Research

Abstract Number: 440

CHOOSING WISELY: “INPATIENT THYROID FUNCTION TESTING – A COST-EFFECTIVENESS ANALYSIS”

Background: In the US, thyroid stimulating hormone (TSH) is the 4th most commonly ordered laboratory test with thyroxine measurement being the 10th commonest. In 2016, Medicare alone spent $482 million on 21.5 million performed TSH [...]

By | 2019-03-18T17:43:29+00:00 March 18th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on CHOOSING WISELY: “INPATIENT THYROID FUNCTION TESTING – A COST-EFFECTIVENESS ANALYSIS”

Abstract Number: 362

ENSURING JUDICIOUS PPI USE THROUGH AN ACTIVE SURVEILLANCE STRATEGY OF WITHDRAWAL AND DOSE – REDUCTION IN INPATIENTS IS SAFE AND STABLE OVER 90 DAYS POST-DISCHARGE

Background: Proton pump inhibitors (PPI’s) are a commonly used class of medications, whose optimal use is important. Aim: To assess if proactive surveillance in inpatients can reduce PPI use for unapproved indications and their effect [...]

By | 2019-03-18T17:55:17+00:00 March 18th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ENSURING JUDICIOUS PPI USE THROUGH AN ACTIVE SURVEILLANCE STRATEGY OF WITHDRAWAL AND DOSE – REDUCTION IN INPATIENTS IS SAFE AND STABLE OVER 90 DAYS POST-DISCHARGE

Abstract Number: 360

UTILIZING HIGH VALUE CARE – REDUCING INPATIENT PHLEBOTOMY WITH USE OF THE VETERAN’S AFFAIRS NATIONAL UTILIZATION MANAGEMENT DATABASE

Background: The Society of Hospital Medicine (SHM) identifies repetitive CBC & chemistry testing as low-value, and they selected this as a Choosing Wisely Recommendation. Overuse of phlebotomy is associated with hospital-acquired anemia, decreased patient satisfaction [...]

By | 2019-03-18T18:00:19+00:00 March 18th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on UTILIZING HIGH VALUE CARE – REDUCING INPATIENT PHLEBOTOMY WITH USE OF THE VETERAN’S AFFAIRS NATIONAL UTILIZATION MANAGEMENT DATABASE

Abstract Number: 300

DOES EHR EFFICIENCY AFFECT QUALITY OF CARE FOR HOSPITAL MEDICINE PHYSICIANS?

Background: Hospitalists balance efficiency and quality in their daily practice. How a physician’s time management affects care quality is unknown. Accordingly, we aimed to compare the EHR efficiency of hospitalists, as measured by their time [...]

By | 2019-03-18T17:55:39+00:00 March 18th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DOES EHR EFFICIENCY AFFECT QUALITY OF CARE FOR HOSPITAL MEDICINE PHYSICIANS?

Abstract Number: 296

PATIENTS’ PERSPECTIVES ON WHITEBOARDS AS BEDSIDE VISUAL TOOLS TO ENHANCE COMMUNICATION – A MIXED METHODS STUDY

Background: Inpatient bedside whiteboards enhance patient-provider communication and satisfaction with care, but little is known about patients’ perspectives on the whiteboards. Our objectives were to understand patients’ views on the usability and design/content of these [...]

By | 2019-03-18T17:58:54+00:00 March 18th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PATIENTS’ PERSPECTIVES ON WHITEBOARDS AS BEDSIDE VISUAL TOOLS TO ENHANCE COMMUNICATION – A MIXED METHODS STUDY

Abstract Number: 186

UTILIZATION OF WEATHER AND CALENDER DATA IN PREDICTING DAILY NUMBER OF HOSPITALIZED PATIENTS-APPLICATION OF CONVENTIONAL REGRESSION ANALYSIS AND MACHINE LEARNING.

Background: The number of hospitalized patients varies significantly throughout the year. Fine prediction of the number of hospitalized patients is essential to provide adequate staffing and quality care. We aimed to identify the factors affecting [...]

By | 2019-03-18T17:59:41+00:00 March 18th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on UTILIZATION OF WEATHER AND CALENDER DATA IN PREDICTING DAILY NUMBER OF HOSPITALIZED PATIENTS-APPLICATION OF CONVENTIONAL REGRESSION ANALYSIS AND MACHINE LEARNING.

Abstract Number: 171

LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

Background: Though the advent of highly active anti-retroviral medications has improved survival in HIV infection, mortality from non-infectious complications such as pulmonary arterial hypertension (PAH) has increased. Also, studies have shown that PAH is the [...]

By | 2019-03-18T17:58:04+00:00 March 18th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

Abstract Number: Oral

DERIVATION AND VALIDATION OF A COPD READMISSION RISK PREDICTION TOOL

Background: Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of hospital readmissions in America. Over one-third of patients admitted for COPD exacerbations are readmitted within 90 days, with readmissions costing $15 billion. Medicare [...]

By | 2019-03-12T15:46:24+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Research, Technology in Hospital Medicine|Comments Off on DERIVATION AND VALIDATION OF A COPD READMISSION RISK PREDICTION TOOL

Abstract Number: Oral

COPD AUTOSUBSTITUTION OF INHALERS TO NEBULIZER THERAPY EFFECT IN HOSPITALIZED PATIENTS

Background: COPD is associated with high morbidity and mortality. It is the third-ranked cause of death in the United States, killing more than 120,000 individuals each year. As a consequence of its high prevalence and [...]

By | 2019-03-12T15:46:54+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Quality Improvement, Research|Comments Off on COPD AUTOSUBSTITUTION OF INHALERS TO NEBULIZER THERAPY EFFECT IN HOSPITALIZED PATIENTS

Abstract Number: Oral

ACUITY-BASED NIGHTTIME VITAL SIGN ASSESSMENTS: A RANDOMIZED CONTROLLED TRIAL

Background: Sleep disruptions for routine care, such as vital sign assessments, are common during hospitalization and are associated with negative health outcomes and patient satisfaction. While higher risk patients may benefit from increased monitoring at [...]

By | 2019-03-12T15:47:11+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Outcomes Research, Research|Comments Off on ACUITY-BASED NIGHTTIME VITAL SIGN ASSESSMENTS: A RANDOMIZED CONTROLLED TRIAL

Abstract Number: Oral

PHYSICIANS IMMIGRATION BACKLOG AND ITS IMPACT ON AMERICAN RURAL HEALTHCARE

Background: Physician shortage and healthcare access is a serious issue in rural America with reports estimating a shortage of more than 45,000 physicians by 2025. The rural and the underserved communities are predominantly served by [...]

By | 2019-03-12T15:51:51+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Other, Research|Comments Off on PHYSICIANS IMMIGRATION BACKLOG AND ITS IMPACT ON AMERICAN RURAL HEALTHCARE

Abstract Number: Oral

EFFECTS OF COMPREHENSIVE CARE PHYSICIANS ON PATIENT EXPERIENCE, OUTCOMES AND HOSPITALIZATION: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL

Background: Coordination of inpatient and outpatient care is an important challenge in improving population health but evidence examining the effectiveness of existing care coordination programs is mixed. The Comprehensive Care Physician (CCP) Program at the [...]

By | 2019-04-17T09:36:53+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Outcomes Research, Research, Winner, Research|Comments Off on EFFECTS OF COMPREHENSIVE CARE PHYSICIANS ON PATIENT EXPERIENCE, OUTCOMES AND HOSPITALIZATION: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL

Abstract Number: Oral

THE PREVALENCE OF DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Background: Diagnostic errors have been cited as a potential contributor to hospital readmissions, particularly early readmissions (e.g. within 7 days), but little is known about their frequency and characteristics. We performed structured chart review of [...]

By | 2019-03-12T15:50:33+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Patient Safety, Research|Comments Off on THE PREVALENCE OF DIAGNOSTIC ERROR IN SEVEN-DAY READMISSIONS OF GENERAL MEDICAL PATIENTS

Abstract Number: Plenary

EFFECTS OF A REFINED EVIDENCE-BASED TOOLKIT ON MEDICATION RECONCILIATION QUALITY AND SAFETY AT MULTIPLE HOSPITALS: RESULTS OF THE MARQUIS2 STUDY

Background: The first Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS1) demonstrated that implementation of a medication reconciliation best practices toolkit decreased total unintentional medication discrepancies in 5 hospitals. Incorporating lessons learned from MARQUIS1, we implemented [...]

By | 2019-03-12T15:43:39+00:00 March 11th, 2019|Hospital Medicine 2019, Plenary Presentations, Quality Improvement, Research|Comments Off on EFFECTS OF A REFINED EVIDENCE-BASED TOOLKIT ON MEDICATION RECONCILIATION QUALITY AND SAFETY AT MULTIPLE HOSPITALS: RESULTS OF THE MARQUIS2 STUDY

Abstract Number: Oral

DEVELOPMENT AND VALIDATION OF A RISK ASSESSMENT MODEL FOR VTE IN HOSPITALIZED MEDICAL PATIENTS

Background: Venous thromboembolism (VTE) is the leading cause of preventable hospital death. National guidelinesrecommend VTE prophylaxis for all medical patients not at low risk. Several VTE risk prediction models have been developed, but no US [...]

By | 2019-03-12T15:50:05+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Outcomes Research, Research|Comments Off on DEVELOPMENT AND VALIDATION OF A RISK ASSESSMENT MODEL FOR VTE IN HOSPITALIZED MEDICAL PATIENTS

Abstract Number: Plenary

MULTI-DISCIPLINARY AND COMPREHENSIVE DELIRIUM CARE PATHWAY IS ASSOCIATED WITH REDUCTIONS IN LENGTH OF STAY, COST, AND READMISSIONS IN HOSPITALIZED ADULTS

Background: Hospital-acquired delirium is serious, leading to increased falls, pressure ulcers, length of stay, cost, patient institutionalization, and patient and caregiver distress. In addition, it is associated with mortality rates as high as 35-40% within [...]

By | 2019-03-12T15:44:56+00:00 March 11th, 2019|Hospital Medicine 2019, Plenary Presentations, Quality Improvement, Research|Comments Off on MULTI-DISCIPLINARY AND COMPREHENSIVE DELIRIUM CARE PATHWAY IS ASSOCIATED WITH REDUCTIONS IN LENGTH OF STAY, COST, AND READMISSIONS IN HOSPITALIZED ADULTS

Abstract Number: Oral

CAN MULTIPLE PROVIDERS RELIABLY TRACK THE INFERIOR VENA CAVA ACROSS HANDOFFS WITH POINT-OF-CARE ULTRASOUND?

Background: Point-of-care ultrasound (POCUS) of the inferior vena cava (IVC) can help to noninvasively predict the effectiveness of treatment for volume-sensitive conditions, such as acute heart failure and shock. Recently POCUS-IVC has also been used [...]

By | 2019-03-12T15:49:23+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Other, Research|Comments Off on CAN MULTIPLE PROVIDERS RELIABLY TRACK THE INFERIOR VENA CAVA ACROSS HANDOFFS WITH POINT-OF-CARE ULTRASOUND?

Abstract Number: 463

LIGHTNING HUDDLE: AN INNOVATIVE METHOD FOR IMPROVING PATIENT THROUGHPUT

Background: One of the Society of Hospital Medicine (SHM) core competencies (listed as Principle 7) is that Hospitalists provide effective clinical resource utilization. Examples: cost effective care, high-value care, and designing processes that address cost [...]

By | 2019-03-11T14:27:04+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on LIGHTNING HUDDLE: AN INNOVATIVE METHOD FOR IMPROVING PATIENT THROUGHPUT

Abstract Number: 461

BEDSIDE HUDDLE AT DISCHARGE: EVOLUTION OF THE TACTIC FOR READMISSION REDUCTION IN HIGH RISK MEDICINE PATIENTS

Background: Hospital readmission rate is viewed as an indirect indicator of quality of care provided by a hospital. We completed a small pilot study looking at a multidisciplinary bedside huddle in the 24 – 48 [...]

By | 2019-03-11T14:27:00+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on BEDSIDE HUDDLE AT DISCHARGE: EVOLUTION OF THE TACTIC FOR READMISSION REDUCTION IN HIGH RISK MEDICINE PATIENTS

Abstract Number: 460

THE EFFECT OF SHARED ELECTRONIC HEALTH RECORDS ON DUPLICATE IMAGING AFTER INTERHOSPITAL TRANSFERS

Background: When patients are transferred between hospitals (interhospital transfer, IHT), incomplete information exchange between electronic health records (EHRs) poses a barrier to continuity of care. As a result, diagnostic tests may be repeated after transfer, [...]

By | 2019-03-11T14:26:59+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on THE EFFECT OF SHARED ELECTRONIC HEALTH RECORDS ON DUPLICATE IMAGING AFTER INTERHOSPITAL TRANSFERS

Abstract Number: 458

DESIGN THINKING TO IMPROVE PATIENT EXPERIENCE

Background: Hospitalization can be overwhelming for patients. Diagnostic uncertainty is common, and patients interact with many professionals who present information that may seem confusing. We bring a design thinking perspective to creating more patient-responsive hospital [...]

By | 2019-03-11T14:26:56+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on DESIGN THINKING TO IMPROVE PATIENT EXPERIENCE

Abstract Number: 457

BEHIND THE GOLDEN CURTAIN: THE EFFECTS OF SPENDING REPORTS ON AN INPATIENT MEDICINE SERVICE

Background: Providers are often frustrated by the lack of cost transparency in the US healthcare system. Studies aimed at assessing providers’ knowledge of medical costs generally show poor cost awareness. Pilot studies examining the effects [...]

By | 2019-03-11T14:26:54+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on BEHIND THE GOLDEN CURTAIN: THE EFFECTS OF SPENDING REPORTS ON AN INPATIENT MEDICINE SERVICE

Abstract Number: 455

PREVALENCE, TREATMENT, AND OUTCOMES ASSOCIATED WITH HEART FAILURE AMONG PATIENTS HOSPITALIZED WITH PNEUMONIA

Background: Hospitalized patients are complex and often receive concurrent treatment for multiple diseases. Patients presenting with shortness of breath and infiltrates on chest x-ray may be treated for pneumonia, congestive heart failure (CHF) or both. [...]

By | 2019-03-11T14:26:51+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on PREVALENCE, TREATMENT, AND OUTCOMES ASSOCIATED WITH HEART FAILURE AMONG PATIENTS HOSPITALIZED WITH PNEUMONIA

Abstract Number: 454

ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

Background: The annual incidence of sepsis is about 1.7 million in the United States and about 270,000 Americans die as a result of sepsis each year. Atrial fibrillation is the most common arrhythmia seen in [...]

By | 2019-03-11T14:26:49+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

Abstract Number: 451

FRIEND OR FOLATE?

Background: While checking serum folate levels in hospitalized adults is no longer recommended, and only one hospital meal is needed to replete a low serum folate level, more than 2500 serum folate levels were obtained in [...]

By | 2019-03-11T14:26:45+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on FRIEND OR FOLATE?

Abstract Number: 450

ANALYSIS OF UPPER GASTROINTESTINAL BLEED AND WEEKEND EFFECT ON LENGTH OF STAY IN A TERTIARY REFERRAL ACADEMIC HOSPITAL

Background: The “weekend effect” is a term to define worse outcomes among patients that present to the hospital on weekends. For upper gastrointestinal bleed (UGIB) some of these outcomes include increased mortality and increased length [...]

By | 2019-03-11T14:26:44+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on ANALYSIS OF UPPER GASTROINTESTINAL BLEED AND WEEKEND EFFECT ON LENGTH OF STAY IN A TERTIARY REFERRAL ACADEMIC HOSPITAL

Abstract Number: 448

COLONOSCOPY PREPARATIONS IN AN OBSERVATION UNIT: SAME QUALITY, SHORTER STAY

Background: Some patients lack the functional capability or social support to perform their own colonoscopy bowel preparation. These patients may be admitted to Inpatient units for support with the bowel preparation, but this process can [...]

By | 2019-03-11T14:26:40+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on COLONOSCOPY PREPARATIONS IN AN OBSERVATION UNIT: SAME QUALITY, SHORTER STAY

Abstract Number: 446

SYNCOPE IN SINGAPORE: AN ANALYSIS OF RESOURCE UTILIZATION AT A TERTIARY MEDICAL INSTITUTION

Background: Syncope is a common presentation encountered by hospitals worldwide. While well-established guidelines exist, there is significant variation in practice regarding the investigation and management of these patients. Practitioners tend to over-investigate, which may lead [...]

By | 2019-03-11T14:26:37+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on SYNCOPE IN SINGAPORE: AN ANALYSIS OF RESOURCE UTILIZATION AT A TERTIARY MEDICAL INSTITUTION

Abstract Number: 445

HOSPITALIST CARE FOR END-OF-LIFE HOSPITALIZED PATIENTS IN TAIWAN: CHOOSING WISELY TO PREVENT MEDICAL FUTILITY

Background: Increasing number of palliative care patients are cared for by hospitalists, but the value of hospitalist on end-of-life (EOL) care is scarcely reported. The study aims to evaluate the effect of hospitalist care on [...]

By | 2019-03-11T14:26:36+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on HOSPITALIST CARE FOR END-OF-LIFE HOSPITALIZED PATIENTS IN TAIWAN: CHOOSING WISELY TO PREVENT MEDICAL FUTILITY

Abstract Number: 443

A COST-MINIMIZATION ANALYSIS OF STANDARD APPROACHES TO STAFFING HOSPITAL MEDICINE SERVICES IN AN ACADEMIC MEDICAL CENTER

Background: Academic Medical Centers (AMC) have utilized teams comprised of an attending, resident, interns and medical students to care for hospitalized patients. ACGME work restrictions have reduced the capacity of teaching services. Consequently, most AMCs [...]

By | 2019-03-11T14:26:33+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on A COST-MINIMIZATION ANALYSIS OF STANDARD APPROACHES TO STAFFING HOSPITAL MEDICINE SERVICES IN AN ACADEMIC MEDICAL CENTER

Abstract Number: 442

HEALTHCARE UTILIZATION AMONG OBESE POPULATION: ROLE OF HOSPITAL MEDICINE

Background: Obesity medicine is an upcoming subspecialty in the field of medicine. We are actively learning about the epidemic of rising trend of this disease, as healthcare professionals we must determine our role to make [...]

By | 2019-03-11T14:26:31+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on HEALTHCARE UTILIZATION AMONG OBESE POPULATION: ROLE OF HOSPITAL MEDICINE

Abstract Number: 441

CURRENT TREND IN OBESITY (1999-2016): MODIFIABLE FACTORS INFLUENCING CURRENT TREND AND POSSIBLE CONTRIBUTION OF HEALTHCARE SYSTEM

Background: Obesity as a disease is increasing in incidence and prevalence across all demographics, socioeconomic status. Our objective was to determine the current trend and possible modifiable factors that can be intervened for a possible [...]

By | 2019-03-11T14:26:30+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on CURRENT TREND IN OBESITY (1999-2016): MODIFIABLE FACTORS INFLUENCING CURRENT TREND AND POSSIBLE CONTRIBUTION OF HEALTHCARE SYSTEM

Abstract Number: 439

SUPINE-RELATED ANEMIA IN HOSPITALIZED PATIENTS

Background: Hemoglobin and hematocrit, routinely measured in hospitalized patients, are likely affected by shifts in plasma volume related to posture. This could have important ramifications on hemoglobin trends overnight, resulting in over diagnosis of anemia [...]

By | 2019-03-11T14:26:27+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on SUPINE-RELATED ANEMIA IN HOSPITALIZED PATIENTS

Abstract Number: 435

THE MICHIGAN HOSPITAL MEDICINE SAFETY CONSORTIUM: IMPROVING PATIENT CARE BY REDUCING EXCESSIVE ANTIBIOTIC USE IN PATIENTS HOSPITALIZED WITH COMMUNITY-ACQUIRED PNEUMONIA

Background: Most patients hospitalized with community-acquired pneumonia (CAP) can be safely treated with 5-days of antibiotic therapy. However, many are not. We aimed to determine whether a hospitalist-focused collaborative could reduce excessive antibiotic use in [...]

By | 2019-03-11T14:26:21+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Translating Research into Practice|Comments Off on THE MICHIGAN HOSPITAL MEDICINE SAFETY CONSORTIUM: IMPROVING PATIENT CARE BY REDUCING EXCESSIVE ANTIBIOTIC USE IN PATIENTS HOSPITALIZED WITH COMMUNITY-ACQUIRED PNEUMONIA

Abstract Number: 434

TREATMENT WITH METHYLNALTREXONE IN PATIENTS WITH OPIOID-INDUCED CONSTIPATION WITH OR WITHOUT ACTIVE CANCER

Background: Subcutaneous (SC) methylnaltrexone (MNTX) is approved for opioid-induced constipation (OIC) in adults with chronic noncancer pain and OIC in adults with advanced illness or with active cancer who require opioid dosage escalation for palliative [...]

