Research Abstracts

/Tag:Research Abstracts

HM2015 Abstract Number:

Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: The Effect of Burnout

Background: Interprofessional collaboration (IPC) between nurses and physicians can be defined as shared responsibility and decision making in working towards the common goal of quality patient care. The positive effect of greater IPC on patient [...]

By | 2015-04-15T14:59:06+00:00 February 28th, 2015|Uncategorized|Comments Off on Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: The Effect of Burnout

HM2015 Abstract Number:

Are the ‘impact’ Prognostic Models for Traumatic Brain Injury Valid for Use in Elderly Adults?

Background: Through collaborative neurosurgical comanagement services, hospital medicine has had an increasing role in the hospital-based care of the neurosurgical patient.  This care model has evolved with the change in demographics of traumatic brain injury [...]

By | 2015-04-15T14:58:02+00:00 February 28th, 2015|Uncategorized|Comments Off on Are the ‘impact’ Prognostic Models for Traumatic Brain Injury Valid for Use in Elderly Adults?

HM2015 Abstract Number:

Impact of Tablet Computers with Embedded Patient Portals on Hospitalized Patients’ Knowledge and Activation

Background: Though commonly used in the outpatient setting, patient portals have not been routinely used in hospital settings and their impact on patients’ knowledge and activation is largely unknown. Methods: We created a patient portal [...]

By | 2015-04-15T15:01:13+00:00 February 28th, 2015|Uncategorized|Comments Off on Impact of Tablet Computers with Embedded Patient Portals on Hospitalized Patients’ Knowledge and Activation

HM2015 Abstract Number:

Effects of the Intensive Discharge Intervention in Diabetes (Idid) on Medication Adherence, Glycemic Control, and Post-Discharge Healthcare Utilization

Background: Patients with diabetes and comorbid cardiovascular disease may be at particularly high risk for medication non-adherence and adverse outcomes after hospital discharge. The objective of this study was to design, implement, and evaluate an [...]

By | 2015-04-15T15:03:24+00:00 February 28th, 2015|Uncategorized|Comments Off on Effects of the Intensive Discharge Intervention in Diabetes (Idid) on Medication Adherence, Glycemic Control, and Post-Discharge Healthcare Utilization

HM2015 Abstract Number:

Hospital-Aquired Venous Thromboembolism Risks: Comparing In-Hospital and Post-Discharge Events

Background: Venous thromboembolism (VTE) is considered the most common preventable hospital complication and VTE prophylaxis rates are benchmarks of hospital quality. Hospital-acquired VTE (HA-VTE) is defined as VTE that occurs during hospitalization or within 90 [...]

By | 2015-04-15T15:04:01+00:00 February 28th, 2015|Uncategorized|Comments Off on Hospital-Aquired Venous Thromboembolism Risks: Comparing In-Hospital and Post-Discharge Events

HM2015 Abstract Number:

Effect of Preoperative Anemia on Transfusion Requirements in Joint Replacement Surgery

Background: Anemia is the most commonly encountered hematologic abnormality in preoperative evaluations and has been associated with major adverse outcomes in surgical procedures but often ignored during preoperative evaluation.  The purpose of this study is [...]

By | 2015-04-15T15:04:32+00:00 February 28th, 2015|Uncategorized|Comments Off on Effect of Preoperative Anemia on Transfusion Requirements in Joint Replacement Surgery

HM2015 Abstract Number:

Perceptions of Safety, Efficiency, and Education in Holdover Signout: A Qualitative Study

Background: Signout of newly admitted patients from a night admitting physician to a primary team is common, making up roughly 40% of admissions to the inpatient medical service at our hospital. Nevertheless, little is known [...]

By | 2015-04-15T15:04:58+00:00 February 28th, 2015|Uncategorized|Comments Off on Perceptions of Safety, Efficiency, and Education in Holdover Signout: A Qualitative Study

HM2015 Abstract Number:

Perfect Storm of Inpatient Communication: An Innovative Solution

Background: Today’s care of patients in hospitals inevitably involves multiple providers who must coordinate and communicate effectively in an environment that is uncertain and in constant flux. Unfortunately, traditional communication systems, such as pagers or [...]

By | 2015-04-15T15:05:27+00:00 February 28th, 2015|Uncategorized|Comments Off on Perfect Storm of Inpatient Communication: An Innovative Solution

HM2015 Abstract Number:

Yelp for Antibiotics: Effect of Providing Cost Data on Prescription of High-Cost Antibiotics

Background: Physicians frequently prescribe antibiotics to inpatients without knowledge of medication cost. It is not well understood whether providing cost data would change prescribing behavior. Methods: To evaluate the effect of providing cost data alongside [...]

