Research

HM2018 Abstract Number: 155

Measuring and Reporting Central Line-Associated Bloodstream Infection: More Than Meets the Eye?

Background: Although central line-associated bloodstream infection (CLABSI) rates are publicly reported, whether these data correlate to clinical documentation or practice is not known. Using data from a large hospital collaborative, we hypothesized that physician [...]

By | 2018-03-21T16:17:45+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on Measuring and Reporting Central Line-Associated Bloodstream Infection: More Than Meets the Eye?

HM2018 Abstract Number: 154

Does EKG-Guided Peripherally Inserted Central Catheter Insertion Reduce Risk of Deep Vein Thrombosis?

Background: The position of the tip of a peripherally inserted central catheter (PICC) is associated with deep vein thrombosis (DVT). Optimal position of the tip is the cavoatrial junction; more proximal tip positions are associated [...]

By | 2018-03-19T15:43:52+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on Does EKG-Guided Peripherally Inserted Central Catheter Insertion Reduce Risk of Deep Vein Thrombosis?

HM2018 Abstract Number: 203

EFFECTIVENESS OF CLINICAL DECISION SUPPORT FOR REDUCING UNNECESSARY HYPERCOAGULABILITY EVALUATIONS IN A LARGE COMMUNITY HOSPITAL

Background: Venous Thromboembolism (VTE) is a potentially life-threatening disorder and in some cases, is related to underlying hypercoagulability which may be congenital or acquired. Guidelines suggest performing extensive work -up for hypercoagulability only in select [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on EFFECTIVENESS OF CLINICAL DECISION SUPPORT FOR REDUCING UNNECESSARY HYPERCOAGULABILITY EVALUATIONS IN A LARGE COMMUNITY HOSPITAL

HM2018 Abstract Number: 109

Non-Critical Care Telemetry Monitoring for Non-Cardiac Related Diagnoses: Are We Overdoing it?

Background: Telemetry is an essential tool for real-time monitoring of the heart rhythm and QRS morphology of a patient. American College of Cardiology and American Heart Association had published their respective practice standards for in-hospital [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Other, Research, Uncategorized|Comments Off on Non-Critical Care Telemetry Monitoring for Non-Cardiac Related Diagnoses: Are We Overdoing it?

HM2018 Abstract Number: 70

THE IMPACT OF A HIGH VALUE CARE CURRICULUM FOR INTERNAL MEDICINE SUB-INTERNS

Background: Healthcare expenditures in the United States have grown from 5% of the gross domestic product in 1960 to nearly 18% in 2015. Despite spending more for healthcare than any other industrialized country, healthcare outcomes [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on THE IMPACT OF A HIGH VALUE CARE CURRICULUM FOR INTERNAL MEDICINE SUB-INTERNS

HM2018 Abstract Number: 343

Patterns of opioid prescribing practices in a teaching hospital

Background: Opioids are widely prescribed for cancer and non-cancer related pain in hospitalized patients. The opioid usage increased roughly three times in the past two decades. Pain is a feeling of distress evoked by sensory [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Research, Translating Research into Practice, Uncategorized|Comments Off on Patterns of opioid prescribing practices in a teaching hospital

HM2018 Abstract Number: 200

ADVANCE CARE PLANNING IN THE PERIOPERATIVE CLINIC: A RETROSPECTIVE CHART REVIEW

Background: High risk patients undergoing elective surgery are at increased risk of life-threatening complications. Also, most are under anesthesia, lacking capacity for at least that time. Despite this they often lack advance directives (ADs) or [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on ADVANCE CARE PLANNING IN THE PERIOPERATIVE CLINIC: A RETROSPECTIVE CHART REVIEW

HM2018 Abstract Number: 38

PATIENT PERCEPTIONS OF PROVIDER BEDSIDE COMMUNICATION AND USE OF THE WHITEBOARD COMMUNICATION TOOL

Background: The use of whiteboards in the inpatient setting has become increasingly prevalent as a potentially effective tool for prevention of communication failures and improved multidisciplinary care. Provider and nursing surveys indicate that this tool [...]

By | 2018-03-19T15:43:59+00:00 March 19th, 2018|Communication, Research, Uncategorized|Comments Off on PATIENT PERCEPTIONS OF PROVIDER BEDSIDE COMMUNICATION AND USE OF THE WHITEBOARD COMMUNICATION TOOL

HM2018 Abstract Number: 342

LOW PROCALCITONIN CAN EFFECTIVELY RULE OUT BACTEREMIA

Background: Blood stream infection is associated with high mortality and morbidity. Blood cultures are considered the gold standard for diagnosing bacteremia in sepsis patients. However, blood culture results may take at least 12 to 24 [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Research, Translating Research into Practice, Uncategorized|Comments Off on LOW PROCALCITONIN CAN EFFECTIVELY RULE OUT BACTEREMIA

HM2018 Abstract Number: 228

THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on THE IMPACT OF A HOSPITAL MEDICINE-NEUROSURGERY QUALITY IMPROVEMENT COLLABORATIVE ON NEUROSURGICAL PRE-ADMISSION, OPERATING ROOM AND POST-OPERATIVE OUTCOMES: A PROSPECTIVE INTERRUPTED TIME SERIES STUDY

HM2018 Abstract Number: 331

PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE WITH RIFAXIMIN ALONE VERSUS RIFAXIMIN PLUS LACTULOSE THERAPY: IMPACT ON QUALITY OF LIFE AND CAREGIVER BURDEN IN PATIENTS WITH CIRRHOSIS

Background: Rifaximin, a nonsystemic antibiotic, may be used alone or in combination with lactulose for reducing the risk of overt hepatic encephalopathy (OHE) recurrence in adults. This analysis evaluated rifaximin alone and rifaximin + lactulose [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE WITH RIFAXIMIN ALONE VERSUS RIFAXIMIN PLUS LACTULOSE THERAPY: IMPACT ON QUALITY OF LIFE AND CAREGIVER BURDEN IN PATIENTS WITH CIRRHOSIS

HM2018 Abstract Number: 366

CHOOSING WISELY? A COST CONSCIOUS APPROACH WHEN ORDERING IMAGING STUDIES FOR RAPID RESPONSE PATIENTS WITH ALTERED MENTAL STATUS

Background: CT Head imaging for patients with altered mental status is a common procedure that many clinicians utilize to establish a diagnosis. As health care costs rise, practitioners are becoming more conscious about ordering costly [...]

By | 2018-03-19T15:44:00+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on CHOOSING WISELY? A COST CONSCIOUS APPROACH WHEN ORDERING IMAGING STUDIES FOR RAPID RESPONSE PATIENTS WITH ALTERED MENTAL STATUS

HM2018 Abstract Number: 199

A MULTI-CENTER STUDY OF PRE-OPERATIVE NON-INVASIVE CARDIAC TESTING IN OLDER PATIENTS WITH HIP FRACTURE

Background: Current guidelines for the use pre-operative non-invasive cardiac testing, especially in older patients with multi-morbidity and poor functional capacity are unclear. Our study aimed to evaluate the use of nuclear stress test (NST) and [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on A MULTI-CENTER STUDY OF PRE-OPERATIVE NON-INVASIVE CARDIAC TESTING IN OLDER PATIENTS WITH HIP FRACTURE

HM2018 Abstract Number: 283

TECHNOLOGY TRENDS AMONG PARENTS OF HOSPITALIZED CHILDREN

Background: Technology within the inpatient setting is an opportunity to improve communication between patients, families, and their care team. Prior studies identified barriers to patient use of existing healthcare portals and patient preferences for functionality [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on TECHNOLOGY TRENDS AMONG PARENTS OF HOSPITALIZED CHILDREN

HM2018 Abstract Number: 85

PHYSICIAN PRACTICES SURROUNDING CONSTIPATION MANAGEMENT IN HOSPITALIZED OLDER ADULTS

Background: Despite its prevalence, constipation is frequently under-recognized and treated with ineffective agents in hospitalized older adults.Methods: An anonymous survey was distributed to physicians regarding constipation management in hospitalized older adults. Chi-square or Fisher’s exact, [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Geriatrics, Research, Uncategorized|Comments Off on PHYSICIAN PRACTICES SURROUNDING CONSTIPATION MANAGEMENT IN HOSPITALIZED OLDER ADULTS

HM2018 Abstract Number: 5

MOVING THE BAR, EVEN IF YOU CAN’T MOVE THE BED

Background: The Institute for Healthcare Improvement tells us that successful discharge planning starts at admission; however, when that admission occurs to a closed Intensive Care Unit (ICU), traditional discharge planning can be delayed until the [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Other, Research, Uncategorized|Comments Off on MOVING THE BAR, EVEN IF YOU CAN’T MOVE THE BED

HM2018 Abstract Number: 135

PHOSPHATIDYLETHANOL LEVEL AS A PREDICTOR OF ACUTE ALCOHOL WITHDRAWAL

Background: Acute alcohol withdrawal syndrome (AWS) is a common complication in hospitalized patients, but its occurrence and severity is difficult to predict based on clinical indicators alone. Phosphatidylethanol (PEth) is an abnormal phospholipid incorporated into [...]

By | 2018-03-19T15:44:07+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on PHOSPHATIDYLETHANOL LEVEL AS A PREDICTOR OF ACUTE ALCOHOL WITHDRAWAL

HM2018 Abstract Number: 67

ATTITUDES, KNOWLEDGE, AND CLINICAL APPLICATION OF POINT OF CARE ULTRASOUND: A NEEDS ASSESSMENT OF INTERNS IN INTERNAL MEDICINE

Background: Point of care ultrasound (POCUS) significantly augments physical exam and improves medical management, and many medical schools across the United States are implementing undergraduate POCUS curricula. As a result, internal medicine (IM) residency programs [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on ATTITUDES, KNOWLEDGE, AND CLINICAL APPLICATION OF POINT OF CARE ULTRASOUND: A NEEDS ASSESSMENT OF INTERNS IN INTERNAL MEDICINE

HM2018 Abstract Number: 269

Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

Background: The use of IV insulin is one of the primary therapeutic options for the treatment of hyperkalemia. Unfortunately the available literature reports that hypoglycemia is a common occurrence as a result of the treatment [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

HM2018 Abstract Number: 130

Hypertriglyceridemia – Induced Pancreatitis Management, Community-Based Teaching Hospital Experience

Background: Severe hypertriglyceridemia (triglyceride >1000 mg/dl) occurs at a rate of 0.4% and is associated with a range of medical complications including severe pancreatitis and its complications like acute kidney injury . Hypertriglyceridemia (HTG) is [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on Hypertriglyceridemia – Induced Pancreatitis Management, Community-Based Teaching Hospital Experience

HM2018 Abstract Number: 120

ASSOCIATION BETWEEN STEROID MODALITY AND LENGTH OF STAY IN ACUTE COPD EXACERBATIONS

Background: Chronic obstructive pulmonary disease (COPD) is associated with significant morbidity, mortality, and cost with the greatest proportion incurred treating acute exacerbations of COPD (AECOPD). While guidelines recommend oral steroids for the treatment of AECOPD, [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on ASSOCIATION BETWEEN STEROID MODALITY AND LENGTH OF STAY IN ACUTE COPD EXACERBATIONS

HM2018 Abstract Number: 121

AN INVESTIGATIVE BIOFIRE SPUTUM FILM ARRAY PANEL IMPROVES RAPID DIAGNOSTICS IN PATIENTS HOSPITALIZED WITH COMMUNITY ACQUIRED PNEUMONIA

Background: With standard diagnostic methods, the etiologic pathogen of community acquired pneumonia (CAP) is detected in ≤ 50% hospitalized CAP patients. In our previous studies using a diagnostic “bundle”, we were able to detect etiologic [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on AN INVESTIGATIVE BIOFIRE SPUTUM FILM ARRAY PANEL IMPROVES RAPID DIAGNOSTICS IN PATIENTS HOSPITALIZED WITH COMMUNITY ACQUIRED PNEUMONIA

HM2018 Abstract Number: 298

Effect of Default Order Set Settings on Telemetry Ordering: Helping Residents Choose More Wisely

Background: Over the past fifty years, remote cardiac monitoring (“telemetry”) has become routine for many patients admitted to the hospital. Telemetry has many clinical benefits and is recommended by the American Heart Association for a [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on Effect of Default Order Set Settings on Telemetry Ordering: Helping Residents Choose More Wisely

HM2018 Abstract Number: 173

CONCURRENT NSAID AND WARFARIN USE IS ASSOCIATED WITH INCREASED BLOOD TRANSFUSIONS IN HOSPITALIZED PATIENTS

Background: Warfarin is commonly used in long-term anticoagulation and has a narrow therapeutic index. Dosing is dependent on intrinsic patient variables including cytochrome P450 2C9 (CYP2C9) and VKORC1 polymorphisms. High protein binding and CYP-dependent clearance [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on CONCURRENT NSAID AND WARFARIN USE IS ASSOCIATED WITH INCREASED BLOOD TRANSFUSIONS IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 76

CLOSING THE LOOP: A MULTI-CENTER INITIATIVE THAT USES PEER-TO-PEER FEEDBACK TO IMPROVE DIAGNOSTIC REASONING IN MEDICAL TRAINEES

Background: Development of diagnostic reasoning is a critical component of medical education, and feedback related to clinical outcomes is an important means of calibrating one’s diagnostic decision-making. The hospital is a key training ground for [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on CLOSING THE LOOP: A MULTI-CENTER INITIATIVE THAT USES PEER-TO-PEER FEEDBACK TO IMPROVE DIAGNOSTIC REASONING IN MEDICAL TRAINEES

HM2018 Abstract Number: 209

A QUALITY IMPROVEMENT INTERVENTION: A HIGH-VALUE APPROACH TO HEPARIN-INDUCED THROMBOCYTOPENIA

Background: Heparin-Induced Thrombocytopenia (HIT) is an antibody-mediated pro-thrombotic disorder which occurs after exposure to heparin product. Diagnosis of HIT type II is rather challenging as affected individual often has other causes of thrombocytopenia and a [...]

By | 2018-03-19T15:44:14+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on A QUALITY IMPROVEMENT INTERVENTION: A HIGH-VALUE APPROACH TO HEPARIN-INDUCED THROMBOCYTOPENIA

HM2018 Abstract Number: 349

PHYSICIAN PERCEPTIONS OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ON HOSPITALIST TEAMS

Background: Physician Assistants (PAs) and Nurse Practitioners (NPs) play a growing role within hospital medicine groups. We studied physician perceptions of NPs and PAs in Hospital Medicine and identified factors that impact these perceptions.Methods: Data [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on PHYSICIAN PERCEPTIONS OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ON HOSPITALIST TEAMS

HM2018 Abstract Number: 89

INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization [...]

By | 2018-03-19T15:44:15+00:00 March 19th, 2018|Geriatrics, Research, Uncategorized|Comments Off on INTENSIFICATION OF ANTIHYPERTENSIVE REGIMENS DURING HOSPITALIZATION FOR UNRELATED CONDITIONS: TOO MUCH OF A GOOD THING?

HM2018 Abstract Number: 92

YOU CAN’T HAVE IT ALL: THE EXPERIENCE OF ACADEMIC HOSPITALISTS DURING PREGNANCY, PARENTAL LEAVE, AND THE RETURN TO WORK

Background: Among Society of Hospital Medicine (SHM) members, 40% are women, and most of them are assistant professors, which suggests that a significant proportion of hospitalists are women of childbearing age. The United States lags [...]