By | 2019-03-11T14:26:19+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Translating Research into Practice|Comments Off on TREATMENT WITH METHYLNALTREXONE IN PATIENTS WITH OPIOID-INDUCED CONSTIPATION WITH OR WITHOUT ACTIVE CANCER

Abstract Number: 433

THE QUITS TEAM: IMPACT OF A CLINICAL PSYCHOLOGIST LED TOBACCO CESSATION INTERVENTION AT A LARGE VA HOSPITAL

Background: Tobacco use remains the leading cause of preventable morbidity and mortality in the United States. Hospitalization is known to be an opportune time to initiate cessation interventions, and interventions with sustained postdischarge contact may [...]

By | 2019-03-11T14:26:18+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Translating Research into Practice|Comments Off on THE QUITS TEAM: IMPACT OF A CLINICAL PSYCHOLOGIST LED TOBACCO CESSATION INTERVENTION AT A LARGE VA HOSPITAL

Abstract Number: 432

DIAGNOSTIC PERFORMANCE OF INCREASED CARDIOTHORACIC RATIO ON CHEST RADIOGRAPHS TO DETECT LEFT VENTRICULAR DILATION USING ECHOCARDIOGRAPHY AS THE REFERENCE STANDARD: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: An increased cardiothoracic ratio (CTR) on chest radiographs (CXR) is considered equivalent to cardiomegaly. However, its diagnostic value to identify left ventricular (LV) dilation is unclear.Methods: We reviewed and included the diagnostic studies that [...]

By | 2019-03-11T14:26:16+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Translating Research into Practice|Comments Off on DIAGNOSTIC PERFORMANCE OF INCREASED CARDIOTHORACIC RATIO ON CHEST RADIOGRAPHS TO DETECT LEFT VENTRICULAR DILATION USING ECHOCARDIOGRAPHY AS THE REFERENCE STANDARD: A SYSTEMATIC REVIEW AND META-ANALYSIS

Abstract Number: 427

COMPARISON OF PATIENTS DIRECTLY ADMITTED TO INTERMEDIATE CARE UNITS (IMC) VERSUS THOSE TRANSFERRED FROM MEDICAL-SURGICAL WARDS

Background: Previous research indicates that delayed transfer of patients to critical care units from Medical-Surgical units results in increased mortality. However, few studies have compared the outcomes of patients directly admitted from the emergency department [...]

By | 2019-03-11T14:26:09+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on COMPARISON OF PATIENTS DIRECTLY ADMITTED TO INTERMEDIATE CARE UNITS (IMC) VERSUS THOSE TRANSFERRED FROM MEDICAL-SURGICAL WARDS

Abstract Number: 425

IDENTIFYING RACIAL/ETHNIC DISPARITIES IN INTERHOSPITAL TRANSFER

Background: Racial/ethnocultural inequities have been demonstrated throughout our health care system, though their presence among patients who undergo interhospital transfer (IHT), commonly done to provide patients with more specialized care, is poorly understood. The goals [...]

By | 2019-03-11T14:26:06+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on IDENTIFYING RACIAL/ETHNIC DISPARITIES IN INTERHOSPITAL TRANSFER

Abstract Number: 424

UNDERSTANDING THE EXPERIENCE OF THE LONG-TERM HOSPITALIZED PATIENT WITH PROVIDER FRAGMENTATION: A QUALITATIVE STUDY

Background: As more healthcare systems adopt a hospitalist model to care for their inpatients, there has been extensive research into the impact of this change on metrics such as length of stay and cost. We [...]

By | 2019-03-11T14:26:05+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on UNDERSTANDING THE EXPERIENCE OF THE LONG-TERM HOSPITALIZED PATIENT WITH PROVIDER FRAGMENTATION: A QUALITATIVE STUDY

Abstract Number: 423

CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to [...]

By | 2019-03-11T14:26:03+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

Abstract Number: 422

CURRENT PRACTICES IN NALOXONE PRESCRIBING UPON HOSPITAL DISCHARGE

Background: Drug overdose deaths are increasing throughout the country. Increasing naloxone availability is a cost-effective way to prevent opioid-related deaths. High-risk patients admitted in the hospital may benefit from a take-home naloxone prescription. This study [...]

By | 2019-03-11T14:26:02+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CURRENT PRACTICES IN NALOXONE PRESCRIBING UPON HOSPITAL DISCHARGE

Abstract Number: 420

SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate simplified HOSPITAL score (Aubert et al, 2017) in 30-day non-elective [...]

By | 2019-03-11T14:25:59+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Abstract Number: 419

CHARLSON, CHARLSON AGE, SIMPLIFIED HOSPITAL AND LACE SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate Charlson, Charlson age, simplified HOSPITAL and LACE score in 30-day [...]

By | 2019-03-11T14:25:58+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CHARLSON, CHARLSON AGE, SIMPLIFIED HOSPITAL AND LACE SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Abstract Number: 415

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

Background: Studies have shown about 2 million patients are readmitted to hospitals nationwide yearly. Data from the Center for Health Information and Analysis (CHIA) estimate the annual cost of readmissions of Medicare patients amounts to [...]

By | 2019-03-11T14:25:52+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on EFFECT OF EARLY POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

Abstract Number: 413

PRESSURE POINTS: AN OBSERVATIONAL STUDY USING LEAN METHODOLOGY TO UNDERSTAND INTERDISCIPLINARY FRONTLINE PROVIDER EXPERIENCE ON DAY OF DISCHARGE

Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling [...]

By | 2019-03-11T14:25:49+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PRESSURE POINTS: AN OBSERVATIONAL STUDY USING LEAN METHODOLOGY TO UNDERSTAND INTERDISCIPLINARY FRONTLINE PROVIDER EXPERIENCE ON DAY OF DISCHARGE

Abstract Number: 412

INITIAL MOTIVATION TO QUIT SMOKING AS A PREDICTOR OF SUCCESS IN THE CHART TRIAL

Background: Smoking is the leading cause of preventable death in the United States, and hospitalization is an excellent opportunity to promote smoking cessation. Motivation to quit has been shown to be associated with quit attempts, [...]

By | 2019-03-11T14:25:48+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on INITIAL MOTIVATION TO QUIT SMOKING AS A PREDICTOR OF SUCCESS IN THE CHART TRIAL

Abstract Number: 411

CODE STATUS CHANGE OF INTERHOSPITAL TRANSFER PATIENTS

Background: Patients who undergo interhospital transfer commonly have complex medical issues requiring higher levels of care and are often at an increased risk of mortality. Consequently, code status discussion is an important part of this [...]

By | 2019-03-11T14:25:46+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CODE STATUS CHANGE OF INTERHOSPITAL TRANSFER PATIENTS

Abstract Number: 409

TEMPORAL TRENDS IN DISCHARGE OPIOID PRESCRIBING FROM AN INPATIENT MEDICAL SERVICE

Background: In March of 2016, the CDC released guidelines recommending shorter duration of opioid prescriptions. While these guidelines have the potential to influence hospitalist practice, it is not clear whether discharge prescribing patterns have changed [...]

By | 2019-03-11T14:25:42+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on TEMPORAL TRENDS IN DISCHARGE OPIOID PRESCRIBING FROM AN INPATIENT MEDICAL SERVICE

Abstract Number: 408

IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

Background: Development of opiate use disorder and opiate overdose has been associated with prolonged opiate-days prescribed. Conventionally, opiate-days supplied has been calculated based on the discharge prescription signature (e.g., how a patient is supposed to [...]

By | 2019-03-11T14:25:40+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

Abstract Number: 407

A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an [...]

By | 2019-03-11T14:25:38+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Abstract Number: 406

INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

Background: Cross-cover is defined as caring for hospitalized patients for whom one is not the primary provider. This is a common, daily practice for residents and hospitalists. It has been demonstrated that the primary intern [...]

By | 2019-03-11T14:25:37+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

Abstract Number: 405

USING COGNITIVE LOAD THEORY TO IMPROVE POST-HOSPITALIZATION FOLLOW-UP VISITS

Background: Cognitive load (CL) is increasing in healthcare leading to provider frustration and poor performance. Human factors design principles like cognitive load theory (CLT) may mitigate the negative impacts of CL. This study examined the [...]

By | 2019-03-11T14:25:35+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on USING COGNITIVE LOAD THEORY TO IMPROVE POST-HOSPITALIZATION FOLLOW-UP VISITS

Abstract Number: 404

READMISSIONS: DO PATIENT PERCEPTIONS OF HEALTH AND CARE IMPACT HOSPITAL READMISSION RATES?

Background: Unplanned hospital readmissions are a burden on patients and cost taxpayers tens of billions of dollars each year in the United States1. Multi-component interventions have been the most effective at readmission reduction.2. But with [...]

By | 2019-03-11T14:25:34+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on READMISSIONS: DO PATIENT PERCEPTIONS OF HEALTH AND CARE IMPACT HOSPITAL READMISSION RATES?

Abstract Number: 403

PREVENTING FUTILE TRANSFERS

Background: As hospitals organize into larger regional systems anchored by tertiary care facilities, delivering appropriate care at the best-suited institution presents a growing challenge. Interfacility transfer can offer increased access to equipment, services, and expertise; [...]

By | 2019-03-11T14:25:33+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PREVENTING FUTILE TRANSFERS

Abstract Number: 402

MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication [...]

By | 2019-03-11T14:25:31+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Abstract Number: 401

COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. [...]

By | 2019-03-11T14:25:30+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

Abstract Number: 400

PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Background: Peripherally inserted central catheters (PICCs) are often used as devices to extend intravenous treatment for hospitalized patients in post-acute settings. Variation between hospitals, indications for use, device characteristics, and outcomes for patients who receive [...]

By | 2019-03-11T14:25:28+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Abstract Number: 399

A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost [...]

By | 2019-03-11T14:25:26+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Abstract Number: 397

CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

Background: In response to a national movement toward increasing value in health care, hospitals are seeking to better support patients after discharge. Older patients with functional limitations are frequently referred to receive home health care [...]

By | 2019-03-11T14:25:24+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

Abstract Number: 396

PATIENTS’ PERCEPTIONS OF RELATIVE IMPORTANCE OF DISCHARGE INFORMATION ELEMENTS

Background: The Agency for Healthcare Research and Quality recommends a structured, patient-centered discharge communication process. To create patient-centered discharge communication, it is vital to understand the information that patients value upon discharge. Little is known [...]

By | 2019-03-11T14:25:22+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PATIENTS’ PERCEPTIONS OF RELATIVE IMPORTANCE OF DISCHARGE INFORMATION ELEMENTS

Abstract Number: 395

RIFAXIMIN AND LACTULOSE COMBINATION THERAPY VERSUS LACTULOSE ALONE FOR PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE: A POOLED ANALYSIS OF TWO RANDOMIZED TRIALS

Background: Rifaximin 550 mg tablets is a nonsystemic antibiotic indicated for reducing the risk of overt hepatic encephalopathy (HE) recurrence in adults and may be used in combination with lactulose. Practice guidelines state that rifaximin [...]

By | 2019-03-11T14:25:21+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on RIFAXIMIN AND LACTULOSE COMBINATION THERAPY VERSUS LACTULOSE ALONE FOR PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE: A POOLED ANALYSIS OF TWO RANDOMIZED TRIALS

Abstract Number: 394

VARIABILITY IN EFFICIENCY IN THE ELECTRONIC HEALTH RECORD: WHAT IS IT COSTING YOUR GROUP?

Background: As of 2017, 96% of non-federal acute care hospitals had an electronic health record (EHR). Hospitalists interact with the EHR for several hours each day. Many studies have suggested a direct correlation between physician [...]

By | 2019-03-11T14:25:20+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Technology in Hospital Medicine|Comments Off on VARIABILITY IN EFFICIENCY IN THE ELECTRONIC HEALTH RECORD: WHAT IS IT COSTING YOUR GROUP?

Abstract Number: 392

INTUBATED PATIENTS FALL OUTSIDE OF TARGET RECUMBENCY RANGE FOR THE PREVENTION OF VENTILATOR ASSOCIATED PNEUMONIA AT ONE ACADEMIC MEDICAL CENTER, AS MEASURED BY NOVEL DIGITAL SENSOR, ANGULUS

Background: Ventilator associated pneumonia (VAP) is the leading cause of death from nosocomial infections in critically-ill patients. The CDC recommends maintaining Head-of-Bed (HOB) elevation at a target recumbency range of 30º-45º due to evidence that [...]

By | 2019-03-11T14:25:17+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Technology in Hospital Medicine|Comments Off on INTUBATED PATIENTS FALL OUTSIDE OF TARGET RECUMBENCY RANGE FOR THE PREVENTION OF VENTILATOR ASSOCIATED PNEUMONIA AT ONE ACADEMIC MEDICAL CENTER, AS MEASURED BY NOVEL DIGITAL SENSOR, ANGULUS

Abstract Number: 390

AN ECHOCARDIOGRAM BATTLE: TTE VS TEE IN THE DIAGNOSIS OF INFECTIVE ENDOCARDITIS

Background: Echocardiography is an essential evaluation in the diagnosis of infectious endocarditis (IE). Transthoracic echocardiography (TTE) is a portable study that is widely available and non-invasive. Though transesophageal echocardiography (TEE) is traditionally known for higher [...]

By | 2019-03-11T14:25:14+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Technology in Hospital Medicine|Comments Off on AN ECHOCARDIOGRAM BATTLE: TTE VS TEE IN THE DIAGNOSIS OF INFECTIVE ENDOCARDITIS

Abstract Number: 386

INTEGRATED SONOGRAPHIC COMPETENCY AT NYU (I-SCAN): PROGRAM DESCRIPTION AND EARLY EVALUATION

Background: Point-of-care ultrasound (POCUS), when integrated with a physical examination, increases accuracy of diagnosis and decreases procedural complications. The principal barrier to use by hospitalists is lack of training. We developed the Integrated Sonographic Competency [...]

By | 2019-03-11T14:25:08+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Technology in Hospital Medicine|Comments Off on INTEGRATED SONOGRAPHIC COMPETENCY AT NYU (I-SCAN): PROGRAM DESCRIPTION AND EARLY EVALUATION

Abstract Number: 383

INTERACTIVE DIGITAL HEALTH TOOLS TO ENGAGE PATIENTS AND CAREGIVERS IN DISCHARGE PREPARATION: IMPLEMENTATION EXPERIENCE

Background: Sub-optimal discharge preparation during hospitalization may adversely impact safety and lead to a poor patient experience. As part of an AHRQ-funded study, we designed and developed interactive digital health tools (Figure 1) to engage [...]

By | 2019-03-11T14:25:04+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Technology in Hospital Medicine|Comments Off on INTERACTIVE DIGITAL HEALTH TOOLS TO ENGAGE PATIENTS AND CAREGIVERS IN DISCHARGE PREPARATION: IMPLEMENTATION EXPERIENCE

Abstract Number: 382

PLAIN LANGUAGE OPEN MEDICAL NOTES: PATIENT PERCEPTION AND IMPACT ON COMPREHENSION

Background: Providing patients access to their encounter notes has been found to have many benefits in health management. This evidence has led to a rapidly expanding national movement, OpenNotes, which encourages clinicians to provide patients [...]

By | 2019-03-11T14:25:03+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Technology in Hospital Medicine|Comments Off on PLAIN LANGUAGE OPEN MEDICAL NOTES: PATIENT PERCEPTION AND IMPACT ON COMPREHENSION

Abstract Number: 376

CARDIOVASCULAR EMERGENCIES IN HOSPITAL PRIMARY CARE: ROLE FOR THE INITIAL NURSE TRIAGE SYSTEM

Background: Emergency medicine doctors should take care of patients with a wide range of illnesses at various emergency levels from non-urgent level to that requiring immediate medical attention. Among those, cardiovascular emergencies are not so [...]

By | 2019-03-11T14:24:54+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CARDIOVASCULAR EMERGENCIES IN HOSPITAL PRIMARY CARE: ROLE FOR THE INITIAL NURSE TRIAGE SYSTEM

Abstract Number: 374

IMPROVING PATIENTS’ ABILITY TO IDENTIFY THEIR PHYSICIANS THROUGH THE USE OF PHYSICIAN FACECARDS AND WHITEBOARDS

Background: More often than not, hospitalized patients are not able to correctly identify members of their physician team. Being able to identify physicians is a critical component of developing the patient-physician relationship. The use of [...]

By | 2019-03-11T14:24:52+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING PATIENTS’ ABILITY TO IDENTIFY THEIR PHYSICIANS THROUGH THE USE OF PHYSICIAN FACECARDS AND WHITEBOARDS

Abstract Number: 372

IMPROVING HCAHPS PAIN SCORES WITHOUT INCREASED OPIOID PRESCRIPTION

Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) was created to compare health care facilities based on patient satisfaction measures including pain management. There is concern that quality improvement metrics focused on [...]

By | 2019-03-11T14:24:49+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING HCAHPS PAIN SCORES WITHOUT INCREASED OPIOID PRESCRIPTION

Abstract Number: 369

DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

Background: The Society of Hospital Medicine identified questioning the necessity of repeat labs in stable patients as a Choosing Wisely goal to improve overall value of care. Implications of unnecessary blood draws include over-testing, pain, [...]

By | 2019-03-11T14:24:45+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DAILY DRAWS: ARE THEY IN OUR VEINS? EDUCATION AND RESIDENT COMMUNICATION TO IMPROVE LAB ORDERING PRACTICES

Abstract Number: 366

ARE HOSPITALISTS READY, WILLING AND ABLE TO RESPOND TO CARDIAC ARREST? A MULTI-CENTER SURVEY

Background: In-hospital cardiac arrest (IHCA) is an unpredictable, catastrophic event affecting approximately 200,000 US adults annually. Best outcomes during IHCA result from focused training and credentialing by AHA (ACLS, BLS). Although hospitalists supervise IHCA, best [...]

By | 2019-03-11T14:24:40+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ARE HOSPITALISTS READY, WILLING AND ABLE TO RESPOND TO CARDIAC ARREST? A MULTI-CENTER SURVEY

Abstract Number: 365

‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

Background: Many hospitalized patients spend most of their time in bed leading to increased complications. For elderly patients, hospitalization results in decreased post-hospital independence up to 1 month after discharge, which can be prevented with [...]

By | 2019-03-11T14:24:39+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ‘I WANT TO GO TO MY HOME, NOT A NURSING HOME’: A MOBILITY PILOT TO ALIGN PATIENT AND HOSPITAL GOALS.

Abstract Number: 364

PHYSICIAN CHARACTERISTICS CORRELATE WITH PATIENT READMISSION RATES

Background: The 7- and 30-day patient readmission rates are tracked by hospitals and are used as a metric to measure physicians’ quality of patient care. Several tools currently predict and prevent early readmission rates based [...]

By | 2019-03-11T14:24:38+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PHYSICIAN CHARACTERISTICS CORRELATE WITH PATIENT READMISSION RATES

Abstract Number: 359

INHERITED THROMBOPHILIA TESTING PATTERNS IN AN ACADEMIC MEDICAL CENTER INDICATE OPPORTUNITIES FOR SIGNIFICANT COST SAVINGS

Background: Updated guidelines recommend testing for inherited or acquired thrombophilias only in rare situations in the acute inpatient care setting, as it has little impact on acute management of thromboembolic events, and in some situations, [...]

By | 2019-03-11T14:24:31+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on INHERITED THROMBOPHILIA TESTING PATTERNS IN AN ACADEMIC MEDICAL CENTER INDICATE OPPORTUNITIES FOR SIGNIFICANT COST SAVINGS

Abstract Number: 358

HANDLING HAND HYGIENE: FACTORS IMPLICATED IN NON-ADHERENCE AT AN ACADEMIC MEDICAL CENTER

Background: Nosocomial infections are one of the leading causes of mortality and morbidity in the United States. Approximately two million people annually are affected by nosocomial infections in the United States and about 80,000 deaths [...]

By | 2019-03-11T14:24:30+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on HANDLING HAND HYGIENE: FACTORS IMPLICATED IN NON-ADHERENCE AT AN ACADEMIC MEDICAL CENTER

Abstract Number: 354

UTILIZING AN INTERNAL MEDICINE TRIAGING RESIDENT IN THE EMERGENCY DEPARTMENT REDUCES LOW-IMPACT ADMISSIONS AND IMPROVES TRAINEE EXPERIENCES: A QUALITY IMPROVEMENT STUDY

Background: The Veterans Affairs (VA) hospital is a primary site for internal medicine (IM) residents at our program. It provides trainees with exposure to high-yield general medicine cases and an opportunity to care for a [...]