By | 2015-04-15T15:06:06+00:00 February 28th, 2015|Uncategorized|Comments Off on Yelp for Antibiotics: Effect of Providing Cost Data on Prescription of High-Cost Antibiotics

HM2015 Abstract Number:

Variability in Comportment Styles Among Respected Clinicians in Hospital Medicine

Background: One hopes that all hospitals strive for service excellence, and by 2010 there were more than 30,000 hospitalists delivering the lion’s share of inpatient care in our nation’s hospitals. Although patient satisfaction metrics like [...]

By | 2015-04-15T15:09:16+00:00 February 28th, 2015|Uncategorized|Comments Off on Variability in Comportment Styles Among Respected Clinicians in Hospital Medicine

HM2015 Abstract Number:

Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: Differences by Profession

Background: A lack of effective physician-nurse collaboration has long been recognized to adversely impact patient and organizational outcomes.  Despite substantial efforts towards developing strategies to improve interprofessional collaboration (IPC) in the acute care setting, consistent [...]

By | 2015-04-15T15:09:44+00:00 February 28th, 2015|Uncategorized|Comments Off on Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: Differences by Profession

HM2015 Abstract Number:

Attitudes Regarding Transitional Care Practices Within a Hospital: Baseline Survey Results from the Partners-Pcori Transitions Study

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The success of efforts to improve transitional care likely depends in part on local attitudes, culture, workload, and training. Prior to [...]

By | 2015-04-15T15:10:14+00:00 February 28th, 2015|Uncategorized|Comments Off on Attitudes Regarding Transitional Care Practices Within a Hospital: Baseline Survey Results from the Partners-Pcori Transitions Study

HM2015 Abstract Number:

The Impact of Provider Identification Cards on Patients Ability to Correctly Identify Their Attending

Background: Effective patient-physician communication is integral for meaningful clinical relationships and patient satisfaction; thus, it is measured by the Hospital Consumer Assessment of Hospitals and Health Systems (HCAHPS) survey.  Unfortunately, such surveys often demonstrate significant [...]

By | 2015-04-15T15:11:30+00:00 February 28th, 2015|Uncategorized|Comments Off on The Impact of Provider Identification Cards on Patients Ability to Correctly Identify Their Attending

HM2015 Abstract Number:

Blind Ultrasound: Confidence, Use, and Knowledge of Point-of-Care Ultrasound Among Internal Medicine Residents

Background: Point-of-care ultrasound (POCUS) has been rapidly adopted by emergency medicine (EM) as a tool for clinical care. There is growing evidence that POCUS may improve care outside of EM, and POCUS has recently seen [...]

By | 2015-04-15T15:15:14+00:00 February 28th, 2015|Uncategorized|Comments Off on Blind Ultrasound: Confidence, Use, and Knowledge of Point-of-Care Ultrasound Among Internal Medicine Residents

HM2015 Abstract Number:

You Can’t Improve What You Don’t Measure: A Systems Engingeering Approach to Developing Geographically-Matched Patient Provider Teams

Background: Effective health care requires a delivery system that is fully coordinated. To achieve this requires structured communication between physicians and nurses yet an increasingly recognized barrier to efficient care is the geographic dispersion of [...]

By | 2015-04-15T15:17:52+00:00 February 28th, 2015|Uncategorized|Comments Off on You Can’t Improve What You Don’t Measure: A Systems Engingeering Approach to Developing Geographically-Matched Patient Provider Teams

HM2015 Abstract Number:

Not Ready, Not Set…. Discharge: Patient Reported Barriers to Discharge at an Academic Medical Center

Background: Planning for safe discharge should optimally begin early in each patient’s stay, and focus on individual patient’s needs. The aims of our study were to, beginning at the start of hospitalization and continuing until [...]

By | 2015-04-15T15:20:35+00:00 February 28th, 2015|Uncategorized|Comments Off on Not Ready, Not Set…. Discharge: Patient Reported Barriers to Discharge at an Academic Medical Center

HM2015 Abstract Number:

How Wide Is the Digital Divide? A Study of Urban Hospitalized Patients

Background:  As mobile health and technologies to engage patients in self-care gain increasing attention, it is critical to understand not only access to, but also ability and willingness of, underserved populations to use these resources, [...]