By | 2018-03-19T15:44:18+00:00 March 19th, 2018|Other, Research, Uncategorized|Comments Off on YOU CAN’T HAVE IT ALL: THE EXPERIENCE OF ACADEMIC HOSPITALISTS DURING PREGNANCY, PARENTAL LEAVE, AND THE RETURN TO WORK

HM2018 Abstract Number: 172

HOW OFTEN ARE HEALTHCARE PERSONNEL HANDS COLONIZED WITH MULTI-DRUG RESISTANT ORGANISMS? A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: The hands of hospitalists are often the source for transmitting multidrug resistant organisms (MDROs), and as such are the target of numerous hand hygiene interventions. Despite this focus, the prevalence of various MDROs on [...]

By | 2018-03-19T15:44:21+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on HOW OFTEN ARE HEALTHCARE PERSONNEL HANDS COLONIZED WITH MULTI-DRUG RESISTANT ORGANISMS? A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 193

Proportion of patients seen in perioperative clinic on optimal statin dose prior to surgery

Background: Recent data suggest that there are mortality benefits from preoperative statin therapy in patients at high risk for atherosclerotic cardiovascular disease (ASCVD). Current guidelines recommend moderate or high intensity statin for all patients with [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on Proportion of patients seen in perioperative clinic on optimal statin dose prior to surgery

HM2018 Abstract Number: 22

IMPROVING CARE TEAM COMMUNICATIONS AND WORKFLOW EFFICIENCY IN HOSPITAL MEDICINE

Background: High volume communications to physicians for non-emergent issues can disrupt workflows and cause delays and inefficiencies. The frustration caused by unnecessary communication can also affect the job satisfaction of the Care Team. Physicians at [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Communication, Research, Uncategorized|Comments Off on IMPROVING CARE TEAM COMMUNICATIONS AND WORKFLOW EFFICIENCY IN HOSPITAL MEDICINE

HM2018 Abstract Number: 329

HOMECOMING: PATIENT CENTRIC NEXT SITE OF CARE RECOMMENDATIONS

Background: Currently, Physical and Occupational Therapy (PT/OT) documentation dictates next site of care. PT/OT recommends how much therapy is needed upon discharge and where the therapist believes these services should be provided, which is often [...]

By | 2018-03-19T15:44:27+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on HOMECOMING: PATIENT CENTRIC NEXT SITE OF CARE RECOMMENDATIONS

HM2018 Abstract Number: 65

THE USE OF STANDARDIZED DISCHARGE EDUCATION ACROSS THE CONTINUUM OF CARE REDUCES HOSPITAL READMISSIONS

Background: Hospital readmission rates may be influenced by the level of healthcare literacy. Patients who lack an understanding of their diagnosis and warning signs have the potential to not seek medical care in a timely [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on THE USE OF STANDARDIZED DISCHARGE EDUCATION ACROSS THE CONTINUUM OF CARE REDUCES HOSPITAL READMISSIONS

HM2018 Abstract Number: 134

THE IMPACT OF GOALS OF TREATMENT ON MORTALITY OUTCOMES

Background: Reversing the life trajectory of hospitalized patients can be challenging. Sixty percent of Americans die in acute care hospitals. Identification of the patient care goals and directives frequently happens after many days of aggressive, [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on THE IMPACT OF GOALS OF TREATMENT ON MORTALITY OUTCOMES

HM2018 Abstract Number: 39

A PALLIATIVE/SURPRISE SCREEN TEST HELPS IMPROVE TRANSITION OF CARE

Background: Early palliative care can be beneficial for patients and the health system alike. The principle of palliative care is to improve quality of life through patient-centric treatment goals and comfort measures. However, many patients [...]

By | 2018-03-19T15:44:28+00:00 March 19th, 2018|Communication, Research, Uncategorized|Comments Off on A PALLIATIVE/SURPRISE SCREEN TEST HELPS IMPROVE TRANSITION OF CARE

HM2018 Abstract Number: 282

Primum non nocere: Is Measuring Daily BNP Harmless?

Background: Serum B-type natriuretic peptide (BNP) levels, measured on admission and discharge, have been a prudent predictor of outcomes among patients with heart failure. However, daily BNP measurements have no benefits for the management of [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Primum non nocere: Is Measuring Daily BNP Harmless?

HM2018 Abstract Number: 167

A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

Background: Adverse drug events (ADEs) are responsible for up to 770,000 inpatient injuries and deaths annually in the United States, most of which are from prescribing errors. Electronic order sets are designed to improve quality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

HM2018 Abstract Number: 255

Improving Oncology Handoffs with Standardized Elements

Background: Standardizing inter-shift handoff procedures enhances continuity of care and quality with an associated reduction in preventable medical errors. This is particularly relevant in the inpatient oncology population where patients have a relatively high morbidity/mortality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Improving Oncology Handoffs with Standardized Elements

HM2018 Abstract Number: 292

Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

HM2018 Abstract Number: 47

LESSONS LEARNED FROM A RESIDENT-CREATED EXPERIENTIAL QUALITY IMPROVEMENT AND PATIENT SAFETY CURRICULUM FOR MEDICAL AND NURSING STUDENTS AT THE UNIVERSITY OF NEW MEXICO

Background: Quality improvement and patient safety (QI/PS) methods are being used to drive positive change in healthcare. To date, these efforts have led to slow and inconsistent change. Insufficient expertise remains a significant rate-limiting step [...]

By | 2018-03-19T15:44:35+00:00 March 19th, 2018|Education, Research, Uncategorized|Comments Off on LESSONS LEARNED FROM A RESIDENT-CREATED EXPERIENTIAL QUALITY IMPROVEMENT AND PATIENT SAFETY CURRICULUM FOR MEDICAL AND NURSING STUDENTS AT THE UNIVERSITY OF NEW MEXICO

HM2018 Abstract Number: 131

HOW DOES GEOGRAPHIC COHORTING IMPACT THE WORK DAY?

Background: Background: Geographic cohorting (GCh) of clinicians to a single unit may improve teamwork and improve outcomes. The physical proximity between the care team is purported to mediate these positive effects. We conducted an exploratory [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Outcomes Research, Research, Uncategorized|Comments Off on HOW DOES GEOGRAPHIC COHORTING IMPACT THE WORK DAY?

HM2018 Abstract Number: 309

Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

Background: Patients, particularly the elderly and those who have chronic illnesses, often experience adverse events when transitioning from the hospital to home. An estimated 20% of all discharged patients suffer a preventable adverse event (e.g., [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

HM2018 Abstract Number: 316

HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

Background: Communication is critical to high-quality care transitions, yet little is known about the quality of information transfer from the hospital to home health care (HHC) setting. We performed a cross-sectional survey of HHC nurses [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

HM2018 Abstract Number: 176

CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

Background: Inconsistent transitions of care from the inpatient to outpatient setting may lead to preventable readmissions. Critical processes completed at discharge shown to reduce readmissions at our institution include admission and discharge medication reconciliation, clinically [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Pediatrics, Research, Uncategorized|Comments Off on CORE 4 ELEMENTS ARE ASSOCIATED WITH SUSTAINED READMISSIONS REDUCTION IN PEDIATRIC HOSPITAL MEDICINE

HM2018 Abstract Number: 4

Duke Hospital Medicine Academic Engagement Improvement Project

Background: Many academic hospital medicine programs have reached a critical transition point as they attempt to sustain and develop growth in their non-clinical, academic missions. To meet increasing clinical needs, the Duke Hospital Medicine Program [...]

By | 2018-03-22T15:45:07+00:00 March 19th, 2018|Finalist Posters, Other, Research, Uncategorized|Comments Off on Duke Hospital Medicine Academic Engagement Improvement Project

HM2018 Abstract Number: 12

HOSPITALIST DIRECTED TRANSFERS IMPROVE EMERGENCY ROOM LENGTH OF STAY

Background: Emergency room (ER) crowding remains a widespread problem. Hospitalist led transfers for stable patients may be one intervention to improve patient flow and ER overcrowding. There are no prior studies assessing the impact of [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Quality Improvement, Research, Uncategorized|Comments Off on HOSPITALIST DIRECTED TRANSFERS IMPROVE EMERGENCY ROOM LENGTH OF STAY

HM2018 Abstract Number: 362

Low-value use of procalcitonin testing after introduction at an academic medical center

Background: Procalcitonin (PCT) is a biomarker that correlates with the presence of bacterial infection in certain clinical scenarios; it has increasingly accepted indications for antibiotic stewardship. Most sources suggest that antibiotics should be considered for [...]

By | 2018-03-19T15:44:43+00:00 March 19th, 2018|Research, Uncategorized, Value in Hospital Medicine|Comments Off on Low-value use of procalcitonin testing after introduction at an academic medical center

HM2018 Abstract Number: 23

EXPECTATIONS FOR PHYSICIAN COMMUNIATION WITH FAMILY/CAREGIVERS ABOUT GERIATRIC PATIENTS’ CARE DURING HOSPITALIZATION

Background: Elderly inpatients often require the support of family and informal caregivers at transitions and yet adequacy of communication between hospital physicians and members of the patient’s social support is poorly studied.Methods: Mixed methodology survey [...]

By | 2018-03-19T13:24:43+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on EXPECTATIONS FOR PHYSICIAN COMMUNIATION WITH FAMILY/CAREGIVERS ABOUT GERIATRIC PATIENTS’ CARE DURING HOSPITALIZATION

HM2018 Abstract Number: 275

Abdominal Aortic Aneurysm Screening in A Resident-Run Clinic – A Commonly Underutilized Screening Test

Background: Abdominal aortic aneurysm (AAA), defined as aortic diameter ≥ 3.0 cm, affects an estimated 1.5% to 1.7% of men aged 65 or older. It was estimated that a ruptured AAA has a mortality rate [...]

By | 2018-03-19T13:24:38+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Abdominal Aortic Aneurysm Screening in A Resident-Run Clinic – A Commonly Underutilized Screening Test

HM2018 Abstract Number: 101

REAL-WORLD TREATMENT OF LOWER RESPIRATORY TRACT INFECTIONS IN THE TELAVANCIN OBSERVATIONAL USE REGISTRY (TOUR™)

Background: TOUR™ is a multicenter study designed to characterize the real-world population characteristics and clinical outcomes associated with telavancin (TLV) use through retrospective medical chart review. Telavancin is a lipoglycopeptide antibacterial active against gram-positive pathogens, [...]

By | 2018-03-19T13:24:36+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on REAL-WORLD TREATMENT OF LOWER RESPIRATORY TRACT INFECTIONS IN THE TELAVANCIN OBSERVATIONAL USE REGISTRY (TOUR™)

HM2018 Abstract Number: 311

EFFECTIVENESS OF COMMUNICATION DURING ICU TO WARD TRANSFER: PREVALENCE OF A SHARED MENTAL MODEL

Background: Previous studies demonstrate patient readmissions to the Medical Intensive Care unit (MICU) from the ward are potentially associated with worse outcomes due to breakdowns in communication during ICU-ward transfer. Though previous work highlights the [...]

By | 2018-03-19T13:24:28+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on EFFECTIVENESS OF COMMUNICATION DURING ICU TO WARD TRANSFER: PREVALENCE OF A SHARED MENTAL MODEL

HM2018 Abstract Number: 51

RESIDENT AND HOSPITALIST PERCEPTIONS OF OVERNIGHT TEACHING: TIME FOR IMPROVEMENT

Background: Duty hour restrictions for resident physicians have led to the ubiquity of night float systems. While this change has positively influenced well-being and supervision, limited studies indicate a negative impact of night float rotations [...]

By | 2018-03-19T13:24:16+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on RESIDENT AND HOSPITALIST PERCEPTIONS OF OVERNIGHT TEACHING: TIME FOR IMPROVEMENT

HM2018 Abstract Number: 63

A CHARACTERIZATION OF RESIDENT WORK ROUNDS IN THE UNITED STATES

Background: Resident work rounds (RWR) serve as the venue for team-based patient interaction, subsequent patient care planning, and education through didactics and observation. However, the expectations of RWR are unclear; do residents continue to see [...]

By | 2018-03-19T13:24:02+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on A CHARACTERIZATION OF RESIDENT WORK ROUNDS IN THE UNITED STATES

HM2018 Abstract Number: 356

DIFFERENCES IN HEALTHCARE OUTCOMES FOR PATIENTS WITH DELIRIUM BETWEEN TEACHING AND NONTEACHING HOSPITALS

Background: The American healthcare system is focused on promoting value; providing high quality care while paying close attention to associated costs. Studies have shown that admission to a teaching hospital is associated with better outcomes, [...]

By | 2018-03-19T13:23:54+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DIFFERENCES IN HEALTHCARE OUTCOMES FOR PATIENTS WITH DELIRIUM BETWEEN TEACHING AND NONTEACHING HOSPITALS

HM2018 Abstract Number: 340

Solving Medical Mysteries At The Undiagnosed Diseases Network

Background: Patients with rare disorders or previously undocumented conditions with a genetic basis often go undiagnosed for many years despite extensive evaluations under skilled physicians in their communities and tertiary care centers. These patients are [...]

By | 2018-03-19T13:23:40+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Translating Research into Practice|Comments Off on Solving Medical Mysteries At The Undiagnosed Diseases Network

HM2018 Abstract Number: 204

EDUCATIONAL INTERVENTION TO SIGNIFICANTLY REDUCE HEALTH CARE COST IN MEDICAL INTENSIVE CARE UNIT

Background: The diagnostic yield and therapeutic consequences of daily routine chest x-rays are very low. Several studies show discontinuation of daily routine chest x-rays does not affect ICU length of stay, readmission rate, or hospital [...]

By | 2018-03-19T13:23:35+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on EDUCATIONAL INTERVENTION TO SIGNIFICANTLY REDUCE HEALTH CARE COST IN MEDICAL INTENSIVE CARE UNIT

HM2018 Abstract Number: 194

ACUTE KIDNEY INJURY IN ORTHOPEDIC SURGERY RELATED TO OBESITY AND ANGIOTENSIN AXIS BLOCKADE

Background: Controversy still exists regarding the use of angiotensin axis blockade (AAB) with angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) drugs preoperatively. Multiple studies suggest the AAB results in acute kidney injury [...]

By | 2018-03-19T13:23:34+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on ACUTE KIDNEY INJURY IN ORTHOPEDIC SURGERY RELATED TO OBESITY AND ANGIOTENSIN AXIS BLOCKADE

HM2018 Abstract Number: 118

SIMPLE PREDICTION SCORE FOR COMPLEX MEDICAL INPATIENTS

Background: Complex patients represent a challenge in the health care system, as they are frequently associated with high health care utilization, longer hospital stays, and higher costs. Nonetheless, the characteristics of the complex patients in [...]

By | 2018-03-19T13:23:30+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on SIMPLE PREDICTION SCORE FOR COMPLEX MEDICAL INPATIENTS

HM2018 Abstract Number: 191

Major Factors of the Asthma Predictive Index are Not Enough to Identify Term RSV Bronchiolitics that Benefit from Albuterol

Background: Bronchiolitis is one of the leading causes of hospitalization in patients less than 2 years old. It can be a source of frustration for providers as numerous interventions that have been trialed throughout the [...]

By | 2018-03-19T13:23:24+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on Major Factors of the Asthma Predictive Index are Not Enough to Identify Term RSV Bronchiolitics that Benefit from Albuterol

HM2018 Abstract Number: 148

Surviving In-Hospital Cardiac Arrest and the Role of Age

Background: There is limited data on the predictors of outcomes in patients who have in-hospital cardiac arrest. This study aims to understand the factors that might affect the survival from the cardiac arrest and survival-to-discharge [...]