By | 2019-03-11T14:24:24+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on UTILIZING AN INTERNAL MEDICINE TRIAGING RESIDENT IN THE EMERGENCY DEPARTMENT REDUCES LOW-IMPACT ADMISSIONS AND IMPROVES TRAINEE EXPERIENCES: A QUALITY IMPROVEMENT STUDY

Abstract Number: 353

THE IN-STEP PROJECT: IMPROVING ACCESS TO HIV PREVENTION FOR PATIENTS EVALUATED AFTER SEXUAL ASSAULT USING A MULTIDISCIPLINARY, PATIENT-CENTERED APPROACH

Background: Patients evaluated after sexual assault may require non-occupational post-exposure prophylaxis (nPEP) to prevent infection with human immunodeficiency virus (HIV), depending on the assessed risk of HIV transmission in each case1-4. Access to nPEP medications, [...]

By | 2019-03-11T14:24:23+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on THE IN-STEP PROJECT: IMPROVING ACCESS TO HIV PREVENTION FOR PATIENTS EVALUATED AFTER SEXUAL ASSAULT USING A MULTIDISCIPLINARY, PATIENT-CENTERED APPROACH

Abstract Number: 352

INITIATIVE FOR PREVENTION AND EARLY IDENTIFICATION OF DELIRIUM IN MEDICAL-SURGICAL UNITS: LESSONS LEARNT IN THE PAST FIVE YEARS

Background: Delirium is an acute change in mental status affecting 10-64% of hospitalized patients, and may be preventable in 30-40% cases. There was no standardized protocol for delirium at our hospital prior to 2014. In [...]

By | 2019-03-11T14:24:21+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on INITIATIVE FOR PREVENTION AND EARLY IDENTIFICATION OF DELIRIUM IN MEDICAL-SURGICAL UNITS: LESSONS LEARNT IN THE PAST FIVE YEARS

Abstract Number: 344

QTC’ING THE LIGHT: AVOIDING EKG WASTE IN CARDIAC MONITORING OF ANTIPSYCHOTICS

Background: Antipsychotics can prolong QTc interval and lead to development of the fatal arrhythmia Torsade de Pointes. Accordingly, serial EKG monitoring of QTc in patients newly started on antipsychotics has become common practice in hospitals. [...]

By | 2019-03-11T14:24:09+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on QTC’ING THE LIGHT: AVOIDING EKG WASTE IN CARDIAC MONITORING OF ANTIPSYCHOTICS

Abstract Number: 343

NOW QTC IT, NOW YOU DON’T: EKG ORDERING TENDENCIES AMONG HOSPITALISTS, RESIDENTS, AND ADVANCED PRACTICE PROVIDERS MONITORING INPATIENTS NEWLY STARTED ON ANTIPSYCHOTICS.

Background: It is common practice to monitor QTc interval in hospitalized patients newly started on antipsychotics. While some guidelines exist for frequency of ordering EKGs in the outpatient setting, these may not apply to inpatients [...]

By | 2019-03-11T14:24:08+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on NOW QTC IT, NOW YOU DON’T: EKG ORDERING TENDENCIES AMONG HOSPITALISTS, RESIDENTS, AND ADVANCED PRACTICE PROVIDERS MONITORING INPATIENTS NEWLY STARTED ON ANTIPSYCHOTICS.

Abstract Number: 342

IMPLEMENTATION OF A HYPERBILIRUBINEMIA PATHWAY FOR THE INPATIENT PEDIATRICS UNIT AT LEHIGH VALLEY HEALTH NETWORK

Background: Hyperbilirubinemia is the most common cause of hospitalization among neonates. Severe, untreated hyperbilirubinemia can lead to acute bilirubin encephalopathy and kernicterus. Although rare, these conditions can pose significant risks for morbidity and mortality in [...]

By | 2019-03-11T14:24:06+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPLEMENTATION OF A HYPERBILIRUBINEMIA PATHWAY FOR THE INPATIENT PEDIATRICS UNIT AT LEHIGH VALLEY HEALTH NETWORK

Abstract Number: 341

ASSESSING CONFUSION: AN INVESTIGATION INTO HEALTHCARE PROVIDERS PERCEPTION OF AMMONIA TESTING.

Background: Hepatic encephalopathy (HE) is a common complication in patients with end stage liver disease. Variability in presentation can be a source of clinical uncertainty for medical providers. Ammonia levels have historically been used to [...]

By | 2019-03-11T14:24:05+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ASSESSING CONFUSION: AN INVESTIGATION INTO HEALTHCARE PROVIDERS PERCEPTION OF AMMONIA TESTING.

Abstract Number: 340

PILOT STUDY- SCREENING HOSPITALIZED PATIENTS FOR OBSTRUCTIVE SLEEP APNEA

Background: Obstructive sleep apnea (OSA) is a disorder characterized by obstructive apneas and hypopneas due to repetitive collapse of the upper airway during sleep. OSA is the most common sleep-related breathing disorder. The estimated prevalence [...]

By | 2019-03-11T14:24:03+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PILOT STUDY- SCREENING HOSPITALIZED PATIENTS FOR OBSTRUCTIVE SLEEP APNEA

Abstract Number: 338

STUDY OF ALERT FATIGUE, EFFECTIVENESS, AND ACCURACY IN THE DEVELOPMENT OF A NEW SEPSIS BEST PRACTICE ALERT

Background: Best-Practice Alerts (BPAs), utilized to reduce the number of adverse events in medical settings, have limited efficacy partly due to alert fatigue and user desensitization. Alert fatigue often stems from inaccurate alerts firing too [...]

By | 2019-03-11T14:24:00+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on STUDY OF ALERT FATIGUE, EFFECTIVENESS, AND ACCURACY IN THE DEVELOPMENT OF A NEW SEPSIS BEST PRACTICE ALERT

Abstract Number: 333

REDUCING INAPPROPRIATE TELEMETRY USE – A MULTIMODAL INTERVENTION

Background: Overuse of non-ICU continuous cardiac (telemetry) monitoring is a well-documented problem that leads to increased hospital cost, alarm fatigue, nursing time loss, and patient discomfort. It is often ordered for detection of clinical deterioration [...]

By | 2019-03-11T14:23:53+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on REDUCING INAPPROPRIATE TELEMETRY USE – A MULTIMODAL INTERVENTION

Abstract Number: 331

HEALTH LITERACY AND SOCIOECONOMIC STATUS ROLE IN 30-DAY READMISSIONS

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. Previous studies note positive correlation between high HL and [...]

By | 2019-03-11T14:23:49+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on HEALTH LITERACY AND SOCIOECONOMIC STATUS ROLE IN 30-DAY READMISSIONS

Abstract Number: 328

CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

Background: Patients with ascites due to cirrhosis frequently have some degree of thrombocytopenia and prolongation of prothrombin time. However, major bleeding rates from paracentesis are reported to be less than 1% without use of any [...]

By | 2019-03-11T14:23:45+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on CHARACTERIZING INAPPROPRIATE PROPHYLACTIC TRANSFUSION OF BLOOD PRODUCTS IN HOSPITALIZED PATIENTS UNDERGOING PARACENTESIS FROM 2004 TO 2012 IN THE UNITED STATES

Abstract Number: 327

EVALUATION OF EMORY UNIVERSITY HEALTHCARE INPATIENT CORRECTIVE INSULIN USE: A COMPARISON OF TABLE-BASED VS. FORMULA-BASED ORDERING

Background: Insulin is the preferred agent to manage hyperglycemia in the hospital. However, it is considered a high alert medication due to risk of hypoglycemia and severity of adverse events. In our institution, three hospitals [...]

By | 2019-03-11T14:23:43+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on EVALUATION OF EMORY UNIVERSITY HEALTHCARE INPATIENT CORRECTIVE INSULIN USE: A COMPARISON OF TABLE-BASED VS. FORMULA-BASED ORDERING

Abstract Number: 326

REASONS FOR NON ADHERENCE TO SURVEILLANCE COLONOSCOPY POST COLORECTAL CANCER RESECTION: A TERTIARY CARE CENTER EXPERIENCE

Background: Colorectal cancer (CRC) is the third most common cause of cancer related death in the United States. Surgical resection is the primary treatment for patients presenting with non-metastatic disease. Current guidelines from major societies [...]

By | 2019-03-11T14:23:42+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on REASONS FOR NON ADHERENCE TO SURVEILLANCE COLONOSCOPY POST COLORECTAL CANCER RESECTION: A TERTIARY CARE CENTER EXPERIENCE

Abstract Number: 323

WHAT VARIABLES ARE ASSOCIATED WITH PERFORMING TRANSTHORACIC ECHOCARDIOGRAM WHEN EVALUATING SYNCOPE?

Background: Guidelines recommend in-hospital evaluation with cardiac monitoring and transthoracic echocardiogram (TTE) to assess syncope in patients that are considered high-risk for major adverse cardiovascular events. We sought to identify variables associated with performing TTE [...]

By | 2019-03-11T14:23:38+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on WHAT VARIABLES ARE ASSOCIATED WITH PERFORMING TRANSTHORACIC ECHOCARDIOGRAM WHEN EVALUATING SYNCOPE?

Abstract Number: 322

“DON’T LET THE GOWN GET YOU DOWN”: HOW PATIENTS AND PROVIDERS PERCEIVE HOSPITAL GOWNS

Background: Although the intended purpose of the hospital gown is not to cause harm, it reinforces the role of being subordinate to the physician. Gowns put patients in a vulnerable position because they can be [...]

By | 2019-03-11T14:23:36+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on “DON’T LET THE GOWN GET YOU DOWN”: HOW PATIENTS AND PROVIDERS PERCEIVE HOSPITAL GOWNS

Abstract Number: 320

UNDERSTANDING CLINICAL PATHWAY FOR HOSPITALIZED INJECTION DRUG USERS DUE TO INJECTION-RELATED INFECTION SEQUELAE

Background: There have been increases in the incidence of and significant costs associated with hospitalizations due to injection-related infection sequelae both in the U.S. and worldwide. Infection sequelae include but are not limited to cellulitis [...]

By | 2019-03-11T14:23:33+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on UNDERSTANDING CLINICAL PATHWAY FOR HOSPITALIZED INJECTION DRUG USERS DUE TO INJECTION-RELATED INFECTION SEQUELAE

Abstract Number: 312

EVOLVING CULTURE FROM “MORE IS BETTER” TO “LESS IS BEST”: A QI PROJECT TO REDUCE USAGE OF MULTILUMEN PICCS

Background: Peripherally inserted central catheters (PICCs) are an increasingly common vascular access device, with more than 4000 devices placed per year at our institution. Though these devices are generally considered safe and effective, they are [...]

By | 2019-03-11T14:23:22+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on EVOLVING CULTURE FROM “MORE IS BETTER” TO “LESS IS BEST”: A QI PROJECT TO REDUCE USAGE OF MULTILUMEN PICCS

Abstract Number: 311

A QUALITY IMPROVEMENT PROJECT TO REDUCE HIGH-RISK MEDICATION USE FOR SLEEP IN HOSPITALIZED PATIENTS AT RISK OF DELIRIUM

Background: Hospitalized elderly patients are at risk for delirium. Despite the widely recognized importance of avoiding potentially inappropriate medications on the BEERS list, hospitalized patients often receive high-risk medications such as benzodiazepines for insomnia. This [...]

By | 2019-03-11T14:23:21+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on A QUALITY IMPROVEMENT PROJECT TO REDUCE HIGH-RISK MEDICATION USE FOR SLEEP IN HOSPITALIZED PATIENTS AT RISK OF DELIRIUM

Abstract Number: 305

DOES GLUCOSE GEL REDUCE NEONATAL INTENSIVE CARE UNIT ADMISSIONS FOR NEONATAL HYPOGLYCEMIA?

Background: Recent studies suggest that glucose gel is effective for treating neonatal hypoglycemia, thus it may reduce neonatal intensive care unit (NICU) admissions. The purpose of this study is to compare NICU admissions and care [...]

By | 2019-03-11T14:23:12+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DOES GLUCOSE GEL REDUCE NEONATAL INTENSIVE CARE UNIT ADMISSIONS FOR NEONATAL HYPOGLYCEMIA?

Abstract Number: 299

IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and [...]

By | 2019-03-11T14:23:02+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Abstract Number: 298

PHYSICIAN COGNITIVE LOAD AND THE RISK OF BURNOUT AMONG US PHYSICIANS

Background: Medicine is complex with extraneous workload impacting the daily flow of physicians. This may contribute to an increased risk of burnout (BO). Cognitive load from complex systems can decrease performance and increase risk of [...]

By | 2019-03-11T14:23:01+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PHYSICIAN COGNITIVE LOAD AND THE RISK OF BURNOUT AMONG US PHYSICIANS

Abstract Number: 294

NARCOTICS USAGE PATTERNS IN THE INPATIENT SETTING – IDENTIFYING WAYS TO IMPROVE PATIENT SAFETY

Background: Hospital inpatients frequently require opioid analgesics for pain management, with more than half of US patients in acute-care facilities receiving opioids during their stay. With the rise of opioid drug therapy, the need to [...]

By | 2019-03-11T14:22:56+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on NARCOTICS USAGE PATTERNS IN THE INPATIENT SETTING – IDENTIFYING WAYS TO IMPROVE PATIENT SAFETY

Abstract Number: 293

HOSPITAL MEDICINE MANAGEMENT OF PENDING TESTS AFTER DISCHARGE: A QUALITY IMPROVEMENT INTERVENTION

Background: Inpatient physicians often discharge patients while diagnostic tests are still pending. The discharging attending is responsible for following-up these results, even if they have rotated off service. This can lead to delayed and/or missed [...]

By | 2019-03-11T14:22:54+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on HOSPITAL MEDICINE MANAGEMENT OF PENDING TESTS AFTER DISCHARGE: A QUALITY IMPROVEMENT INTERVENTION

Abstract Number: 291

REINFORCING TEAMWORK IN A HIGH CALL VOLUME STEP DOWN UNIT: A COLLABORATION AMONG THE NIGHT FLOAT RESIDENTS, NURSING, AND HOSPITALISTS TO IMPROVE WORKFLOW AND PATIENT OUTCOMES

Background: The Progressive Care Unit (PCU) is an intermediary unit between the ICU and the general medical ward. Unit coverage is provided by a dedicated Hospitalist during the day. During the hours of 7pm to [...]

By | 2019-03-11T14:22:51+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on REINFORCING TEAMWORK IN A HIGH CALL VOLUME STEP DOWN UNIT: A COLLABORATION AMONG THE NIGHT FLOAT RESIDENTS, NURSING, AND HOSPITALISTS TO IMPROVE WORKFLOW AND PATIENT OUTCOMES

Abstract Number: 290

THE ACCESSIBILITY OF RESOURCES FOR WOMEN’S NEEDS IN A LARGE ACADEMIC HOSPITAL

Background: Women make up 78.7% of the workforce in healthcare and healthcare-associated fields; further, nearly a third of practicing physicians and surgeons and roughly half of all medical students are women. Whether they are physicians, [...]

By | 2019-03-11T14:22:50+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on THE ACCESSIBILITY OF RESOURCES FOR WOMEN’S NEEDS IN A LARGE ACADEMIC HOSPITAL

Abstract Number: 286

PRANDIAL INSULIN ADMINISTRATION WITH A LA CARTE ORDERING: A PRAGMATIC OBSERVATIONAL STUDY

Background: Glucose management of hospitalized patients with hyperglycemia has many challenges. One of these challenges is the timing of insulin administration in coordination with meal delivery. The Endocrine Society recommends assessing glucose levels within 60 [...]

By | 2019-03-11T14:22:44+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PRANDIAL INSULIN ADMINISTRATION WITH A LA CARTE ORDERING: A PRAGMATIC OBSERVATIONAL STUDY

Abstract Number: 283

“LESS IS MORE WHEN MORE IS TOO MUCH”: REDUCTION OF UNNECESSARY LAB ORDERS ON INPATIENT MEDICAL SERVICES

Background: The practice of routinely ordering daily labs not based on clinical indication on patients in the hospital is a wasteful clinical practice. Routine daily labs can also lead to patient harm by causing pain [...]

By | 2019-03-11T14:22:40+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on “LESS IS MORE WHEN MORE IS TOO MUCH”: REDUCTION OF UNNECESSARY LAB ORDERS ON INPATIENT MEDICAL SERVICES

Abstract Number: 281

THE IMPLEMENTATION OF CROSS-DISCIPLINARY PROTOCOL CHANGES FOR INPATIENT GLYCEMIC CONTROL IN DIABETICS

Background: Hyperglycemia in hospitalized patients is well-known to be associated with adverse outcomes, such as infectious complications, increased length of stay, and increased mortality. To that effect, aggressive treatment of inpatient hyperglycemia has been shown [...]

By | 2019-03-11T14:22:36+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on THE IMPLEMENTATION OF CROSS-DISCIPLINARY PROTOCOL CHANGES FOR INPATIENT GLYCEMIC CONTROL IN DIABETICS

Abstract Number: 279

PUMPING IRON: MANAGEMENT OF ANEMIA IN A COHORT OF PATIENTS WITH HEART FAILURE (HF) ON THE TEXAS-MEXICAN BORDER

Background: Anemia is common in patients with HF with a prevalence ranging from 10-40%. Studies have shown that these patients have worse outcomes compared to those who don’t. The most common etiology remains iron deficiency [...]

By | 2019-03-11T14:22:33+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PUMPING IRON: MANAGEMENT OF ANEMIA IN A COHORT OF PATIENTS WITH HEART FAILURE (HF) ON THE TEXAS-MEXICAN BORDER

Abstract Number: 278

COMPLICATION RATES WITH MIDLINE CATHETERS (MLS) VERSUS PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS)

Background: Vascular access devices (VADs) play an integral role in the treatment of patients, since they can be utilized for the administration of intravenous medications (including antibiotics and chemotherapy), and often on a long term [...]

By | 2019-03-11T14:22:32+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on COMPLICATION RATES WITH MIDLINE CATHETERS (MLS) VERSUS PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS)

Abstract Number: 277

IMPROVING RATES OF APPROPRIATE ICD DEACTIVATION DISCUSSIONS IN ADMITTED PATIENTS MADE DNR AND/OR COMFORT CARE

Background: Implantable cardioverter defibrillator (ICD) shocks can be traumatic for patients and families, particularly at the end of life. Studies estimate between 51-65% of ICDs remain active at time of death, with 24-31% of patients [...]

By | 2019-03-11T14:22:30+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING RATES OF APPROPRIATE ICD DEACTIVATION DISCUSSIONS IN ADMITTED PATIENTS MADE DNR AND/OR COMFORT CARE

Abstract Number: 276

ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

Background: Hypertension is a significant risk factor for cardiovascular disease. According to the Centers for Disease Control and Prevention (CDC) half of all United States citizens with hypertension (HTN) do not have their blood pressure [...]

By | 2019-03-11T14:22:29+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on ASSESSMENT OF VITAMIN LEVELS ON ATHEROSCLEROTIC CARDIOVASCULAR DISEASE RISK: A RESIDENT DRIVEN QUALITY IMPROVEMENT INITIATIVE

Abstract Number: 275

SELF-STEWARDSHIP OF TESTING AS A METHOD FOR REDUCING HOSPITAL ACQUIRED CLOSTRIDIUM DIFFICILE

Background: Clostridium difficile associated diarrhea (CDAD) is an infectious diarrheal illness associated with high morbidity and mortality. Patients with CDAD have diarrhea symptoms and a positive test for a toxin-producing Clostridium difficile organism. However, patients [...]

By | 2019-03-11T14:22:28+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on SELF-STEWARDSHIP OF TESTING AS A METHOD FOR REDUCING HOSPITAL ACQUIRED CLOSTRIDIUM DIFFICILE

Abstract Number: 273

DECREASING ICU LENGTH OF STAY BY IMPROVING PATIENT TRANSFER PRACTICES TO TELEMETRY UNITS

Background: Prolonged intensive care unit (ICU) length of stay (LOS) has been shown to delay patients’ recovery, increase their exposure to the risk of infections, upsurge healthcare costs, and reduce care availability to other critically [...]

By | 2019-03-11T14:22:25+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on DECREASING ICU LENGTH OF STAY BY IMPROVING PATIENT TRANSFER PRACTICES TO TELEMETRY UNITS

Abstract Number: 272

COMBATING CLOSTRIDIUM DIFFICILE ONE BOWL MOVEMENT AT A TIME

Background: Clostridium difficile infection is a common infection encountered by hospitalists. While C. difficile colitis is an important cause of morbidity and mortality in the United States, C. difficile can be a normal colonizer of [...]

By | 2019-03-11T14:22:24+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on COMBATING CLOSTRIDIUM DIFFICILE ONE BOWL MOVEMENT AT A TIME

Abstract Number: 269

THE PROVIDERS DID WHAT?! WORKFLOW-DRIVEN DECISION SUPPORT OF INPATIENT QUALITY MEASURES

Background: Nebraska Medicine is dedicated to the continuous, goal-directed improvement of: 1. Central venous catheter (CVC) duration 2. Indwelling urinary catheter (IUC) duration 3. Telemetry duration 4. VTE prophylaxis 5. Non-violent restraint order renewal Clinical [...]

