

PATIENT REGIONALIZATION TO IMPROVE CARE EFFICIENCY (PRICE). IMPLEMENTATION OF A MODEL AT UIHC

Background: Unit-based medical teams improve cohesiveness and communication among team members and increase time spent with patients. At the University of Iowa Hospitals and Clinics, physician teams had patients in 5-6 different units on an [...]

By | 2017-04-20T17:36:04-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on PATIENT REGIONALIZATION TO IMPROVE CARE EFFICIENCY (PRICE). IMPLEMENTATION OF A MODEL AT UIHC

HM2017 Abstract Number: 158

SICKLE CELL CARE- CLINICAL REDESIGN PROJECT: A MULTIDISCIPLINARY AND STANDARDIZED APPROACH TO PAIN MANAGEMENT IMPROVES QUALITY OF CARE, DECREASES LENGTH OF STAY AND COST PER CASE

Background: Sickle cell disease (SCD) causes frequent painful episodes from vaso-occlusion. As hospitalists, we identified that SCD patients occupied a large number of hospital days. Undertreatment and lack of standardization of pain management was a [...]

By | 2017-04-20T17:36:51-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on SICKLE CELL CARE- CLINICAL REDESIGN PROJECT: A MULTIDISCIPLINARY AND STANDARDIZED APPROACH TO PAIN MANAGEMENT IMPROVES QUALITY OF CARE, DECREASES LENGTH OF STAY AND COST PER CASE

HM2017 Abstract Number: 151

THE IMPACT OF A TRANSITION OF CARE TEAM IN DECOMPENSATED HEART FAILURE READMISSION RATES

Background:   Congestive heart failure is a leading cause of hospitalization in adults greater than 65 years old. It is estimated that over 1 million people are hospitalized annually with a primary diagnosis of heart [...]

By | 2017-04-20T17:36:53-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on THE IMPACT OF A TRANSITION OF CARE TEAM IN DECOMPENSATED HEART FAILURE READMISSION RATES

HM2017 Abstract Number: 148

INCREASING DISCHARGE BEFORE NOON RATES THROUGH IMPROVED INTERDISCIPLINARY COMMUNICATION

Background: Late-day hospital discharges are associated with emergency room overcrowding, longer length of stay (LOS), worsened quality of care and lower patient satisfaction scores. Early discharge, or discharge before noon (DBN) is an achievable and [...]

By | 2017-04-20T17:36:55-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on INCREASING DISCHARGE BEFORE NOON RATES THROUGH IMPROVED INTERDISCIPLINARY COMMUNICATION

HM2017 Abstract Number: 147

HIGH-RELIABILITY ACADEMIC HOSPITALIST PROGRAMS: A LIFECYCLE OF ASSESSMENT AND FEEDBACK INTEGRATING NEW AND VETERAN FACULTY

Background: Hospital medicine programs have a responsibility to maintain high standards of clinical excellence, patient safety, and efficiency for all hospitalists within their program.  Organizational change, program growth, and faculty turnover make this endeavor challenging.  [...]

By | 2017-04-20T17:36:57-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on HIGH-RELIABILITY ACADEMIC HOSPITALIST PROGRAMS: A LIFECYCLE OF ASSESSMENT AND FEEDBACK INTEGRATING NEW AND VETERAN FACULTY

HM2017 Abstract Number: 146

SAVING MONEY – ONE STICK AT A TIME

Background: The American Board of Internal Medicine Choosing Wisely initiative advocates avoiding automatic daily labs as a way to lower hospital costs. The Legacy Health Inpatient Medicine Service (LIMS) aimed to reduce unnecessary and inappropriate [...]

By | 2017-04-20T17:36:59-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on SAVING MONEY – ONE STICK AT A TIME

HM2017 Abstract Number: 143

LESS LUMENS = LESS RISK

Background: Multi-lumen (ML) peripherally inserted central catheters (PICCs) are associated with increased risk of central line associated blood stream infection (CLABSI), venous thromboembolism (VTE) and increased cost compared to single lumen (SL) PICCs. Current guidelines [...]

By | 2017-04-20T17:37:01-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on LESS LUMENS = LESS RISK

HM2017 Abstract Number: 141

CELLULITIS: MEDICAL RESPONSIBILITY IN SELECTING ANTIBIOTICS

Background: Despite detailed Infectious Disease Society of America (IDSA) skin and soft tissue infection guidelines, patients with cellulitis at our institution consistently receive antibiotics with high local resistance or that are inappropriate based on IDSA [...]

By | 2017-04-20T17:37:04-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on CELLULITIS: MEDICAL RESPONSIBILITY IN SELECTING ANTIBIOTICS

HM2017 Abstract Number: 124

“RAISE YOUR RIGHT HAND:” IMPLEMENTING A HAND HYGIENE PLEDGE TO IMPACT SAFETY CULTURE

Background: Hospital-associated infections are a significant cause of morbidity and mortality, and are frequently preventable with careful attention to appropriate hand hygiene (HH).  Unfortunately, HH rates among healthcare providers are often unacceptably low. Driving complex [...]

By | 2017-04-25T17:17:53-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on “RAISE YOUR RIGHT HAND:” IMPLEMENTING A HAND HYGIENE PLEDGE TO IMPACT SAFETY CULTURE

HM2017 Abstract Number: 122

AN ELECTRONIC PILLBOX TO IMPROVE MEDICATION SAFETY DURING CARE TRANSITIONS

Background: Adverse drug events (ADEs) are common during transitions from the hospital to the ambulatory setting, with approximately 20% of patients experiencing an ADE within 30 days of discharge. ADEs are often due to patient [...]

By | 2017-04-20T17:23:36-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on AN ELECTRONIC PILLBOX TO IMPROVE MEDICATION SAFETY DURING CARE TRANSITIONS

HM2017 Abstract Number: 117

MED WRECK: IN SEARCH OF SIMPLER WAYS TO MEASURE HIGH QUALITY MEDICATION RECONCILIATION

Background: Determining the quality of medication reconciliation (MR) is a laborious and time-intensive process, often involving chart review and detailed patient interviews. Purpose: To identify meaningful, measurable process measures for high-quality MR obtainable from electronic [...]

By | 2017-04-20T17:23:39-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on MED WRECK: IN SEARCH OF SIMPLER WAYS TO MEASURE HIGH QUALITY MEDICATION RECONCILIATION

HM2017 Abstract Number: 116

DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital [...]

By | 2017-04-20T17:23:41-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

HM2017 Abstract Number: 112

UNEXPECTED OVERNIGHT ADVERSE EVENTS IN INPATIENTS: CROSS-SECTIONAL STUDY IN A SINGLE CENTER IN JAPAN

Background: Unexpected overnight adverse events are known to correlate with worse outcomes in inpatients.  Unfortunately, the exact occurrence and etiologies of such events have been less known.    Purpose: The aim of our study was [...]

By | 2017-04-20T17:23:43-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on UNEXPECTED OVERNIGHT ADVERSE EVENTS IN INPATIENTS: CROSS-SECTIONAL STUDY IN A SINGLE CENTER IN JAPAN

HM2017 Abstract Number: 110

HOSPITAL-WIDE INITIATIVE TO DECREASE OPIOID-RELATED MORBIDITY AND MORTALITY

Background: At its 2014 peak, the opioid overdose crisis claimed nearly 30,000 lives, but many hospitals and health systems have small opioid-related initiatives working in disjointed fashion rather than a cohesive response.  Purpose: We created [...]

By | 2017-04-20T17:23:45-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on HOSPITAL-WIDE INITIATIVE TO DECREASE OPIOID-RELATED MORBIDITY AND MORTALITY

HM2017 Abstract Number: 109

TIMELY EVALUATION OF EMERGENTLY ADMITTED PATIENTS (4-4-2 ADHERENCE)

Background: A midsize health system recognized a pattern in Serious Safety Events (SSE) occurring in its hospitals. Half of all SSE-1 (deaths) and SSE-2 (severe permanent harm) were attributed to delays in physician evaluation of [...]

By | 2017-04-20T17:23:47-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on TIMELY EVALUATION OF EMERGENTLY ADMITTED PATIENTS (4-4-2 ADHERENCE)

HM2017 Abstract Number: 106

PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

Background: Sepsis is a common, costly, and mortal clinical syndrome. Many delays in sepsis recognition and intervention are due to “data latency,” the period of time between data suggestive of sepsis being entered in the [...]