By | 2015-04-15T15:21:35+00:00 February 28th, 2015|Uncategorized|Comments Off on How Wide Is the Digital Divide? A Study of Urban Hospitalized Patients

HM2015 Abstract Number:

The Effect of Patient Centered Bedside Rounds on Patient Experience

Background: Interprofessional bedside rounds have been promoted as a strategy to enhance patient engagement; prior studies have been limited by their use of nonvalidated measures and lack of patient and/or family involvement in design of [...]

By | 2015-04-15T15:22:14+00:00 February 28th, 2015|Uncategorized|Comments Off on The Effect of Patient Centered Bedside Rounds on Patient Experience

HM2015 Abstract Number:

Prevalence of Invasive Infections Due to Carbapenem-Resistant Enterobacteriaceae (Cre) Among Adult Patients Across Us Hospitals

Background: There is a growing appreciation of the increasing prevalence of CREs, but limited data exists on the prevalence of invasive infections due to CRE among adult, hospitalized patients in the various geographic regions of [...]

By | 2015-04-15T15:23:25+00:00 February 28th, 2015|Uncategorized|Comments Off on Prevalence of Invasive Infections Due to Carbapenem-Resistant Enterobacteriaceae (Cre) Among Adult Patients Across Us Hospitals

HM2015 Abstract Number:

The Partners-Pcori Transitions Study: Preliminary Results of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The advent of the Patient-Centered Medical Home (PCMH) and Accountable Care Organizations (ACOs) provide an opportunity for true collaboration in which [...]

By | 2015-04-15T15:24:30+00:00 February 28th, 2015|Uncategorized|Comments Off on The Partners-Pcori Transitions Study: Preliminary Results of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

HM2015 Abstract Number:

The Effects of a Multi-Faceted Medication Reconciliation Quality Improvement Intervention on Patient Safety: Final Results of the Marquis Study

Background: Unintentional medication discrepancies during hospitalization can contribute to patient harm. Discrepancies can be reduced by performing medication reconciliation; however, effective implementation is challenging. The goals of the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) [...]

By | 2015-04-15T15:25:53+00:00 February 28th, 2015|Uncategorized|Comments Off on The Effects of a Multi-Faceted Medication Reconciliation Quality Improvement Intervention on Patient Safety: Final Results of the Marquis Study

HM2015 Abstract Number:

Variation in Transitional Care Practices Within a Hospital: Survey Results from the Partners-Pcori Transitions Study

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The success of efforts to improve transitional care practices likely depends in part on baseline practices and local resources, culture, and [...]

By | 2015-04-15T15:30:14+00:00 February 28th, 2015|Uncategorized|Comments Off on Variation in Transitional Care Practices Within a Hospital: Survey Results from the Partners-Pcori Transitions Study

HM2015 Abstract Number:

Closing the Lab Loop: A Streamlined Process to Ensure Lab Result Accountability

Background: Patient safety relies in part on timely review of laboratory and other results by appropriate providers. At our quaternary care, free-standing children’s hospital, providers were directly notified only of “critical” results (<1% of all [...]

By | 2015-04-15T15:30:57+00:00 February 28th, 2015|Uncategorized|Comments Off on Closing the Lab Loop: A Streamlined Process to Ensure Lab Result Accountability

HM2015 Abstract Number:

What Are the Best Ways to Improve Medication Reconciliation Practices? An On-Treatment Analysis of the Marquis Study

Background: Many hospitals have tried to improve their medication reconciliation processes, with mixed results. Currently, there are insufficient data to guide hospitals in the best ways to improve their practices. In the Multi-Center Medication Reconciliation [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on What Are the Best Ways to Improve Medication Reconciliation Practices? An On-Treatment Analysis of the Marquis Study

HM2015 Abstract Number:

Can We Eliminate Preoperative Coagulation Testing?

Background: Routine preoperative coagulation tests continue to be ordered despite the lack of evidence supporting their use or ability to predict bleeding complications. This may delay surgery, cause unnecessary concern if "abnormal", and increase cost. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Can We Eliminate Preoperative Coagulation Testing?