By | 2019-03-11T14:22:20+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on THE PROVIDERS DID WHAT?! WORKFLOW-DRIVEN DECISION SUPPORT OF INPATIENT QUALITY MEASURES

Abstract Number: 267

EFFECTS OF DATA-DRIVEN STAFFING CHANGES ON HOSPITALIST ATTITUDES, PERCEPTION OF WORKLOAD, AND BURNOUT

Background: Increased hospital utilization and admission can lead to increased provider stress and decreased hospital throughput. Hospital rounding and admitting service design may not appreciably change to accommodate for increased utilization. We hypothesized that a [...]

By | 2019-03-11T14:22:17+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on EFFECTS OF DATA-DRIVEN STAFFING CHANGES ON HOSPITALIST ATTITUDES, PERCEPTION OF WORKLOAD, AND BURNOUT

Abstract Number: 266

USING CONTINUOUS QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE CLOSTRIDIUM DIFFICILE TESTING DELAYS

Background: Timely Clostridium difficile Infection (CDI) testing is challenging but is important for faster and appropriate isolation and treatment of patients. Few studies have specifically addressed effective methods to hasten CDI testing without relying on [...]

By | 2019-03-11T14:22:16+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on USING CONTINUOUS QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE CLOSTRIDIUM DIFFICILE TESTING DELAYS

Abstract Number: 265

PREVALENCE OF CLOSTRIDIUM DIFFICILE CARRIERS IN AN URBAN ACADEMIC MEDICAL CENTER

Background: There are 400,000 cases and 30,000 deaths from Clostridium difficile (C. diff) infections in the United States annually. Efforts to reduce the transmission of C. diff have focused on patients with diarrhea, however, many [...]

By | 2019-03-11T14:22:14+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on PREVALENCE OF CLOSTRIDIUM DIFFICILE CARRIERS IN AN URBAN ACADEMIC MEDICAL CENTER

Abstract Number: 264

HOW WELL DO WE DO? AN IN-DEPTH ANALYSIS OF ATRIAL FIBRILLATION CARE BASED UPON THE 2016 ACC/AHA CLINICAL PERFORMANCE AND QUALITY MEASURES FOR ADULTS WITH ATRIAL FIBRILLATION

Background: Atrial fibrillation (AFIB) is the most common recognized arrhythmia in the United States. Currently affecting more than 6 million people, this number is expected to double by 2050. Along with increased costs ($26 billion/year), [...]

By | 2019-03-11T14:22:13+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on HOW WELL DO WE DO? AN IN-DEPTH ANALYSIS OF ATRIAL FIBRILLATION CARE BASED UPON THE 2016 ACC/AHA CLINICAL PERFORMANCE AND QUALITY MEASURES FOR ADULTS WITH ATRIAL FIBRILLATION

Abstract Number: 263

USING QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE HEART FAILURE READMISSIONS

Background: Heart failure (HF) is one of the most common discharge diagnoses for Medicare beneficiaries. As part of the Affordable Care Act, the Center for Medicare and Medicaid Services initiated the Hospital Readmission Reduction Program [...]

By | 2019-03-11T14:22:12+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on USING QUALITY IMPROVEMENT METHODOLOGIES TO REDUCE HEART FAILURE READMISSIONS

Abstract Number: 262

KNOWLEDGE AND PRESCRIBING PATTERNS OF INTERNAL MEDICINE RESIDENTS ON PROTON PUMP INHIBITORS IN GASTROESOPHAGEAL REFLUX DISEASE

Background: Proton pump inhibitors (PPI) are the mainstay of treatment and symptomatic remission in GERD. Recently, PPI over-utilization has been a major concern due to associated increased risk of adverse events and unnecessary healthcare cost. [...]

By | 2019-03-11T14:22:11+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on KNOWLEDGE AND PRESCRIBING PATTERNS OF INTERNAL MEDICINE RESIDENTS ON PROTON PUMP INHIBITORS IN GASTROESOPHAGEAL REFLUX DISEASE

Abstract Number: 259

THROMBOEMBOLIC AND BLEEDING EVENTS AFTER ANTICOAGULANT INTERRUPTION IN PATIENTS WITH MECHANICAL HEART VALVE HOSPITALIZED FOR EMERGENCY/URGENT NON-CARDIAC SURGERY

Background: Perioperative management of anticoagulant in mechanical valve patients is challenging, Current recommendations focus on management in patients undergoing elective surgery, while the data in patients hospitalized for emergency/urgency non-cardiac surgery is limited. We aimed [...]

By | 2019-03-11T14:22:06+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on THROMBOEMBOLIC AND BLEEDING EVENTS AFTER ANTICOAGULANT INTERRUPTION IN PATIENTS WITH MECHANICAL HEART VALVE HOSPITALIZED FOR EMERGENCY/URGENT NON-CARDIAC SURGERY

Abstract Number: 258

EFFECT OF INTRAVENOUS ACETAMINOPHEN ON POSTOPERATIVE OPIOID USE AND LENGTH OF STAY IN SURGICAL PATIENTS

Background: The use of opioids postoperatively is becoming common practice to achieve pain relief. The goal of the perioperative period is to relieve suffering, achieve early mobilization after surgery, and reduce length of stay (LOS). [...]

By | 2019-03-11T14:22:05+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on EFFECT OF INTRAVENOUS ACETAMINOPHEN ON POSTOPERATIVE OPIOID USE AND LENGTH OF STAY IN SURGICAL PATIENTS

Abstract Number: 257

THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Background: The Obesity Paradox postulates that obesity is a protective factor against mortality in certain chronic conditions such as chronic kidney disease (CKD) and congestive heart failure. Although this paradox is established in CKD, few [...]

By | 2019-03-11T14:22:03+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Abstract Number: 256

DISCONTINUATION OF A COMANAGEMENT SERVICE: EFFECT ON LENGTH OF STAY, READMISSIONS, AND ECHOCARDIOGRAM UTILIZATION

Background: Based on the 2016 State of Hospital Medicine Report, 87% of hospital medicine groups provide surgical comanagement services. Despite its popularity, when studied, the benefits are inconsistent. The vast majority of comanagement research evaluates [...]

By | 2019-03-11T14:22:02+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on DISCONTINUATION OF A COMANAGEMENT SERVICE: EFFECT ON LENGTH OF STAY, READMISSIONS, AND ECHOCARDIOGRAM UTILIZATION

Abstract Number: 255

PREOPERATIVE ECHOCARDIOGRAM IN ACUTE HIP FRACTURES

Background: In 2014, the ACC/AHA released guidelines regarding indications for preoperative transthoracic echocardiogram (pre-op TTE) in patients undergoing noncardiac surgery. Studies indicate that the ordering of pre-op TTE in noncardiac surgery is not consistent with the [...]

By | 2019-03-11T14:22:00+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on PREOPERATIVE ECHOCARDIOGRAM IN ACUTE HIP FRACTURES

Abstract Number: 254

EFFECT OF INTRAOPERATIVE DEXAMETHASONE ADMINISTRATION ON POSTOPERATIVE HYPERGLYCEMIA IN PATIENTS WITH TYPE 2 DIABETES (T2D)

Background: The use of intraoperative dexamethasone has been on the rise because of its ability to reduce postoperative nausea, vomiting, pain and accelerate post-operative recovery. Use of intraoperative dexamethasone can result in uncontrolled hyperglycemia in [...]

By | 2019-03-11T14:21:58+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on EFFECT OF INTRAOPERATIVE DEXAMETHASONE ADMINISTRATION ON POSTOPERATIVE HYPERGLYCEMIA IN PATIENTS WITH TYPE 2 DIABETES (T2D)

Abstract Number: 253

INTERACTIVE SMART GUIDELINES WITH PARTICIPATORY DESIGN: APPLIED TO 2014 ACC/AHA PERIOPERATIVE CARDIOVASCULAR GUIDELINE

Background: Clinical practice guidelines (CPG) are a constructive response to the clinical situations providing systematically developed statements that include recommendations intended to optimize patient care. Despite their value, inadequate dissemination and implementation of the CPGs [...]

By | 2019-03-11T14:21:57+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on INTERACTIVE SMART GUIDELINES WITH PARTICIPATORY DESIGN: APPLIED TO 2014 ACC/AHA PERIOPERATIVE CARDIOVASCULAR GUIDELINE

Abstract Number: 252

CONTEMPORARY RATES OF PREOPERATIVE CARDIAC TESTING PRIOR TO INPATIENT HIP FRACTURE SURGERY

Background: Hip fracture is a common reason for urgent inpatient surgery. In the last few years, several professional societies have identified preoperative echocardiography and stress testing for non-cardiac surgeries as low-value diagnostics. Delaying hip fracture [...]

By | 2019-03-11T14:21:55+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on CONTEMPORARY RATES OF PREOPERATIVE CARDIAC TESTING PRIOR TO INPATIENT HIP FRACTURE SURGERY

Abstract Number: 251

NEONATAL URINARY TRACT INFECTION: PRACTICE PATTERNS IN EVALUATION AND TREATMENT

Background: Infants ≤ 60 days of age with a urinary tract infection (UTI) represent a challenging population without clear guidelines for diagnostic evaluation or antibiotic therapy. UTI represents a significant percentage of serious bacterial infection [...]

By | 2019-03-11T14:21:54+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on NEONATAL URINARY TRACT INFECTION: PRACTICE PATTERNS IN EVALUATION AND TREATMENT

Abstract Number: 250

VARIATION IN RATE OF BLOOD CULTURE FOR SKIN AND SOFT TISSUE INFECTIONS IN IMMUNOCOMPETENT CHILDREN

Background: Single-center studies have reported low yield of blood culture for skin and soft tissue infections (SSTIs) in children. Blood cultures are commonly obtained in cases of SSTI, though the degree of practice variation is [...]

By | 2019-03-11T14:21:50+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on VARIATION IN RATE OF BLOOD CULTURE FOR SKIN AND SOFT TISSUE INFECTIONS IN IMMUNOCOMPETENT CHILDREN

Abstract Number: 247

LET’S TALK ABOUT SEX … INCREASING PROVISION OF REPRODUCTIVE HEALTH SERVICES TO HOSPITALIZED ADOLESCENTS

Background: Adolescent reproductive health services are essential to prevent transmission of sexually transmitted infections (STIs) and teen pregnancy. Half of all new STIs occur among 15-24 year-olds and approximately 750,000 teenage females become pregnant per [...]

By | 2019-03-11T14:21:45+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on LET’S TALK ABOUT SEX … INCREASING PROVISION OF REPRODUCTIVE HEALTH SERVICES TO HOSPITALIZED ADOLESCENTS

Abstract Number: 246

IMPROVING NARROW SPECTRUM ANTIBIOTIC USE IN CHILDREN HOSPITALIZED WITH PNEUMONIA

Background: In 2011, the Infectious Diseases Society of America (IDSA) published new guidelines on the management of community acquired pneumonia (CAP) in children and recommended use of narrow spectrum antibiotics such as ampicillin or amoxicillin [...]

By | 2019-03-11T14:21:44+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on IMPROVING NARROW SPECTRUM ANTIBIOTIC USE IN CHILDREN HOSPITALIZED WITH PNEUMONIA

Abstract Number: 245

ACCURACY OF ADMINISTRATIVE BILLING CODES IN IDENTIFYING NEONATAL ABSTINENCE SYNDROME (NAS) AND OTHER EXPOSURES TO DRUGS OF ABUSE

Background: Neonatal abstinence syndrome (NAS) occurs when an infant is exposed to licit or illicit chemical substances in utero and manifests symptoms of withdrawal from the substance(s) after birth. NAS is a clinical diagnosis, but [...]

By | 2019-03-11T14:21:42+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on ACCURACY OF ADMINISTRATIVE BILLING CODES IN IDENTIFYING NEONATAL ABSTINENCE SYNDROME (NAS) AND OTHER EXPOSURES TO DRUGS OF ABUSE

Abstract Number: 244

THE EFFECT OF PSYCHIATRIC COMORBIDITY ON THE TREATMENT OF PEDIATRIC PATIENTS WITH MIGRAINE HEADACHE

Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves various medications, including a combination of fluids, antiemetics, non-steroidal anti-inflammatory drugs, steroids, and anti-convulsants. Severe or [...]

By | 2019-03-11T14:21:41+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on THE EFFECT OF PSYCHIATRIC COMORBIDITY ON THE TREATMENT OF PEDIATRIC PATIENTS WITH MIGRAINE HEADACHE

Abstract Number: 243

HEADACHE MANAGEMENT AT PHOENIX CHILDREN’S HOSPITAL; EFFECT OF MENTAL HEALTH CO-MORBIDITY

Background: Migraine headache (MHA) is a common pediatric illness with up to 75% of children experiencing an episode by the age of 15. Up to 58% of adult MHA patients have a psychiatric comorbidity (PC), [...]

By | 2019-03-11T14:21:40+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on HEADACHE MANAGEMENT AT PHOENIX CHILDREN’S HOSPITAL; EFFECT OF MENTAL HEALTH CO-MORBIDITY

Abstract Number: 242

ASSESSMENT OF INFORMATION DELIVERY, SHARED DECISION MAKING AND EMPATHIC COMMUNICATION ON FAMILY CENTERED ROUNDS

Background: Patient- and family- centered care (PFCC) is a key element of safe healthcare. Family-centered-rounds (FCR) incorporate PFCC into the daily workflow of children’s hospitals. This observational study assessed whether our rounds on the Baystate [...]

By | 2019-03-11T14:21:38+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on ASSESSMENT OF INFORMATION DELIVERY, SHARED DECISION MAKING AND EMPATHIC COMMUNICATION ON FAMILY CENTERED ROUNDS

Abstract Number: 240

USE OF THE PROJECT IMPACT DISCHARGE TRANSITION BUNDLE TO REDUCE ASTHMA READMISSIONS: A RETROSPECTIVE MULTIFACTORIAL ANALYSIS

Background: Asthma is the leading chronic disease in children with prevalence approaching 10%. Barriers to follow up care, poor access to medication and lack of disease education pose a threat to patient safety and increase [...]

By | 2019-03-11T14:21:35+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on USE OF THE PROJECT IMPACT DISCHARGE TRANSITION BUNDLE TO REDUCE ASTHMA READMISSIONS: A RETROSPECTIVE MULTIFACTORIAL ANALYSIS

Abstract Number: 239

EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) multi-site quality improvement collaborative aims to improve discharge transitions by use of a transition bundle, including use of a discharge checklist (DCL) to ensure completion of important [...]

By | 2019-03-11T14:21:34+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Abstract Number: 238

SAFE SLEEP REINFORCEMENT AND EDUCATION DURING FAMILY CENTERED ROUNDS

Background: The 2011 AAP policy statement regarding recommendations for a safe infant sleeping environment included hospitalized infants, but unsafe sleep practices continue to be common in hospitalized infants. Safe sleep position compliance was observed to [...]

By | 2019-03-11T14:21:33+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on SAFE SLEEP REINFORCEMENT AND EDUCATION DURING FAMILY CENTERED ROUNDS

Abstract Number: 236

THE “JULY EFFECT” ON HOSPITAL DEATHS FROM ACUTE MYOCARDIAL INFARCTION: MYTH OR REALITY?

Background: The "July effect" is a perceived increased risk of medical errors that occurs when US medical graduates begin residencies. There is substantial variability in results across studies of the "July effect" on patients who [...]

By | 2019-03-11T14:21:29+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on THE “JULY EFFECT” ON HOSPITAL DEATHS FROM ACUTE MYOCARDIAL INFARCTION: MYTH OR REALITY?

Abstract Number: 235

ANTIBIOTIC STEWARDSHIP TEAMS AND CLOSTRIDIOIDES DIFFICILE INFECTION PREVENTION PRACTICES IN UNITED STATES HOSPITALS: A NATIONAL SURVEY IN THE JOINT COMMISSION ANTIMICROBIAL STEWARDSHIP STANDARD ERA

Background: Clostridioides difficile infection (CDI) can be prevented through infection prevention practices and antibiotic stewardship. We found in a 2013 national survey (571 hospitals, 71% response rate) that while infection prevention practices for CDI were [...]

By | 2019-03-11T14:21:27+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ANTIBIOTIC STEWARDSHIP TEAMS AND CLOSTRIDIOIDES DIFFICILE INFECTION PREVENTION PRACTICES IN UNITED STATES HOSPITALS: A NATIONAL SURVEY IN THE JOINT COMMISSION ANTIMICROBIAL STEWARDSHIP STANDARD ERA

Abstract Number: 233

PAIN ASSESSMENT TOOLS IN PATIENTS WITH CHRONIC OPIOD USE: A SYSTEMATIC REVIEW

Background: It is often challenging to assess pain in patients on chronic opioids either in acute care setting or in outpatient centers. Pain assessment in this group is more challenging especially if they are hospitalized [...]

By | 2019-03-11T14:21:24+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on PAIN ASSESSMENT TOOLS IN PATIENTS WITH CHRONIC OPIOD USE: A SYSTEMATIC REVIEW

Abstract Number: 232

ARE MIDLINES SAFER THAN PICCS IN HOSPITALIZED PATIENTS? COMPARISON OF OUTCOMES OF PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS) VS MIDLINES FROM A STATEWIDE COLLABORATIVE

Background: Midlines are peripheral vascular devices inserted in the veins of the upper extremity with the tip located at or below the axillary vein. Complications associated with peripherally inserted central catheter (PICC) along with documented [...]

By | 2019-03-11T14:21:23+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ARE MIDLINES SAFER THAN PICCS IN HOSPITALIZED PATIENTS? COMPARISON OF OUTCOMES OF PERIPHERALLY INSERTED CENTRAL CATHETERS (PICCS) VS MIDLINES FROM A STATEWIDE COLLABORATIVE

Abstract Number: 231

ADVERSE EVENTS EXPERIENCED BY PATIENTS HOSPITALIZED WITHOUT DEFINITE MEDICAL ACUITY: A RETROSPECTIVE COHORT STUDY

Background: There is evidence that physicians consider a variety of “non-medical” factors (e.g. lack of social support, barriers to access) in hospital admission decision-making out of concern for patient safety, and that patients are hospitalized [...]

By | 2019-03-11T14:21:21+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ADVERSE EVENTS EXPERIENCED BY PATIENTS HOSPITALIZED WITHOUT DEFINITE MEDICAL ACUITY: A RETROSPECTIVE COHORT STUDY

Abstract Number: 230

SAFETY OF ANTIMOLITY AGENT USE DURING TREATMENT FOR CLOSTRIDIOIDES DIFFICILE INFECTION IN MALIGNANT HEMATOLOGY INPATIENTS

Background: Guidelines on the treatment of Clostridioides (Clostridium) difficile infection (CDI) have historically recommended avoiding antimotility agents (AAs) in patients with active CDI based on theoretical concerns that administration of AAs may precipitate serious adverse [...]

By | 2019-03-11T14:21:20+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on SAFETY OF ANTIMOLITY AGENT USE DURING TREATMENT FOR CLOSTRIDIOIDES DIFFICILE INFECTION IN MALIGNANT HEMATOLOGY INPATIENTS

Abstract Number: 228

RIFAXIMIN ALONE VERSUS RIFAXIMIN AND LACTULOSE COMBINATION THERAPY FOR PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE: SAFETY PROFILE IN PATIENTS WITH CIRRHOSIS

Background: Rifaximin 550 mg tablets is a nonsystemic antibiotic indicated for reducing the risk of overt hepatic encephalopathy (OHE) recurrence in adults and may be used alone or in combination with the cathartic lactulose. This [...]

By | 2019-03-11T14:21:17+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on RIFAXIMIN ALONE VERSUS RIFAXIMIN AND LACTULOSE COMBINATION THERAPY FOR PREVENTION OF OVERT HEPATIC ENCEPHALOPATHY RECURRENCE: SAFETY PROFILE IN PATIENTS WITH CIRRHOSIS

Abstract Number: 227

FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Since the publication of the Institute of Medicine report To Err Is Human in 1999, preventable inpatient deaths in the United States have been estimated as between 44,000 and 98,000 deaths annually. A more [...]

By | 2019-03-11T14:21:16+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

Abstract Number: 226

PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD

Background: Wrong-patient order entry errors are common and often have the potential to cause patient harm. The Office of the National Coordinator for Health Information Technology Patient Identification SAFER Guide recommends displaying patient photographs in [...]

By | 2019-03-11T14:21:14+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD

Abstract Number: 225

DO HOSPITALIZED PATIENTS RECEIVE APPROPRIATE VENOUS THROMBOEMBOLISM PROPHYLAXIS?

Background: Medical patients can be risk stratified using the Padua Prediction Score for venous thromboembolism (vte). It is important to then use the appropriate prophylaxis, chemical, mechanical or none. Studies have not found an added [...]

By | 2019-03-11T14:21:13+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on DO HOSPITALIZED PATIENTS RECEIVE APPROPRIATE VENOUS THROMBOEMBOLISM PROPHYLAXIS?