By | 2018-03-19T13:23:23+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Surviving In-Hospital Cardiac Arrest and the Role of Age

HM2018 Abstract Number: 205

NPO STATUS WITH CARDIAC STRESS TESTING: AN OUTCOME-BASED APPROACH

Background: It has been routine practice to keep patients undergoing cardiac stress testing nil per os (NPO) until the results of the test were reported. The rationale is to enable left heart catheterization the same [...]

By | 2018-03-19T13:20:50+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on NPO STATUS WITH CARDIAC STRESS TESTING: AN OUTCOME-BASED APPROACH

HM2018 Abstract Number: 277

BARRIERS TO DISCHARGE FOR LENGTH OF STAY OUTLIERS: A REVIEW OF GENERAL MEDICINE PATIENTS IN A UNIVERSITY HOSPITAL

Background: As healthcare costs continue to burgeon and grow at an unprecedented rate, cost utilization is an increasingly important field of research. In-hospital costs are one of the most expensive contributors to healthcare costs in [...]

By | 2018-03-19T13:18:30+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on BARRIERS TO DISCHARGE FOR LENGTH OF STAY OUTLIERS: A REVIEW OF GENERAL MEDICINE PATIENTS IN A UNIVERSITY HOSPITAL

HM2018 Abstract Number: 141

Incremental Economic Burden of Major Depressive Disorder Patients with Treatment Resistant Depression Admitted in US Hospitals

Background: The subset of admitted Major Depressive Disorder (MDD) patients with treatment-resistant depression (TRD) may be associated with incremental economic burden compared with other MDD patients. This study aimed to characterize and evaluate healthcare resource [...]

By | 2018-03-19T13:18:25+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Incremental Economic Burden of Major Depressive Disorder Patients with Treatment Resistant Depression Admitted in US Hospitals

HM2018 Abstract Number: 330

HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM AMONG ADULTS ADMITTED TO A CHILDREN’S HOSPITAL

Background: Risk factors for hospital-acquired venous thromboembolism (HA-VTE) have been well-studied in adults, with validated risk assessment tools available. Adults admitted to children’s hospitals are younger but with comorbidities stemming from childhood conditions. There is [...]

By | 2018-03-19T13:18:23+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on HOSPITAL-ACQUIRED VENOUS THROMBOEMBOLISM AMONG ADULTS ADMITTED TO A CHILDREN’S HOSPITAL

HM2018 Abstract Number: 201

OUTCOMES FOR HIP FRACTURE PATIENTS ON HOSPITALIST VERSUS NON-HOSPITALIST SERVICES

Background: Hip fractures are a major health problem in the geriatric population in the United States, with estimated costs of $18B annually. Hip fractures are highly morbid in the elderly, as deconditioning and acute complications [...]

By | 2018-03-19T13:18:10+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on OUTCOMES FOR HIP FRACTURE PATIENTS ON HOSPITALIST VERSUS NON-HOSPITALIST SERVICES

HM2018 Abstract Number: 87

CONSTANT OBSERVATION PRACTICES FOR HOSPITALIZED OLDER ADULTS WITH COGNITIVE IMPAIRMENT: A SURVEY OF HEALTH CARE PROFESSIONALS

Background: The number of individuals with dementia in the U.S., currently estimated at 5.3 million, is projected to triple by 2050. For patients with cognitive impairment, the unfamiliar and stressful hospital environment often requires constant [...]

By | 2018-03-19T13:17:59+00:00 March 19th, 2018|Geriatrics, Hospital Medicine 2018, Research|Comments Off on CONSTANT OBSERVATION PRACTICES FOR HOSPITALIZED OLDER ADULTS WITH COGNITIVE IMPAIRMENT: A SURVEY OF HEALTH CARE PROFESSIONALS

HM2018 Abstract Number: 69

Resident Perceptions of Feedback and Teaching

Background: Feedback and teaching are critical to the development of clinical skills. Although they occur with regularity on medical wards, learners infrequently recognize them (Kogan et al. 2000). Feedback has been defined as providing information [...]

By | 2018-03-19T13:17:42+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on Resident Perceptions of Feedback and Teaching

HM2018 Abstract Number: 184

THE ASSOCIATION OF DISCHARGE BEFORE NOON AND LENGTH OF STAY IN PEDIATRIC PATIENTS

Background: Many hospitals set targets for discharging patients before noon in efforts to optimize patient throughput. However, discharge before noon (DCBN) has been associated with increased length of stay (LOS) in an adult population. The [...]

By | 2018-03-19T13:17:28+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on THE ASSOCIATION OF DISCHARGE BEFORE NOON AND LENGTH OF STAY IN PEDIATRIC PATIENTS

HM2018 Abstract Number: 180

ETIOLOGY AND RATES OF INFECTION IN A COHORT OF FEBRILE NEONATES

Background: The clinical evaluation of febrile neonates ≤ 60 days has been extensively debated in the age of doing less invasive testing to yield the same clinical outcomes with fewer complications. Rates of serious bacterial [...]

By | 2018-03-19T13:17:26+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on ETIOLOGY AND RATES OF INFECTION IN A COHORT OF FEBRILE NEONATES

HM2018 Abstract Number: 296

Utilizing Electronic Clinical Quality Measures (eCQMs) to perform a Venous Thromboembolism Prophylaxis Rapid Cycle Quality Improvement Initiative

Background: Despite strong performance on Venous Thromboembolism (VTE) Core Measures, our institutional approach to VTE prophylaxis placed significant burden on providers through frequent automated alerts. Within our Electronic Medical Record (EMR), provider alerts triggered when [...]

By | 2018-03-19T13:17:20+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on Utilizing Electronic Clinical Quality Measures (eCQMs) to perform a Venous Thromboembolism Prophylaxis Rapid Cycle Quality Improvement Initiative

HM2018 Abstract Number: 219

CREATION AND IMPLEMENTATION OF A CLINICAL DECISION SUPPORT TOOL TO DECREASE VOLUME OF INPATIENT STRESS TESTS AT A PUBLIC ACADEMIC HOSPITAL

Background: Patients admitted to our hospital with chest pain concerning for Acute Coronary Syndrome (ACS) have a length of stay exceeding the community average. We postulated that unnecessary stress test orders in some cases may [...]

By | 2018-03-19T13:17:14+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on CREATION AND IMPLEMENTATION OF A CLINICAL DECISION SUPPORT TOOL TO DECREASE VOLUME OF INPATIENT STRESS TESTS AT A PUBLIC ACADEMIC HOSPITAL

HM2018 Abstract Number: 272

IMPROVING MOBILIZATION OF HOSPITALIZED ELDERLY MEDICAL PATIENTS

Background: The benefits of early ambulation for patients admitted to a hospital are well recognized. Our hospital has a “Nurse Driven Progressive Mobility Protocol” which is intended to guide bedside practitioners in implementing individualized progressive [...]

By | 2018-03-19T13:16:57+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on IMPROVING MOBILIZATION OF HOSPITALIZED ELDERLY MEDICAL PATIENTS

HM2018 Abstract Number: 55

A HYPOTENSION GROUP OBSERVED STANDARDIZED CLINICAL ENCOUNTER: ESTABLISHING A CULTURE OF PATIENT SAFETY FOR NEW INTERNS

Background: Incoming interns must understand the specific culture of safety at their new institution as well as processes that they are expected to know on day 1 of residency. As part of an immersive half-day [...]

By | 2018-03-19T13:16:56+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on A HYPOTENSION GROUP OBSERVED STANDARDIZED CLINICAL ENCOUNTER: ESTABLISHING A CULTURE OF PATIENT SAFETY FOR NEW INTERNS

HM2018 Abstract Number: 56

A SIMULATED FIRST NIGHT ON CALL: ESTABLISHING COMMUNITY AND A CULTURE OF PATIENT SAFETY FOR INCOMING INTERNS

Background: The transition from medical student to intern presents a major patient safety concern. Incoming interns must understand the specific culture of safety at their new institution and processes that they are expected to perform [...]

By | 2018-03-19T13:16:51+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on A SIMULATED FIRST NIGHT ON CALL: ESTABLISHING COMMUNITY AND A CULTURE OF PATIENT SAFETY FOR INCOMING INTERNS

HM2018 Abstract Number: 114

RISK-STRATIFICATION WITH PROCALCITONIN PREDICTS LENGTH OF STAY IN HOSPITALIZED PATIENTS

Background: Procalcitonin (PCT) is a precursor peptide to calcitonin produced by the thyroid parafollicular cells, and the intestinal and lung neuroendocrine cells. PCT is a proinflammatoy marker specific to bacterial infections, and was initially used [...]

By | 2018-03-19T13:16:48+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on RISK-STRATIFICATION WITH PROCALCITONIN PREDICTS LENGTH OF STAY IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 179

DO MEDICAL STUDENTS SLEUTH? VALIDITY OF PATIENT- AND FAMILY-CENTERED ROUNDS TOOL IN RATING PRESENTER EMPOWERMENT ACTIONS OF MEDICAL STUDENTS AND INTERNS

Background: Medical students and interns are the primary communicators during pediatric patient- and family-centered rounds (PFCR). Presenter empowerment actions (PEAs) represent behaviors that empower presenters during PFCR to deliver effective, patient- and family-centered care. Third [...]

By | 2018-03-19T13:16:42+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on DO MEDICAL STUDENTS SLEUTH? VALIDITY OF PATIENT- AND FAMILY-CENTERED ROUNDS TOOL IN RATING PRESENTER EMPOWERMENT ACTIONS OF MEDICAL STUDENTS AND INTERNS

HM2018 Abstract Number: 265

ACCURACY OF A PATIENT’S PCP IN THE EMR

Background: Insufficient communication, particularly at transitions in patient care, is a common and accepted cause of negative outcomes. Handoffs between hospitalists and primary care physicians (PCPs) are infrequent, occurring in 3-20% of cases (2). Many [...]

By | 2018-03-19T13:16:38+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ACCURACY OF A PATIENT’S PCP IN THE EMR

HM2018 Abstract Number: 303

#JHMCHAT: A TWITTER-BASED JOURNAL CLUB TO IMPROVE RESEARCH DISSEMINATION AND ENGAGEMENT AMONG HOSPITALISTS

Background: Physicians are increasingly using the social media outlet, Twitter, as a medium to connect and engage. Specifically, Twitter-based journal clubs have created a space for clinicians, educators and researchers to disseminate and discuss recent [...]

By | 2018-03-19T13:16:35+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on #JHMCHAT: A TWITTER-BASED JOURNAL CLUB TO IMPROVE RESEARCH DISSEMINATION AND ENGAGEMENT AMONG HOSPITALISTS

HM2018 Abstract Number: 8

THE EFFECT OF BEDSIDE ROUNDS ON PATIENT-CENTERED OUTCOMES: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Bedside rounds (BR) have been proposed as an ideal method to promote patient-centered hospital care. However, their effect on patient-centered outcomes is unclear. Our objective was to determine whether BR, when compared to other [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Outcomes Research, Research|Comments Off on THE EFFECT OF BEDSIDE ROUNDS ON PATIENT-CENTERED OUTCOMES: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 156

OPTIMAL DOSING OF 4-FACTOR PROTHROMBIN COMPLEX CONCENTRATE FOR REVERSAL OF WARFARIN ASSOCIATED COAGULOPATHY

Background: While anticoagulants are the core treatment plan for preventing strokes in patients with atrial fibrillation and managing patients with thromboembolic disease, there is a dichotomy of efficacy and harm with their use. Rapid inpatient [...]

By | 2018-03-19T13:16:22+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on OPTIMAL DOSING OF 4-FACTOR PROTHROMBIN COMPLEX CONCENTRATE FOR REVERSAL OF WARFARIN ASSOCIATED COAGULOPATHY

HM2018 Abstract Number: 33

Collaboration is Key

Background: Hospital readmissions continue to remain prevalent despite their negative impact on patient outcomes and economic cost. One in five Medicare beneficiaries is expected to be readmitted within 30 days. As a result, strategies to [...]

By | 2018-03-19T13:16:17+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on Collaboration is Key

HM2018 Abstract Number: 234

A Retrospective Study on the Effect of Inpatient Diabetes Self-Management Support on 30-day Re-admission Rates

Background: The high prevalence of diabetes makes it a common co-morbid condition in hospitalized patients. Healthcare systems have increasingly focused on 30-day readmission rates to improve quality and reduce costs. Readmission rates for patients with [...]

By | 2018-03-19T13:15:30+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on A Retrospective Study on the Effect of Inpatient Diabetes Self-Management Support on 30-day Re-admission Rates

HM2018 Abstract Number: 182

THE USE OF NEBULIZED NORMAL SALINE FOR BRONCHIOLITIS AND ASTHMA: NOT STANDARD OF CARE

Background: Asthma and bronchiolitis are the most common respiratory ailments affecting pediatric patients worldwide. Management guidelines have been developed in an effort to standardize the treatment of these patients. Nowhere in these guidelines (both the [...]

By | 2018-03-19T13:15:22+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on THE USE OF NEBULIZED NORMAL SALINE FOR BRONCHIOLITIS AND ASTHMA: NOT STANDARD OF CARE

HM2018 Abstract Number: 218

What to Expect That You’re Not Expecting – Video Education to Improve Patient Self-Efficacy Surrounding Discharge Medication Barriers

Background: Preventable hospital readmissions are a common problem for medical centers in the United States. Recent studies have focused on what patients perceive as causes for their return to the hospital. One factor driving readmissions [...]

By | 2018-03-19T13:15:21+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on What to Expect That You’re Not Expecting – Video Education to Improve Patient Self-Efficacy Surrounding Discharge Medication Barriers

HM2018 Abstract Number: 252

DELIVERING HIGH VALUE CARE FOR DIABETIC KETOACIDOSIS (DKA) THROUGH IMPLEMENTATION OF AN EVIDENCE-BASED MULTI-DISCIPLINARY CLINICAL PATHWAY

Background: At our urban, academic hospital, use of outdated protocols and unnecessary variations in the care of DKA patients treated with ICU requiring IV insulin protocols have led to multiple safety events, delays in care [...]

By | 2018-03-19T13:15:17+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on DELIVERING HIGH VALUE CARE FOR DIABETIC KETOACIDOSIS (DKA) THROUGH IMPLEMENTATION OF AN EVIDENCE-BASED MULTI-DISCIPLINARY CLINICAL PATHWAY

HM2018 Abstract Number: 189

WHO’S COUNTING? ASSESSING THE EFFECTS OF A SIMULATION-BASED TRAINING INTERVENTION ON NEONATAL HEART RATE AUSCULTATION ACCURACY.

Background: Heart rate (HR) assessment is a vital component in the neonatal resuscitation (NR) algorithm. Research has consistently found auscultation to be an inaccurate means of assessing neonatal HR and may lead to incorrect resuscitation [...]

By | 2018-03-19T13:15:14+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on WHO’S COUNTING? ASSESSING THE EFFECTS OF A SIMULATION-BASED TRAINING INTERVENTION ON NEONATAL HEART RATE AUSCULTATION ACCURACY.

HM2018 Abstract Number: 40

DOES EARLY ENDOSCOPY IMPROVE MORTALITY IN PATIENTS WITH ACUTE NON-VARICEAL GASTROINTESTINAL BLEEDING

Background: Initial management of acute upper gastrointestinal bleeding (UGIB) aims towards aggressive fluid resuscitation to maintain hemodynamic stability. Existing evidence regarding benefit of early endoscopy is unclear with some studies suggesting mortality benefits and some [...]