By | 2017-04-20T17:23:49-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

HM2017 Abstract Number: 105

SAFETY IN NUMBERS: RESULTS FROM THE RESIDENT-LED SAFETY PROGRAM AT DUKE CHILDREN’S HOSPITAL

Background: The ACGME Clinical Learning Environment Review (CLER) has focused on six areas of trainee working and learning environments, two of which are safety and quality improvement (QI).  Exposure to practical safety and QI training [...]

By | 2017-04-20T17:23:51-04:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on SAFETY IN NUMBERS: RESULTS FROM THE RESIDENT-LED SAFETY PROGRAM AT DUKE CHILDREN’S HOSPITAL

HM2017 Abstract Number: 63

FLEXIBLE SCHEDULING: A NEW LOOK WITHIN HOSPITAL MEDICINE

Background: One key factor cited in physician burnout discussion is the rigid block scheduling that has become ubiquitous for Hospital Medicine. For years, nursing has allowed self-scheduling to improve work life balance and abate burnout [...]

By | 2017-04-20T17:18:20-04:00 April 20th, 2017|Innovations Abstracts, Other|Comments Off on FLEXIBLE SCHEDULING: A NEW LOOK WITHIN HOSPITAL MEDICINE

HM2017 Abstract Number: 58

PRESERVING THE RIGHT TO VOTE IN SICKNESS AND IN HEALTH

Background: In the 2016 United States general election, only 58.6% of eligible voters cast ballots. Particularly among poor and elderly voters, poor health impedes electoral participation: nearly 42% of eligible voters over 65 years and [...]

By | 2017-04-20T17:18:22-04:00 April 20th, 2017|Innovations Abstracts, Other|Comments Off on PRESERVING THE RIGHT TO VOTE IN SICKNESS AND IN HEALTH

HM2017 Abstract Number: 53

THE HANGRY HANGRY HOSPITALIST: PROTOTYPING ACCESSIBLE NUTRITION AS A RESILIENCE STRATEGY

Background: Hospitalists experience high rates of burnout.  Little is understood about the best way to address hospitalist well-being and resilience in the workplace.  User-centered interviews at our institution identified inadequate access to nutritious food as [...]

By | 2017-04-20T17:18:23-04:00 April 20th, 2017|Innovations Abstracts, Other|Comments Off on THE HANGRY HANGRY HOSPITALIST: PROTOTYPING ACCESSIBLE NUTRITION AS A RESILIENCE STRATEGY

HM2017 Abstract Number: 99

RESULTS FROM CANADA’S FIRST ACCOUNTABLE CARE UNIT

Background: In Canada, as in the US, hospital medicine has become an increasingly important staffing model innovation. Canadian hospitalists are typically Family Physicians and General Internists. In an attempt to advance its hospitalist staffing model [...]

By | 2017-04-20T17:11:16-04:00 April 20th, 2017|Innovations Abstracts, Outcomes Research|Comments Off on RESULTS FROM CANADA’S FIRST ACCOUNTABLE CARE UNIT

HM2017 Abstract Number: 46

ACE-ERCISE: PATIENT AND CAREGIVER PERSPECTIVES ON GROUP PHYSICAL THERAPY FOR HOSPITALIZED ELDERS

Background: Many hospitals do not have the means to supervise daily physical therapy (PT) for elderly inpatients. PT delivered in a group setting has the potential to allow hospitals to consolidate resources and extend PT [...]

By | 2017-04-20T17:07:37-04:00 April 20th, 2017|Geriatrics, Innovations Abstracts|Comments Off on ACE-ERCISE: PATIENT AND CAREGIVER PERSPECTIVES ON GROUP PHYSICAL THERAPY FOR HOSPITALIZED ELDERS

HM2017 Abstract Number: 45

PATHWAY FOR EARLY SEPSIS IDENTIFICATION AND TREATMENT IN THE SKILLED NURSING FACILITY

Background: Following hospitalization, a reported 20% of all Medicare patients are discharged to skilled nursing facilities (SNFs).  Sepsis was the cause of 25-68% of readmissions from SNFs based on a review of Medicare readmissions from [...]

By | 2017-04-20T17:07:39-04:00 April 20th, 2017|Geriatrics, Innovations Abstracts|Comments Off on PATHWAY FOR EARLY SEPSIS IDENTIFICATION AND TREATMENT IN THE SKILLED NURSING FACILITY

HM2017 Abstract Number: 44

“GERIATRICIZING HOSPITALISTS”: AN INNOVATIVE APPROACH TO A GERIATRICS FELLOWSHIP

Background: There is a critical shortage of Geriatricians in the United States and we are reaching a crisis nationwide without enough trained physicians to care for our rising Geriatric population. We are experiencing a “Silver [...]

By | 2017-04-25T17:16:49-04:00 April 20th, 2017|Geriatrics, Innovations Abstracts|Comments Off on “GERIATRICIZING HOSPITALISTS”: AN INNOVATIVE APPROACH TO A GERIATRICS FELLOWSHIP

HM2017 Abstract Number: 43

A GERIATRIC- FOCUSED FACULTY DEVELOPMENT LECTURE SERIES IMPROVES HOSPITALIST’S COMFORT LEVEL IN CARING FOR OLDER ADULTS

Background: Today, Medicare patients account for approximately 50% of hospital days. Hospitalists are a key strategy for providing care to hospitalized older adults, however, most of these hospitalists have not received geriatric training. Faculty development [...]

By | 2017-04-25T23:13:07-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on A GERIATRIC- FOCUSED FACULTY DEVELOPMENT LECTURE SERIES IMPROVES HOSPITALIST’S COMFORT LEVEL IN CARING FOR OLDER ADULTS

HM2017 Abstract Number: 39

GENDER DISPARITIES IN SMALL GROUP VERBAL PARTICIPATION AMONG 1ST YEAR MEDICAL STUDENTS

Background: Despite the increase in female medical students and clinicians, gender disparities continue to exist for female clinicians today, from limits on upward mobility and leadership positions to unequal pay and more. Within medical education, [...]

By | 2017-04-20T17:02:58-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on GENDER DISPARITIES IN SMALL GROUP VERBAL PARTICIPATION AMONG 1ST YEAR MEDICAL STUDENTS

HM2017 Abstract Number: 37

EMBEDDING EVIDENCE-BASED PRACTICE SKILLS AMONG ADVANCED PRACTICE PROVIDERS: PARTNERING A HOSPITAL BASED EVIDENCE PRACTICE CENTER AND HOSPITALIST SERVICE

Background: Evidence-based practice (EBP) is associated with the delivery of high value care. The number of Advanced Practice Providers (APPs) at our institution is growing along with breadth of clinical responsibilities. Two existing organizational structures [...]

By | 2017-04-20T17:03:01-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on EMBEDDING EVIDENCE-BASED PRACTICE SKILLS AMONG ADVANCED PRACTICE PROVIDERS: PARTNERING A HOSPITAL BASED EVIDENCE PRACTICE CENTER AND HOSPITALIST SERVICE

HM2017 Abstract Number: 36

ON THE OTHER SIDE: AN EDUCATIONAL INNOVATION TO HELP LEARNERS UNDERSTAND COMMUNICATION BARRIERS

Background: Communicating with patients with limited English proficiency (LEP) can be a challenge. Despite laws and studies reinforcing the need to use appropriate interpretation services, many fail to do so. Impressing upon learners the importance [...]

By | 2017-04-20T17:03:03-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on ON THE OTHER SIDE: AN EDUCATIONAL INNOVATION TO HELP LEARNERS UNDERSTAND COMMUNICATION BARRIERS

HM2017 Abstract Number: 35

A NOVEL SYSTEMS-BASED PRACTICE CURRICULUM ENABLES PRE-CLINICAL STUDENTS TO LEARN AND CONTRIBUTE MEANINGFULLY TO HOSPITAL MEDICINE SYSTEMS IMPROVEMENT

Background: Systems-based practice (SBP) is critical to physicians’ work and is gaining emphasis in medical school curricula. Purpose: In this hospitalist-led pilot curriculum for first-year medical students, we developed a novel didactic and experiential approach to teaching SBP skills, [...]