Abstract Number: 224

WHO YOU GONNA CALL? OUTCOMES OF AN INTERVENTION DESIGNED TO RESPOND TO ACUTE DISRUPTIVE PATIENT BEHAVIORAL EPISODES.

Background: The behavioral response team (BRT) at UNC Hospitals was established in 2015 and its purpose is to bring immediate resources to bear when hospitalized patients experience acute episodes of disruptive behavior that may cause [...]

By | 2019-03-11T14:21:12+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on WHO YOU GONNA CALL? OUTCOMES OF AN INTERVENTION DESIGNED TO RESPOND TO ACUTE DISRUPTIVE PATIENT BEHAVIORAL EPISODES.

Abstract Number: 223

EMERGENCIES IN DIALYSIS: A RETROSPECTIVE REVIEW OF MEDICAL EMERGENCY TEAM UTILIZATION IN HOSPITALIZED PATIENTS WITH END-STAGE RENAL DISEASE

Background: Medical Emergency Teams (METs) are utilized in an inpatient setting to identify patients who exhibit signs of clinical deterioration. Patients, family, or staff activate the team by calling a Code MET when there is [...]

By | 2019-03-11T14:21:10+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on EMERGENCIES IN DIALYSIS: A RETROSPECTIVE REVIEW OF MEDICAL EMERGENCY TEAM UTILIZATION IN HOSPITALIZED PATIENTS WITH END-STAGE RENAL DISEASE

Abstract Number: 221

SUPPORT OPPORTUNITIES FOR SECOND VICTIMS (SOS)

Background: The phrase “Second Victim” describes the psychological/emotional trauma healthcare providers experience after being involved in a near-miss, minor or serious medical error, or unanticipated adverse patient outcome. Affected providers report feelings of guilt, anger, [...]

By | 2019-03-11T14:21:08+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on SUPPORT OPPORTUNITIES FOR SECOND VICTIMS (SOS)

Abstract Number: 220

IDENTIFYING RISK FACTORS FOR HYPOGLYCEMIA TO PREVENT ADVERSE OUTCOMES AMONG HOSPITALIZED PATIENTS

Background: Diabetes affects 30.3 million people in the US, and 25% of total hospital days are incurred by patients with diabetes. Among hospitalized adults, diabetes is considered a chronic secondary diagnosis. As the population of [...]

By | 2019-03-11T14:21:06+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on IDENTIFYING RISK FACTORS FOR HYPOGLYCEMIA TO PREVENT ADVERSE OUTCOMES AMONG HOSPITALIZED PATIENTS

Abstract Number: 219

ASSESSING DOCUMENTATION OF CLINICAL REASONING IN ADMISSION NOTES OF PHYSICIANS WORKING IN HOSPITAL MEDICINE

Background: High quality clinical documentation is essential for patient safety. Thoughtful clinical documentation transmits one’s clinical reasoning and is considered to be a professional responsibility. There are no accepted standards for assessing documentation with respect [...]

By | 2019-03-11T14:21:05+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on ASSESSING DOCUMENTATION OF CLINICAL REASONING IN ADMISSION NOTES OF PHYSICIANS WORKING IN HOSPITAL MEDICINE

Abstract Number: 218

TITLE: REAL TIME INTERVIEWS TO INVESTIGATE WRONG-PATIENT ERRORS DESPITE PATIENT PHOTOGRAPHS

Background: The electronic health record (EHR) and health care provider workflow process may contribute to patient misidentification or wrong-patient errors. When self-caught by the provider, these errors are classified as near-miss errors. When these errors [...]

By | 2019-03-11T14:21:03+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on TITLE: REAL TIME INTERVIEWS TO INVESTIGATE WRONG-PATIENT ERRORS DESPITE PATIENT PHOTOGRAPHS

Abstract Number: 217

THE EFFICACY OF MULTIMODAL APPROACH TO REDUCE UNNECESSARY URINARY CATHETER USE, A PILOT STUDY IN JAPAN.

Background: Catheter-associated urinary tract infection (CAUTI) is a common and clinically important hospital-associated infection throughout the world. A few data from Japan exist regarding the prevalence and appropriateness of urinary catheters in hospitalized patients but [...]

By | 2019-03-11T14:21:02+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on THE EFFICACY OF MULTIMODAL APPROACH TO REDUCE UNNECESSARY URINARY CATHETER USE, A PILOT STUDY IN JAPAN.

Abstract Number: 214

I-PSI: A CAMPAIGN TO INCREASE PATIENT SAFETY REPORTING BY HOUSESTAFF

Background: Voluntary incident reporting systems are an essential component of a high reliability organization (HRO). Historically, housestaff contribute just 1% of all patient safety intelligence (PSI) events reported at our tertiary care academic institution. This [...]

By | 2019-03-11T14:20:58+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on I-PSI: A CAMPAIGN TO INCREASE PATIENT SAFETY REPORTING BY HOUSESTAFF

Abstract Number: 212

IMPLEMENTATION OF AN EARLY WARNING SYSTEM IMPROVES PATIENT SAFETY, BUT IS IT WORTH THE COSTS?

Background: Numerous early warning systems (EWS) exist as potential tools to improve patient safety. Our system recognized higher than peer rates of rapid response (RRT) utilization as well as higher than desired out-of-ICU code blue [...]

By | 2019-03-11T14:20:55+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on IMPLEMENTATION OF AN EARLY WARNING SYSTEM IMPROVES PATIENT SAFETY, BUT IS IT WORTH THE COSTS?

Abstract Number: 209

VARIATION IN USE AND OUTCOMES OF MIDLINE CATHETERS: A MULTI-CENTER STUDY

Background: Midline vascular catheters are gaining popularity in clinical practice. However, patterns of use and outcomes related to these devices are not well known.Methods: Trained abstractors collected detailed patient-, device- and outcome data from medical [...]

By | 2019-03-11T14:20:51+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on VARIATION IN USE AND OUTCOMES OF MIDLINE CATHETERS: A MULTI-CENTER STUDY

Abstract Number: 208

PATTERNS OF PERIPHERALLY INSERTED CENTRAL CATHETER USE IN PATIENTS WITH CHRONIC KIDNEY DISEASE

Background: Peripherally inserted central catheter (PICC) use in patients with chronic kidney disease (CKD) is associated with non-functioning arteriovenous fistulae. Existing guidelines recommend avoiding PICC placement in these patients but how often this occurs and [...]

By | 2019-03-11T14:20:49+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on PATTERNS OF PERIPHERALLY INSERTED CENTRAL CATHETER USE IN PATIENTS WITH CHRONIC KIDNEY DISEASE

Abstract Number: 206

BAD MEDICINE: MEDICAL ERROR IN MEDICAL TELEVISION DRAMAS

Background: Since 1951, medical television dramas have impacted how the public views, understands, and learns about the medical profession. Previous studies have examined how these shows depict topics such as cardiopulmonary resuscitation; other studies have [...]

By | 2019-03-11T14:20:46+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on BAD MEDICINE: MEDICAL ERROR IN MEDICAL TELEVISION DRAMAS

Abstract Number: 205

USE AND PERCEIVED USABILITY OF A PATIENT SAFETY DASHBOARD

Background: Adverse events (AEs) are a major concern in the inpatient setting, with many considered preventable. The Patient Safety Learning Lab implemented a Patient Safety Dashboard integrated with our electronic health record as part of [...]

By | 2019-03-11T14:20:43+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on USE AND PERCEIVED USABILITY OF A PATIENT SAFETY DASHBOARD

Abstract Number: 204

THE EFFECTS OF A SUITE OF HEALTH INFORMATION TECHNOLOGY TOOLS TO IMPROVE INPATIENT SAFETY ON PROCESSES OF CARE

Background: Health information technology (HIT) has the potential to decrease rates of hospital-acquired conditions. The Patient Safety Learning Lab (PSLL) developed a suite of HIT tools to engage patients, families, and providers in identifying, assessing, [...]

By | 2019-03-11T14:20:38+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on THE EFFECTS OF A SUITE OF HEALTH INFORMATION TECHNOLOGY TOOLS TO IMPROVE INPATIENT SAFETY ON PROCESSES OF CARE

Abstract Number: 203

DO CLINICIANS KNOW WHICH OF THEIR PATIENTS HAVE PERIPHERAL INTRAVENOUS CATHETERS?

Background: Peripheral Intravenous Catheters (PIVs) are the most frequently used invasive device in hospitalized patients. Although they are often considered low risk, complications associated with peripheral IVs include phlebitis, bloodstream infection, extravasation. They are also [...]

By | 2019-03-11T14:20:37+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on DO CLINICIANS KNOW WHICH OF THEIR PATIENTS HAVE PERIPHERAL INTRAVENOUS CATHETERS?

Abstract Number: 202

LENGTH OF STAY OUTLIERS: A CASE-CONTROL RETROSPECTIVE STUDY OF INPATIENT ADMISSIONS TO A GENERAL INTERNAL MEDICINE SERVICE

Background: Length of stay (LOS) outliers are a focus of cost and resource utilization for hospitals in the United States. Limited research has been done to characterize outliers, risk factors, and barriers to discharge.Methods: We [...]

By | 2019-03-11T14:20:36+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LENGTH OF STAY OUTLIERS: A CASE-CONTROL RETROSPECTIVE STUDY OF INPATIENT ADMISSIONS TO A GENERAL INTERNAL MEDICINE SERVICE

Abstract Number: 201

TRANSCATHETER AORTIC VALVE REPLACEMENT ON THE RISE: TRENDS AND OUTCOMES NATIONALLY

Background: Transcatheter aortic valve replacement (TAVR) is an increasingly common procedure. While it is currently recommended for patients with severe aortic stenosis with high or intermediate surgical risk, it is currently being studied in lower [...]

By | 2019-03-11T14:20:35+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on TRANSCATHETER AORTIC VALVE REPLACEMENT ON THE RISE: TRENDS AND OUTCOMES NATIONALLY

Abstract Number: 200

SYSTOLIC HEART FAILURE OUTCOMES: GENDER AND RACIAL DISPARITIES

Background: Despite advances in treatment modalities, systolic heart failure carries a high risk of mortality. Several studies have shown that patients with systolic heart failure also experience frequent hospitalization. Although several medical and surgical intervention [...]

By | 2019-03-11T14:20:33+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on SYSTOLIC HEART FAILURE OUTCOMES: GENDER AND RACIAL DISPARITIES

Abstract Number: 199

‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

Background: Several studies have shown increased mortality and readmission rate in patients admitted to hospitals over the weekend. This “weekend effect” has been well-described for several medical conditions and has been attributed to several factors. [...]

By | 2019-03-11T14:20:31+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

Abstract Number: 198

POOR OUTCOMES OF CARDIAC ARREST: IMPACT OF AGE, GENDER AND RACE

Background: Cardiac arrest is a major cause of in-hospital mortality and morbidity. Despite advances in treatment and several interventions to target mortality and improve outcomes, cardiac arrest continues to be a major cause of morbidity [...]

By | 2019-03-11T14:20:30+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on POOR OUTCOMES OF CARDIAC ARREST: IMPACT OF AGE, GENDER AND RACE

Abstract Number: 197

OUTCOMES OF PULMONARY EMBOLISM

Background: Pulmonary embolism (PE) is a frequent cause of hospitalization. It results in significant mortality and morbidity. Several studies have examined the mortality associated with PE and improvements seen with different modalities of treatment. However, [...]

By | 2019-03-11T14:20:28+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on OUTCOMES OF PULMONARY EMBOLISM

Abstract Number: 195

CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY ON CHRONIC KIDNEY DISEASE: IMPACT OF AGE, RACE AND GENDER

Background: Acute kidney injury (AKI) in hospitalized patients is linked to adverse outcomes. Presence of chronic kidney disease (CKD) in these patients has been shown to be an independent risk factor. Outcomes of patients with [...]

By | 2019-03-11T14:20:26+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY ON CHRONIC KIDNEY DISEASE: IMPACT OF AGE, RACE AND GENDER

Abstract Number: 194

CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY

Background: It is well-known that development of acute kidney injury (AKI) in hospitalized patients is associated with adverse outcomes. However, estimates of adverse outcomes in these patients has not been well-characterized. Reliable and accurate estimates [...]

By | 2019-03-11T14:20:24+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY

Abstract Number: 192

CLINICAL OUTCOMES IN TYPE II DIABETES MELLITUS

Background: Hyperglycemia and hyperosmolarity are frequent causes of hospitalization in patients with type II Diabetes Mellitus (T2DM). As a result, these conditions are associated with increased mortality, morbidity and increased health costs. This study examines [...]

By | 2019-03-11T14:20:21+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CLINICAL OUTCOMES IN TYPE II DIABETES MELLITUS

Abstract Number: 190

EXPERIENCE WITH FECAL MICROBIAL TRANSPLANTATION IN IMMUNOCOMPROMISED PATIENTS

Background: Data is emerging on the efficacy of fecal microbial transplantation (FMT) for recurrent clostridium difficile infection (CDI) management with success rates of 80-90% in general population. Immunocompromised patients continue to be excluded from randomized [...]

By | 2019-03-11T14:20:18+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EXPERIENCE WITH FECAL MICROBIAL TRANSPLANTATION IN IMMUNOCOMPROMISED PATIENTS

Abstract Number: 189

DOES A HIGHER LEVEL OF EDUCATION TRANSLATE TO A LOWER CVD PREVALENCE IN THE U.S., 2016-2017?

Background: Education is one of the determinants of health as described by the WHO, and it is one of the primary determinants of Socio-Economic Class (SEC), a higher level of education is associated with a [...]

By | 2019-03-11T14:20:16+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on DOES A HIGHER LEVEL OF EDUCATION TRANSLATE TO A LOWER CVD PREVALENCE IN THE U.S., 2016-2017?

Abstract Number: 188

CHARACTERIZING SEPSIS ENCOUNTERS ACROSS COMMUNITY AND QUARTERNARY HOSPITALS WITHIN ACADEMIC HEALTH SYSTEM

Background: Sepsis is a significant cause of morbidity and mortality in hospitalized patients . Early and appropriate therapy has been shown to improve outcomes, making early diagnosis and intervention critical . However, recognition and treatment [...]

By | 2019-03-11T14:20:15+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CHARACTERIZING SEPSIS ENCOUNTERS ACROSS COMMUNITY AND QUARTERNARY HOSPITALS WITHIN ACADEMIC HEALTH SYSTEM

Abstract Number: 187

PATIENT-CENTERED APPROACH TO HEALTH (PATH): OUTCOME ANALYSIS OF INTERDISCIPLINARY BEDSIDE ROUNDING

Background: Interdisciplinary team-based care is a promising concept in hospital medicine in which healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies showed that team based care is associated [...]

By | 2019-03-11T14:20:14+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PATIENT-CENTERED APPROACH TO HEALTH (PATH): OUTCOME ANALYSIS OF INTERDISCIPLINARY BEDSIDE ROUNDING

Abstract Number: 185

TO EVALUATE THE UTILITY OF STOP-BANG QUESTIONNAIRE TO PREDICT OUTCOMES OF RAPID RESPONSE EVENTS

Background: Rapid Response System (RRS) was designed as a safety tool for early detection and intervention of a deteriorating patient on a general floor in a hospital and Modified Early Warning System (MEWS) scores can [...]

By | 2019-03-11T14:20:11+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on TO EVALUATE THE UTILITY OF STOP-BANG QUESTIONNAIRE TO PREDICT OUTCOMES OF RAPID RESPONSE EVENTS

Abstract Number: 184

COMPARISON OF OUTCOMES FOR ADULT INPATIENTS WITH SICKLE CELL DISEASE CARED FOR BY HOSPITALISTS VS. HEMATOLOGY SPECIALISTS

Background: Sickle cell disease (SCD) and its vasoocclusive sequela are significant causes of morbidity and mortality as well as acute care utilization throughout the United States, with an estimated 92,880 hospital admissions totaling $759 million [...]

By | 2019-03-11T14:20:10+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on COMPARISON OF OUTCOMES FOR ADULT INPATIENTS WITH SICKLE CELL DISEASE CARED FOR BY HOSPITALISTS VS. HEMATOLOGY SPECIALISTS

Abstract Number: 183

THE ASSOCIATION BETWEEN CUMULATIVE DOSES OF ANTIPSYCHOTICS AND QT PROLONGATION AS WELL AS ADVERSE CARDIAC OUTCOMES

Background: Antipsychotics are frequently used in the hospital setting for managing both acute and chronic psychiatric disorders. However, antipsychotics have been associated with higher rates of mortality due to their cardiovascular risk factors, such as [...]

By | 2019-03-11T14:20:08+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE ASSOCIATION BETWEEN CUMULATIVE DOSES OF ANTIPSYCHOTICS AND QT PROLONGATION AS WELL AS ADVERSE CARDIAC OUTCOMES

Abstract Number: 182

EFFICACY AND SAFETY OF PERI-OPERATIVE BRIDGING ANTICOAGULATION IN PATIENTS WITH ATRIAL FIBRILLATION UNDERGOING ELECTIVE SURGICAL PROCEDURE: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Background: Atrial fibrillation (AF) is a very common condition which usually requires anticoagulation (AC). There are very clear indications of when to initiate AC but recommendations regarding bridging during elective surgery are not very clear. [...]

By | 2019-03-11T14:20:07+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EFFICACY AND SAFETY OF PERI-OPERATIVE BRIDGING ANTICOAGULATION IN PATIENTS WITH ATRIAL FIBRILLATION UNDERGOING ELECTIVE SURGICAL PROCEDURE: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Abstract Number: 181

EFFICACY AND SAFETY OF APIXABAN IN COMPARISON WITH WARFARIN FOR STROKE PREVENTION IN ATRIAL FIBRILLATION: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Background: Atrial fibrillation leads to increased risk of systemic embolism (SE) and stroke. To decrease the occurrence of stroke/SE, anticoagulation is routinely prescribed. Recently, non-vitamin K anticoagulants like apixaban and rivaroxaban have become more popular [...]

By | 2019-03-11T14:20:05+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EFFICACY AND SAFETY OF APIXABAN IN COMPARISON WITH WARFARIN FOR STROKE PREVENTION IN ATRIAL FIBRILLATION: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Abstract Number: 180

30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who [...]

By | 2019-03-11T14:20:04+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on 30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

Abstract Number: 179

NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING THE COST OR LENGTH OF STAY: A 2-YEAR FOLLOW-UP

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

By | 2019-03-11T14:20:01+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING THE COST OR LENGTH OF STAY: A 2-YEAR FOLLOW-UP

Abstract Number: 178

ASSOCIATION OF HOSPITAL READMISSION REDUCTION PROGRAM IMPLEMENTATION WITH READMISSION RATE AND MORTALITY OUTCOME IN HOSPITALIZED PATIENTS WITH ACUTE EXACERBATION OF COPD (AECOPD)

Background: Hospital Readmission Reduction Program(HRRP) implemented by CMS as part of Affordable Care Act (ACA) applies financial penalties to hospitals that have higher-than-expected readmission rates for common conditions such as AMI, pneumonia, and HF. CMS [...]

By | 2019-03-11T14:20:00+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASSOCIATION OF HOSPITAL READMISSION REDUCTION PROGRAM IMPLEMENTATION WITH READMISSION RATE AND MORTALITY OUTCOME IN HOSPITALIZED PATIENTS WITH ACUTE EXACERBATION OF COPD (AECOPD)

Abstract Number: 177

NATIONWIDE COST-ANALYSES OF ENDOVASCULAR CARDIAC VALVE REPLACEMENT: CURRENT ECONOMICAL IMPACT OF COMPLICATIONS IN THE HEALTH CARE SYSTEM

Background: Endovascular cardiac valve replacement continues to increase in popularity as it becomes more of a standard of care for valve replacements. As the number of ECVR grows each year, complications associated with these procedures [...]

By | 2019-03-11T14:19:58+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on NATIONWIDE COST-ANALYSES OF ENDOVASCULAR CARDIAC VALVE REPLACEMENT: CURRENT ECONOMICAL IMPACT OF COMPLICATIONS IN THE HEALTH CARE SYSTEM

Abstract Number: 176

RISK, OUTCOMES AND PREDICT FACTORS OF CLOSTRIDIUM DIFFICILE INFECTION IN HOSPITALIZED MULTIPLE MYELOMA PATIENTS FROM A NATIONWIDE ANALYSIS

Background: Patients hospitalized with hematologic malignancy are particularly vulnerable to infection. Clostridium difficile infection (CDI) has become the most common cause of healthcare-associated infections in U. S. hospitals, and the excess healthcare costs related to [...]

By | 2019-03-11T14:19:57+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on RISK, OUTCOMES AND PREDICT FACTORS OF CLOSTRIDIUM DIFFICILE INFECTION IN HOSPITALIZED MULTIPLE MYELOMA PATIENTS FROM A NATIONWIDE ANALYSIS

Abstract Number: 175

CHARACTERIZING FATIGABILITY IN HOSPITALIZED PATIENTS WITH ANEMIA

Background: Fatigability describes how fatigued a patient is at any given level of activity, and is measured as the degree of fatigue a patient experiences after performing a specific amount of activity. The National Institute [...]