By | 2018-03-19T13:15:12+00:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Research|Comments Off on DOES EARLY ENDOSCOPY IMPROVE MORTALITY IN PATIENTS WITH ACUTE NON-VARICEAL GASTROINTESTINAL BLEEDING

HM2018 Abstract Number: 103

ULTRASOUND-GUIDED BEDSIDE CORE NEEDLE BIOPSY – AN INPATIENT MEDICAL PROCEDURE TEAM’S EXPERIENCE

Background: Tissue pathology plays an integral role in the diagnosis of various conditions, especially malignancy. Traditionally biopsy procedures, including core needle biopsy (CNB), have been performed by specialists under imaging guidance. They are traditionally done [...]

By | 2018-03-19T13:15:09+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on ULTRASOUND-GUIDED BEDSIDE CORE NEEDLE BIOPSY – AN INPATIENT MEDICAL PROCEDURE TEAM’S EXPERIENCE

HM2018 Abstract Number: 350

TIME OUT FOR TYPE AND SCREEN?

Background: Hemorrhagic complications after cardiac catheterization (CC) and percutaneous coronary intervention (PCI) are associated with an increased risk of mortality. In review of a large catheterization registry, blood transfusions were required following 1.4% of radial [...]

By | 2018-03-19T13:15:07+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on TIME OUT FOR TYPE AND SCREEN?

HM2018 Abstract Number: 147

PATTERNS AND OUTCOMES OF VENOUS THROMBOEMBOLISM PROPHYLAXIS PRESCRIBING IN HOSPITALIZED OLDER ADULTS: RETROSPECTIVE COHORT STUDY

Background: Venous thromboembolism (VTE) is a major cause of morbidity and mortality in the United States. The increased risk of VTE among medically ill older adults is firmly established. Guidelines strongly promote the use of [...]

By | 2018-03-19T13:15:03+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on PATTERNS AND OUTCOMES OF VENOUS THROMBOEMBOLISM PROPHYLAXIS PRESCRIBING IN HOSPITALIZED OLDER ADULTS: RETROSPECTIVE COHORT STUDY

HM2018 Abstract Number: 157

WARFARIN QUALITY METRICS FOR HOSPITALIZED OLDER ADULTS: A RETROSPECTIVE STUDY

Background: Warfarin-associated adverse drug events are dangerous, common, and costly. Anticoagulation safety is a national priority. While multiple tools exist for warfarin management in the outpatient setting, there is a dearth of guidance with regard [...]

By | 2018-03-19T13:14:59+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on WARFARIN QUALITY METRICS FOR HOSPITALIZED OLDER ADULTS: A RETROSPECTIVE STUDY

HM2018 Abstract Number: 192

What factors predict HSV PCR CSF testing and empiric acyclovir therapy in febrile neonates?

Background: Neonatal herpes simplex virus (HSV) infections are one of the most clinically challenging infections of the newborn period because of the often subtle presentation and devastating consequences of a missed diagnosis. The availability of [...]

By | 2018-03-19T13:14:38+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on What factors predict HSV PCR CSF testing and empiric acyclovir therapy in febrile neonates?

HM2018 Abstract Number: 351

MORTALITY OF HOSPITALIZED PATIENTS WITH CELLULITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Cellulitis is a common cause of hospitalization. In the United States there are approximately 650,000 hospitalizations for cellulitis yearly, accounting for 1% of all admissions and approximately $10 billion. Most patients when hospitalized are [...]

By | 2018-03-19T13:14:36+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on MORTALITY OF HOSPITALIZED PATIENTS WITH CELLULITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 339

Revefenacin, an Investigational Long-acting Muscarinic Antagonist for Nebulization: Pooled Results of Replicate Phase 3 Trials in Patients With Moderate to Very Severe Chronic Obstructive Pulmonary Disease

Background: Currently, once-daily nebulized bronchodilator therapy is unavailable for patients with chronic obstructive pulmonary disease (COPD). Prior studies demonstrated that once-daily revefenacin (REV) doses of 88 and 175 µg produced significant bronchodilation in COPD patients. [...]

By | 2018-03-19T13:14:25+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Translating Research into Practice|Comments Off on Revefenacin, an Investigational Long-acting Muscarinic Antagonist for Nebulization: Pooled Results of Replicate Phase 3 Trials in Patients With Moderate to Very Severe Chronic Obstructive Pulmonary Disease

HM2018 Abstract Number: 94

ENGAGING PATIENT & FAMILY ADVISORY COUNCILS (PFACS) IN INPATIENT QUALITY IMPROVEMENT & RESEARCH EFFORTS: BARRIERS AND OPPORTUNITIES

Background: Patient & Family Advisory Councils (PFACs) are groups of patients, family members and caregivers who meet regularly to share their experiences of healthcare or perspectives on a specific topic. Over 50% of acute care [...]

By | 2018-03-19T13:12:42+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on ENGAGING PATIENT & FAMILY ADVISORY COUNCILS (PFACS) IN INPATIENT QUALITY IMPROVEMENT & RESEARCH EFFORTS: BARRIERS AND OPPORTUNITIES

HM2018 Abstract Number: 216

REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

Background: COPD exacerbations are among the leading causes of hospital readmissions. According to the COPD Foundation, in 2013, 22% patients admitted for COPD exacerbation required readmission within 30 days of discharge. This represents a significant [...]

By | 2018-03-19T13:12:03+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on REDUCING HOSPITAL READMISSIONS FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A QUALITY IMPROVEMENT PROJECT

HM2018 Abstract Number: 268

NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A FOR-PROFIT COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING COST OR LENGTH OF STAY

Background: Opening new residency programs in community hospitals is one strategy to address physician shortage. Previous reports showed better outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting well- established [...]

By | 2018-03-19T13:11:59+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A FOR-PROFIT COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING COST OR LENGTH OF STAY

HM2018 Abstract Number: 221

PRACTICE PATTERN OF LOWER EXTREMITY VENOUS ULTRASOUNDS IN ONE UNIVERSITY HOSPITAL

Background: The venous thromboembolism (VTE) rate in patients with current or recent hospitalization is 330/100,000 person-year vs. 8/100,000 in outpatients. Hence, hospitalists often assess risk and pursue a diagnosis of VTE in their patients. Lower [...]

By | 2018-03-19T13:11:53+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on PRACTICE PATTERN OF LOWER EXTREMITY VENOUS ULTRASOUNDS IN ONE UNIVERSITY HOSPITAL

HM2018 Abstract Number: 124

DEDICATED AMBULATOR-ASSISTED PHYSICAL ACTIVITY TO IMPROVE HOSPITAL OUTCOME MEASURES IN ELDERLY MEDICAL INPATIENTS: A RANDOMIZED CONTROLLED TRIAL

Background: Lack of mobility in the inpatient hospital setting hastens functional decline in elderly patients and is associated with increased risk of complications such as falls, delirium, venous thromboembolism (VTE), and skin breakdown. These adverse [...]

By | 2018-03-19T13:11:42+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on DEDICATED AMBULATOR-ASSISTED PHYSICAL ACTIVITY TO IMPROVE HOSPITAL OUTCOME MEASURES IN ELDERLY MEDICAL INPATIENTS: A RANDOMIZED CONTROLLED TRIAL

HM2018 Abstract Number: 166

IMPACT OF DRUG INDUCED LONG QT SYNDROME: A SYSTEMATIC REVIEW

Background: Drug induced long QT syndrome is quite common in daily clinical practice but its impact is unknown.Methods: We searched the PubMed and EMBASE databases (until May 2nd, 2017) to identify studies reporting drug induced [...]

By | 2018-03-19T13:11:35+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on IMPACT OF DRUG INDUCED LONG QT SYNDROME: A SYSTEMATIC REVIEW

HM2018 Abstract Number: 81

IMPROVEMENT IN POINT-OF-CARE ULTRASOUND IMAGE INTERPRETATION SKILLS IS SIMILAR FOR NOVICE FACULTY VS. TRAINEES AFTER BRIEF TRAINING COURSE

Background: Few studies have compared the effectiveness of brief training courses on point-of-care ultrasound (POCUS) skill acquisition of novice faculty vs. trainees. The purpose of this study was to evaluate the change in POCUS image [...]

By | 2018-03-19T13:11:34+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on IMPROVEMENT IN POINT-OF-CARE ULTRASOUND IMAGE INTERPRETATION SKILLS IS SIMILAR FOR NOVICE FACULTY VS. TRAINEES AFTER BRIEF TRAINING COURSE

HM2018 Abstract Number: 364

A FIVE YEAR REVIEW OF SKIN INFECTIONS IN HEMATOPOIETIC STEM CELL TRANSPLANT PATIENTS

Background: Patients who have undergone hematopoietic stem cell transplantation (HSCT) are at a higher risk of infection compared to their healthy counterparts. This retrospective chart review aimed to elucidate the incidence and etiology of skin [...]

By | 2018-03-19T13:11:32+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on A FIVE YEAR REVIEW OF SKIN INFECTIONS IN HEMATOPOIETIC STEM CELL TRANSPLANT PATIENTS

HM2018 Abstract Number: 24

USING A POSITIVE DEVIANCE FRAMEWORK TO INFORM PROVIDER-FAMILY COMMUNICATION ON GERIATRIC INPATIENT UNITS

Background: Family members often play a significant role in the care of geriatric patients during and after hospitalization. Both patients and families have expectations for communication with the provider team in the acute setting, but [...]

By | 2018-03-19T13:11:31+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on USING A POSITIVE DEVIANCE FRAMEWORK TO INFORM PROVIDER-FAMILY COMMUNICATION ON GERIATRIC INPATIENT UNITS

HM2018 Abstract Number: 79

SIMULATION-BASED MASTERY LEARNING IMPROVES LUMBAR PUNCTURE BUT NOT PARACENTESIS PERFORMANCE

Background: Lumbar puncture and paracentesis are core competencies in internal medicine, but residents frequently report discomfort performing these procedures unsupervised. Simulation-based training (SBT) has previously been shown to improve resident performance of lumbar punctures on [...]

By | 2018-03-19T13:11:29+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on SIMULATION-BASED MASTERY LEARNING IMPROVES LUMBAR PUNCTURE BUT NOT PARACENTESIS PERFORMANCE

HM2018 Abstract Number: 95

UTILITY OF DIAGNOSTIC BONE BIOPSIES IN THE MANAGEMENT OF OSTEOMYELITIS THROUGH RETROSPECTIVE ANALYSIS: HOW GOLDEN IS THE GOLD STANDARD?

Background: Bone biopsy is considered the gold standard for diagnosis and treatment of osteomyelitis (OM), but few studies have investigated the extent to which it influences antimicrobial therapy in non-vertebral bones. The purpose of this [...]

By | 2018-03-19T13:11:15+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on UTILITY OF DIAGNOSTIC BONE BIOPSIES IN THE MANAGEMENT OF OSTEOMYELITIS THROUGH RETROSPECTIVE ANALYSIS: HOW GOLDEN IS THE GOLD STANDARD?

HM2018 Abstract Number: 53

Hospital Medicine Attending Evaluations when Teaching in a Direct with Student Structure as Compared to a Traditional Ward Team Structure

Background: Attending evaluations by medical students have many implications including promotion, teaching opportunities, job satisfaction and reputation both for individuals and for groups. In addition to teaching on traditional ward teams with housestaff and students, [...]

By | 2018-03-19T13:11:02+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on Hospital Medicine Attending Evaluations when Teaching in a Direct with Student Structure as Compared to a Traditional Ward Team Structure

HM2018 Abstract Number: 46

LENGTH OF SURVIVAL AFTER VENTILATOR WITHDRAWAL IN AN URBAN MINORITY COMMUNITY HOSPITAL

Background: Vent withdrawal (VW) is a procedure offered when an intubated patient fails to demonstrate meaningful recovery, the patient is not likely to survive given the extent or burden of underlying medical conditions, or patient's [...]

By | 2018-03-19T13:10:46+00:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Research|Comments Off on LENGTH OF SURVIVAL AFTER VENTILATOR WITHDRAWAL IN AN URBAN MINORITY COMMUNITY HOSPITAL

HM2018 Abstract Number: 281

HEALTH CARE PROXY OR ADVANCED DIRECTIVES IMPACT ON LENGTH OF TIME FROM INITIAL PALLIATIVE CONSULT TO CAREGIVER DECISION TO PROCEED WITH VENTILATOR WITHDRAWAL OF INTUBATED PATIENTS IN AN URBAN MINORITY COMMUNITY HOSPITAL

Background: Health care proxies (HCP), decision-making surrogates and involved family members often struggle with indecision when offered the option of went withdrawal (VW) for a patient who is intubated. A VW is a procedure offered [...]

By | 2018-03-19T13:10:41+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on HEALTH CARE PROXY OR ADVANCED DIRECTIVES IMPACT ON LENGTH OF TIME FROM INITIAL PALLIATIVE CONSULT TO CAREGIVER DECISION TO PROCEED WITH VENTILATOR WITHDRAWAL OF INTUBATED PATIENTS IN AN URBAN MINORITY COMMUNITY HOSPITAL

HM2018 Abstract Number: 129

EFFECT OF ASPIRIN USE ON THE EFFICACY AND SAFETY OF THE DIRECT ORAL ANTICOAGULANTS IN PATIENTS WITH NON-VALVULAR ATRIAL FIBRILLATION: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Over 6 million people in the US have a diagnosis of atrial fibrillation. Given the increased risk for stroke and systemic embolism, many patients are treated with direct oral anticoagulants (DOACs) to reduce their [...]

By | 2018-03-19T13:10:27+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on EFFECT OF ASPIRIN USE ON THE EFFICACY AND SAFETY OF THE DIRECT ORAL ANTICOAGULANTS IN PATIENTS WITH NON-VALVULAR ATRIAL FIBRILLATION: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 115

5 YEAR MORTALITY AND CATEGORIZATION OF FREQUENTLY HOSPITALIZED PATIENTS

Background: Patients who are frequently admitted to Medicine inpatient services comprise a distinct subset of readmitted patients about whom not much is known. A prior study collected data on characteristics of 153 frequently hospitalized patients. [...]

By | 2018-03-19T13:10:26+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on 5 YEAR MORTALITY AND CATEGORIZATION OF FREQUENTLY HOSPITALIZED PATIENTS

HM2018 Abstract Number: 246

INCREASING ADOPTION OF AIDET: A STUDENT LED QUALITY IMPROVEMENT RESEARCH PROJECT

Background: Many hospitalized patients do not understand their treatment and care plans [1] and research shows that better physician communication skills improve patient outcomes [2]. Since these communication skills are teachable, many institutions implement a [...]

By | 2018-03-19T13:10:18+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on INCREASING ADOPTION OF AIDET: A STUDENT LED QUALITY IMPROVEMENT RESEARCH PROJECT

HM2018 Abstract Number: 144

ECONOMIC BENEFIT FOR ACUTE-CARE HOSPITALS THROUGH USING BETRIXABAN FOR EXTENDED-DURATION VTE PROPHYLAXIS OVER 35-42 DAYS

Background: Venous thromboembolism (VTE) in hospitalized medically ill patients is a leading preventable cause of morbidity and mortality in the United States. About half of VTE events occur following discontinuation of standard-duration in-hospital prophylaxis and [...]