By | 2017-04-25T23:19:28-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on A NOVEL SYSTEMS-BASED PRACTICE CURRICULUM ENABLES PRE-CLINICAL STUDENTS TO LEARN AND CONTRIBUTE MEANINGFULLY TO HOSPITAL MEDICINE SYSTEMS IMPROVEMENT

HM2017 Abstract Number: 34

THANK YOU FOR THIS INTERESTING CONSULT: TEACHING AND ASSESSING INCOMING INTERNS ON CONSULTATION COMMUNICATION VIA ONLINE MODULE AND CONSULTATION OSCE

Background: Communication is recognized by the LCME and ACGME as an essential competency with significant patient safety implications; the Joint Commission cites communication errors as a major cause of sentinel events. Consultation is a near-universal method [...]

By | 2017-04-20T17:03:07-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on THANK YOU FOR THIS INTERESTING CONSULT: TEACHING AND ASSESSING INCOMING INTERNS ON CONSULTATION COMMUNICATION VIA ONLINE MODULE AND CONSULTATION OSCE

HM2017 Abstract Number: 32

CONTENT, COLLABORATION, AND COMMUNITY: BUILDING SHARED FACULTY DEVELOPMENT ACROSS LOCAL HOSPITALIST GROUPS – A 3-SITE JUNIOR FACULTY BOOT CAMP

Background: Faculty development can help new hospitalists set professional goals, identify effective mentorship, and learn foundational skills. Most faculty development occurs within a single hospitalist group; however this may limit the scope and impact, when [...]

By | 2017-04-20T17:03:09-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on CONTENT, COLLABORATION, AND COMMUNITY: BUILDING SHARED FACULTY DEVELOPMENT ACROSS LOCAL HOSPITALIST GROUPS – A 3-SITE JUNIOR FACULTY BOOT CAMP

HM2017 Abstract Number: 30

CTRL-ALT-DELETE: RESETTING EHR TRAINING

Background: Despite widespread mandated use of Electronic Health Records (EHR), many residency programs struggle to find the best strategy to conduct EHR training. Traditional EHR training sessions are typically led by non-clinical IT staff and [...]

By | 2017-04-20T17:03:11-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on CTRL-ALT-DELETE: RESETTING EHR TRAINING

HM2017 Abstract Number: 28

DISCHARGE READINESS: AN EDUCATION INNOVATIVE TO EDUCATE RESIDENTS IN PATIENT DISCHARGE PREPARATION AND IMPROVE DISCHARGE EFFICIENCY

Background: Starting March 1, 2016 our academic hospital was part of a new “no diversion” policy in accordance with new county regulations of all hospitals.  The goal of the policy was to provide ready access [...]

By | 2017-04-20T17:03:13-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on DISCHARGE READINESS: AN EDUCATION INNOVATIVE TO EDUCATE RESIDENTS IN PATIENT DISCHARGE PREPARATION AND IMPROVE DISCHARGE EFFICIENCY

HM2017 Abstract Number: 26

RAPID RESPONSE ACUTE MEDICAL EMERGENCY MANAGEMENT TRAINING FOR RESIDENTS: MULTI-DISCIPLINARY APPROACH AND CURRICULUM DEVELOPMENT

Background: The substantial increase in medical knowledge along with the pursuit of enhanced outcomes and quality of care has led to significant subdivision of medical and surgical specialties. Physicians, regardless of level of training or [...]

By | 2017-04-20T17:03:49-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on RAPID RESPONSE ACUTE MEDICAL EMERGENCY MANAGEMENT TRAINING FOR RESIDENTS: MULTI-DISCIPLINARY APPROACH AND CURRICULUM DEVELOPMENT

HM2017 Abstract Number: 21

INTERPROFESSIONAL STROKE ALERT SIMULATIONS FOR HOSPITALIST TRAINEES

Background:  The Society of Hospital Medicine considers stroke care to be a core competency in hospital medicine.  Hospitalists must be prepared to lead inpatient stroke alerts, as neurologists may not be readily available outside of [...]

By | 2017-04-20T17:03:51-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on INTERPROFESSIONAL STROKE ALERT SIMULATIONS FOR HOSPITALIST TRAINEES

HM2017 Abstract Number: 20

IMPACT OF AN INNOVATIVE PSYCHIATRIC CONSULTATION LIAISON MODEL ON PROVIDER SATISFACTION WHEN CARING FOR BEHAVIORALLY COMPLEX PATIENTS

Background: Hospitalists nationwide are faced with complex patient and family behaviors that interfere with medical care. In the acute inpatient setting, few resources are available for physicians to address maladaptive behaviors and many physicians report [...]

By | 2017-04-20T16:57:03-04:00 April 20th, 2017|Consultative Medicine, Innovations Abstracts|Comments Off on IMPACT OF AN INNOVATIVE PSYCHIATRIC CONSULTATION LIAISON MODEL ON PROVIDER SATISFACTION WHEN CARING FOR BEHAVIORALLY COMPLEX PATIENTS

HM2017 Abstract Number: 18

COMANAGEMENT OF SURGICAL PATIENTS BY HOSPITALISTS IN A PUBLIC TERTIARY HOSPITAL IN BRAZIL

Background: Previous studies have shown reduced costs and length of hospital with surgical comanagement performed by hospitalists. In Latin America, however, this practice of comanagement is still not standard among surgeons. The Hospital Nossa Senhora [...]

By | 2017-04-20T16:57:06-04:00 April 20th, 2017|Consultative Medicine, Innovations Abstracts|Comments Off on COMANAGEMENT OF SURGICAL PATIENTS BY HOSPITALISTS IN A PUBLIC TERTIARY HOSPITAL IN BRAZIL

HM2017 Abstract Number: 17

THE SUCCESFUL DEVELOPMENT OF A HOSPITAL MEDICINE-TRAUMA SURGERY CO-MANAGEMENT PROGRAM

Background: Surgical co-management is an up-and-coming field within Hospital Medicine, with great successes documented in the improvement in quality metrics and patient satisfaction owing to the involvement of hospitalists in peri-operative inpatient care. Currently, orthopedic [...]

By | 2017-04-20T16:57:08-04:00 April 20th, 2017|Consultative Medicine, Innovations Abstracts|Comments Off on THE SUCCESFUL DEVELOPMENT OF A HOSPITAL MEDICINE-TRAUMA SURGERY CO-MANAGEMENT PROGRAM

HM2017 Abstract Number: 12

BRIDGING THE COMMUNICATION DIVIDE BETWEEN RESIDENTS AND HOSPITALISTS: THE CULTURE OF ESCALATING CARE AND STANDARDIZING PRACTICE

Background: Residents are frequently the first physicians notified when acute changes occur in patient conditions.   Delays in appropriate diagnostic testing or treatment can adversely affect patients if residents are unfamiliar with certain clinical situations and [...]

By | 2017-04-20T16:53:04-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on BRIDGING THE COMMUNICATION DIVIDE BETWEEN RESIDENTS AND HOSPITALISTS: THE CULTURE OF ESCALATING CARE AND STANDARDIZING PRACTICE

HM2017 Abstract Number: 10

HELP ME HELP YOU: A LOW-TECH, LOW-COST SOLUTION TO IMPROVING COMMUNICATION

Background: Due to low cost, dependability, and familiarity, one-way alphanumeric paging continues to be a commonly used method of in-hospital communication. However, lack of urgency indicators has been cited as a key limitation. To address [...]

By | 2017-04-20T16:53:06-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on HELP ME HELP YOU: A LOW-TECH, LOW-COST SOLUTION TO IMPROVING COMMUNICATION

HM2017 Abstract Number: 9

EMPLOYING EMPATHY: APPLYING USER-CENTERED DESIGN TO PROMOTE HOSPITALIST RESILIENCE

Background:  The rapidly changing and increasingly complex hospitalist work environment has placed new focus on provider burnout and resilience. As hospitalist leaders seek tools to address these issues, the design thinking process offers a novel user-centered approach. [...]

By | 2017-04-20T16:53:08-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on EMPLOYING EMPATHY: APPLYING USER-CENTERED DESIGN TO PROMOTE HOSPITALIST RESILIENCE

HM2017 Abstract Number: 8

A PLAN OF CARE COMMUNICATION INTERVENTION FOR HOSPITALIZED PATIENTS

Background: Substantial portions of hospitalized patients in the United States do not understand their plan of care. Hospitalized patients’ knowledge of their plan of care affects their ability to provide truly informed consent and assent [...]

By | 2017-04-20T16:53:10-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on A PLAN OF CARE COMMUNICATION INTERVENTION FOR HOSPITALIZED PATIENTS

HM2017 Abstract Number: 7

DISCHARGE BEFORE NOON OR WITH THE MOON? A PROTOCOL THAT MAKES EARLY DISCHARGES AN ATTAINABLE GOAL

Background: Improving hospital throughput is a barrier facing medical facilities.  Poor throughput leads to prolonged patient wait times for beds, a cause of patient complaints.  Often these wait times are the result of late discharge [...]