By | 2019-03-11T14:19:56+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CHARACTERIZING FATIGABILITY IN HOSPITALIZED PATIENTS WITH ANEMIA

Abstract Number: 174

CHARACTERISTICS OF AND PROCESS MEASURES FOR EMERGENCY DEPARTMENT PATIENTS INITIALLY IDENTIFIED AS SEPSIS BY EITHER SOFA OR SIRS CRITERIA

Background: Depending on the criterion applied, the systemic inflammatory response syndrome (SIRS) criteria and the Sequential Organ Failure Assessment (SOFA) criteria initially identify distinct populations that present to the emergency department (ED) with suspected sepsis [...]

By | 2019-03-11T14:19:54+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CHARACTERISTICS OF AND PROCESS MEASURES FOR EMERGENCY DEPARTMENT PATIENTS INITIALLY IDENTIFIED AS SEPSIS BY EITHER SOFA OR SIRS CRITERIA

Abstract Number: 173

OUTCOMES OF STANDARDIZED MINNESOTA DETOXIFICATION SCALE (MINDS) ASSESSMENT WITH HIGH DOSE DIAZEPAM TREATMENT FOR ALCOHOL WITHDRAWAL IN HOSPITALIZED PATIENTS

Background: Approximately 1.6 million men and 800,000 women in the US are alcohol dependent and have an alcohol-use disorder. Half will experience withdrawal symptoms after decreased alcohol consumption. Complications including seizures and delirium tremens occur [...]

By | 2019-03-11T14:19:53+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on OUTCOMES OF STANDARDIZED MINNESOTA DETOXIFICATION SCALE (MINDS) ASSESSMENT WITH HIGH DOSE DIAZEPAM TREATMENT FOR ALCOHOL WITHDRAWAL IN HOSPITALIZED PATIENTS

Abstract Number: 172

MIDLINES: AN URBAN HOSPITAL’S EXPERIENCE

Background: Since being introduced in the 1950s, midlines have since gained attention as an intravascular access option—particularly in patients requiring intravenous (IV) therapy for extended time periods. They provide an alternative to frequent venipuncture from [...]

By | 2019-03-11T14:19:52+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on MIDLINES: AN URBAN HOSPITAL’S EXPERIENCE

Abstract Number: 170

ANGIOTENSIN CONVERTING ENZYME INHIBITOR REDUCES THE INCIDENCE OF ATRIAL FIBRILLATION IN HEART FAILURE WITH PRESERVED EJECTION FRACTION PATIENTS: A RETROSPECTIVE COHORT STUDY FROM THE TOPCAT TRIAL

Background: Heart failure (HF) and atrial fibrillation (AF) share several risk factors including coronary artery disease, hypertension, smoking, obesity, diabetes, and renal disease, as well as common pathophysiologic pathway involving activation of the renin–angiotensin–aldosterone system, [...]

By | 2019-03-11T14:19:49+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ANGIOTENSIN CONVERTING ENZYME INHIBITOR REDUCES THE INCIDENCE OF ATRIAL FIBRILLATION IN HEART FAILURE WITH PRESERVED EJECTION FRACTION PATIENTS: A RETROSPECTIVE COHORT STUDY FROM THE TOPCAT TRIAL

Abstract Number: 169

IDENTIFYING POTENTIAL CANDIDATES FOR HOSPITAL AT HOME AMONG 104,662 ADULT ADMISSIONS WITH SUSPECTED BACTERIAL INFECTION

Background: Hospital at Home (HaH) care is an alternative to traditional hospitalization with potential to address issues of cost and hospital capacity, while improving outcomes and patient satisfaction. In 2017, the US Department of Health [...]

By | 2019-03-11T14:19:48+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IDENTIFYING POTENTIAL CANDIDATES FOR HOSPITAL AT HOME AMONG 104,662 ADULT ADMISSIONS WITH SUSPECTED BACTERIAL INFECTION

Abstract Number: 167

WHAT ARE THE RATES AND COSTS OF READMISSIONS AND SUBSEQUENT EMERGENCY DEPARTMENT VISITS AMONG HOSPITALIZED PATIENTS WITH MAJOR DEPRESSIVE DISORDER AND SUICIDAL IDEATION OR SUICIDE ATTEMPT?

Background: Patients hospitalized for major depressive disorder (MDD) with suicidal ideation (SI) or suicide attempt (SA) may have a high risk for hospital readmission. This study evaluated readmission/subsequent emergency department (ED) visit rates and the [...]

By | 2019-03-11T14:19:45+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on WHAT ARE THE RATES AND COSTS OF READMISSIONS AND SUBSEQUENT EMERGENCY DEPARTMENT VISITS AMONG HOSPITALIZED PATIENTS WITH MAJOR DEPRESSIVE DISORDER AND SUICIDAL IDEATION OR SUICIDE ATTEMPT?

Abstract Number: 166

ECONOMIC BURDEN OF PATIENTS WITH MAJOR DEPRESSIVE DISORDER PATIENTS AND SUICIDAL IDEATION OR SUICIDE ATTEMPT: A RETROSPECTIVE HOSPITAL-BASED DATABASE ANALYSIS

Background: The economic burden of illness for patients with major depressive disorder (MDD) with suicidal ideation (SI) and suicide attempt (SA) can be attributed to the intensive level of care required, as these patients are [...]

By | 2019-03-11T14:19:44+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ECONOMIC BURDEN OF PATIENTS WITH MAJOR DEPRESSIVE DISORDER PATIENTS AND SUICIDAL IDEATION OR SUICIDE ATTEMPT: A RETROSPECTIVE HOSPITAL-BASED DATABASE ANALYSIS

Abstract Number: 165

PREDICTIVE ABILITY OF THE CHANGE IN RED CELL DISTRIBUTION WIDTH FOR ACUTE HEART FAILURE HOSPITALIZATION AND BEYOND

Background: Acute heart failure (AHF) hospitalization is about one million hospital admissions per year and has tripled in the last 30 years in the United States. These illustrate the importance of recognizing early signs of [...]

By | 2019-03-11T14:19:42+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PREDICTIVE ABILITY OF THE CHANGE IN RED CELL DISTRIBUTION WIDTH FOR ACUTE HEART FAILURE HOSPITALIZATION AND BEYOND

Abstract Number: 164

THE INFLUENCE OF GEOGRAPHIC DISPERSION ON OUTCOMES OF HOSPITALIZED MEDICINE SERVICE PATIENTS

Background: Specialty wards (e.g., cardiology or oncology wards) group clinically similar hospitalized patients in efforts to improve outcomes and costs. When these wards exceed capacity, subsequent patients overflow to “geographically dispersed” alternate wards. Geographic dispersion [...]

By | 2019-03-11T14:19:41+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE INFLUENCE OF GEOGRAPHIC DISPERSION ON OUTCOMES OF HOSPITALIZED MEDICINE SERVICE PATIENTS

Abstract Number: 163

IMPLEMENTATION OF BLOOD UTILIZATION PROGRAM AT A COMMUNITY HOSPITAL

Background: Transfusion of packed red blood cells in the United States has more than doubled from 1997 to 2011; however, it is thought that greater than 50% of transfusions may be unnecessary. Numerous clinical trials [...]

By | 2019-03-11T14:19:40+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IMPLEMENTATION OF BLOOD UTILIZATION PROGRAM AT A COMMUNITY HOSPITAL

Abstract Number: 162

POST-DISCHARGE RESOURCE USE AND 30-DAY UNPLANNED HOSPITAL READMISSIONS IN PATIENTS ADMITTED FOR HEART FAILURE

Background: Research on post-discharge outpatient care often focuses on single types of encounters, such as primary care in-person appointments or primary care phone calls. However, patients interact with the healthcare system following discharge using a [...]

By | 2019-03-11T14:19:39+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on POST-DISCHARGE RESOURCE USE AND 30-DAY UNPLANNED HOSPITAL READMISSIONS IN PATIENTS ADMITTED FOR HEART FAILURE

Abstract Number: 161

FACING THE FACTS: HOW FACE-TO-FACE FIRST ENCOUNTERS PROMOTE SUCCESSFUL HEPATITIS C LINKAGE TO CARE IN AN INPATIENT SETTING

Background: There are an estimated 3.5 million people in the United States living with Hepatitis C virus (HCV); 75-85% of those will develop a chronic infection that can result in liver complications. It is crucial [...]

By | 2019-03-11T14:19:37+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on FACING THE FACTS: HOW FACE-TO-FACE FIRST ENCOUNTERS PROMOTE SUCCESSFUL HEPATITIS C LINKAGE TO CARE IN AN INPATIENT SETTING

Abstract Number: 160

PATIENT STAKEHOLDER ENGAGEMENT IN RESEARCH: A SYSTEMATIC REVIEW TO DESCRIBE FOUNDATIONAL PRINCIPLES AND BEST PRACTICE ACTIVITIES

Background: Health research is rapidly evolving to include patient stakeholders (patients, families and caregivers) as active members of research teams. The proliferation of published frameworks describing the conceptual foundations underlying this engagement, and strategies detailing [...]

By | 2019-03-11T14:19:32+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PATIENT STAKEHOLDER ENGAGEMENT IN RESEARCH: A SYSTEMATIC REVIEW TO DESCRIBE FOUNDATIONAL PRINCIPLES AND BEST PRACTICE ACTIVITIES

Abstract Number: 159

RACIAL FACTORS AND INPATIENT OUTCOMES AMONG PATIENTS WITH DIABETES WHO PRESENT WITH FOOT COMPLICATIONS

Background: Foot amputation rates in Black patients with diabetic foot complications have been historically higher than White patients. To determine if improvements in this disparity occurred, we carried out trend analysis of lower extremity amputation [...]

By | 2019-03-11T14:19:30+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on RACIAL FACTORS AND INPATIENT OUTCOMES AMONG PATIENTS WITH DIABETES WHO PRESENT WITH FOOT COMPLICATIONS

Abstract Number: 158

THE WORLD AROUND US AND OUR LUNGS: THE IMPACT OF ENVIRONMENTAL EXPOSURES ON RESPIRATORY HEALTH

Background: Chronic respiratory diseases lead to co-morbid conditions, including osteoporosis, that impact quality of life and healthcare expense. Environmental exposures are risk factors for the development and severity of chronic respiratory diseases. We evaluated the [...]

By | 2019-03-11T14:19:29+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE WORLD AROUND US AND OUR LUNGS: THE IMPACT OF ENVIRONMENTAL EXPOSURES ON RESPIRATORY HEALTH

Abstract Number: 157

EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Background: Delays in antibiotic administration in sepsis – particularly after the development of hypotension – are associated with increased mortality. Current guidelines recommend antibiotic initiation within one hour of sepsis recognition. However, it is not [...]

By | 2019-03-11T14:19:28+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Abstract Number: 156

DISPOSITION OUTCOMES OF ACUTE PULMONARY EMBOLISMS DIAGNOSED IN THE EMERGENCY DEPARTMENT

Background: Prognostic risk scores allow clinicians to rapidly identify patients with acute pulmonary embolism (PE) at a low risk for mortality and morbidity. Current guidelines recommend that these patients be considered for outpatient treatment. Despite [...]

By | 2019-03-11T14:19:26+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on DISPOSITION OUTCOMES OF ACUTE PULMONARY EMBOLISMS DIAGNOSED IN THE EMERGENCY DEPARTMENT

Abstract Number: 155

HOW DOES RACE AND GENDER AFFECT THE RISK OF ANEMIA IN A COHORT OF PREDOMINANTLY HISPANIC HEART FAILURE (HF) PATIENTS IN A COMMUNITY HOSPITAL IN SOUTH TEXAS

Background: Anemia in patients with heart failure (HF) is common. Data reported shows a variable prevalence ranging from 10-40%. Additionally, it has also been demonstrated that it is associated with poor outcomes. Multiple risk factors [...]

By | 2019-03-11T14:19:25+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on HOW DOES RACE AND GENDER AFFECT THE RISK OF ANEMIA IN A COHORT OF PREDOMINANTLY HISPANIC HEART FAILURE (HF) PATIENTS IN A COMMUNITY HOSPITAL IN SOUTH TEXAS

Abstract Number: 154

PERFORMANCE DIMINISHES WHEN RISK MODELS CREATED FOR PROXIMAL OUTCOMES ARE APPLIED TO DISTAL OUTCOMES

Background: Standard risk prediction tools including the quick-Sequential Organ Failure Assessment (qSOFA) have been validated using in-hospital outcomes (mortality [Died-Hosp] or intensive care unit stay >72 hours [ICU72]). Yet, risk models are often applied to [...]

By | 2019-03-11T14:19:24+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PERFORMANCE DIMINISHES WHEN RISK MODELS CREATED FOR PROXIMAL OUTCOMES ARE APPLIED TO DISTAL OUTCOMES

Abstract Number: 153

IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

Background: Involvement of a cardiologist in the care of hospitalized patients with a primary diagnosis of heart failure (HF) has been shown to improve outcomes and may affect their readmission rates. However, less is known [...]

By | 2019-03-11T14:19:23+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

Abstract Number: 152

ASSOCIATION OF SOCIOECONOMIC AND RACIAL DISPARITIES WITH HEALTHCARE UTILIZATION AND OUTCOMES IN OPIOID OVERDOSE RELATED HOSPITALIZATIONS IN THE UNITED STATES: INSIGHTS FROM NATIONAL INPATIENT SAMPLE FROM 2012 THROUGH 2014

Background: While prescription opioids have a role in treating certain pain conditions, their injudicious use has led to an epidemic with myriad adverse outcomes. We sought to evaluate the association of socioeconomic and racial disparities [...]

By | 2019-03-11T14:19:21+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASSOCIATION OF SOCIOECONOMIC AND RACIAL DISPARITIES WITH HEALTHCARE UTILIZATION AND OUTCOMES IN OPIOID OVERDOSE RELATED HOSPITALIZATIONS IN THE UNITED STATES: INSIGHTS FROM NATIONAL INPATIENT SAMPLE FROM 2012 THROUGH 2014

Abstract Number: 151

IDENTIFYING ADVERSE DIETARY CHOICES BY USING THE RATE YOUR PLATE SURVEY WHILE EQUATING A SHARED DECISION MAKING APPROACH AND THE EFFECT ON DIETARY IMPROVEMENT

Background: The Center for Health Evaluations, Education, Research and Engagement (CHEVERE) study is a research program at Lincoln Hospital designed to explore the cultural, social and psychological factors that either facilitate or serve as barriers [...]

By | 2019-03-11T14:19:20+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IDENTIFYING ADVERSE DIETARY CHOICES BY USING THE RATE YOUR PLATE SURVEY WHILE EQUATING A SHARED DECISION MAKING APPROACH AND THE EFFECT ON DIETARY IMPROVEMENT

Abstract Number: 150

LOCATION, LOCATION, LOCATION: WHY HOSPITAL SETTING MATTERS DURING A CARDIAC ARREST

Background: Cardiac arrest, as characterized by an abrupt loss of cardiac function, remains to be a main event preceding death with low survival rates nationwide. Although many factors can serve as the underlying etiology, it [...]

By | 2019-03-11T14:19:19+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LOCATION, LOCATION, LOCATION: WHY HOSPITAL SETTING MATTERS DURING A CARDIAC ARREST

Abstract Number: 148

ASPIRIN EFFICACY AND SAFETY PROFILE FOR PRIMARY PREVENTION IN DIABETIC PATIENTS: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS

Background: The role of aspirin in primary prevention of cardiovascular events remains controversial, Especially in diabetic patients. We have conducted a meta-analysis of all randomized controlled trials (RCTs) to evaluate the efficacy and safety of [...]

By | 2019-03-11T14:19:16+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASPIRIN EFFICACY AND SAFETY PROFILE FOR PRIMARY PREVENTION IN DIABETIC PATIENTS: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS

Abstract Number: 147

ASSOCIATION OF POST PARACENTESIS ALBUMIN DOSAGE AND ACUTE KIDNEY INJURY IN HOSPITALIZED PATIENTS

Background: Large volume paracentesis is commonly performed in patients with refractory ascites but can induce hypotension and kidney injury. There is evidence that administering albumin at 6-8 grams per liter (g/L) of ascites removed during [...]

By | 2019-03-11T14:19:15+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASSOCIATION OF POST PARACENTESIS ALBUMIN DOSAGE AND ACUTE KIDNEY INJURY IN HOSPITALIZED PATIENTS

Abstract Number: 146

FREQUENCY AND COSTS OF REHOSPITALIZATIONS FOR VENOUS THROMBOEMBOLISM AMONG PATIENTS WITH INFECTIOUS DISEASES

Background: Patients hospitalized for infectious diseases are at risk for venous thromboembolism (VTE) and over 50% of VTE events occur 30-40 days after discharge. In our previous analyses, over 60% of patients hospitalized for an [...]

By | 2019-03-11T14:19:14+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on FREQUENCY AND COSTS OF REHOSPITALIZATIONS FOR VENOUS THROMBOEMBOLISM AMONG PATIENTS WITH INFECTIOUS DISEASES

Abstract Number: 145

THE RELATIONSHIP OF LONELINESS TO SYMPTOM BURDEN, INTENSITY OF CARE, AND ADVANCE CARE PLANNING AT END OF LIFE IN OLDER AMERICANS

Background: Lonely adults are prone to a variety of poor health outcomes, including accelerated functional and cognitive decline, depression, and premature mortality. As a result, lonely adults may be prone to higher health-related suffering, triggering [...]

By | 2019-03-11T14:19:12+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE RELATIONSHIP OF LONELINESS TO SYMPTOM BURDEN, INTENSITY OF CARE, AND ADVANCE CARE PLANNING AT END OF LIFE IN OLDER AMERICANS

Abstract Number: 144

THALIDOMIDE AND LENALIDOMIDE FOR REFRACTORY CROHN DISEASE: A META-ANALYSIS

Background: Thalidomide, a previously banned sedative drug, was rediscovered as an immunomodulator. Multiple studies demonstrated thalidomide as an experimental treatment for refractory Crohn disease. However, the level of evidence has been limited by the overall [...]

By | 2019-03-11T14:19:11+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on THALIDOMIDE AND LENALIDOMIDE FOR REFRACTORY CROHN DISEASE: A META-ANALYSIS

Abstract Number: 142

TIME COURSE OF SERUM HEPCIDIN-25 LEVELS AND FERROKINETIC PARAMETERS IN PATIENTS WITH BACTEREMIA

Background: Hepcidin-25 is a liver-derived peptide hormone that regulates iron homeostasis in humans. Recent studies have suggested that it also plays a key role in host-pathogen interface. Iron is essential for the survival and growth [...]

By | 2019-03-11T14:19:09+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on TIME COURSE OF SERUM HEPCIDIN-25 LEVELS AND FERROKINETIC PARAMETERS IN PATIENTS WITH BACTEREMIA

Abstract Number: 141

SODIUM ZIRCONIUM CYCLOSILICATE FOR HYPERKALEMIA IN PATIENTS WITH DIABETES MELLITUS: RETROSPECTIVE ANALYSIS OF A 12-MONTH, OPEN-LABEL, PHASE 3 STUDY

Background: Hyperkalemia occurs frequently in diabetes. Sodium zirconium cyclosilicate (SZC), an oral, selective potassium (K) binder, rapidly reduces K in patients (pts) with hyperkalemia and has been shown to maintain normokalemia for up to 1 [...]

By | 2019-03-11T14:19:07+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on SODIUM ZIRCONIUM CYCLOSILICATE FOR HYPERKALEMIA IN PATIENTS WITH DIABETES MELLITUS: RETROSPECTIVE ANALYSIS OF A 12-MONTH, OPEN-LABEL, PHASE 3 STUDY

Abstract Number: 138

A COMPARISON OF BAWS (BRIEF ALCOHOL WITHDRAWAL SCALE) WITH CIWA-AR TO DIAGNOSE THE SEVERITY OF ALCOHOL WITHDRAWAL IN HOSPITALIZED MEDICAL PATIENTS

Background: Treating alcohol withdrawal in the inpatient medical setting requires timely identification of the severity of alcohol withdrawal so appropriate treatment can be administered. Delayed or missed diagnosis can lead to increased morbidity and mortality, [...]

By | 2019-03-11T14:19:03+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on A COMPARISON OF BAWS (BRIEF ALCOHOL WITHDRAWAL SCALE) WITH CIWA-AR TO DIAGNOSE THE SEVERITY OF ALCOHOL WITHDRAWAL IN HOSPITALIZED MEDICAL PATIENTS

Abstract Number: 137

RELATIONSHIP BETWEEN BURNOUT, SPIRITUALITY, AND EMPATHY AMONG PHYSICIANS

Background: Physician burnout has been suggested to be positively associated with the degree of spirituality and negatively associated with empathy; however, sparse data with mixed results are available. Therefore, our objective was to determine if [...]