By | 2018-03-19T13:10:12+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on ECONOMIC BENEFIT FOR ACUTE-CARE HOSPITALS THROUGH USING BETRIXABAN FOR EXTENDED-DURATION VTE PROPHYLAXIS OVER 35-42 DAYS

HM2018 Abstract Number: 357

MARKED WHOLESALE PRICE VARIATIONS IN DISCHARGE PRESCRIPTION MEDICATIONS; THE NEED TO BE A SMART SHOPPER

Background: Prescription medications are a major driver of the cost of health care. High prescription prices have been associated with medication non-adherence, leading to frequent hospitalizations, readmission and uncontrolled multi-morbidities. At discharge, effort should be [...]

By | 2018-03-19T13:10:11+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on MARKED WHOLESALE PRICE VARIATIONS IN DISCHARGE PRESCRIPTION MEDICATIONS; THE NEED TO BE A SMART SHOPPER

HM2018 Abstract Number: 142

TREATMENT OF ACUTE DECOMPENSATED HEART FAILURE AND COMORBID ACUTE KIDNEY INJURY: HOW REDUCTIONS IN PERCENT BODY WEIGHT CORRELATE WITH EARLY HOSPITAL READMISSION

Background: The treatment of acute decompensated heart failure (ADHF) and comorbid acute kidney injury (AKI) can be quite challenging. Many times the etiology of AKI in this setting is multifactorial and may involve cardiorenal syndrome [...]

By | 2018-03-19T13:10:01+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on TREATMENT OF ACUTE DECOMPENSATED HEART FAILURE AND COMORBID ACUTE KIDNEY INJURY: HOW REDUCTIONS IN PERCENT BODY WEIGHT CORRELATE WITH EARLY HOSPITAL READMISSION

HM2018 Abstract Number: 127

Hospitalist Service Ordering Behavior by Reason for Care

Background: The hospitalist role is gaining increasing presence for inpatient care, with the opportunity to care for a variety of higher acuity patient across a breadth of specialties in the hospital setting. Further examination into [...]

By | 2018-03-19T13:09:45+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Hospitalist Service Ordering Behavior by Reason for Care

HM2018 Abstract Number: 212

MULTIDISCIPLINARY EVALUATION OF THE EFFECTIVENESS OF PEDIATRIC FAMILY CENTERED ROUNDS

Background: Family centered rounds (FCR) are used in pediatric hospital settings as a multidisciplinary method to communicate with families and involve them in medical decisions. This study is intended to evaluate how medical providers and [...]

By | 2018-03-19T13:09:41+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on MULTIDISCIPLINARY EVALUATION OF THE EFFECTIVENESS OF PEDIATRIC FAMILY CENTERED ROUNDS

HM2018 Abstract Number: 145

EXTENDED-DURATION VTE PROPHYLAXIS WITH BETRIXABAN SAVES COST COMPARED TO STANDARD-DURATION ENOXAPARIN ACROSS INPATIENT AND OUTPATIENT SETTINGS

Background: Venous thromboembolism (VTE) in hospitalized medically ill patients is a leading preventable cause of morbidity and mortality in the United States. About half of VTE events occur following discontinuation of standard-duration in-hospital prophylaxis and [...]

By | 2018-03-19T13:09:33+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on EXTENDED-DURATION VTE PROPHYLAXIS WITH BETRIXABAN SAVES COST COMPARED TO STANDARD-DURATION ENOXAPARIN ACROSS INPATIENT AND OUTPATIENT SETTINGS

HM2018 Abstract Number: 43

PULMONARY NOCARDIOSIS IN A PUBLIC HOSPITAL: 10 YEARS EXPERIENCE

Background: Nocardiosis is a rare but potentially severe infection that can affect the immunocompromised as well as the immunocompetent population. It presents as a localized or disseminated infection, most commonly introduced through the respiratory trac. [...]

By | 2018-03-19T13:09:21+00:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Research|Comments Off on PULMONARY NOCARDIOSIS IN A PUBLIC HOSPITAL: 10 YEARS EXPERIENCE

HM2018 Abstract Number: 241

DELTA: Changing the Way to Accurately and Promptly Identify Patient Deterioration

Background: Failure to promptly recognize and intervene upon patient deterioration leads to morbidity and mortality. Numerous “early warning scores” (EWS) intend to identify such patients but their performances lack adequate sensitivity and specificity. “DELTA” was [...]

By | 2018-03-19T13:09:13+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on DELTA: Changing the Way to Accurately and Promptly Identify Patient Deterioration

HM2018 Abstract Number: 289

LACK OF TRAINING DRIVES GAPS BETWEEN DESIRED USE, CURRENT USE, AND PERCEIVED COMPETENCE IN POINT-OF-CARE ULTRASOUND IN HOSPITAL MEDICINE

Background: Point-of-care ultrasound (POCUS) is increasingly recognized as an important adjunctive diagnostic tool in hospital medicine (HM). The incorporation of POCUS into clinical decision-making has been shown to increase the speed and accuracy of initial [...]

By | 2018-03-19T13:09:09+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on LACK OF TRAINING DRIVES GAPS BETWEEN DESIRED USE, CURRENT USE, AND PERCEIVED COMPETENCE IN POINT-OF-CARE ULTRASOUND IN HOSPITAL MEDICINE

HM2018 Abstract Number: 345

Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Patterns of Use

Background: Serum magnesium is a commonly checked laboratory assay during hospital admissions. However, there is little evidence demonstrating benefit from ordering and repleting magnesium for most inpatients – including critically-ill patients. Methods: Laboratory and magnesium [...]

By | 2018-03-19T13:08:31+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Patterns of Use

HM2018 Abstract Number: 72

SURVEY ON KNOWLEDGE GAPS IN GOUT MANAGEMENT

Background: The prevalence of gout has risen in recent decades despite advancements in therapeutic options due to several reasons, including lack of adherence to treatment guidelines by physicians and patients’ poor perception and adherence to [...]

By | 2018-03-19T13:08:17+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on SURVEY ON KNOWLEDGE GAPS IN GOUT MANAGEMENT

HM2018 Abstract Number: 324

THE IMPACT OF HEALTH LITERACY ON 30-DAY READMISSIONS AT A TERTIARY CARE ACADEMIC MEDICAL CENTER

Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions.1 Previous studies note positive correlation between high HL and [...]

By | 2018-03-19T13:08:09+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on THE IMPACT OF HEALTH LITERACY ON 30-DAY READMISSIONS AT A TERTIARY CARE ACADEMIC MEDICAL CENTER

HM2018 Abstract Number: 346

Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Provider Attitudes

Background: Serum magnesium is a commonly checked laboratory assay. Unfortunately, there is little evidence demonstrating benefit from checking and repleting magnesium for the majority of inpatients – including those who are critically ill. Methods: An [...]

By | 2018-03-19T13:08:01+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on Laboratory Analysis and Repletion of Plasma Magnesium at Two Major Academic Medical Centers: Provider Attitudes

HM2018 Abstract Number: 206

BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

Background: The prevalence of delirium among hospitalized patients ranges up to 56% and results in increased hospital mortality and duration of hospitalization. Symptoms of delirium may be subtle in early stages and may present clinically [...]

By | 2018-03-19T13:07:12+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

HM2018 Abstract Number: 159

Effectiveness of rapid response system to identify critically ill patients in an outpatient setting.

Background: Rapid response system (RRS) was developed in recent decades for the timely identification and treatment of clinically deteriorating patients. Appropriate use of RRS will decrease the incidence of cardiac arrest and mortality. Although efficacy [...]

By | 2018-03-19T13:07:04+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on Effectiveness of rapid response system to identify critically ill patients in an outpatient setting.

HM2018 Abstract Number: 107

ACCURACY OF THE SURPRISE QUESTION ON AN INPATIENT MEDICAL ONCOLOGY SERVICE

Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Disagreements among providers about prognosis occur and is a less studied phenomenon. We asked the Surprise Question (SQ), [...]

By | 2018-03-19T13:06:52+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on ACCURACY OF THE SURPRISE QUESTION ON AN INPATIENT MEDICAL ONCOLOGY SERVICE

HM2018 Abstract Number: 160

I’VE GOT MY EYES ON YOU!

Background: According to CDC estimates, Hospital-Acquired Infections (HAI) account for an estimated 1.7 million infections and 99,000 deaths each year. Studies have shown that using alcohol-based or chlorhexidine-based hand hygiene (HH) is associated with decreased [...]

By | 2018-03-19T13:06:48+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on I’VE GOT MY EYES ON YOU!

HM2018 Abstract Number: 21

IMPACT OF PHYSICIAN LED INTERDISCIPLINARY ROUNDS ON PHYSICIAN-NURSE-PATIENT CONCORDANCE OF PLAN OF CARE

Background: Communication between patients, nurses and physicians is vital to patient care. Prior studies have shown that a substantial number of hospitalized patients do not understand their care plan and that physician-nurse co-location or time [...]

By | 2018-03-19T13:06:44+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on IMPACT OF PHYSICIAN LED INTERDISCIPLINARY ROUNDS ON PHYSICIAN-NURSE-PATIENT CONCORDANCE OF PLAN OF CARE

HM2018 Abstract Number: 361

TEMPORAL TREND OF HOSPITALIZATION AND MORTALITY ASSOCIATED WITH LIFE-THREATENING COMPLICATION OF CIRRHOSIS

Background: The number of hospitalizations related to a primary diagnosis of cirrhosis has been declining since the mid-2000’s. However, the temporal trend of number of hospitalizations and inpatient mortality associated with secondary conditions of cirrhosis [...]

By | 2018-03-19T13:06:42+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on TEMPORAL TREND OF HOSPITALIZATION AND MORTALITY ASSOCIATED WITH LIFE-THREATENING COMPLICATION OF CIRRHOSIS

HM2018 Abstract Number: 146

The Effect Of Modified Early Warning System (MEWS) On Rapid Response Team Call Outcome

Background: Modified Early Warning System(MEWS) is a scoring system based on vitals sign and clinical observation which has been implemented in 2007 as a useful tool to timely recognition and early intervention. The effectiveness of [...]

By | 2018-03-19T13:06:38+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on The Effect Of Modified Early Warning System (MEWS) On Rapid Response Team Call Outcome

HM2018 Abstract Number: 83

In hospital outcome of elderly patients admitted with fall who have been anticoagulated, warfarin versus NOACs?

Background: Aging is associated with increased prevalence of atrial fibrillation and thrombophlebitis. Anticoagulation has been shown to be effective in preventing thromboembolic events in AF patients and treatment of thrombophlebitis. Non-vitamin k antagonist oral anticoagulants [...]

By | 2018-03-19T13:06:36+00:00 March 19th, 2018|Geriatrics, Hospital Medicine 2018, Research|Comments Off on In hospital outcome of elderly patients admitted with fall who have been anticoagulated, warfarin versus NOACs?

HM2018 Abstract Number: 123

Native Joint Septic Arthritis: Comparison of Outcomes with Surgical and Medical Management

Background: Septic arthritis (SA) of native joints has an incidence rate of 4-12 per 100,000 person-years. In 2012, there were 36, 539 hospitalizations for SA in US non-VA hospitals and costed the US healthcare system [...]

By | 2018-03-19T13:06:32+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Native Joint Septic Arthritis: Comparison of Outcomes with Surgical and Medical Management

HM2018 Abstract Number: 264

‘WHAT’S IN A NAME?’ A HOSPITALIST BY ANY OTHER NAME DOESN’T SMELL AS SWEET

Background: Patients are frequently unable to identify their primary hospitalist in the complex hospital environment. Patients may have multiple primary inpatient physicians due to handoffs, may be seen by multiple specialists, and may see housestaff [...]

By | 2018-03-19T13:06:28+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ‘WHAT’S IN A NAME?’ A HOSPITALIST BY ANY OTHER NAME DOESN’T SMELL AS SWEET

HM2018 Abstract Number: 302

HOSPITAL EMR DEPLOYMENT AND PATIENT EXPERIENCE WITH PHYSICIAN AND NURSE COMMUNCATION

Background: Deployment of Electronic Medical Records (EMR) consumes significant enterprise-wide resources. Hospitals may be reluctant to introduce further changes during the same year, including patient experience improvement initiatives. Deployment efforts may stretch clinical leaders who [...]

By | 2018-03-19T13:06:26+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on HOSPITAL EMR DEPLOYMENT AND PATIENT EXPERIENCE WITH PHYSICIAN AND NURSE COMMUNCATION

HM2018 Abstract Number: 150

ASSOCIATION OF RETINAL VEIN OCCLUSION WITH CARDIOVASCULAR EVENTS AND MORTALITY: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Retinal vein occlusion (RVO) has been associated with incident cardiovascular events and mortality in observational studies, but the results have not been consistent. In this systematic review and meta-analysis, we investigate the association of [...]

By | 2018-03-19T13:05:48+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on ASSOCIATION OF RETINAL VEIN OCCLUSION WITH CARDIOVASCULAR EVENTS AND MORTALITY: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 261

MEASURING TELEMETRY OVERUSE AND TARGETING APPROPRIATE UTILIZATION: QUALITY IMPROVEMENT IN A COMMUNITY HOSPITAL

Background: Telemetry is an often overused and expensive medical monitoring device designed to measure cardiac disease, arrhythmias or suspected heart abnormalities. In an effort to describe appropriate electrocardiographic monitoring in the hospital setting, the American [...]

By | 2018-03-19T13:05:44+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on MEASURING TELEMETRY OVERUSE AND TARGETING APPROPRIATE UTILIZATION: QUALITY IMPROVEMENT IN A COMMUNITY HOSPITAL

HM2018 Abstract Number: 263

PALLIATIVE CARE SCREENING TOOL IDENTIFIES HOSPITALIZED PATIENTS AT INCREASED RISK OF MORTALITY

Background: Palliative care (PC) has been shown to be cost-effective and improve the quality of life for patients facing incurable and life-threatening illness. However, identifying patients benefiting from PC consultation remains a challenge in the [...]

By | 2018-03-19T13:05:32+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on PALLIATIVE CARE SCREENING TOOL IDENTIFIES HOSPITALIZED PATIENTS AT INCREASED RISK OF MORTALITY

HM2018 Abstract Number: 30

GOALS OF CARE INFORMATION RARELY DOCUMENTED FOR CRITICALLY ILL PATIENTS, EVEN AFTER A BRIEF EDUCATIONAL INTERVENTION

Background: Internal medicine residents face multiple barriers to participating in and documenting goals of care (GOC) meetings in the intensive care unit (ICU). Barriers include heavy workloads, need for urgent stabilization of critically ill patients, [...]

By | 2018-03-19T13:05:30+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on GOALS OF CARE INFORMATION RARELY DOCUMENTED FOR CRITICALLY ILL PATIENTS, EVEN AFTER A BRIEF EDUCATIONAL INTERVENTION

HM2018 Abstract Number: 62

National Survey of Leaders of Academic Hospitalist Medicine Programs

Background: Hospital medicine is a growing field, including the subset of academic hospital medicine. Little is known about the characteristics of academic hospitalist programs, leadership, structure and faculty.Methods: A multifaceted survey was developed, piloted and [...]

By | 2018-03-19T13:05:18+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on National Survey of Leaders of Academic Hospitalist Medicine Programs

HM2018 Abstract Number: 86

Is objective mobility data associated with pharmacologic venous thromboembolism (VTE) prophylaxis use among hospitalized older adults?

Background: Clinical practice guidelines state that mobility is supposed to play an important role in determining use and duration of pharmacologic VTE prophylaxis. This study examines whether measured mobility levels relate to pharmacologic VTE prophylaxis [...]