By | 2017-04-20T16:53:12-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on DISCHARGE BEFORE NOON OR WITH THE MOON? A PROTOCOL THAT MAKES EARLY DISCHARGES AN ATTAINABLE GOAL

HM2017 Abstract Number: 4

SERVICE 360: A NOVEL METHODOLOGY FOR DEVELOPING AN INTERDISCIPLINARY POLICY AROUND LIMITED ESCALATION

Background: There is variability in care expectations and perceptions of terminally ill patients who are expected not to benefit from intensive care unit (ICU) level care. This created significant angst amongst members of the health [...]

By | 2017-04-20T16:53:14-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on SERVICE 360: A NOVEL METHODOLOGY FOR DEVELOPING AN INTERDISCIPLINARY POLICY AROUND LIMITED ESCALATION

HM2017 Abstract Number: 3

PUTTING THE SHM KEY PRINCIPLES INTO PRACTICE: DIRECT OBJECTIVE CLINICAL EVALUATION OF NEW-HIRE HOSPITALISTS TO IMPROVE PHYSICIAN COMMUNICATION AND ENGAGEMENT WHILE FULFILLING FPPE

Background: SHM Key Characteristic 9.1 on patient centered care encourages using guidelines/checklists to reinforce effective communication. Focused practice performance evaluations (FPPE) are a required regulatory hospital process for new medical staff members. In cognitive specialties, [...]

By | 2017-04-20T16:53:16-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on PUTTING THE SHM KEY PRINCIPLES INTO PRACTICE: DIRECT OBJECTIVE CLINICAL EVALUATION OF NEW-HIRE HOSPITALISTS TO IMPROVE PHYSICIAN COMMUNICATION AND ENGAGEMENT WHILE FULFILLING FPPE

HM2017 Abstract Number: 2

COMMUNICATING SMARTLY: INTEGRATION OF SMARTPHONES AS PRIMARY TOOL FOR COMMUNICATION IN THE HOSPITAL: STRATEGIES, SATISFACTION AND LESSONS LEARNED

Background: Effective and timely communication among caregivers is one of the 2016 Hospital National Patient Safety Goals set forth by the Joint Commission. The pager messaging system remains predominant in the U.S health care system, [...]

By | 2017-04-20T16:53:18-04:00 April 20th, 2017|Communication, Innovations Abstracts|Comments Off on COMMUNICATING SMARTLY: INTEGRATION OF SMARTPHONES AS PRIMARY TOOL FOR COMMUNICATION IN THE HOSPITAL: STRATEGIES, SATISFACTION AND LESSONS LEARNED

HM2017 Abstract Number: 809

IT’S A STROKE, IT’S AN ABSCESS…NO, IT’S A TUMOR! OR IS IT?

Case Presentation:  Central nervous system (CNS) systemic lupus erythematosus (SLE) is often called lupus cerebritis presenting primarily with non-specific symptoms of headaches, altered mental status, and/ or seizures. Up to 80% of SLE patients develop [...]

By | 2017-04-20T15:49:10-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IT’S A STROKE, IT’S AN ABSCESS…NO, IT’S A TUMOR! OR IS IT?

HM2017 Abstract Number: 808

POOR FORME: “ADULT ONSET ASTHMA” WITH AN UNEXPECTED VASCULITIC TWIST

Case Presentation: A 71-year-old male presented with 4 months of fatigue, low-grade fevers, night sweats, dry cough, and a 10-pound weight loss. He also recalled developing a central ulcerating pustular lesion on his right anterior [...]

By | 2017-04-20T15:49:12-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on POOR FORME: “ADULT ONSET ASTHMA” WITH AN UNEXPECTED VASCULITIC TWIST

HM2017 Abstract Number: 807

WHEN ANA GOES MIA: ANA-NEGATIVE PRESENTATION OF SLE IN MAN WITH SEVERE AUTOIMMUNE NEUTROPENIA

Case Presentation: Here we report a case of atypical manifestation of SLE in a 53 year old man who presented with neutropenic fever. Physical findings of interest included oral ulcers, a malar rash across the [...]

By | 2017-04-20T15:49:14-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN ANA GOES MIA: ANA-NEGATIVE PRESENTATION OF SLE IN MAN WITH SEVERE AUTOIMMUNE NEUTROPENIA

HM2017 Abstract Number: 806

WHEN ANA GOES MIA: A CASE OF ANA-NEGATIVE LUPUS PRESENTING AS SEVERE AUTOIMMUNE NEUTROPENIA

Case Presentation: We report a case of atypical manifestation of SLE in a 53 year old man who presented with neutropenic fever. Physical findings of interest included oral ulcers, a malar rash across the bridge [...]

By | 2017-04-20T15:49:15-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN ANA GOES MIA: A CASE OF ANA-NEGATIVE LUPUS PRESENTING AS SEVERE AUTOIMMUNE NEUTROPENIA

HM2017 Abstract Number: 804

ARTERIAL-PORTAL FISTULA IN A TRANSPLANTED LIVER CAUSING HEMOBILIA AND PANCREATITIS AFTER PERCUTANEOUS LIVER BIOPSY

Case Presentation: A 59 year-old man with a history of hepatitis C virus infection and hepatocellular carcinoma who received an orthotopic liver transplant 8 years ago, presented with acute onset epigastric pain and melena 6 [...]

By | 2017-04-20T15:49:19-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ARTERIAL-PORTAL FISTULA IN A TRANSPLANTED LIVER CAUSING HEMOBILIA AND PANCREATITIS AFTER PERCUTANEOUS LIVER BIOPSY

HM2017 Abstract Number: 803

URINARY BLADDER IN INGUINAL HERNIA: AN UNCOMMON FINDING

Case Presentation: A 78 year old obese male with narrow angle glaucoma, BPH, hiatal hernia, abdominal hernia and right inguinal hernia presents with longstanding urinary symptoms of weak stream and incomplete emptying with increased urinary [...]

By | 2017-04-20T15:49:21-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on URINARY BLADDER IN INGUINAL HERNIA: AN UNCOMMON FINDING

HM2017 Abstract Number: 802

A CURIOUS CASE OF RECURRENT UTI

Case Presentation: A 59 year old Asian-Canadian female with a history of hypertension and hyperthyroidism, with recent travel history to China 4 months prior,  presented with a 2 month history of right sided abdominal pain [...]

By | 2017-04-25T21:18:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CURIOUS CASE OF RECURRENT UTI

HM2017 Abstract Number: 801

COMMON VIRUSES LEADING TO RECURRENT ENCEPHALITIS

Case Presentation: The patient is a 33 year old woman with no significant past medical history who presented with recurrent encephalitis. She initially collapsed while walking with her toddler. She was unresponsive and had seizure [...]

By | 2017-04-20T15:49:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on COMMON VIRUSES LEADING TO RECURRENT ENCEPHALITIS

HM2017 Abstract Number: 800

SHINGLES: AN HIV RED FLAG!

Case Presentation: A 36 year-old male came in to the ED with 2 day history of painful itchy rash on the left side of the neck and face. The patient denied any fever or chills. [...]

By | 2017-04-20T15:49:27-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SHINGLES: AN HIV RED FLAG!

HM2017 Abstract Number: 799

PITFALLS OF IMMUNE THERAPY- A CASE REPORT OF MYCOBACTERIUM KANSASII IN A PATIENT ON AZATHIOPRINE FOR GLOMERULONEPHRITIS

Case Presentation: A 64-year-old male with history of hypertension and pauci-immune glomerulonephritis presented with fatigue, cough associated with weight loss for past 2 months. Prior to the presentation, he was treated with prednisone and cyclophosphamide [...]

By | 2017-04-20T15:50:00-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PITFALLS OF IMMUNE THERAPY- A CASE REPORT OF MYCOBACTERIUM KANSASII IN A PATIENT ON AZATHIOPRINE FOR GLOMERULONEPHRITIS

HM2017 Abstract Number: 798

“IS IT SIMPLY TOO MUCH ANTIDIURETIC HORMONE?”: A CASE OF HYPONATREMIA WITH MIXED ETIOLOGY

Case Presentation: A 75 year-old male presented to the hospital with abdominal pain, nausea, vomiting, and dizziness for two weeks. He also endorsed a gradual onset of generalized weakness, and decreased oral intake over the [...]