HM2015 Abstract Number:

Childhood Obesity: And Now for Some Bad News

Background: Pediatric obesity is a major public health and economic burden in the US. Recent reports suggest a possible crest in the pediatric obesity epidemic. Many researchers have focused on childhood obesity epidemic and comorbidities [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Childhood Obesity: And Now for Some Bad News

HM2015 Abstract Number:

International Multicenter Validation of the “Hospital” Score to Predict 30-Day Potentially Avoidable Readmissions in Medical Patients

Background: Efficiently improving transitions in care requires hospitals to target discharge interventions at those patients at high risk of potentially avoidable readmission (PAR). We previously derived the “HOSPITAL” score, an easy to use prediction model [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on International Multicenter Validation of the “Hospital” Score to Predict 30-Day Potentially Avoidable Readmissions in Medical Patients

HM2015 Abstract Number:

Getting Back to the Bedside (With Time to Spare): A Time-Motion Analysis of the Effects of a Care Redesign Initiative on Morning Rounds

Background: Ward rounds at our hospital traditionally have been performed by a team of physicians and medical students outside of patients’ rooms, with minimal involvement of nursing staff and limited time spent with patients. As [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Getting Back to the Bedside (With Time to Spare): A Time-Motion Analysis of the Effects of a Care Redesign Initiative on Morning Rounds

HM2015 Abstract Number:

Effect of Medicare Penalties on 30-Day Excess Readmission Rates

Background: As a requirement of the Affordable Care Act, the Center for Medicare and Medicaid Services (CMS) established the Hospital Readmissions Reduction Program (HRRP) and started reduced payments to hospitals with excess 30-day readmissions on [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Effect of Medicare Penalties on 30-Day Excess Readmission Rates

HM2015 Abstract Number:

Portability and Success of a Clinical Microsystem Model in Improving Safety, Quality, and Cost at a Community Teaching Hospital

Background:    There is little evidence that systemic improvements in hospital quality, safety, and cost of care have occurred in the U.S over the last 15 years despite calls to action and intense local efforts.1,2 [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Portability and Success of a Clinical Microsystem Model in Improving Safety, Quality, and Cost at a Community Teaching Hospital

HM2015 Abstract Number:

Functional Impairment – an Overlooked Driver of Post-Acute Costs in Medicare Seniors

Background:  Hospitalization identifies patients who are particularly costly to the Medicare system and current policy efforts to reduce costs focus on the 30 days after discharge; however, much less is known about which patients will [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Functional Impairment – an Overlooked Driver of Post-Acute Costs in Medicare Seniors

HM2015 Abstract Number:

Association Between ICU Transfer Delay and Hospital Mortality: A Multicenter Investigation

Background: Previous research has explored the impact of delayed ICU transfer on patient outcomes, but the subjective nature in defining onset of critical illness in many of these studies has made it difficult to accurately [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Association Between ICU Transfer Delay and Hospital Mortality: A Multicenter Investigation

HM2015 Abstract Number:

Reduction of Daily Lab Testing Among General Medicine Services Is Associated with Significant Cost Savings and Lab Free Days

Background: As part of the ABIM Choosing Wisely initiative, the Society of Hospital Medicine has emphasized repetitive complete blood count (CBC) and chemistry testing among its top 5 practices that physicians and patients should question. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Reduction of Daily Lab Testing Among General Medicine Services Is Associated with Significant Cost Savings and Lab Free Days

HM2015 Abstract Number:

The Impact of the Affordable Care Act on Payer Mix and Hospitalist Reimbursement at an Academic Medical Center

Background: Beginning January 1, 2014, under the Affordable Care Act (ACA), 28 states expanded Medicaid eligibility to include additional low-income individuals aged 19-65 years. As a result, an estimated 10.5 million low-income Americans newly gained [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Impact of the Affordable Care Act on Payer Mix and Hospitalist Reimbursement at an Academic Medical Center

HM2015 Abstract Number:

Comparison of Continuous Vs Intermittent Proton Pump Inhibitor (Ppi) Dosing for Acute Upper GI Bleeding: A Cost Minimization Analysis

Background: Acute upper GI bleed (UGIB) is a major cause of hospital admissions, with peptic ulcers being the most common cause.  In addition to pre-endoscopic PPI and urgent endoscopic intervention, current consensus guidelines recommend intensive [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Comparison of Continuous Vs Intermittent Proton Pump Inhibitor (Ppi) Dosing for Acute Upper GI Bleeding: A Cost Minimization Analysis

HM2015 Abstract Number: 6

Faces of All Clinically Engaged Staff- the Faces Study

Background: A fundamental aspect of patient care is the therapeutic relationship between the patient and his or her healthcare team. Previous studies have shown that many physicians fail to introduce themselves when meeting patients and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Faces of All Clinically Engaged Staff- the Faces Study

HM2015 Abstract Number: 7

How Often Are Hospitalized Patients and Providers “On the Same Page” with Regard to the Patient’s Primary Recovery Goal?