By | 2019-03-11T14:19:02+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on RELATIONSHIP BETWEEN BURNOUT, SPIRITUALITY, AND EMPATHY AMONG PHYSICIANS

Abstract Number: 136

EFFECT OF PHYSICIAN BURNOUT ON WELL-BEING

Background: Prevalence of burnout is significantly higher in physicians than general population. Burnout is expected to result in decreased personal well-being, however, relationship between physician burnout and well-being is unexplored. Therefore, our aim was to [...]

By | 2019-03-11T14:19:00+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on EFFECT OF PHYSICIAN BURNOUT ON WELL-BEING

Abstract Number: 135

THIRTY-DAY POST-DISCHARGE MORTALITY AMONG BLACK AND WHITE SENIORS UNDER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM

Background: Black seniors have historically had higher readmission rates than white seniors, and hospitals that treat more black seniors have been disproportionately penalized the Medicare Hospital Readmissions Reduction Program (HRRP). Consequently, the policy could exacerbate [...]

By | 2019-03-11T14:18:59+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on THIRTY-DAY POST-DISCHARGE MORTALITY AMONG BLACK AND WHITE SENIORS UNDER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM

Abstract Number: 132

THE HOSPITAL MEDICINE HIRING PROCESS: RESULTS FROM A NATIONAL SURVEY

Background: Despite rapidly growing interest in hospital medicine (HM), no prior research has examined the attributes that may be most beneficial to applicants during the HM application, interview and hiring process. We aimed to define [...]

By | 2019-03-11T14:18:51+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on THE HOSPITAL MEDICINE HIRING PROCESS: RESULTS FROM A NATIONAL SURVEY

Abstract Number: 131

MORE THAN JUST ANOTHER ADMISSION FOR FALL: COEXISTING SYSTEMIC INFECTIONS IN PATIENTS HOSPITALIZED WITH CHIEF COMPLAINT OF FALL

Background: Infectious disease-related factors that may contribute to or complicate falls have received relatively little attention in the literature. Specifically, the prevalence of coexisting systemic infections (CSIs) in patients presenting with a fall and admitted [...]

By | 2019-03-11T14:18:49+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on MORE THAN JUST ANOTHER ADMISSION FOR FALL: COEXISTING SYSTEMIC INFECTIONS IN PATIENTS HOSPITALIZED WITH CHIEF COMPLAINT OF FALL

Abstract Number: 130

THE CLINICAL UTILITY OF A CHEST X-RAY FOR IDENTIFYING PNEUMONIA: A NOVEL APPROACH ACCOUNTING FOR INTERMEDIATE RESULTS

Background: Currently, the chest x-ray (CXR) is the first line imaging test for identifying pneumonia and chest CT (CT) is considered the reference standard; however, prior studies have not specifically addressed intermediate results and therefore, [...]

By | 2019-03-11T14:18:48+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on THE CLINICAL UTILITY OF A CHEST X-RAY FOR IDENTIFYING PNEUMONIA: A NOVEL APPROACH ACCOUNTING FOR INTERMEDIATE RESULTS

Abstract Number: 129

BRIDGING SCLERODERMA PATIENTS TO PALLIATIVE CARE: ASSESSING PAIN IN RHEUMATOLOGY CLINIC

Background: Chronic pain is a healthcare problem that significantly affects the physical and mental health of patients and impact their quality of life. It can complicate many disorders and represents a common symptom of rheumatologic [...]

By | 2019-03-11T14:18:47+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on BRIDGING SCLERODERMA PATIENTS TO PALLIATIVE CARE: ASSESSING PAIN IN RHEUMATOLOGY CLINIC

Abstract Number: 128

PREVALENCE AND PREDICTORS OF SUBOPTIMAL PIFR ACROSS GOLD STAGES: ANALYSES FROM THE REVEFENACIN PHASE 3 PROGRAM

Background: Many patients with chronic obstructive pulmonary disease (COPD) have suboptimal peak inspiratory flow rate (sPIFR) because of lung hyperinflation, hypoxemia, and muscle wasting, preventing effective use of dry powder inhalers commonly used to treat [...]

By | 2019-03-11T14:18:46+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on PREVALENCE AND PREDICTORS OF SUBOPTIMAL PIFR ACROSS GOLD STAGES: ANALYSES FROM THE REVEFENACIN PHASE 3 PROGRAM

Abstract Number: 127

EFFICACY AND SAFETY OF REVEFENACIN IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE IS NOT AGE DEPENDENT: A POST HOC SUBGROUP ANALYSIS OF THREE PHASE 3 TRIALS

Background: Revefenacin (REV), a once-daily, long-acting muscarinic antagonist for nebulized inhalation, was recently approved for maintenance treatment of chronic obstructive pulmonary disease (COPD). We present post hoc efficacy and safety data from three phase 3 [...]

By | 2019-03-11T14:18:44+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on EFFICACY AND SAFETY OF REVEFENACIN IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE IS NOT AGE DEPENDENT: A POST HOC SUBGROUP ANALYSIS OF THREE PHASE 3 TRIALS

Abstract Number: 125

THE I-HOPE STUDY: IMPROVING HOSPITAL OUTCOMES THROUGH PATIENT ENGAGEMENT

Background: Issues with the quality and safety of hospital care have been well-documented, and serve as the basis for improvement strategies and research. However, what is less understood are the perspectives of patients, families, caregivers, [...]

By | 2019-03-11T14:18:42+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on THE I-HOPE STUDY: IMPROVING HOSPITAL OUTCOMES THROUGH PATIENT ENGAGEMENT

Abstract Number: 124

EFFECT OF EXTENDED SHIFT ‘7 ON/7 OFF’ SCHEDULING ON THE WELL-BEING AND PERFORMANCE OF HOSPITAL MEDICINE PHYSICIANS – A PILOT STUDY

Background: Hospital Medicine (HM) practices have traditionally utilized an extended ‘7 on/7 off’ (7/7) schedule. Occupational Health studies suggest that such schedules can increase physiologic and psychologic stressors (Keller). Despite their prevalence, the effects of [...]

By | 2019-03-11T14:18:40+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on EFFECT OF EXTENDED SHIFT ‘7 ON/7 OFF’ SCHEDULING ON THE WELL-BEING AND PERFORMANCE OF HOSPITAL MEDICINE PHYSICIANS – A PILOT STUDY

Abstract Number: 123

TOP DOCS: THE GENDER GAP

Background: Despite gender equality in medical school composition, gender-based disparities exist in multiple domains of healthcare, including: academic promotion tracks, leadership positions, scholarly production, and compensation. Patients also exhibit a gender bias, reporting a higher [...]

By | 2019-03-11T14:18:39+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on TOP DOCS: THE GENDER GAP

Abstract Number: 122

IMPUTING THE RATIO OF PARTIAL PRESSURE OF ARTERIAL OXYGEN TO FRACTION OF INSPIRED OXYGEN: THE OPTIMAL STRATEGY IN NON-INTUBATED FLOOR PATIENTS.

Background: The ratio of partial pressure of arterial oxygen to the fraction of inspired oxygen (P:F ratio) has known clinical utility. For example, it is a key component of the sequential organ failure assesment (SOFA) [...]

By | 2019-03-11T14:18:38+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on IMPUTING THE RATIO OF PARTIAL PRESSURE OF ARTERIAL OXYGEN TO FRACTION OF INSPIRED OXYGEN: THE OPTIMAL STRATEGY IN NON-INTUBATED FLOOR PATIENTS.

Abstract Number: 121

RACIAL DISPARITIES IN TREATMENT OUTCOMES AMONGST PATIENTS WITH A DIAGNOSIS OF COLO RECTAL CANCER

Background: Introduction: Colorectal cancer is the 4th most common cancer in the United States. It is the second most common cause of death in the united states. Despite universal advocacy for screening colonoscopies and early [...]

By | 2019-03-11T14:18:37+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on RACIAL DISPARITIES IN TREATMENT OUTCOMES AMONGST PATIENTS WITH A DIAGNOSIS OF COLO RECTAL CANCER

Abstract Number: 120

HOSPITALIZATION OUTCOMES BETWEEN INTRA HEPATIC BILE DUCT CARCINOMA VERSUS EXTRA HEPATIC BILIARY CHOLANGIOCARCINOMA

Background: Cholangiocarcinoma is an uncommon cancer with a very bad prognosis despite advances made in treatment. Location intrahepatic versus extrahepatic - determines surgical options. In our study, we examined variations in outcomes between patients admitted [...]

By | 2019-03-11T14:18:36+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on HOSPITALIZATION OUTCOMES BETWEEN INTRA HEPATIC BILE DUCT CARCINOMA VERSUS EXTRA HEPATIC BILIARY CHOLANGIOCARCINOMA

Abstract Number: 119

DIFFERENCES IN OPIOID PRESCRIBING AMONG GENERALIST PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS

Background: The volume of opioid prescriptions in the US has increased dramatically over the last two decades, and strong evidence suggests that this has perpetuated opioid misuse, addiction, overdose, and drug-related deaths. We aimed to [...]

By | 2019-03-11T14:18:34+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on DIFFERENCES IN OPIOID PRESCRIBING AMONG GENERALIST PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS

Abstract Number: 118

DEVELOPMENT AND VALIDATION OF A NEW TOOL TO ASSESS INPATIENT COMPLEXITY: THE PATIENT COMPLEXITY ASSESSMENT (PCA) SCORE

Background: In the primary care setting, up to one third of patients are categorized as complex, while this proportion is not well known in the hospital setting. By definition, complex patients demand more effort and/or [...]

By | 2019-03-11T14:18:33+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on DEVELOPMENT AND VALIDATION OF A NEW TOOL TO ASSESS INPATIENT COMPLEXITY: THE PATIENT COMPLEXITY ASSESSMENT (PCA) SCORE

Abstract Number: 117

RISK OF VENOUS THROMBOEMBOLISM AMONG PATIENTS ON BISPHOSPHONATES: A META-ANALYSIS OF OBSERVATIONAL STUDIES

Background: Bisphosphonates are the most commonly prescribed medications for treatment for osteoporosis (OP). Although increasing evidence supports a good safety profile, there is an emerging concern regarding the cardiovascular safety of these agents. Whereas the [...]

By | 2019-03-11T14:18:32+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on RISK OF VENOUS THROMBOEMBOLISM AMONG PATIENTS ON BISPHOSPHONATES: A META-ANALYSIS OF OBSERVATIONAL STUDIES

Abstract Number: 114

HEALTHCARE’S SILENT MAJORITY: DISCOVERING THE SOCIAL NEEDS OF HOSPITALIZED PEOPLE

Background: Social determinants of health (SDOH) include stable housing, food security, and accessible transportation, and they are not universally identified or addressed in clinical health. Although physicians recognize the importance of screening patients for social [...]

By | 2019-03-11T14:18:28+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on HEALTHCARE’S SILENT MAJORITY: DISCOVERING THE SOCIAL NEEDS OF HOSPITALIZED PEOPLE

Abstract Number: 113

HOSPITALIST PERSPECTIVES ON PATIENT EXPERIENCE

Background: Patient and family experience of care is a keystone of high-value care and the Centers for Medicare and Medicaid Services’ value-based purchasing incentives for hospitals. As a result, most hospitals and health systems nationally [...]

By | 2019-03-11T14:18:27+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on HOSPITALIST PERSPECTIVES ON PATIENT EXPERIENCE

Abstract Number: 111

INTERVENTIONS TO REDUCE AGGRESSIVE END OF LIFE CARE AMONG CANCER PATIENTS: A SYSTEMATIC REVIEW

Background: Aggressive EOL treatments in advanced cancer patients are associated with low-value care and frequently lead to unnecessary hospitalizations. Since 2012, the National Quality Forum (NQF), American Society of Clinical Oncology (ASCO), and Centers for [...]

By | 2019-03-11T14:18:25+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on INTERVENTIONS TO REDUCE AGGRESSIVE END OF LIFE CARE AMONG CANCER PATIENTS: A SYSTEMATIC REVIEW

Abstract Number: 110

THE BENEFIT FROM LONG-TERM EXERCISE FOR COGNITIVE FUNCTION IN ALZHEIMER DISEASE: A META-ANALYSIS

Background: Alzheimer disease (AD) is characterized by cognitive impairment including memory impairment, executive dysfunction, visuospatial impairment, and behavioral changes. Previous studies have shown that increasing level of physical activity serves as a protective factor against [...]

By | 2019-03-11T14:18:23+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on THE BENEFIT FROM LONG-TERM EXERCISE FOR COGNITIVE FUNCTION IN ALZHEIMER DISEASE: A META-ANALYSIS

Abstract Number: 109

MANAGEMENT AND OUTCOMES OF HOSPITALIZED OLDER ADULTS WITH ALZHEIMER’S DISEASE AND RELATED DEMENTIAS (ADRD)

Background: The number of individuals with Alzheimer’s disease and related dementias (ADRD) in the U.S is projected to reach 16 million by 2050. Currently, they account for 3.2 million hospital admissions per year and over [...]

By | 2019-03-11T14:18:22+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on MANAGEMENT AND OUTCOMES OF HOSPITALIZED OLDER ADULTS WITH ALZHEIMER’S DISEASE AND RELATED DEMENTIAS (ADRD)

Abstract Number: 108

PREVENTION OF DELIRIUM IN HOSPITALIZED OLDER ADULTS WITH EYE MASKS AND EARPLUGS WORN AT NIGHT: A PILOT STUDY

Background: Delirium is associated with high morbidity and mortality in hospitalized older adults. Sleep is a modifiable risk factor for delirium. Eye masks (EMs) and earplugs (EPs) have been shown to improve sleep and effective [...]

By | 2019-03-11T14:18:21+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on PREVENTION OF DELIRIUM IN HOSPITALIZED OLDER ADULTS WITH EYE MASKS AND EARPLUGS WORN AT NIGHT: A PILOT STUDY

Abstract Number: 107

ACCELEROMETER MEASURED HOSPITAL ACTIVITY AND THE ASSOCIATION WITH HOSPITAL ACQUIRED DISABILITY IN OLDER ADULTS

Background: Hospital-acquired disability (HAD) is common, and a key contributor to this process is low hospital physical activity. This study examines whether objective measures of hospital physical activity from wearable accelerometers can be used to [...]

By | 2019-03-11T14:18:20+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on ACCELEROMETER MEASURED HOSPITAL ACTIVITY AND THE ASSOCIATION WITH HOSPITAL ACQUIRED DISABILITY IN OLDER ADULTS

Abstract Number: 106

HOW DELIRIOUS CAN IT BE TO ‘PREDICT’ DELIRIUM ? – A REVIEW OF DELIRIUM PREDICTION TOOLS FOR HOSPITALIZED PATIENTS

Background: Delirium prevention by multicomponent interventions is proven, with strong evidence confirming its effectiveness in both medical and surgical populations. Identifying high risk patients is very important for resource allocation and utilization. Risk factors for [...]

By | 2019-03-11T14:18:19+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on HOW DELIRIOUS CAN IT BE TO ‘PREDICT’ DELIRIUM ? – A REVIEW OF DELIRIUM PREDICTION TOOLS FOR HOSPITALIZED PATIENTS

Abstract Number: 105

THE IMPACT OF COUNSELING ON ARTIFICIAL HYDRATION AND NUTRITION FOR ELDERLY PATIENTS WITH INSUFFICIENT ORAL INTAKE, SINGLE CENTER PROSPECTIVE COHORT STUDY

Background: In Japan, a “super-aged” society, the rate of end-stage dysphagia in the elderly is increasing. Artificial hydration and nutrition (AHN) can be used for such patients, although it may not improve mortality or quality [...]

By | 2019-03-11T14:18:17+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on THE IMPACT OF COUNSELING ON ARTIFICIAL HYDRATION AND NUTRITION FOR ELDERLY PATIENTS WITH INSUFFICIENT ORAL INTAKE, SINGLE CENTER PROSPECTIVE COHORT STUDY

Abstract Number: 104

PRESENTATION OF PNEUMONIA IN HOSPITALIZED OLDER ADULTS AND ASSOCIATED IN-HOSPITAL MORTALITY.

Background: Pneumonia (PNA) is the fourth most common diagnosis for hospital admissions in the United States. Although the Infectious Diseases Society of America (IDSA) defines PNA as requiring specific clinical features (cough, fever, sputum production [...]

By | 2019-03-11T14:18:16+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on PRESENTATION OF PNEUMONIA IN HOSPITALIZED OLDER ADULTS AND ASSOCIATED IN-HOSPITAL MORTALITY.

Abstract Number: 103

EXAMINING HOSPITALRELATED OUTCOMES FOR HOSPICE ELIGIBLE ELDERLY PATIENTS WITH SOLID TUMORS, DOES HOSPICE ENROLLMENT MAKE A DIFFERENCE?

Background: Although Hospice has been associated with improved symptom management, quality of life, lower costs and length of survival in terminally ill patients, it is underutilized. The primary outcome of this study was to examine [...]

By | 2019-03-11T14:18:14+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on EXAMINING HOSPITALRELATED OUTCOMES FOR HOSPICE ELIGIBLE ELDERLY PATIENTS WITH SOLID TUMORS, DOES HOSPICE ENROLLMENT MAKE A DIFFERENCE?

Abstract Number: 99

HOW INTERNAL MEDICINE RESIDENTS VIEW THEIR WORK: WORK ENGAGEMENT AND BURNOUT

Background: Based on the study “Jobs, Careers, Callings: People’s Relations to their Work,” we wanted to see whether how residents intrinsically view their occupation affects their work engagement and burnout. We used the same three [...]

By | 2019-03-11T14:18:09+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on HOW INTERNAL MEDICINE RESIDENTS VIEW THEIR WORK: WORK ENGAGEMENT AND BURNOUT

Abstract Number: 93

OPTIMIZING MEDICAL STUDENT LEARNING EXPERIENCES ON HOSPITAL MEDICINE TEAMS-A QUALITATIVE STUDY

Background: As the landscape of healthcare changes, hospitalists are progressively at the fore front of medical training as educators for both students and residents. There is some literature suggesting that hospitalists are rated favorably by [...]

By | 2019-03-11T14:18:01+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on OPTIMIZING MEDICAL STUDENT LEARNING EXPERIENCES ON HOSPITAL MEDICINE TEAMS-A QUALITATIVE STUDY

Abstract Number: 92

MIND THE GAP: FACULTY PERCEPTIONS OF SELF-EFFICACY IN EDUCATION AND RESEARCH VERSUS LEADERSHIP ASSESSMENT OF FACULTY PERFORMANCE

Background: Traditionally, academic medicine has had a trifold mission of education, research, and patient care, in which education and research were paramount. However, in many institutions, patient care is now the large single wheel, and [...]

By | 2019-04-12T16:30:08+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on MIND THE GAP: FACULTY PERCEPTIONS OF SELF-EFFICACY IN EDUCATION AND RESEARCH VERSUS LEADERSHIP ASSESSMENT OF FACULTY PERFORMANCE

Abstract Number: 90

NURSE-PHYSICIAN BEDSIDE ROUNDS: A NOVEL TRAINING WORKSHOP FOR INPATIENT PROVIDERS

Background: Multidisciplinary rounds occurs in various formats. On our medical wards, centralized multidisciplinary team huddles are conducted daily to ensure the entire care team is engaged and contributing to care plan development. Often times this [...]

By | 2019-03-11T14:17:57+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on NURSE-PHYSICIAN BEDSIDE ROUNDS: A NOVEL TRAINING WORKSHOP FOR INPATIENT PROVIDERS

Abstract Number: 88

UNLOCKING IMPLICIT BIAS: IMPLEMENTATION OF AN IMPLICIT BIAS WORKSHOP TO INCREASE RESIDENT AWARENESS OF IMPLICIT BIAS AND ITS EFFECTS ON PATIENT CARE

Background: Unconscious attitudes, also known as implicit biases are ubiquitous and their effects are wide-ranging. From something as seemingly insignificant as the clutching of a purse in lieu of a passerby to something of potential [...]

By | 2019-03-11T14:17:55+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on UNLOCKING IMPLICIT BIAS: IMPLEMENTATION OF AN IMPLICIT BIAS WORKSHOP TO INCREASE RESIDENT AWARENESS OF IMPLICIT BIAS AND ITS EFFECTS ON PATIENT CARE

Abstract Number: 81

PEER OBSERVATIONS: ENHANCING TEACHING BEHAVIORS

Background: Medical training relies on direct observations and formative feedback. After graduation, opportunities to receive feedback on clinical teaching diminish. Hospitalists typically receive feedback through learner evaluations which can be untimely, non-specific, and biased. The [...]

By | 2019-03-11T14:17:47+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on PEER OBSERVATIONS: ENHANCING TEACHING BEHAVIORS

Abstract Number: 79

EFFECTIVENESS OF SIMULATION TRAINING IN PREPARING POST CLERKSHIP MEDICAL STUDENTS TO CARE FOR URGENT AND EMERGENT INTERNAL MEDICINE CONDITIONS

Background: Little is known about the effectiveness of simulation training for medical students entering internal medicine (IM) residency. Post clerkship students have been found to lack confidence and competence in many of the clinical situations [...]