By | 2017-04-20T15:49:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on “IS IT SIMPLY TOO MUCH ANTIDIURETIC HORMONE?”: A CASE OF HYPONATREMIA WITH MIXED ETIOLOGY

HM2017 Abstract Number: 797

LONG-TERM ECULIZUMAB TREATMENT CONTRIBUTES TO RECOVERY FROM END-STAGE RENAL DISEASE ASSOCIATED WITH ATYPICAL HEMOLYTIC UREMIC SYNDROME

Case Presentation: A 38-year-old Japanese man with past medical history of central retinal vein occlusion at the age of 36 years presented with one-week duration of dyspnea, precipitated by common cold-like symptoms. He denied having [...]

By | 2017-04-20T15:49:32-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LONG-TERM ECULIZUMAB TREATMENT CONTRIBUTES TO RECOVERY FROM END-STAGE RENAL DISEASE ASSOCIATED WITH ATYPICAL HEMOLYTIC UREMIC SYNDROME

HM2017 Abstract Number: 796

FATAL EMPHYSEMATOUS MENINGITIS

Case Presentation: A 84-year-old woman with a history of Alzheimer’s disease presented to our hospital for evaluation of persistent fever. Because of swallowing dysfunction due to the advanced dementia, she had difficulty in eating and [...]

By | 2017-04-20T15:49:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FATAL EMPHYSEMATOUS MENINGITIS

HM2017 Abstract Number: 795

FEVER AFTER INTERNATIONAL TRAVEL

Case Presentation: CG is a previously healthy 25M who presented with one week of high-grade fevers, abdominal pain, and worsening fatigue despite outpatient evaluation and treatment with Tamiflu. Travel history was significant for visiting family [...]

By | 2017-04-20T15:49:35-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FEVER AFTER INTERNATIONAL TRAVEL

HM2017 Abstract Number: 794

PYLEPHLEBITIS: THE CLINICAL COMPLEXITIES AND CALL FOR COLLABORATION

Case Presentation: A 37-year-old Asian female with no significant medical or surgical history presented with acute diffuse abdominal pain, nausea and vomiting. Her physical exam and laboratory testing were unremarkable. She was diagnosed with viral gastroenteritis [...]

By | 2017-04-20T15:50:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PYLEPHLEBITIS: THE CLINICAL COMPLEXITIES AND CALL FOR COLLABORATION

HM2017 Abstract Number: 793

A FUNGATING MASS, LITERALLY: A CASE OF BASIDIOBOLOMYCOSIS OF THE COLON

Case Presentation: A 65 year-old Caucasian male presented with complaints of small amounts of hematochezia and constipation.  Colonoscopy showed a large, ulcerated partially obstructing sigmoid mass concerning for cancer 25cm proximal to the anus.  The [...]

By | 2017-04-25T23:12:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A FUNGATING MASS, LITERALLY: A CASE OF BASIDIOBOLOMYCOSIS OF THE COLON

HM2017 Abstract Number: 792

MICTURITION-ASSOCIATED HYPERTENSION – A DIFFERENT KIND OF HYPERTENSIVE URGENCY

Case Presentation: A 21-year-old male with a reported history of essential hypertension since the age of 16 presented with a four-day history of abdominal pain, nausea and vomiting. He was noted to have systolic blood [...]

By | 2017-04-21T00:30:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on MICTURITION-ASSOCIATED HYPERTENSION – A DIFFERENT KIND OF HYPERTENSIVE URGENCY

HM2017 Abstract Number: 791

SKIN POPPING LEADS TO KIDNEY POPPING

Case Presentation: A 50 year-old woman with past medical history of diabetes mellitus presented complaining of a “spider bite” and abdominal pain. She later admitted to heroin abuse via “skin popping”. Significant vital signs on [...]

By | 2017-04-20T15:50:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SKIN POPPING LEADS TO KIDNEY POPPING

HM2017 Abstract Number: 790

THE KEY TO THE HEART IS THROUGH THE…KIDNEY? HEART FAILURE AS A PRESENTING MANIFESTATION OF GRANULOMATOSIS WITH POLYANGIITIS

Case Presentation: A 69 year-old man with no known prior medical history presented with one month of dyspnea on exertion associated with abdominal, scrotal, and bilateral leg swelling. He reported orthopnea, a dry cough, and [...]

By | 2017-04-20T15:50:51-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE KEY TO THE HEART IS THROUGH THE…KIDNEY? HEART FAILURE AS A PRESENTING MANIFESTATION OF GRANULOMATOSIS WITH POLYANGIITIS

HM2017 Abstract Number: 789

AN EASILY REVERSIBLE CASE OF NEAR-PARALYSIS

Case Presentation: A 37-year-old female with a history of uncontrolled migraine headaches and hypertension presented to the Emergency Department with upper and lower extremity muscle weakness resulting in a fall. Her symptoms were progressive over [...]

By | 2017-04-20T15:50:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN EASILY REVERSIBLE CASE OF NEAR-PARALYSIS

HM2017 Abstract Number: 788

PPIS: PROTON PUMP INHIBITORS OR POTENTIAL PATHWAYS TO IATROGENIC SIDE EFFECTS?

Case Presentation: A 53-year-old female presented to our hospital with diffuse, severe, and crampy abdominal pain for 1 week associated with generalized weakness and fatigue. She has a past medical history of hypertension, hyperlipidemia, type [...]

By | 2017-04-20T15:50:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PPIS: PROTON PUMP INHIBITORS OR POTENTIAL PATHWAYS TO IATROGENIC SIDE EFFECTS?

HM2017 Abstract Number: 787

A ROBUST AND VARIED PRESENTATION OF LICHEN PLANUS

Case Presentation: A 75-year-old man presented with nine months of progressive rash, palmoplantar keratoderma, chronic oral lesions, and weight loss (Figure). The cutaneous lesions began as erythematous patches on his hands and then spread to his [...]

By | 2017-04-20T15:50:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A ROBUST AND VARIED PRESENTATION OF LICHEN PLANUS

HM2017 Abstract Number: 786

ANTIBODY NEGATIVE INTERFERON-INDUCED AUTOIMMUNE HEPATITIS

Case Presentation: A 23-year-old woman presented with complaints of jaundice, nausea, and epigastric pain for ten days. She had a history of epithelioid hemangiodendothelioma (EHE) of the lungs, diagnosed six months prior to presentation. She [...]

By | 2017-04-20T15:50:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ANTIBODY NEGATIVE INTERFERON-INDUCED AUTOIMMUNE HEPATITIS

HM2017 Abstract Number: 785

NOT A ROUTINE CASE OF RECURRENT CELLULITIS, WELL’S SYNDROME

Case Presentation:  A 28-year-old man presents with suspected recurrent right forearm cellulitis. The patient has had four episodes of pruritic, edematous, erythematous plaques on the arms and neck over the past three months. Each episode [...]

By | 2017-04-20T15:51:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT A ROUTINE CASE OF RECURRENT CELLULITIS, WELL’S SYNDROME

HM2017 Abstract Number: 784

WHY DO MY MUSCLES STILL ACHE? A RARE COMPLICATION OF STATIN THERAPY

Case Presentation: 80 year-old female with history of dyslipidemia on statin therapy, and diabetes presented to the clinic with a three month history of progressive weakness. She initially presented with lower extremity weakness and was [...]

By | 2017-04-20T15:51:03-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHY DO MY MUSCLES STILL ACHE? A RARE COMPLICATION OF STATIN THERAPY

HM2017 Abstract Number: 783

A CASE OF BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM PNEUMOCOCCAL MENINGITIS

Case Presentation: A 40-year-old female with hemoglobin SC disease presented with a 2-day history of severe headache and progressive vision loss. On initial evaluation, she was febrile to 100.8 F and tachycardic. Her exam was [...]

By | 2017-04-25T17:22:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM PNEUMOCOCCAL MENINGITIS

HM2017 Abstract Number: 782

A CASE OF HASHIMOTO ENCEPHALOPATHY

Case Presentation: An 88-year-old woman with hypertension, osteoarthritis, type II diabetes, and no past psychiatric history presented to our hospital with three months of progressive paranoia and two weeks of confusion and hallucinations. The week [...]