By | 2018-03-19T13:05:14+00:00 March 19th, 2018|Geriatrics, Hospital Medicine 2018, Research|Comments Off on Is objective mobility data associated with pharmacologic venous thromboembolism (VTE) prophylaxis use among hospitalized older adults?

HM2018 Abstract Number: 96

FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

Background: Sepsis, which is life-threatening organ dysfunction occurring in response to systemic infection, is a frequently fatal syndrome for which early recognition and treatment are paramount. While there are some reports that female and black [...]

By | 2018-03-19T13:05:12+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

HM2018 Abstract Number: 171

BIGGER IS NOT ALWAYS BETTER WHEN OBTAINING VENOUS ACCESS IN HOSPITALIZED PATIENTS

Background: Venous access is commonly required in hospitalized patients for the administration of intravenous fluids and medications and blood products. Peripherally inserted central catheters (PICCs) and central venous catheters (CVCs) are required for the administration [...]

By | 2018-03-19T13:05:08+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on BIGGER IS NOT ALWAYS BETTER WHEN OBTAINING VENOUS ACCESS IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 344

COSTS RELATED TO POTENTIAL OVERUSE OF RESPIRATORY VIRAL PANEL PCRS IN GENERAL MEDICINE PATIENTS

Background: Viral respiratory illnesses are common and treatment in most cases is largely supportive. Although extended testing, using PCR to identify specific viruses, is available, targeted treatments are limited to the influenza viruses. Hence, respiratory [...]

By | 2018-03-19T13:05:02+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on COSTS RELATED TO POTENTIAL OVERUSE OF RESPIRATORY VIRAL PANEL PCRS IN GENERAL MEDICINE PATIENTS

HM2018 Abstract Number: 185

BURDEN OF INPATIENT CARE FOR PEDIATRIC PATIENTS WITH CONSTIPATION

Background: Constipation is a common pediatric complaint and cause of abdominal pain in the pediatric age group. Management for constipation is generally completed in the outpatient setting, but many patients may require inpatient management after [...]

By | 2018-03-19T13:04:54+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on BURDEN OF INPATIENT CARE FOR PEDIATRIC PATIENTS WITH CONSTIPATION

HM2018 Abstract Number: 177

EFFECT OF TEACHING TEAM STRUCTURE ON RATES OF NURSING AND FAMILY ATTENDANCE DURING FAMILY CENTERED ROUNDS

Background: Family centered rounds (FCR) was first defined by Sisterhen in 2007 as “interdisciplinary work rounds at the bedside in which patient and family share in the control of the management plan as well as [...]

By | 2018-03-19T13:04:52+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on EFFECT OF TEACHING TEAM STRUCTURE ON RATES OF NURSING AND FAMILY ATTENDANCE DURING FAMILY CENTERED ROUNDS

HM2018 Abstract Number: 152

A MACHINE-LEARNING PREDICTION MODEL FOR COST-RELATED MEDICATION NON-ADHERENCE AMONG MEDICARE PATIENTS AT INCREASED RISK OF HOSPITALIZATION

Background: Cost-related medication non-adherence (CRN) is a persistent and serious challenge among the elderly population in the US. For elderly patients with limited economic means at increased risk of hospitalization, CRN may elevate the risk [...]

By | 2018-03-19T13:04:48+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on A MACHINE-LEARNING PREDICTION MODEL FOR COST-RELATED MEDICATION NON-ADHERENCE AMONG MEDICARE PATIENTS AT INCREASED RISK OF HOSPITALIZATION

HM2018 Abstract Number: 93

UNDERSTANDING DIAGNOSTIC REASONING USING A CASE-BASED APPROACH

Background: While understanding the cognitive contributions to diagnosis has become important, few studies have aimed to understand physician diagnostic reasoning in real-time. Using a case-based approach, we sought to: (a) characterize differences in diagnostic reasoning [...]

By | 2018-03-19T13:04:28+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on UNDERSTANDING DIAGNOSTIC REASONING USING A CASE-BASED APPROACH

HM2018 Abstract Number: 233

THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION

Background: Elevated blood pressure (BP) is common among hospitalized patients, with prevalence estimates between 50-70%. Many factors may contribute to this, such as pain, nausea, anxiety, or volume overload. However, true hypertensive emergency requiring rapid [...]

By | 2018-03-19T13:04:26+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on THE PREVALENCE OF TREATING ASYMPTOMATIC ELEVATED BLOOD PRESSURE WITH INTRAVENOUS ANTIHYPERTENSIVES ON THE GENERAL MEDICINE WARDS: A POTENTIAL TARGET FOR A QUALITY IMPROVEMENT INTERVENTION

HM2018 Abstract Number: 16

Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

Background: Skin and soft tissue infection (SSTI) is a common pediatric diagnosis with substantial economic cost. SSTIs vary in severity and clinical presentation. Providers often fear missing serious systemic infection, causing potential overtesting. However, recent [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Changing the Culture Around Cultures (and more): Choosing Wisely for Uncomplicated Cellulitis and Abscess in the Hospital

HM2018 Abstract Number: 195

HOW ARE HOSPITALIST RUN PREOPERATIVE CLINICS UTILIZED?

Background: Each year 45 million procedures are performed in the United States. For elective procedures, the preoperative evaluation is an opportunity to identify and manage risk factors that may contribute to post -operative morbidity and [...]

By | 2018-03-19T13:03:32+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on HOW ARE HOSPITALIST RUN PREOPERATIVE CLINICS UTILIZED?

HM2018 Abstract Number: 198

SURGICAL CO-MANAGEMENT BY HOSPITALISTS IN COLORECTAL SURGERY

Background: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon, and may contribute to higher mortality. We implemented a unique surgical co-management (SCM) model in July 2014 at [...]

By | 2018-03-19T13:03:30+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on SURGICAL CO-MANAGEMENT BY HOSPITALISTS IN COLORECTAL SURGERY

HM2018 Abstract Number: 37

The Impact of Multidisciplinary Team Based Patient Care in a Geographically Positioned Hospital Medicine Unit at a Large Academic Medical Center

Background: Multidisciplinary team-based care is a novel concept in hospital medicine where, healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies have shown that team-based care is associated with [...]

By | 2018-03-19T13:03:24+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on The Impact of Multidisciplinary Team Based Patient Care in a Geographically Positioned Hospital Medicine Unit at a Large Academic Medical Center

HM2018 Abstract Number: 352

DESCRIBING VARIABILITY OF INPATIENT CONSULTATION PRACTICES ON GENERAL MEDICINE SERVICES: PATIENT, ADMISSION, AND PHYSICIAN-LEVEL FACTORS

Background: Appropriate use of consultation can improve mortality and decrease cost of care. However, inappropriate consultation may carry risks to patients. Little is known about the variability of inpatient consultation. We aim to describe patient-, [...]

By | 2018-03-19T13:03:19+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DESCRIBING VARIABILITY OF INPATIENT CONSULTATION PRACTICES ON GENERAL MEDICINE SERVICES: PATIENT, ADMISSION, AND PHYSICIAN-LEVEL FACTORS

HM2018 Abstract Number: 26

“WHATEVER IS IMPORTANT TO YOU, THAT IS WHAT MOTIVATES YOU:” A QUALITATIVE STUDY EXPLORING IN-PATIENT PERSPECTIVES ABOUT MOBILITY

Background: Research suggests that ambulation in hospital settings can help prevent functional decline in patients. Early ambulation also contributes to better patient outcomes and decreased length of stay. The purpose of this study is to [...]

By | 2018-03-19T13:03:14+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on “WHATEVER IS IMPORTANT TO YOU, THAT IS WHAT MOTIVATES YOU:” A QUALITATIVE STUDY EXPLORING IN-PATIENT PERSPECTIVES ABOUT MOBILITY

HM2018 Abstract Number: 197

DETERMINANTS OF COST VARIATION FOR TOTAL HIP AND KNEE ARTHROPLASTY

Background: Alternative payment models have been proposed for lower extremity joint replacement surgeries to deliver well-coordinated and high quality care. It is speculated that while these payment models may lead to more cost effective care, [...]

By | 2018-03-19T13:03:10+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on DETERMINANTS OF COST VARIATION FOR TOTAL HIP AND KNEE ARTHROPLASTY

HM2018 Abstract Number: 341

COLONIZATION WITH NON-TOXIGENIC STRAIN OF CLOSTRIDIUM DIFFICILE DECREASES RISK OF SUBSEQUENT DIARRHEA-A META ANALYSIS

Background: Clostridium difficile infections (CDI) is a notorious nosocomial threat to health and a leading cause of infectious diarrhea. It is associated with billions of dollars of US health care costs annually due to long [...]

By | 2018-03-19T13:02:56+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Translating Research into Practice|Comments Off on COLONIZATION WITH NON-TOXIGENIC STRAIN OF CLOSTRIDIUM DIFFICILE DECREASES RISK OF SUBSEQUENT DIARRHEA-A META ANALYSIS

HM2018 Abstract Number: 105

GEOGRAPHICALLY LOCALIZED MEDICINE HOUSE-STAFF TEAMS AND PATIENT EXPERIENCE

Background: In most hospitals, physicians provide care to patients across multiple units while nurses are often unit-based, resulting in team dispersion, and potentially impairing teamwork. Geographically localized care teams may demonstrate improved communication between team [...]

By | 2018-03-19T13:02:46+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on GEOGRAPHICALLY LOCALIZED MEDICINE HOUSE-STAFF TEAMS AND PATIENT EXPERIENCE

HM2018 Abstract Number: 315

HEALTH OPTIMIZATION PROGRAM FOR ELDERS (HOPE) – IMPROVING TRANSITIONS FROM HOSPITAL TO SKILLED NURSING FACILITY

Background: Many patients are discharged from the hospital to post-acute rehab in a skilled nursing facility (SNF). These care transitions can be error-prone, hampered by inadequate patient preparation for rehabilitation and insufficient communication between care [...]

By | 2018-03-19T13:02:30+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on HEALTH OPTIMIZATION PROGRAM FOR ELDERS (HOPE) – IMPROVING TRANSITIONS FROM HOSPITAL TO SKILLED NURSING FACILITY

HM2018 Abstract Number: 122

‘SOMETIMES THEY ARE JUST SCARED:’ A QUALITATIVE STUDY EXPLORING NURSE PERSPECTIVES ABOUT MOBILITY IN HOSPITALIZED PATIENTS

Background: Few studies have demonstrated effective hospital mobility programs, despite the overwhelming evidence that hospital mobility leads to better patient outcomes. The objective of this study was to explore factors that contribute to whether or [...]

By | 2018-03-19T13:02:26+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on ‘SOMETIMES THEY ARE JUST SCARED:’ A QUALITATIVE STUDY EXPLORING NURSE PERSPECTIVES ABOUT MOBILITY IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 106

PATIENT ISOLATION FOR INFECTION CONTROL AND PATIENT EXPERIENCE

Background: Hospitalized patients placed on contact, droplet, or respiratory isolation due to a carrier state or infection with resistant or highly communicable organisms report higher rates of anxiety and loneliness and have fewer physician encounters, [...]

By | 2018-03-19T13:02:24+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on PATIENT ISOLATION FOR INFECTION CONTROL AND PATIENT EXPERIENCE

HM2018 Abstract Number: 287

ENGAGEMENT WITH A NOVEL PATIENT-FACING MOBILE HEALTH APPLICATION AMONG PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

Background: Mobile health applications have the potential to support patients via improved engagement and self-management. While the use of this technology has been developed for patients with chronic diseases, there is limited evidence to guide [...]

By | 2018-03-19T13:02:14+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on ENGAGEMENT WITH A NOVEL PATIENT-FACING MOBILE HEALTH APPLICATION AMONG PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

HM2018 Abstract Number: 300

CARDIAC RISK SCORING USING THE DERIVED ELECTROCARDIOGRAM AND CARDIAC ELECTRICAL BIOMARKER

Background: HEART and TIMI risk scores that include 12-lead electrocardiogram (ECG) changes and troponin I (cTnI) have been used to stratify patients presenting with chest pain that may indicate the presence of an acute coronary [...]

By | 2018-03-19T13:02:06+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on CARDIAC RISK SCORING USING THE DERIVED ELECTROCARDIOGRAM AND CARDIAC ELECTRICAL BIOMARKER

HM2018 Abstract Number: 19

PREDICTORS OF OUTCOMES AMONG PATIENTS UNDERGOING INTER-HOSPITAL TRANSFER (IHT)

Background: Inter-hospital transfer (IHT, the transfer of patients between hospitals) exposes patients to risks of discontinuity of care. To identify aspects of the transfer process that increase risk, we examined the impact of select transfer [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Research, Transitions of Care|Comments Off on PREDICTORS OF OUTCOMES AMONG PATIENTS UNDERGOING INTER-HOSPITAL TRANSFER (IHT)

HM2018 Abstract Number: 256

The Resident is in Charge! A Novel Approach to Improve Early Hospital Discharge Rates

Background: Late discharges are associated with hospital overcrowding, delayed inter-unit patient transfers, lower patient satisfaction scores and longer length of stay. At our hospital, there has been a consistent discordance between the teaching and non-teaching [...]

By | 2018-03-19T13:01:56+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on The Resident is in Charge! A Novel Approach to Improve Early Hospital Discharge Rates

HM2018 Abstract Number: 348

EFFECTS OF ELECTRONIC TELEMETRY ORDER CHANGES ON TELEMETRY USAGE AT AN ACADEMIC MEDICAL CENTER

Background: Cardiac telemetry monitoring in hospitalized patients is an often overused resource. In a chart review at our institution, 30% of inpatient days on general medicine services involved telemetry use outside of American Heart Association [...]

By | 2018-03-19T13:01:50+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on EFFECTS OF ELECTRONIC TELEMETRY ORDER CHANGES ON TELEMETRY USAGE AT AN ACADEMIC MEDICAL CENTER

HM2018 Abstract Number: 64

PRICE IS (NOT) RIGHT): A SALARY SUPPORT SURVEY OF INTERNAL MEDICINE CLERKSHIP DIRECTORS

Background: The role of the clerkship director (CD) in Internal Medicine (IM) has been increasingly recognized and valued as a ‘legitimate pathway towards academic advancement. We hypothesized that salary support for the IM CD has [...]

By | 2018-03-19T13:00:18+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on PRICE IS (NOT) RIGHT): A SALARY SUPPORT SURVEY OF INTERNAL MEDICINE CLERKSHIP DIRECTORS

HM2018 Abstract Number: 132

Inpatient breast cancer screening for non-adherent and high risk hospitalized women: An inpatient feasibility trial

Background: Breast cancer is the most common malignancy and the second leading cause of cancer death among women in the United States. Disparities in screening mammography use persists among low income women, even those who [...]

By | 2018-03-19T12:59:56+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Inpatient breast cancer screening for non-adherent and high risk hospitalized women: An inpatient feasibility trial

HM2018 Abstract Number: 290

HOSPITALISTS AND THE ELECTRONIC MEDICAL RECORD

Background: Hospitalists spend a significant part of their workday interacting with the electronic medical record (EMR). Less is known regarding the details of the tasks that are performed during this interaction. In considering aspects of [...]