By | 2019-03-11T14:17:44+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on EFFECTIVENESS OF SIMULATION TRAINING IN PREPARING POST CLERKSHIP MEDICAL STUDENTS TO CARE FOR URGENT AND EMERGENT INTERNAL MEDICINE CONDITIONS

Abstract Number: 76

PERCEPTIONS OF THIRD YEAR MEDICAL STUDENTS ON THEIR INTERNAL MEDICINE HOSPITALIST ROTATION

Background: Third year medical student in their internal medicine clerkship rotate with the resident teaching services as well as resident uncovered hospitalist teams.When assigned to a hospitalist service for their internal medicine clerkship, the student [...]

By | 2019-03-11T14:17:40+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on PERCEPTIONS OF THIRD YEAR MEDICAL STUDENTS ON THEIR INTERNAL MEDICINE HOSPITALIST ROTATION

Abstract Number: 75

PERCEPTION OF JUNIOR FACULTY OF GENERAL INTERNAL MEDICINE REGARDING MENTORING SCHOLARLY PROJECTS AND FACULTY DEVELOPMENT

Background: Mentoring skills are valuable assets for academic medicine faculty, who support academic excellence including scholarly productivity of the next generation of physicians. But mentoring students and residents in scholarly projects is often challenged by [...]

By | 2019-03-11T14:17:39+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on PERCEPTION OF JUNIOR FACULTY OF GENERAL INTERNAL MEDICINE REGARDING MENTORING SCHOLARLY PROJECTS AND FACULTY DEVELOPMENT

Abstract Number: 74

PERCEPTION OF ACADEMIC HOSPITALIST ABOUT BURNOUT AND IT’S IMPACT ON MEDICAL EDUCATION

Background: Academic hospitalist play a crucial role in providing quality patient care, medical education and research. With increase in work load the burnout of hospitalist has significantly increased. This is influencing their well being as [...]

By | 2019-03-11T14:17:37+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on PERCEPTION OF ACADEMIC HOSPITALIST ABOUT BURNOUT AND IT’S IMPACT ON MEDICAL EDUCATION

Abstract Number: 73

PERCEPTION AND EXPERIENCES IN EDUCATING MEDICAL STUDENTS ON COMPASSION AND EMPATHY AT THE MEDICAL COLLEGE OF WISCONSIN

Background: Clinical empathy is associated with improved patient outcomes, but it is often difficult to teach to medical students. Our survey attempted to understand the perception of medical students regarding role of empathy in patient [...]

By | 2019-03-11T14:17:36+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on PERCEPTION AND EXPERIENCES IN EDUCATING MEDICAL STUDENTS ON COMPASSION AND EMPATHY AT THE MEDICAL COLLEGE OF WISCONSIN

Abstract Number: 71

HOSPITALIST-LED POINT-OF-CARE ULTRASOUND CURRICULUM FOR UNDER-GRADUATE MEDICAL STUDENTS AND POST-GRADUATE YEAR RESIDENTS

Background: Point-of-care ultrasound (POCUS) has become a ubiquitous tool in clinical care. However, the optimal timing and methods of POCUS integration into medical education remains unknown. We aim to identify and evaluate the baseline competency, [...]

By | 2019-03-11T14:17:34+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on HOSPITALIST-LED POINT-OF-CARE ULTRASOUND CURRICULUM FOR UNDER-GRADUATE MEDICAL STUDENTS AND POST-GRADUATE YEAR RESIDENTS

Abstract Number: 69

THE CHANGING PARADIGM OF TEACHING ROUNDS: WHAT’S VALUABLE TO LEARNERS AND FACULTY?

Background: For most of the past century, clinical medicine was taught almost exclusively at the bedside. Currently, learners participate in a variety of activities that may or may not include bedside teaching. Balancing quality patient [...]

By | 2019-03-11T14:17:31+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on THE CHANGING PARADIGM OF TEACHING ROUNDS: WHAT’S VALUABLE TO LEARNERS AND FACULTY?

Abstract Number: 66

TEACHING STUDENTS TO TRANSFORM: THE HEALTH INNOVATIONS SCHOLARS PROGRAM, SIX YEARS LATER

Background: At the University of Colorado, we developed the ‘Health Innovations Scholars Program’ (HISP), a 5-week intensive training program for pre-clinical medical students who seek to lead innovative transformation of the healthcare system. The program [...]

By | 2019-03-11T14:17:28+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on TEACHING STUDENTS TO TRANSFORM: THE HEALTH INNOVATIONS SCHOLARS PROGRAM, SIX YEARS LATER

Abstract Number: 65

EFFECT ON RESIDENT PROCEDURE VOLUME AND SUPERVISION AFTER IMPLEMENTATION OF AN INPATIENT PROCEDURE SERVICE

Background: The American Board of Internal Medicine suggests residents participate in a minimum of five abdominal paracentesis (AP), central venous catheter (CVC) placements, and lumbar punctures to ensure “adequate knowledge and understanding” of procedures performed [...]

By | 2019-03-11T14:17:27+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on EFFECT ON RESIDENT PROCEDURE VOLUME AND SUPERVISION AFTER IMPLEMENTATION OF AN INPATIENT PROCEDURE SERVICE

Abstract Number: 64

IMAGE INTERPRETATION SKILLS AND ATTITUDES OF INTERNAL MEDICINE RESIDENTS TOWARDS POINT-OF-CARE ULTRASOUND: DOES MEDICAL SCHOOL TRAINING MATTER?

Background: The role of point-of-care-ultrasound (POCUS) as a useful bedside tool for hospitalists is growing. Few studies examined residents’ attitude towards POCUS or compared POCUS image interpretation skills between residents with and without POCUS training [...]

By | 2019-03-11T14:17:25+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on IMAGE INTERPRETATION SKILLS AND ATTITUDES OF INTERNAL MEDICINE RESIDENTS TOWARDS POINT-OF-CARE ULTRASOUND: DOES MEDICAL SCHOOL TRAINING MATTER?

Abstract Number: 63

RESIDENT AND FACULTY PERCEPTIONS OF MULTIDISCIPLINARY ROUNDS (MDR) INSTITUTED AT A COMMUNITY-BASED HOSPITAL TO REDUCE INPATIENT LENGTH OF STAY (LOS).

Background: Multidisciplinary (MDR) team rounds were established at Halifax hospital as daily, dedicated interactions between varying members of the care team on each inpatient floor. Members of the care team include physicians, nurses, physical therapists, [...]

By | 2019-03-11T14:17:24+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on RESIDENT AND FACULTY PERCEPTIONS OF MULTIDISCIPLINARY ROUNDS (MDR) INSTITUTED AT A COMMUNITY-BASED HOSPITAL TO REDUCE INPATIENT LENGTH OF STAY (LOS).

Abstract Number: 57

THE POCUS SUPERVISION SAFETY GAP: ATTENDING PHYSICIAN KNOWLEDGE IN POINT-OF-CARE ULTRASOUND LAGS BEHIND THAT OF INTERNAL MEDICINE RESIDENTS

Background: Point-of-Care-Ultrasound (POCUS) is increasingly recognized as a useful diagnostic tool in hospital medicine. US-based resident physicians are increasingly trained in the use of POCUS, but education and training for hospitalist attendings may lag behind [...]

By | 2019-03-11T14:17:17+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Research|Comments Off on THE POCUS SUPERVISION SAFETY GAP: ATTENDING PHYSICIAN KNOWLEDGE IN POINT-OF-CARE ULTRASOUND LAGS BEHIND THAT OF INTERNAL MEDICINE RESIDENTS

Abstract Number: 55

TOWARDS DEVELOPING AN OBSTETRIC MEDICINE CONSULTATIVE SERVICE: IDENTIFYING OBSTETRIC PATIENTS WITH MEDICAL CO-MORBIDITIES

Background: In the US, the increase in pre-existing maternal conditions and aging of the maternal population has resulted in a shift towards indirect causes of maternal morbidity and mortality. Indirect causes of morbidity and mortality [...]

By | 2019-03-11T14:17:15+00:00 March 11th, 2019|Consultative Medicine, Hospital Medicine 2019, Research|Comments Off on TOWARDS DEVELOPING AN OBSTETRIC MEDICINE CONSULTATIVE SERVICE: IDENTIFYING OBSTETRIC PATIENTS WITH MEDICAL CO-MORBIDITIES

Abstract Number: 54

SEXUAL HARASSMENT IN MEDICINE: DOES MEDICAL TV IMITATE REALITY?

Background: Sexual harassment poses a risk in any workforce, but is particularly relevant within the medical field as medical professionals are expected to exhibit high levels of trust, professionalism, and confidentiality. While sexual harassment in [...]

By | 2019-03-11T14:17:13+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on SEXUAL HARASSMENT IN MEDICINE: DOES MEDICAL TV IMITATE REALITY?

Abstract Number: 53

IMPROVING PATIENT EXPERIENCE IN AN ACADEMIC CENTER BY ROUTINELY INTRODUCING PHYSICIAN TEAM MEMBER BY THEIR RESPECTIVE ROLE

Background: In an academic center, a physician team may be comprised of medical students, interns, residents, fellows and an attending. Patients encounter multiple members from the same physician team and this often leads to confusion [...]

By | 2019-03-11T14:17:12+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on IMPROVING PATIENT EXPERIENCE IN AN ACADEMIC CENTER BY ROUTINELY INTRODUCING PHYSICIAN TEAM MEMBER BY THEIR RESPECTIVE ROLE

Abstract Number: 44

PATIENTS’ COMPREHENSION OF THEIR OVERALL HEALTH AND HOSPITALIZATION

Background: Studies regarding patient comprehension have mainly focused on discharge instructions and information, and few studies are available on patients’ comprehension of their treatment while hospitalized. The standards for patient-centered communication by The Joint Commission [...]

By | 2019-03-11T14:17:01+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on PATIENTS’ COMPREHENSION OF THEIR OVERALL HEALTH AND HOSPITALIZATION

Abstract Number: 43

PATIENT PERCEPTION OF TIME SPENT BY PHYSICIAN AT BEDSIDE AND PATIENT SATISFACTION

Background: Understanding communication between providers and patients is key to providing patient-centered care. We sought to determine if patient’s perception of time spent by physician at bedside is associated with patient satisfaction with physician communication.Methods: [...]

By | 2019-03-11T14:17:00+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on PATIENT PERCEPTION OF TIME SPENT BY PHYSICIAN AT BEDSIDE AND PATIENT SATISFACTION

Abstract Number: 42

UTILIZING A TRIAGE PHYSICIAN CAN IMPEDE THE QUALITY OF COMMUNICATION BETWEEN EMERGENCY DEPARTMENT AND INPATIENT PROVIDERS

Background: Academic medical centers with teaching and non-teaching teams and complex call schedules frequently utilize triage providers to allocate admissions to each inpatient service. In this process, the ED provider hands off the patient to [...]

By | 2019-03-11T14:16:58+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on UTILIZING A TRIAGE PHYSICIAN CAN IMPEDE THE QUALITY OF COMMUNICATION BETWEEN EMERGENCY DEPARTMENT AND INPATIENT PROVIDERS

Abstract Number: 41

PERCEIVED BARRIERS TO SEATED PHYSICIAN-PATIENT INTERACTIONS AMONG INTERNAL MEDICINE HOUSESTAFF

Background: Sitting at the bedside improves patients’ perception of their interactions with their physicians. Despite these data, prior work shows that medicine interns sit during only 9% of observed physician-patient interactions. We aimed to assess [...]

By | 2019-03-11T14:16:57+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on PERCEIVED BARRIERS TO SEATED PHYSICIAN-PATIENT INTERACTIONS AMONG INTERNAL MEDICINE HOUSESTAFF

Abstract Number: 36

THE BIG READ: A NOVEL STRATEGY TO ENHANCE EMPLOYEE WELLNESS AND IMPROVE ATTITUDE AROUND END OF LIFE CARE

Background: Health care systems around the country are struggling with faculty and staff burnout. It is established that burnout leads to higher employee turnover and poorer patient outcomes. The Big Read is a hospitalist-led institution-wide [...]

By | 2019-03-11T14:16:50+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on THE BIG READ: A NOVEL STRATEGY TO ENHANCE EMPLOYEE WELLNESS AND IMPROVE ATTITUDE AROUND END OF LIFE CARE

Abstract Number: 33

HOSPITALIST PERSPECTIVE ON DIFFICULT PATIENT ENCOUNTERS AND THE EFFECT ON PHYSICIAN RESILIENCE: A QUALITATIVE STUDY

Background: Physician burnout impacts job satisfaction and turnover with significant financial and operational costs in addition to the negative impact on patient care. Organizations are increasingly focused on methods to improve physician resilience. Our study [...]

By | 2019-03-11T14:16:46+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on HOSPITALIST PERSPECTIVE ON DIFFICULT PATIENT ENCOUNTERS AND THE EFFECT ON PHYSICIAN RESILIENCE: A QUALITATIVE STUDY

Abstract Number: 32

CAN SMARTPHONES IMPROVE COMMUNICATION IN AN AREA OF LOW HEALTH LITERACY?

Background: Recently there has been an explosion of smartphone apps with emphasis to improve healthcare of patients. With a poverty rate of 32% Cameron County is one of the poorest areas in the country. Compounded [...]

By | 2019-03-11T14:16:45+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on CAN SMARTPHONES IMPROVE COMMUNICATION IN AN AREA OF LOW HEALTH LITERACY?

Abstract Number: 31

A STUDY ON INTERNET USE FOR HEALTH INFORMATION IN THE HOSPITALIZED PATIENT

Background: Hospitalized patients often crave information about their illness. As many as 70% of outpatients use the internet for this purpose. However, little is known about how often hospitalized patients search for medical information online.Methods: [...]

By | 2019-03-11T14:16:44+00:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on A STUDY ON INTERNET USE FOR HEALTH INFORMATION IN THE HOSPITALIZED PATIENT

Abstract Number: 26

MEASURING ADVANCED PRACTICE PROVIDER VALUE: CAN ADVANCED PRACTICE PROVIDERS DECREASE PHYSICIAN BURNOUT IN HOSPITAL MEDICINE?

Background: From 2016 to 2018, advanced practice provider (APP) utilization in academic hospital medicine groups (HMGs) has increased by 23.6%, with 75.7% of academic HMGs now employing APPs. Due to a lack of standardization around [...]

By | 2019-03-18T14:09:24+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on MEASURING ADVANCED PRACTICE PROVIDER VALUE: CAN ADVANCED PRACTICE PROVIDERS DECREASE PHYSICIAN BURNOUT IN HOSPITAL MEDICINE?

Abstract Number: 23

USING ELECTRONIC HEALTH RECORD PHENOTYPIC DATA TO PREDICT DISCHARGE DESTINATION

Background: Discharge to post-acute care settings (PACs), such as skilled nursing facilities (SNFs), requires significant, complex discharge planning which often needs to be started early during hospitalization to be complete by time of discharge. This [...]

By | 2019-04-17T09:33:02+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Research, Transitions of Care, Winners|Comments Off on USING ELECTRONIC HEALTH RECORD PHENOTYPIC DATA TO PREDICT DISCHARGE DESTINATION

Abstract Number: 21

NATIONAL SURVEY OF CURRENT USE AND TRAINING NEEDS IN POINT OF CARE ULTRASOUND AMONG VA HOSPITALISTS

Background: Point of Care Ultrasound (POCUS) is a goal-directed, bedside ultrasound examination performed by a healthcare provider to answer a specific diagnostic question or guide performance of an invasive procedure at the bedside. More hospitalists [...]

By | 2019-03-18T13:46:10+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Research, Technology in Hospital Medicine|Comments Off on NATIONAL SURVEY OF CURRENT USE AND TRAINING NEEDS IN POINT OF CARE ULTRASOUND AMONG VA HOSPITALISTS

Abstract Number: 17

EVALUATION OF THE ORDER S.M.A.R.T.T. (SLEEP: MAKING APPROPRIATE REDUCTIONS IN TESTING AND TIMING) LABS: AN INITIATIVE TO REDUCE PHLEBOTOMY AND IMPROVE SLEEP FRIENDLY LABS ON RESIDENT AND HOSPITALIST GENERAL MEDICINE SERVICES

Background: Excessive daily routine laboratory testing for hospitalized patients is a contributor to poor hospital sleep, iatrogenic anemia, and excessive costs. Recommendations from the Choosing Wisely™ campaign specifically state to avoid sleep interruptions for routine [...]

By | 2019-03-18T13:30:55+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Quality Improvement, Research|Comments Off on EVALUATION OF THE ORDER S.M.A.R.T.T. (SLEEP: MAKING APPROPRIATE REDUCTIONS IN TESTING AND TIMING) LABS: AN INITIATIVE TO REDUCE PHLEBOTOMY AND IMPROVE SLEEP FRIENDLY LABS ON RESIDENT AND HOSPITALIST GENERAL MEDICINE SERVICES

Abstract Number: 15

EVALUATING ADEQUACY OF VTE PROPHYLAXIS FOR OVERWEIGHT AND OBESE PATIENTS

Background: In 2016 70% of venous thromboembolism events at the University of Pittsburgh Medical Center Presbyterian Hospital occurred in patients with BMI>=25. The American College of Chest Physicians recommend weight base dosing for VTE prophylaxis [...]

By | 2019-03-18T13:28:42+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Quality Improvement, Research|Comments Off on EVALUATING ADEQUACY OF VTE PROPHYLAXIS FOR OVERWEIGHT AND OBESE PATIENTS

Abstract Number: 10

APPLYING MAGIC TO IMPROVE PICC APPROPRIATENESS IN 42 MICHIGAN HOSPITALS

Background: A substantial proportion of peripherally inserted central catheters (PICCs) are placed for inappropriate indications. We performed a multi-hospital intervention to improve the appropriateness of PICC use.Methods: We conducted a collaborative cohort study of hospitals [...]

By | 2019-03-18T13:25:43+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Patient Safety, Research|Comments Off on APPLYING MAGIC TO IMPROVE PICC APPROPRIATENESS IN 42 MICHIGAN HOSPITALS

Abstract Number: 9

DOES HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTION INCREASE THE RISK OF HOSPITAL DISCHARGE TO SKILLED NURSING FACILITIES? A RETROSPECTIVE CASE CONTROL STUDY FROM A COMMUNITY HOSPITAL

Background: Hospital Onset Clostridium difficile infection (HOCDI) is one of the most common causes of hospital acquired diarrhea. As per a recent study, the mean healthcare costs attributable to primary Clostridium difficile infection (CDI) is [...]

By | 2019-03-18T13:25:10+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Outcomes Research, Research|Comments Off on DOES HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTION INCREASE THE RISK OF HOSPITAL DISCHARGE TO SKILLED NURSING FACILITIES? A RETROSPECTIVE CASE CONTROL STUDY FROM A COMMUNITY HOSPITAL

Abstract Number: 8

WHO’S WAITING? PREDICTORS OF ANTIBIOTIC DELAYS IN HYPOTENSIVE PATIENTS WITH SEPSIS

Background: In sepsis, every hour of delay in antibiotic administration after the onset of hypotension is associated with 4-7% increase in mortality, but little is known about the characteristics of patients with treatment delays. Our [...]

By | 2019-03-18T13:24:45+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Outcomes Research, Research|Comments Off on WHO’S WAITING? PREDICTORS OF ANTIBIOTIC DELAYS IN HYPOTENSIVE PATIENTS WITH SEPSIS

Abstract Number: 7

5 STAR HOSPITALS BASED ON PATIENT EXPERIENCE PROVIDE FEWER CLINICAL SERVICES

Background: Centers for Medicare and Medicaid Service (CMS) publicly report patient experience star ratings for hospitals generated from their performance on the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) survey. The objective was [...]

By | 2019-03-18T13:23:57+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Other, Research|Comments Off on 5 STAR HOSPITALS BASED ON PATIENT EXPERIENCE PROVIDE FEWER CLINICAL SERVICES

Abstract Number: 6

OVERNIGHT CROSS-COVERAGE ON HOSPITAL MEDICINE SERVICES: PERCEIVED WORKLOAD BASED ON PATIENT CENSUS, PAGER VOLUMES, AND PATIENT ACUITY

Background: While many Hospital Medicine groups employ overnight providers to exclusively care for previously admitted patients (cross-coverage), little data exists regarding factors contributing to the perceived workload of this role. The NASA-Task Load Index (NASA-TLX) [...]

By | 2019-04-17T09:32:26+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Other, Research, Winners|Comments Off on OVERNIGHT CROSS-COVERAGE ON HOSPITAL MEDICINE SERVICES: PERCEIVED WORKLOAD BASED ON PATIENT CENSUS, PAGER VOLUMES, AND PATIENT ACUITY