By | 2017-04-25T17:25:26-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF HASHIMOTO ENCEPHALOPATHY

HM2017 Abstract Number: 781

CREUTZFELDT-JAKOB DISEASE(CJD): A RARE CAUSE OF CONFUSION

Case Presentation: A 70-year-old female with history of type II diabetes, hypertension and depression presented with confusion and rigidity. She was fully functional till two months ago. Family initially noticed behavior changes such as forget [...]

By | 2017-04-20T15:51:07-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CREUTZFELDT-JAKOB DISEASE(CJD): A RARE CAUSE OF CONFUSION

HM2017 Abstract Number: 780

ARTERIAL THROMBOEMBOLISM IN ULCERATIVE COLITIS: AN UNCOMMON PRESENTATION

Case Presentation: This is a 59 year-old woman with ulcerative colitis (UC) who initially presented with frequent episodes of bloody diarrhea and persistent abdominal pain for two months. The patient had been controlled for years [...]

By | 2017-04-20T15:51:09-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ARTERIAL THROMBOEMBOLISM IN ULCERATIVE COLITIS: AN UNCOMMON PRESENTATION

HM2017 Abstract Number: 779

AN UNEXPECTED CAUSE OF ACUTE KIDNEY INJURY

Case Presentation: A 55-year-old woman with history of hypertension presented with 1-day duration of inability to urinate despite adequate fluid intake. Patient has no known history of renal dysfunction. Review of system positive only for [...]

By | 2017-04-20T15:56:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNEXPECTED CAUSE OF ACUTE KIDNEY INJURY

HM2017 Abstract Number: 778

RECURRENT ANTIBODY-MEDIATED AUTOIMMUNE ENCEPHALITIS MASKED BY TCA AND BENZODIAZEPINE OVERDOSE: A CASE REPORT

Case Presentation: A 55 year-old woman with a history of antibody-mediated autoimmune encephalitis (AME) treated 1 year ago presented to the hospital with confusion and hyperactivity following intentional overdose of amitriptyline and clonazepam. 1 week [...]

By | 2017-04-20T15:56:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECURRENT ANTIBODY-MEDIATED AUTOIMMUNE ENCEPHALITIS MASKED BY TCA AND BENZODIAZEPINE OVERDOSE: A CASE REPORT

HM2017 Abstract Number: 777

ONCE UPON A BROKEN HEART: TAKOTSUBO CARDIOMYOPATHY SECONDARY TO FROVATRIPTAN

Case Presentation: A 67-year-old woman presented with acute substernal chest pain that came on suddenly 10 minutes after she had taken frovatriptan for a migraine. The pain radiated down both arms. Her medications were Frovatriptan [...]

By | 2017-04-21T00:31:42-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on ONCE UPON A BROKEN HEART: TAKOTSUBO CARDIOMYOPATHY SECONDARY TO FROVATRIPTAN

HM2017 Abstract Number: 776

PERITONITIS: SUSPECT BUT VERIFY

Case Presentation: A 40-year-old immigrant from Bangladesh with a history of uveitis presented to the emergency department for evaluation of abdominal pain. He first developed fevers 10 days prior to admission, when he was visiting [...]

By | 2017-04-20T15:56:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PERITONITIS: SUSPECT BUT VERIFY

HM2017 Abstract Number: 775

DISSEMINATED ADENOVIRUS CAUSING TUBULOINTERSTITIAL NEPHRITIS IN A RENAL ALLOGRAFT PATIENT

Case Presentation:      A 47-year-old woman with type one diabetes and end stage renal disease received a simultaneous kidney and pancreas transplant with thymoglobulin induction and enteric drainage. Five months after transplant, she came [...]

By | 2017-04-20T15:57:02-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DISSEMINATED ADENOVIRUS CAUSING TUBULOINTERSTITIAL NEPHRITIS IN A RENAL ALLOGRAFT PATIENT

HM2017 Abstract Number: 774

INPATIENT DIAGNOSIS OF PRIMARY MEMBRANOUS NEPHROPATHY AND CARDIAC AMYLOIDOSIS

Case Presentation: A 55 yo African American Male with DMII, HTN, CKD, Hyperlipidemia who initially presented with worsening right leg swelling and diagnosed with an unprovoked right femoral vein non-occlusive Deep Venous Thrombosis (DVT) and [...]

By | 2017-04-20T15:57:03-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INPATIENT DIAGNOSIS OF PRIMARY MEMBRANOUS NEPHROPATHY AND CARDIAC AMYLOIDOSIS

HM2017 Abstract Number: 773

A COMMON INFECTION WITH AN UNCOMMON CAUSE

Case Presentation: A 46 year-old gentleman presents with an acute worsening of his chronic low back pain with radiation and paresthesias down his left leg. On admission, he was febrile, tachycardiac and uncomfortable appearing. He [...]

By | 2017-04-25T21:17:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A COMMON INFECTION WITH AN UNCOMMON CAUSE

HM2017 Abstract Number: 772

EPIPLOIC APPENDAGITIS IS FAR LESS SINISTER THAN IT SOUNDS

Case Presentation: A 50-year-old white female presented with the acute onset of right lower quadrant abdominal pain.   The patient’s temperature was 37.7° Celsius.  Physical examination was remarkable for voluntary guarding and rebound tenderness, which [...]

By | 2017-04-20T15:57:06-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on EPIPLOIC APPENDAGITIS IS FAR LESS SINISTER THAN IT SOUNDS

HM2017 Abstract Number: 771

METHAMPHETAMINE PULMONARY TOXICITY: A RARE COMPLICATION OF A COMMON DRUG OF ABUSE

Case Presentation: A 52-year-old woman presented with the subacute onset of exertional dyspnea and non-productive cough.  The patient admitted to smoking 10 cigarettes daily, and described the regular use of inhaled (smoked) methamphetamine. Physical exam [...]

By | 2017-04-20T15:57:13-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on METHAMPHETAMINE PULMONARY TOXICITY: A RARE COMPLICATION OF A COMMON DRUG OF ABUSE

HM2017 Abstract Number: 770

HYPOKALEMIC PERIODIC PARALYSIS: A RARE AND TREATABLE FORM OF ACUTE PROFOUND WEAKNESS

Case Presentation: A 43-year old man presented with the acute onset of paralysis.  The patient had helped a sibling move heavy furniture throughout the day prior to admission.  He awoke from sleep that evening unable [...]

By | 2017-04-20T15:57:14-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HYPOKALEMIC PERIODIC PARALYSIS: A RARE AND TREATABLE FORM OF ACUTE PROFOUND WEAKNESS

HM2017 Abstract Number: 769

GABAPENTIN TOXICITY PRESENTING AS CHOREOATHETOSIS

Case Presentation: A 75 year-old man presented with a four week history of worsening involuntary movements, primarily involving his arms.  The movements had initially been minimal, but by the time of presentation had become disabling. [...]

By | 2017-04-20T15:57:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GABAPENTIN TOXICITY PRESENTING AS CHOREOATHETOSIS

HM2017 Abstract Number: 768

GOOD’S SYNDROME PRESENTING AS EMPYEMA THORACIS

Case Presentation: A 76-year-old female with a history of chronic sinusitis presented with fever and cough. Physical exam was remarkable for temperature of 102° F and diminished breath sounds in the left base. WBC was [...]

By | 2017-04-20T15:57:17-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GOOD’S SYNDROME PRESENTING AS EMPYEMA THORACIS

HM2017 Abstract Number: 767

AN UNUSUAL CASE OF PERICARDITIS

Case Presentation: A 27-year-old man with a past medical history of ulcerative colitis (UC) presented to the hospital with pleuritic chest pain. It had been ongoing for 6 days with no alleviating or aggravating factors.  [...]

By | 2017-04-20T15:57:19-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF PERICARDITIS

HM2017 Abstract Number: 766

UROGENITAL SCHISTOSOMIASIS CAUSING BRAIN LESION

Case Presentation: A 19-year-old male with a past medical history of malaria and recent immigration to the U.S. from Somalia presented with a witnessed episode of tonic-clonic seizure. He had no history of seizure disorder, [...]

By | 2017-04-20T15:57:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on UROGENITAL SCHISTOSOMIASIS CAUSING BRAIN LESION

HM2017 Abstract Number: 765

A LESS ‘A’PPARENT CAUSE FOR CHEST PAIN IN A 33 YEAR-OLD MALE

Case Presentation: A 33-year-old patient with a history of ST-elevation myocardial infarction (STEMI) requiring 2 cardiac stents at the age of 30, presented with intermittent substernal chest pressure.  He denied a previous history of nicotine, [...]