By | 2018-03-19T12:59:48+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on HOSPITALISTS AND THE ELECTRONIC MEDICAL RECORD

HM2018 Abstract Number: 202

Perioperative risk of hip fracture surgery among elderly patients 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 | 2018-03-19T12:59:42+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on Perioperative risk of hip fracture surgery among elderly patients with severe aortic stenosis

HM2018 Abstract Number: 151

HYPERLIPIDEMIA PARADOX: HYPERLIPIDEMIA LOWERS THE RISK OF DEATH AND ATTENUATES THE MORTALITY RISK OF OTHER COMORBID CONDITIONS AFTER HOSPITALIZATION FOR ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, AND PNEUMONIA

Background: Hyperlipidemia is a recognized risk factor for incident acute myocardial infarction (AMI) and acute decompensated heart failure (ADHF), and no such documented association with pneumonia. However, the influence of hyperlipidemia on long-term mortality after [...]

By | 2018-03-19T12:59:38+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on HYPERLIPIDEMIA PARADOX: HYPERLIPIDEMIA LOWERS THE RISK OF DEATH AND ATTENUATES THE MORTALITY RISK OF OTHER COMORBID CONDITIONS AFTER HOSPITALIZATION FOR ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, AND PNEUMONIA

HM2018 Abstract Number: 119

CHARACTERISTICS OF SYNCOPE ADMISSIONS AMONG HOSPITALS OF VARYING TEACHING INTENSITY

Background: Previous work suggests that hospitals’ teaching status is correlated with readmission rates, cost of care, and mortality. This research has focused on conditions closely tracked by the Centers for Medicare and Medicaid Services (CMS). [...]

By | 2018-03-19T12:59:35+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on CHARACTERISTICS OF SYNCOPE ADMISSIONS AMONG HOSPITALS OF VARYING TEACHING INTENSITY

HM2018 Abstract Number: 239

INSULIN PENS AND PEN NEEDLES: AN ANALYSIS OF PRESCRIBING ERRORS ON DISCHARGE

Background: Insulin is considered a high-alert medication due to frequent prescription or administration errors and severe adverse events. Insulin prescription errors during hospital discharge may lead to increased re-admissions and increased emergency department visits. We [...]

By | 2018-03-19T12:59:30+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on INSULIN PENS AND PEN NEEDLES: AN ANALYSIS OF PRESCRIBING ERRORS ON DISCHARGE

HM2018 Abstract Number: 293

ACCURACY OF LUNG ULTRASOUND VERSUS CHEST X-RAY IN THE DIAGNOSIS OF PULMONARY EDEMA: A SYSTEMATIC REVIEW

Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence [...]

By | 2018-03-19T12:59:20+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on ACCURACY OF LUNG ULTRASOUND VERSUS CHEST X-RAY IN THE DIAGNOSIS OF PULMONARY EDEMA: A SYSTEMATIC REVIEW

HM2018 Abstract Number: 50

Effect of a Dermatology Curriculum in an Internal Medicine Residency Program

Background: A recent study showed over 80 percent of internal medicine residents reported being uncomfortable or very uncomfortable with dermatologic issues. Formalized teaching in dermatology in medicine residency may be prudent. This teaching could occur [...]

By | 2018-03-19T12:59:18+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on Effect of a Dermatology Curriculum in an Internal Medicine Residency Program

HM2018 Abstract Number: 29

Comparison of Two Surveys Examining Satisfaction of Hospitalized Patients with Physician communication

Background: Centers for Medicare & Medicaid Services (CMS) recommends against the use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for determining patient satisfaction with physicians, however, hospital administrators often use HCAHPS scores [...]

By | 2018-03-19T12:59:08+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on Comparison of Two Surveys Examining Satisfaction of Hospitalized Patients with Physician communication

HM2018 Abstract Number: 284

Predicting bacteremia in hospitalized patients: an analysis of Electronic Health Record data

Background: Blood cultures are frequently ordered in hospitalized patients, often to work up undifferentiated fever or leukocytosis. This leads to low rates of positive cultures and high burden of false positive results resulting in avoidable [...]

By | 2018-03-19T12:59:02+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on Predicting bacteremia in hospitalized patients: an analysis of Electronic Health Record data

HM2018 Abstract Number: 258

Improvising Telemetry Use in a Rural Teaching Hospital: A Choosing Wisely Initiative

Background: Cardiac telemetry use has expanded in the last 30 years. Inappropriate telemetry use leads to prolonged hospital stays, patient discomfort, and increased healthcare costs. As part of SHM’s choosing wisely campaign, we designed and [...]

By | 2018-03-19T12:58:50+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Improvising Telemetry Use in a Rural Teaching Hospital: A Choosing Wisely Initiative

HM2018 Abstract Number: 113

TAKE MY PICTURE, PLEASE! DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN INPATIENT PARACENTESIS?

Background: Ultrasound-guidance has become the standard for bedside procedures in the emergency and inpatient settings due to its perceived impact on first attempt success and complications. Prior literature on paracentesis notes a 10% rate of [...]

By | 2018-03-19T12:58:29+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on TAKE MY PICTURE, PLEASE! DOES ULTRASOUND GUIDANCE REDUCE COMPLICATIONS IN INPATIENT PARACENTESIS?

HM2018 Abstract Number: 125

MORBID OBESITY AND TREATMENT OUTCOMES AMONG HOSPITALIZED PATIENT WITH DIABETIC FOOT COMPLICATIONS

Background: Patients with diabetic foot ulcers (DFUs) experience large burdens of morbidity, mortality, and hospital costs. Over a third of patients with diabetes will develop DFUs in their lifetime; and almost half of these patients [...]

By | 2018-03-19T12:58:23+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on MORBID OBESITY AND TREATMENT OUTCOMES AMONG HOSPITALIZED PATIENT WITH DIABETIC FOOT COMPLICATIONS

HM2018 Abstract Number: 77

SIMULATION STRATEGIES TO TEACH NON-OPERATING ROOM PROCEDURAL TIME-OUTS: A RANDOMIZED CONTROL TRIAL

Background: Nearly half of incorrect procedures occur outside the operating room, and failure to conduct a robust time-out is a frequent root cause. Mannequin-based simulation (MBS) has been shown to improve self-confidence and performance of [...]

By | 2018-03-19T12:58:20+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on SIMULATION STRATEGIES TO TEACH NON-OPERATING ROOM PROCEDURAL TIME-OUTS: A RANDOMIZED CONTROL TRIAL

HM2018 Abstract Number: 196

INTRACRANIAL SURGERY AND HYPERGLYCEMIA: A MISSED OPPORTUNITY

Background: Perioperative hyperglycemia is associated with poor surgical outcomes, including infection and mortality, with higher rates of complications in patients without diagnosed diabetes (NDM) than in those with diabetes. Insulin therapy has been found to [...]

By | 2018-03-19T12:58:18+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on INTRACRANIAL SURGERY AND HYPERGLYCEMIA: A MISSED OPPORTUNITY

HM2018 Abstract Number: 249

Analysis of Code Status Discussions and Documentation among a Hospitalist Medicine Group

Background: Hospitalists have an increasing role in caring for patients with advanced illness. Due to time constraints, lack of experience and the sensitivity of the topic, it is challenging for Hospitalists to engage in adequate [...]

By | 2018-03-19T12:58:08+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Analysis of Code Status Discussions and Documentation among a Hospitalist Medicine Group

HM2018 Abstract Number: 112

NO ASSOCIATION BETWEEN CAFFEINE CONSUMPTION AND HEMOGLOBIN A1C (HBA1C) AMONG ADULTS WITH DIABETES IN THE UNITED STATED (U.S.) POPULATION

Background: Coffee is a widely consumed beverage. Evidence suggests that coffee consumption is associated with a substantially lower risk of type 2 diabetes (1). However, there is paucity of literature on whether coffee consumption has [...]

By | 2018-03-19T12:58:02+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on NO ASSOCIATION BETWEEN CAFFEINE CONSUMPTION AND HEMOGLOBIN A1C (HBA1C) AMONG ADULTS WITH DIABETES IN THE UNITED STATED (U.S.) POPULATION

HM2018 Abstract Number: 276

REDUCING UNNECESSARY PERIPHERALLY INSERTED CENTRAL CATHETERS IN A TERTIARY REFERRAL HOSPITAL

Background: Peripherally inserted central catheters (PICCs) are increasingly used for vascular access in hospitalized patients due to convenience and long term viability. PICC lines are known to have complications such as deep venous thromboses and [...]

By | 2018-03-19T12:57:54+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on REDUCING UNNECESSARY PERIPHERALLY INSERTED CENTRAL CATHETERS IN A TERTIARY REFERRAL HOSPITAL

HM2018 Abstract Number: 271

ANTIBIOTIC STEWARDSHIP FOR UNCOMPLICATED URINARY TRACT INFECTIONS IN THE INPATIENT SETTING

Background: Uncomplicated Urinary Tract Infections (UTIs) account for more than 100,000 inpatient admissions yearly. IDSA guidelines recommend Nitrofurantoin as first line therapy and recent FDA guidelines recommend against Fluoroquinolone (FQ) use due their side effects [...]

By | 2018-03-19T12:57:29+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on ANTIBIOTIC STEWARDSHIP FOR UNCOMPLICATED URINARY TRACT INFECTIONS IN THE INPATIENT SETTING

HM2018 Abstract Number: 48

PERCEPTIONS OF INTERNAL MEDICINE RESIDENTS ON WRITING AND PRESENTING CASE REPORTS

Background: Writing and presenting case reports provides opportunity for scholarly activities and promotes scientific writing and critical thinking. This study assesses Internal Medicine residents’ perceived benefits, challenges, and barriers regarding writing and presenting case reports.Methods: [...]

By | 2018-03-19T12:57:25+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on PERCEPTIONS OF INTERNAL MEDICINE RESIDENTS ON WRITING AND PRESENTING CASE REPORTS

HM2018 Abstract Number: 108

IMPLEMENTATION OF AN INDIVIDUAL PHYSICIAN SCORECARD DECREASES BILLING VARIATION AMONG MEMBERS OF A UNIVERSITY-AFFILIATED PEDIATRIC HOSPITAL MEDICINE GROUP

Background: Few hospital medicine physicians receive formal instruction on coding for inpatient evaluation and management (E&M) services. When feedback on billing practice is provided, it tends to focus on coding accuracy relative to clinical documentation [...]

By | 2018-03-19T12:55:37+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on IMPLEMENTATION OF AN INDIVIDUAL PHYSICIAN SCORECARD DECREASES BILLING VARIATION AMONG MEMBERS OF A UNIVERSITY-AFFILIATED PEDIATRIC HOSPITAL MEDICINE GROUP

HM2018 Abstract Number: 170

CHARACTERISTICS OF PERIPHERALLY INSERTED CENTRAL CATHETER PLACEMENT IN HOSPITALIZED PATIENTS WITH CHRONIC KIDNEY DISEASE

Background: Peripherally inserted central catheters (PICCs) are associated with central vein stenosis and failure to establish a functioning arteriovenous fistula. Thus, guidelines recommend avoiding PICC placement when patients with chronic kidney disease (CKD) are likely [...]

By | 2018-03-19T12:55:29+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on CHARACTERISTICS OF PERIPHERALLY INSERTED CENTRAL CATHETER PLACEMENT IN HOSPITALIZED PATIENTS WITH CHRONIC KIDNEY DISEASE

HM2018 Abstract Number: 162

BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

Background: Diagnostic error in medicine is increasingly recognized as “the next frontier for patient safety”. Current research has explored the etiologies of diagnostic errors in two unique dimensions: as systems-based or cognitive-based causes. One study, [...]

By | 2018-03-19T12:55:17+00:00 March 19th, 2018|Hospital Medicine 2018, Patient Safety, Research|Comments Off on BRIDGING THE GAP BETWEEN SYSTEMS-BASED AND COGNITIVE CONTRIBUTIONS TO DIAGNOSTIC ERROR

HM2018 Abstract Number: 288

Effect of Resident Work Load on Electronic Health Record Documentation

Background: Patient record form one of the most important part of clinical care as the primary source for patient information for primary team, consultants, nurses and other paramedic staff and help in providing a higher [...]

By | 2018-03-19T12:55:15+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on Effect of Resident Work Load on Electronic Health Record Documentation

HM2018 Abstract Number: 225

OPIOID-INDUCED CONSTIPATION: AN EDUCATIONAL INTERVENTION TO IMPROVE AN OVERLOOKED CAUSE OF PATIENT DISCOMFORT!

Background: Opioids are the most commonly used analgesics for pain management in hospitalized patients. Approximately 40% to 81% of patient on opioid analgesics experience opioid induced constipation (OIC) which is associated with significant patient discomfort. [...]

By | 2018-03-19T12:55:11+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on OPIOID-INDUCED CONSTIPATION: AN EDUCATIONAL INTERVENTION TO IMPROVE AN OVERLOOKED CAUSE OF PATIENT DISCOMFORT!

HM2018 Abstract Number: 133

LONG-TERM CARE PATIENTS WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) TUBE: REASONS FOR RE-HOSPITALIZATIONS.

Background: Over 160,000 PEG placement procedures are performed each year in the US and 8.1% of all long-term care residents receive feeding via PEG tube. The objective of the study was to explore reasons for [...]

By | 2018-03-19T12:55:09+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on LONG-TERM CARE PATIENTS WITH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY (PEG) TUBE: REASONS FOR RE-HOSPITALIZATIONS.

HM2018 Abstract Number: 310

NURSING PERCEPTIONS OF INDEPENDENT PHARMACY BEDSIDE MEDICATION DELIVERY SERVICE

Background: Bedside medication delivery (BMD) and teaching by pharmacy is gaining popularity as an important component of safe hospital discharge. Having medications in hand at time of discharge and education with home medications has been [...]

By | 2018-03-19T12:55:05+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on NURSING PERCEPTIONS OF INDEPENDENT PHARMACY BEDSIDE MEDICATION DELIVERY SERVICE

HM2018 Abstract Number: 10

COMPARISON OF RISK CALCULATORS IN PREDICTING POSTOPERATIVE CARDIAC COMPLICATIONS IN THE GERIATRIC POPULATION

Background: The 2014 ACC/AHA Perioperative Guidelines suggest using the Revised Cardiac Risk Index (RCRI), myocardial infarction or cardiac arrest (MICA), or American College of Surgeons (ACS)-NSQIP calculators for combined patient-surgical risk assessment. Alrezk and colleagues [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Perioperative, Research|Comments Off on COMPARISON OF RISK CALCULATORS IN PREDICTING POSTOPERATIVE CARDIAC COMPLICATIONS IN THE GERIATRIC POPULATION

HM2018 Abstract Number: 279

Potential Cost Savings of Decreasing Inappropriate Level of Care Assignments

Background: Currently, patients admitted to the hospital are assigned specific levels of care such as intermediate intensive care or acute care. Differences among care at these levels largely differ through nursing ratio as well as [...]

By | 2018-03-19T12:54:50+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Potential Cost Savings of Decreasing Inappropriate Level of Care Assignments

HM2018 Abstract Number: 188

FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

Background: Discharge education is a key component of safe transition from inpatient to outpatient care in the pediatric population. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement project developed to improve [...]

By | 2018-03-19T12:54:48+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

HM2018 Abstract Number: 242

Choosing Wisely: Optimizing Telemetry Utilization With Integrated Multidisciplinary Approach Leveraging Electronic Order Entry And Analytics Within A Community Based Hospital

Background: Telemetry is utilized on high risk cardiac patients for monitoring of arrthymias. Guidelines providing clear monitoring indications have been published by AHA to reduce overuse of this resource, which can lead to increased care [...]

