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DEEPLY-PERSONALIZED MEDICINE: BRINGING DEEP LEARNING TO SEPSIS CARE

Background: Clinical decision support tools based on predictive analytics can provide actionable information and improve clinical outcomes for patients at risk of developing sepsis. Scoring systems such as Systemic Inflammatory Response Syndrome (SIRS) and National [...]

By | 2018-03-29T15:34:47+00:00 March 29th, 2018|Hospital Medicine 2018, Plenary Presentations|Comments Off on DEEPLY-PERSONALIZED MEDICINE: BRINGING DEEP LEARNING TO SEPSIS CARE

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

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

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

TWO HURRICANES IN ONE YEAR-LESSONS LEARNED FOR HOSPITALIST STAFFING AND DISASTER PLANNING

Background: Situated in coastal Florida, the four hospitals/1,000 beds in the Health First Integrated delivery network are located right in hurricane alley. Our hospitalist program had to plan for, communicate, and execute our hurricane staffing [...]

By | 2018-03-19T15:43:49+00:00 March 19th, 2018|Innovations, Other, Uncategorized|Comments Off on TWO HURRICANES IN ONE YEAR-LESSONS LEARNED FOR HOSPITALIST STAFFING AND DISASTER PLANNING

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

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

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

OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

Background: Due to the complexity of patient discharge needs leading to increased length of stay within a large academic medical center, a specialized inpatient unit became a priority. Purpose: The University of Kentucky Healthcare created [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on OPTIMIZING COMPLEX PATIENT TRANSITIONS THROUGH COLLABORATIVE CARE

STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

Background: There is an estimated 160,000 individuals that have been diagnosed with Hepatitis C Virus (HCV) in New Jersey. HCV is a well-known and widespread challenge to personal, societal, and governmental resources and ultimately, human [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Outcomes Research, Uncategorized|Comments Off on STOPPING HCV IN ITS TRACKS – EXPANDING HCV TESTING CAN HALT THE EPIDEMIC

PREPARING FOR INDEPENDENT PRACTICE: AN EDUCATIONAL INTERVENTION PROMOTING STRUCTURED CHART REVIEW, REFLECTION, AND FEEDBACK ON NIGHT ADMITTING ROTATIONS

Background: Feedback on clinical management and diagnostic accuracy may enhance physicians’ learning and reduce diagnostic error. Residents on night admitting rotations rarely receive feedback on their clinical management and seldom have the opportunity to reflect [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Education, Innovations, Uncategorized|Comments Off on PREPARING FOR INDEPENDENT PRACTICE: AN EDUCATIONAL INTERVENTION PROMOTING STRUCTURED CHART REVIEW, REFLECTION, AND FEEDBACK ON NIGHT ADMITTING ROTATIONS

NON-TRAUMATIC COMPARTMENT SYNDROME DUE TO STREPTOCOCCUS AGALACTIAE IN AN IMMUNOCOMPROMISED HOST

Case Presentation: A 34-year-old male with recently diagnosed Philadelphia chromosome-positive acute lymphoblastic leukemia developed neutropenic fever with right arm pain on day thirteen of induction chemotherapy. He was placed on empiric piperacillin-tazobactam. Blood cultures grew [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on NON-TRAUMATIC COMPARTMENT SYNDROME DUE TO STREPTOCOCCUS AGALACTIAE IN AN IMMUNOCOMPROMISED HOST

TWICE DAILY INTERDISCIPLINARY ROUNDS AND ITS EFFECT ON TEAM SATISFACTION AND HOSPITAL LENGTH OF STAY

Background: Interdisciplinary rounds (IDR) have become widely implemented in hospital settings in recent years due to proposed positive impact on various outcome measures such as length of stay, frequency of adverse effects, patient and team [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Innovations, Quality Improvement, Uncategorized|Comments Off on TWICE DAILY INTERDISCIPLINARY ROUNDS AND ITS EFFECT ON TEAM SATISFACTION AND HOSPITAL LENGTH OF STAY

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

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

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

ATRAUMATIC SPLENIC RUPTURE SECONDARY TO BABESIOSIS: A STEALTHY DEADLY DISEASE

Case Presentation: A 66 year-old Caucasian male presented to the emergency department with intermittent fevers, chills, fatigue and dyspnea of 1 week duration. He denied any nausea, vomiting, abdominal pain, changes in bowel habit or [...]

By | 2018-03-19T15:43:53+00:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on ATRAUMATIC SPLENIC RUPTURE SECONDARY TO BABESIOSIS: A STEALTHY DEADLY DISEASE

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

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

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