By | 2017-04-25T23:16:11-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A LESS ‘A’PPARENT CAUSE FOR CHEST PAIN IN A 33 YEAR-OLD MALE

HM2017 Abstract Number: 763

DOUBLE-POSITIVE ANTI-PR3 AND ANTI-GBM ANTIBODIES IN AN OVERLAP PULMONARY-RENAL SYNDROME

Case Presentation: A 22-year-old male with no PMH or FH of autoimmune diseases and no substance use history presented with several days of worsening dyspnea, pleuritic chest pain, cough and hemoptysis. On evaluation, his vital [...]

By | 2017-04-20T15:54:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DOUBLE-POSITIVE ANTI-PR3 AND ANTI-GBM ANTIBODIES IN AN OVERLAP PULMONARY-RENAL SYNDROME

HM2017 Abstract Number: 762

PSEUDOMALIGNANT GRANULOMAS IN ANCA-NEGATIVE GRANULOMATOSIS WITH POLYANGIITIS

Case Presentation: A 52-year-old female with no PMH or FH of autoimmune diseases and no substance use history presented with worsening dyspnea, dry cough and brownish nasal discharge over several weeks. On physical examination, vital [...]

By | 2017-04-20T15:54:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PSEUDOMALIGNANT GRANULOMAS IN ANCA-NEGATIVE GRANULOMATOSIS WITH POLYANGIITIS

HM2017 Abstract Number: 761

WHEN CANCER ISN’T THE ANSWER: NEUROSARCOIDOSIS MASQUERADING AS MALIGNANCY IN A PATIENT WITH HISTORY OF BREAST CANCER

Case Presentation: A 59-year-old woman with a history of ductal carcinoma in situ status post mastectomy presented with dizziness exacerbated by change of head position. Patient endorsed a history of intermittent dizziness in the past [...]

By | 2017-04-20T15:54:35-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN CANCER ISN’T THE ANSWER: NEUROSARCOIDOSIS MASQUERADING AS MALIGNANCY IN A PATIENT WITH HISTORY OF BREAST CANCER

HM2017 Abstract Number: 759

DON’T LUES YOUR COOL

Case Presentation: A 38-year-old man with a history of intravenous drug use presented with right-sided head swelling for three weeks. A 4 cm nodule was noted over the right temple. A new diagnosis of HIV [...]

By | 2017-04-20T15:54:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DON’T LUES YOUR COOL

HM2017 Abstract Number: 758

THE SOONER THE BETTER: A CASE OF SMALL BOWEL OBSTRUCTION

Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems [...]

By | 2017-04-20T15:54:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE SOONER THE BETTER: A CASE OF SMALL BOWEL OBSTRUCTION

HM2017 Abstract Number: 757

A CASE OF REVERSIBLE CEREBRAL VASOCONSTRICTION SYNDROME IN A PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Case Presentation: A 41- year old female with history of hypertension was admitted to our hospital with complaints of intermittent diffuse abdominal pain, diarrhea, and generalized rash. Vital signs were normal. Physical examination was notable [...]

By | 2017-04-25T21:15:21-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF REVERSIBLE CEREBRAL VASOCONSTRICTION SYNDROME IN A PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS

HM2017 Abstract Number: 756

BREAKDOWN ON THE MAT: A RARE CASE OF EARLY ADULT-ONSET DERMATOMYOSITIS

Case Presentation: An 18 year-old man presented with two months of progressive weakness and dysphagia. He was previously active in high school wrestling and weightlifting but is now unable to participate in either due to [...]

By | 2017-04-20T15:54:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BREAKDOWN ON THE MAT: A RARE CASE OF EARLY ADULT-ONSET DERMATOMYOSITIS

HM2017 Abstract Number: 754

VISCERAL KAPOSI SARCOMA: AN UNDER-RECOGNIZED CAUSE OF GI BLEEDING IN THE IMMUNOSUPPRESSED

Case Presentation: A 52-year-old man originally from West Africa presented with two episodes of hematemesis over one day and with intermittent diffuse abdominal pain and fatigue over one week. He is a known HIV/AIDS patient [...]

By | 2017-04-20T15:54:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on VISCERAL KAPOSI SARCOMA: AN UNDER-RECOGNIZED CAUSE OF GI BLEEDING IN THE IMMUNOSUPPRESSED

HM2017 Abstract Number: 753

WILD WILD WEST! TWO CASE REPORTS OF WEST NILE VIRUS ENCEPHALITIS IN A TEXAS UNIVERSITY HOSPITAL

Case Presentation: Case 1- 83 year old male with past medical history of knee surgeries and lumbar laminectomy presented with acute onset of fever, confusion and left lower extremity weakness for the past three days. Physical [...]

By | 2017-04-20T15:54:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WILD WILD WEST! TWO CASE REPORTS OF WEST NILE VIRUS ENCEPHALITIS IN A TEXAS UNIVERSITY HOSPITAL

HM2017 Abstract Number: 752

PROFOUND TYPE B INSULIN RESISTANCE

Case Presentation: A 29-year-old African American man presented as a transfer from an outside hospital for uncontrolled diabetic ketoacidosis. Two months prior to admission he was diagnosed with ketosis prone type 2 diabetes mellitus. On [...]

By | 2017-04-20T15:54:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PROFOUND TYPE B INSULIN RESISTANCE

HM2017 Abstract Number: 751

THROMBOTIC THROMBOCYTOPENIC PURPURA AFTER AN EPISODE OF SEVERE CLOSTRIDIUM DIFFICILE COLITIS

Case Presentation: A 47-year-old woman presented with abdominal pain, diarrhea, hematochezia, and fever. Medical history consisted of a previous episode of diverticulitis and a right partial nephrectomy due to Renal Cell Carcinoma. On physical examination, [...]

By | 2017-04-20T15:54:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THROMBOTIC THROMBOCYTOPENIC PURPURA AFTER AN EPISODE OF SEVERE CLOSTRIDIUM DIFFICILE COLITIS

HM2017 Abstract Number: 750

A RARE CAUSE OF A COMMON PRESENTATION: CHRONIC BACK PAIN SECONDARY TO BRUCELLOSIS

Case Presentation: A 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient [...]

By | 2017-04-24T10:40:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CAUSE OF A COMMON PRESENTATION: CHRONIC BACK PAIN SECONDARY TO BRUCELLOSIS

HM2017 Abstract Number: 748

AN UNUSUAL CASE OF RENAL CELL CARCINOMA PRESENTING AS DIGITAL ACROMETASTASIS

Case Presentation: A 47-year-old Caucasian male presented with left ankle pain and swelling for 3 weeks. He denied history of trauma. He was treated for gout with minimal improvement. X-ray of ankle did not show [...]

By | 2017-04-20T15:58:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF RENAL CELL CARCINOMA PRESENTING AS DIGITAL ACROMETASTASIS

HM2017 Abstract Number: 747

AN UNUSUAL CASE OF MPO-ANCA GLOMERULONEPHRITIS AND MEMBRANOUS NEPHROPATHY DUE TO HYDRALAZINE

Case Presentation: A 85-year-old Caucasian female presented with nausea, vomiting and generalized weakness for three weeks. She denied any diarrhea, bloody stools or abdominal pain. Review of systems was positive for weight loss of 20 [...]

By | 2017-04-20T15:58:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF MPO-ANCA GLOMERULONEPHRITIS AND MEMBRANOUS NEPHROPATHY DUE TO HYDRALAZINE

HM2017 Abstract Number: 746

DROWSY PATIENT: METABOLIC ENCEPHALOPATHY OR THALAMIC STROKE

Case Presentation: A 52-year-old African American male with a history of Diabetes Mellitus Type 2, Hypertension, and Hyperlipidemia presented to the Emergency Department with complaints of dizziness and fluctuating level of consciousness. He was on [...]

By | 2017-04-20T15:58:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DROWSY PATIENT: METABOLIC ENCEPHALOPATHY OR THALAMIC STROKE

HM2017 Abstract Number: 745

ABDOMINAL COMPARTMENT SYNDROME DUE TO SEVERE ACUTE PANCREATITIS

Case Presentation: A 55-year-old previously healthy Caucasian male was transferred from a regional hospital after one week stay for worsening ileus in the setting of gall stone related acute pancreatitis. Vital signs were remarkable for [...]