By | 2018-03-19T12:54:23+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on Choosing Wisely: Optimizing Telemetry Utilization With Integrated Multidisciplinary Approach Leveraging Electronic Order Entry And Analytics Within A Community Based Hospital

HM2018 Abstract Number: 116

PERIPROCEDURAL ANTICOAGULATION MANAGEMENT IN PATIENTS WITH VENOUS THROMBOEMBOLISM: A SYSTEMATIC REVIEW

Background: Vitamin K antagonists (VKA) remain widely used in the treatment of venous thromboembolism (VTE). During surgical interventions, the prevention of recurrent VTE must be weighed against the increased bleeding risk conferred by anticoagulation. There [...]

By | 2018-03-19T12:54:21+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on PERIPROCEDURAL ANTICOAGULATION MANAGEMENT IN PATIENTS WITH VENOUS THROMBOEMBOLISM: A SYSTEMATIC REVIEW

HM2018 Abstract Number: 149

Serum hepcidin-25 levels reflect the presence of bacteremia in patients with systemic inflammatory response syndrome

Background: Hepcidin-25 is a liver-derived key peptide hormone that regulates iron homeostasis in humans. Recent studies have suggested that hepcidin also play a key role in host-defense mechanism. Iron is essential for the survival and [...]

By | 2018-03-19T12:54:17+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Serum hepcidin-25 levels reflect the presence of bacteremia in patients with systemic inflammatory response syndrome

HM2018 Abstract Number: 128

SYMPTOM-TRIGGERED THERAPY COMPARED WITH FIXED-DOSE THERAPY FOR ALCOHOL WITHDRAWAL SYNDROME: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Background: Alcohol use disorder (AUD) and alcohol withdrawal syndrome (AWS) are common problems in hospitals. Benzodiazepines are considered the standard for treating and preventing AWS. Numerous review articles and guidelines have recommended that benzodiazepine dosing [...]

By | 2018-03-19T12:54:13+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on SYMPTOM-TRIGGERED THERAPY COMPARED WITH FIXED-DOSE THERAPY FOR ALCOHOL WITHDRAWAL SYNDROME: A SYSTEMATIC REVIEW AND META-ANALYSIS.

HM2018 Abstract Number: 294

USING LUNG ULTRASOUND OBTAINED BY AN INTERNIST TO ASSESS LEFT ATRIAL PRESSURE IN HOSPITALIZED PATIENTS

Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies including pulmonary edema. The number of sonographic B-lines on LUS has been used as a test to detect pulmonary congestion [...]

By | 2018-03-19T12:54:11+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on USING LUNG ULTRASOUND OBTAINED BY AN INTERNIST TO ASSESS LEFT ATRIAL PRESSURE IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 183

BETTER UNDERSTANDING CLINICAL DETERIORATION IN A CHILDREN’S HOSPITAL

Background: Unrecognized in-hospital deterioration can lead to cardiac or respiratory arrests, and these events are often preventable. In pediatrics, in-hospital arrests are uncommon, making it difficult to identify risk factors or evaluate the success of [...]

By | 2018-03-19T12:54:08+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on BETTER UNDERSTANDING CLINICAL DETERIORATION IN A CHILDREN’S HOSPITAL

HM2018 Abstract Number: 335

IMPACT OF POST-DISCHARGE COMMUNICATION OF CARE ON CLINIC FOLLOW-UP AND HOSPITAL READMISSION RATES

Background: Recurrent hospitalizations are responsible for considerable health care costs. This retrospective observational study was undertaken to determine whether timely communication of care (COC), such as direct phone call or voicemail notice, following a hospitalization [...]

By | 2018-03-19T12:54:07+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on IMPACT OF POST-DISCHARGE COMMUNICATION OF CARE ON CLINIC FOLLOW-UP AND HOSPITAL READMISSION RATES

HM2018 Abstract Number: 139

CHARACTERIZING AN ADMITTED PATIENT POPULATION WITH SUSPECTED INFECTION THROUGH CLINICAL AND ADMINISTRATIVE DATA

Background: Sepsis research is limited by heterogeneity and inaccuracy of patient identification. An ideal identification algorithm would broadly define a population with suspected infection to optimize discrimination and provide real-time identification of high-risk populations for [...]

By | 2018-03-19T12:54:01+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on CHARACTERIZING AN ADMITTED PATIENT POPULATION WITH SUSPECTED INFECTION THROUGH CLINICAL AND ADMINISTRATIVE DATA

HM2018 Abstract Number: 253

CARE RE-DESIGN BY GEOGRAPHICAL ROUNDING IN ACADEMIC MEDICAL CENTER

Background: Geographical rounding can improve provider to nurse communication as well as between other members of healthcare team resulting in improved efficiency of care. Better communication enables improvement in patient safety and decrease adverse events. [...]

By | 2018-03-19T12:53:49+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on CARE RE-DESIGN BY GEOGRAPHICAL ROUNDING IN ACADEMIC MEDICAL CENTER

HM2018 Abstract Number: 138

A STATISTICAL ANALYSIS OF METHODOLOGIES FOR THE REAL-TIME IDENTIFICATION OF PATIENTS WITH ACUTE EXACERBATIONS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Background: Chronic Obstructive Pulmonary Disease (COPD) is a lung disease characterized by chronic, irreversible airway obstruction that can precipitate into acute exacerbations (AECOPD) of cough, dyspnea and sputum production, often requiring hospitalization. Hospital systems aiming [...]

By | 2018-03-19T12:53:33+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on A STATISTICAL ANALYSIS OF METHODOLOGIES FOR THE REAL-TIME IDENTIFICATION OF PATIENTS WITH ACUTE EXACERBATIONS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

HM2018 Abstract Number: 358

DON’T BLEED: A HIGH VALUE CARE INITIATIVE TO DECREASE DIAGNOSTIC PHLEBOTOMY

Background: High value healthcare has been increasingly emphasized during residency training. The Choosing Wisely campaign, an initiative of the American Board of Internal Medicine foundation and the Society of Hospital Medicine recommend against performing repetitive [...]

By | 2018-03-19T12:53:30+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DON’T BLEED: A HIGH VALUE CARE INITIATIVE TO DECREASE DIAGNOSTIC PHLEBOTOMY

HM2018 Abstract Number: 9

READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

Background: Higher rates of 30-day readmissions are associated with lower quality hospital care, and readmissions may put patients at risk for worse health outcomes including death. Historically, 20% of hospitalized Medicare beneficiaries were readmitted within [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Patient Safety, Research|Comments Off on READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

HM2018 Abstract Number: 175

VARIATION BETWEEN OBSERVATION, DOCUMENTATION, AND CAREGIVER PERCEPTION OF TEACH-BACK DURING PEDIATRIC HOSPITAL DISCHARGE EDUCATION

Background: Transition from the inpatient to outpatient setting presents a safety risk to pediatric patients. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement collaborative developed to improve the hospital to home [...]

By | 2018-03-19T12:53:26+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on VARIATION BETWEEN OBSERVATION, DOCUMENTATION, AND CAREGIVER PERCEPTION OF TEACH-BACK DURING PEDIATRIC HOSPITAL DISCHARGE EDUCATION

HM2018 Abstract Number: 226

TRANSFER WITHIN 12 HOURS OF HOSPITALIST ADMISSION TO THE MEDICAL INTENSIVE CARE UNIT (MICU): A LOOK AT THE HOSPITALIST, EMERGENCY DEPARTMENT AND ICU PROVIDERS PERCEPTION OF INITIAL TRIAGE

Background: Our goal was to evaluate the group of patients that are admitted to the Medicine service under the care of our hospitalist team and then transferred to the medical intensive care unit (MICU) within [...]

By | 2018-03-19T12:53:24+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on TRANSFER WITHIN 12 HOURS OF HOSPITALIST ADMISSION TO THE MEDICAL INTENSIVE CARE UNIT (MICU): A LOOK AT THE HOSPITALIST, EMERGENCY DEPARTMENT AND ICU PROVIDERS PERCEPTION OF INITIAL TRIAGE

HM2018 Abstract Number: 143

Resuming warfarin following upper gastrointestinal bleeding among patients with nonvalvular atrial fibrillation – a microsimulation analysis

Background: Warfarin and other anticoagulants increase the risk of hemorrhagic complications, including upper gastrointestinal hemorrhages (UGIB). Warfarin is commonly used in the management of atrial fibrillation to reduce the risk of ischemic stroke, and frequently [...]

By | 2018-03-19T12:53:22+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Resuming warfarin following upper gastrointestinal bleeding among patients with nonvalvular atrial fibrillation – a microsimulation analysis

HM2018 Abstract Number: 2

Depression, and Burnout among Medical Students – 6 Year longitudinal Single Institution Study

Background: While medical school experience could be very rewarding, it is also known to be unusually stressful to many future physicians. Previous cross sectional studies have shown that symptoms of depression and burnout are higher [...]

By | 2018-03-22T15:45:07+00:00 March 19th, 2018|Education, Finalist Posters, Hospital Medicine 2018, Research|Comments Off on Depression, and Burnout among Medical Students – 6 Year longitudinal Single Institution Study

HM2018 Abstract Number: 321

USE OF STRUCTURED CARE COORDINATION ROUNDS AND A DISCHARGE HUDDLE TO REDUCE READMISSIONS

Background: Care Coordination Rounds (CCR) provide an opportunity for members of the multidisciplinary health care team to communicate as a group regarding the care and discharge planning of hospitalized patients. The use of CCR has [...]

By | 2018-03-19T12:53:09+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Transitions of Care|Comments Off on USE OF STRUCTURED CARE COORDINATION ROUNDS AND A DISCHARGE HUDDLE TO REDUCE READMISSIONS

HM2018 Abstract Number: 31

THE ABILITY OF PATIENTS TO CORRECTLY IDENTIFY THEIR HOSPITALIST AND THE IMPACT OF THIS FACTOR ON HOSPITALIST SCORES ON A PATIENT SATISFACTION SURVEY

Background: For several years, patient evaluations of their physician has been utilized as a metric to evaluate physician performance and now it has been included as a parameter utilized to calculate reimbursement. Despite the routine [...]

By | 2018-03-19T12:53:05+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on THE ABILITY OF PATIENTS TO CORRECTLY IDENTIFY THEIR HOSPITALIST AND THE IMPACT OF THIS FACTOR ON HOSPITALIST SCORES ON A PATIENT SATISFACTION SURVEY

HM2018 Abstract Number: 32

THE EFFECT OF PATIENT GENDER ON PATIENT SCORES OF HOSPITALIST PERFORMANCE

Background: For several years, patient evaluations of their physician has been utilized as a metric to evaluate physician performance and now it has been included as a parameter utilized to calculate reimbursement. Despite the routine [...]

By | 2018-03-19T12:53:01+00:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on THE EFFECT OF PATIENT GENDER ON PATIENT SCORES OF HOSPITALIST PERFORMANCE

HM2018 Abstract Number: 363

THE END OF THE LINE: UNDERSTANDING PRESCRIBER AWARENESS OF MAINTENANCE FLUID USE IN HOSPITALIZED PATIENTS DURING A CRITICAL SHORTAGE OF IV FLUIDS

Background: Continuous intravenous (IV) infusions aimed at avoiding dehydration are often referred to as “maintenance fluids” (MF). These infusions are common in clinical practice. Though guidelines exist for MF use in other countries (NICE 2017), [...]

By | 2018-03-19T12:52:53+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on THE END OF THE LINE: UNDERSTANDING PRESCRIBER AWARENESS OF MAINTENANCE FLUID USE IN HOSPITALIZED PATIENTS DURING A CRITICAL SHORTAGE OF IV FLUIDS

HM2018 Abstract Number: 337

Using an Electronic Clinical Decision Support Tool to Improve Evidence-based ordering for Venous Catheters

Background: Peripherally inserted central catheters (PICCs) are an increasingly popular choice in the acute care setting for intravenous therapy. However, compared to other catheters, PICCs are associated with a higher risk for venous thromboembolism and [...]

By | 2018-03-19T12:52:49+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Translating Research into Practice|Comments Off on Using an Electronic Clinical Decision Support Tool to Improve Evidence-based ordering for Venous Catheters

HM2018 Abstract Number: 74

A Novel Curriculum For Hospitalist Faculty In Providing Care To Geriatric Hip Fracture Patients

Background: According to the CDC, at least 300,000 people older than 65 are hospitalized for hip fractures annually. Society of Hospital Medicine recognizes geriatric care as one of the core competencies, and hospitalists frequently provide [...]

By | 2018-03-19T12:52:48+00:00 March 19th, 2018|Education, Hospital Medicine 2018, Research|Comments Off on A Novel Curriculum For Hospitalist Faculty In Providing Care To Geriatric Hip Fracture Patients

HM2018 Abstract Number: 181

NEONATAL ABSTINENCE SYNDROME LOS AND COST REDUCTION IN A COMMUNITY HOSPITAL

Background: In utero opioid exposure can result in neonatal abstinence syndrome (NAS). NAS incidence has increased five-fold in the last decade. NAS is a serious condition characterized by central nervous system hyperirritability and autonomic nervous [...]

By | 2018-03-19T12:52:38+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on NEONATAL ABSTINENCE SYNDROME LOS AND COST REDUCTION IN A COMMUNITY HOSPITAL

HM2018 Abstract Number: 7

AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): A PRAGMATIC RANDOMIZED CONTROLLED TRIAL

Background: Despite years of intense focus, inpatient and observation readmission rates remain high and largely unchanged. Little robust evidence exists to guide hospitals in the selection of interventions effective at reducing 30 day readmissions in [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Outcomes Research, Research|Comments Off on AIMING TO IMPROVE READMISSIONS THROUGH INTEGRATED HOSPITAL TRANSITIONS (AIRTIGHT): A PRAGMATIC RANDOMIZED CONTROLLED TRIAL

HM2018 Abstract Number: 359

ECONOMIC BURDEN OF OVERT HEPATIC ENCEPHALOPATHY AND PHARMACOECONOMIC IMPACT OF RIFAXIMIN

Background: Hepatic encephalopathy (HE) is a common neurological complication in patients with cirrhosis. In addition to numerous morbidity-related issues, HE is associated with substantial economic burden. Treatment includes lactulose or rifaximin, a nonsystemic antibiotic that [...]

By | 2018-03-19T12:52:34+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on ECONOMIC BURDEN OF OVERT HEPATIC ENCEPHALOPATHY AND PHARMACOECONOMIC IMPACT OF RIFAXIMIN

HM2018 Abstract Number: 136

EVALUATING CHEST X-RAY ACCURACY FOR DETECTING RADIOGRAPHIC EVIDENCE COMPATIBLE WITH PNEUMONIA: STRATIFICATION OF THE RADIOGRAPHIC INTERPRETATION.

Background: Approximately one million people are hospitalized for pneumonia (PNA) every year resulting in approximately 50,000 deaths. The Infectious Diseases Society of America and the American Thoracic Society recommend that in addition to clinical features, [...]

By | 2018-03-19T12:52:31+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on EVALUATING CHEST X-RAY ACCURACY FOR DETECTING RADIOGRAPHIC EVIDENCE COMPATIBLE WITH PNEUMONIA: STRATIFICATION OF THE RADIOGRAPHIC INTERPRETATION.

HM2018 Abstract Number: 280

RETHINKING CONTACT PRECAUTIONS

Background: The use of contact precautions (CP) for patients with colonized or infected (endemic) methicillin-resistant staphylococcus aureus (MRSA) is common in many hospitals, but emerging literature does not support CP over standard precautions in preventing [...]

By | 2018-03-19T12:52:28+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on RETHINKING CONTACT PRECAUTIONS