By | 2017-04-20T15:58:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ABDOMINAL COMPARTMENT SYNDROME DUE TO SEVERE ACUTE PANCREATITIS

HM2017 Abstract Number: 744

TWISTED HANDS WITH TWISTED EATING HABITS- A CASE OF CLASSIC CARPOPEDAL SPASM IN A BULIMIC PATIENT

Case Presentation: A 36 year-old female with history of bulimia nervosa, bipolar disorder and borderline personality disorder presented to the emergency department after she woke up with painful spasm of bilateral hands. She had been [...]

By | 2017-04-20T15:59:00-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TWISTED HANDS WITH TWISTED EATING HABITS- A CASE OF CLASSIC CARPOPEDAL SPASM IN A BULIMIC PATIENT

HM2017 Abstract Number: 742

CHRONIC MYELOGENOUS LEUKEMIA PRESENTING AS INCIDENTAL EXTREME THROMBOCYTOSIS

Case Presentation: A 48 year-old woman presented to the emergency room with dizziness following five episodes of black stool. She had otherwise been well and denied prior episodes. Her admission labs were notable for hemoglobin [...]

By | 2017-04-20T15:59:04-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CHRONIC MYELOGENOUS LEUKEMIA PRESENTING AS INCIDENTAL EXTREME THROMBOCYTOSIS

HM2017 Abstract Number: 741

NARROW COMPLEX VENTRICULAR TACHYCARDIA

Case Presentation: A 61-year-old male with past medical history of hypertension, hyperlipidemia and coronary artery disease presented with sustained tachycardia. His history was remarkable for ST segment elevation myocardial infarction (MI) and had a stent [...]

By | 2017-04-20T15:59:06-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NARROW COMPLEX VENTRICULAR TACHYCARDIA

HM2017 Abstract Number: 740

CYTOMEGALOVIRUS ESOPHAGITIS AND DUODENITIS IN IMMUNOCOMPETENT PATIENT

Case Presentation: A 80-year-old female with a past medical history of diabetes mellitus, hypertension and coronary artery disease status post stenting 4 years ago presented with coffee ground emesis, epigastric pain, dysphagia and melena. On [...]

By | 2017-04-20T15:59:08-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CYTOMEGALOVIRUS ESOPHAGITIS AND DUODENITIS IN IMMUNOCOMPETENT PATIENT

HM2017 Abstract Number: 738

TOO SWEET TO TREAT, LEDISPAVIR/SOFOSBUVIR INDUCED DIABETES MELLITUS IN PATIENT RECEIVING TENOFOVIR

Case Presentation: A 55 year old non obese African American male with the past medical history of HIV on tenofovir/emtricitabine/efavirenz and HCV genotype 1 infection who was being treated with ledipasvir/sofosbuvir came in with complaints [...]

By | 2017-04-20T15:59:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TOO SWEET TO TREAT, LEDISPAVIR/SOFOSBUVIR INDUCED DIABETES MELLITUS IN PATIENT RECEIVING TENOFOVIR

HM2017 Abstract Number: 737

CLASSICAL HODGKIN’S LYMPHOMA PRESENTING AS ACUTE CHOLANGITIS

Case Presentation: A 54-year-old Hispanic woman presented with 5 days of subjective fevers, jaundice, nausea, vomiting, and right-sided abdominal pain. On presentation, she was febrile with borderline hypotension and tachycardia, abdominal tenderness, and laboratory values notable for [...]

By | 2017-04-20T15:59:38-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CLASSICAL HODGKIN’S LYMPHOMA PRESENTING AS ACUTE CHOLANGITIS

HM2017 Abstract Number: 736

LEMIERRE’S SYNDROME: A POTENTIALLY DEADLY SORE THROAT

Case Presentation: A healthy 25-year-old man presented with 8 days of progressively worsening sore throat, fever and neck swelling which were unresponsive to 2 outpatient courses of clarithromycin.  On presentation, he was febrile, tachycardic, hypotensive, [...]

By | 2017-04-20T15:59:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LEMIERRE’S SYNDROME: A POTENTIALLY DEADLY SORE THROAT

HM2017 Abstract Number: 735

FATAL DUODENAL ULCERATION: CML ACUTE BLAST CRISIS PRESENTING AS EXTRAMEDULLARY MYELOID SARCOMA

Case Presentation: A 36-year-old African American male, with accelerated phase Philadelphia chromosome positive CML  on dasatinib, presented to a community hospital with abdominal pain, distention, and melenic stools 10 days after being discharged.  During the [...]

By | 2017-04-20T15:59:42-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FATAL DUODENAL ULCERATION: CML ACUTE BLAST CRISIS PRESENTING AS EXTRAMEDULLARY MYELOID SARCOMA

HM2017 Abstract Number: 733

DISSECTING A FATAL SLIP

Case Presentation: A 60 year-old woman with chronic mesenteric ischemia was admitted for symptomatic inferior mesenteric artery (IMA) stenosis. She underwent IMA stent placement with a postoperative course notable for abdominal pain and nausea. Two [...]

By | 2017-04-20T15:59:47-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DISSECTING A FATAL SLIP

HM2017 Abstract Number: 732

A CONVINCING MYOCARDIAL INFARCTION MASQUERADER

Case Presentation: We present a 47 year-old male who experienced chest discomfort and a syncopal episode.  He was found to be in ventricular tachycardia and was immediately electrocardioverted.  Afterwards his symptoms resolved and he was [...]

By | 2017-04-20T15:59:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CONVINCING MYOCARDIAL INFARCTION MASQUERADER

HM2017 Abstract Number: 731

UNILATERAL ADRENAL HYPERPLASIA: AN UNUSUAL PRESENTATION OF PRIMARY ALDOSTERONISM AND HYPERTENSIVE EMERGENCY

Case Presentation: A 54-year-old African American woman presented with complaints of headache, blurred vision, and progressive bilateral leg swelling for the past week. This was her 4th visit to the hospital in 4 months with similar [...]

By | 2017-04-20T15:59:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on UNILATERAL ADRENAL HYPERPLASIA: AN UNUSUAL PRESENTATION OF PRIMARY ALDOSTERONISM AND HYPERTENSIVE EMERGENCY

HM2017 Abstract Number: 730

NOT ALWAYS BENIGN: A CASE OF END-STAGE RENAL FAILURE IN SJOGREN SYNDROME

Case Presentation: A 45-year-old woman presented to our hospital for evaluation of chronic kidney disease. Three years earlier, she had been diagnosed at an outside institution with Sjögren's syndrome after developing sicca symptoms with positive [...]

By | 2017-04-20T15:59:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT ALWAYS BENIGN: A CASE OF END-STAGE RENAL FAILURE IN SJOGREN SYNDROME

HM2017 Abstract Number: 729

HYPONATREMIC RHABDO?!

Case Presentation: A 60 year old woman with a history of hypertension and low back pain was brought it by family after she was found unresponsive in bed.  According to the patient’s family, at baseline [...]

By | 2017-04-20T15:59:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HYPONATREMIC RHABDO?!

HM2017 Abstract Number: 727

A RARE PRESENTATION OF ACUTE MYELOID LEUKEMIA PRESENTING WITH RAPIDLY PROGRESSIVE LEUKEMIC ASCITES

Case Presentation: A 46 year-old healthy man presented to urgent care with 4 weeks of abdominal distension, epigastric pain and a 10lbs weight loss. CT of the abdomen and pelvis showed a soft tissue mass [...]

By | 2017-04-20T16:00:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE PRESENTATION OF ACUTE MYELOID LEUKEMIA PRESENTING WITH RAPIDLY PROGRESSIVE LEUKEMIC ASCITES

HM2017 Abstract Number: 725

A PECULIAR CASE OF ELEVATED PSA AND THE PANCREAS

Case Presentation: 64 year old male with history of stage 4 prostate cancer status post radiosurgery and hormonal therapy in remission for 6 months presented with 1 month of left upper quadrant and epigastric pain [...]

By | 2017-04-25T23:20:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A PECULIAR CASE OF ELEVATED PSA AND THE PANCREAS

HM2017 Abstract Number: 724

RECURRENT METASTATIC HEMANGIOPERICYTOMA PRESENTING AS REFRACTORY HYPOGLYCEMIA

Case Presentation: 62 year-old female with a history of intracranial hemangiopericytoma admitted to the ICU with altered mental status due to profound hypoglycemia. She was previously diagnosed six years prior with intracranial hemangiopericytoma and treated [...]

By | 2017-04-20T16:00:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECURRENT METASTATIC HEMANGIOPERICYTOMA PRESENTING AS REFRACTORY HYPOGLY