Background: In order to deliver patient-centered care, healthcare organizations are focusing heavily on efforts to engage patients and caregivers. Fundamental to this effort is involving patients in establishing the primary goal for recovery after hospitalization. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on How Often Are Hospitalized Patients and Providers “On the Same Page” with Regard to the Patient’s Primary Recovery Goal?

HM2015 Abstract Number: 8

Whiteboard Completion and Patient Satisfaction- Is There a Correlation?

Background: Hospitalized patients frequently relate that they feel poorly informed about their treatment, which may contribute to lower patient satisfaction scores. Whiteboards placed in the patients rooms may facilitate communication between healthcare providers and patients. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Whiteboard Completion and Patient Satisfaction- Is There a Correlation?

HM2015 Abstract Number: 9

“Who’s My Doctor, Anyway?” Impact of a Hospitalist Pamphlet on the General Medicine Service

Background: Hospitalized patients are visited by numerous health care professionals daily and are often unable to identify the attending physician who is in charge of their care. Methods: We asked alert and oriented patients on [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on “Who’s My Doctor, Anyway?” Impact of a Hospitalist Pamphlet on the General Medicine Service

HM2015 Abstract Number: 10

Paradoxical High Levels of Satisfaction Among Hospitalized Limited English Proficient Patients Despite Suboptimal Use of Professional Interpreters

Background: Patients with limited English proficiency (LEP) report greater satisfaction when professional interpreters are used as compared with ad-hoc (family members or friends) or no interpreters in the ambulatory setting, but the impact of professional [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Paradoxical High Levels of Satisfaction Among Hospitalized Limited English Proficient Patients Despite Suboptimal Use of Professional Interpreters

HM2015 Abstract Number: 13

Shared Decision-Making During Inpatient Rounds: Dissimilar yet Correlated Perspectives of Patients/guardians and Physician Observers

Background: Educating and empowering patients to actively participate in their own care through shared decision-making (SDM) can improve patient satisfaction as well as health outcomes. Prior work has led to the development and validation of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Shared Decision-Making During Inpatient Rounds: Dissimilar yet Correlated Perspectives of Patients/guardians and Physician Observers

HM2015 Abstract Number: 15

Impact of Regionalized Care on Preventable Adverse Events on General Medicine Services

Background: Failures in communication among healthcare personnel are known threats to patient safety. Inpatient medical units are particularly vulnerable to ineffective communication given the varied work structure of each care team member. The goal of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Impact of Regionalized Care on Preventable Adverse Events on General Medicine Services

HM2015 Abstract Number: 17

Shared Decision Making During Inpatient Rounds: Opportunities for Improvement

Background: Shared decision-making (SDM) improves patient engagement and health care outcomes. Evidence indicates that patients are both willing and able to engage in SDM with their providers. Despite the demonstrated value of SDM across disciplines, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Shared Decision Making During Inpatient Rounds: Opportunities for Improvement

HM2015 Abstract Number: 19

Team Facecards Improve Patient Identification of Physicians but Have Little Impact on Patient Satisfaction

Background: Caring for patients in the hospital requires the efforts of many physicians, with multiple handoffs. Several studies have highlighted that most inpatients are unable to identify the physician(s) responsible for their care, which may [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Team Facecards Improve Patient Identification of Physicians but Have Little Impact on Patient Satisfaction

HM2015 Abstract Number: 20

The Effect of Unit Based Teams on Provider Communication

Background: Numerous studies have shown that hospitalists may spend as little as 12-17% of their time at the patient bedside. In contrast, hospitalists may spend between 64-69% of their time engaged in indirect patient care [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Effect of Unit Based Teams on Provider Communication

HM2015 Abstract Number: 21

What Can Hospitalist Teach the Teaching Service?: Comparing Patient Experiences on Housestaff and Hospitalist Services

Background: It is recommended that hospitalized patients understand and know who is in charge of their care. Yet the complex system of physician teams in academic teaching hospitals may interfere with current recommendations that patients [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on What Can Hospitalist Teach the Teaching Service?: Comparing Patient Experiences on Housestaff and Hospitalist Services

HM2015 Abstract Number: 24

A Dedicated Bedside Procedure Team Enhances Resident Education and Patient Care: A Survey of Internal Medicine Residents

Background: There are few procedures which internal medicine residents must be able to perform competently to become ABIM certified. However, residents are concerned that the elimination of these requirements may have affected their procedural training and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Dedicated Bedside Procedure Team Enhances Resident Education and Patient Care: A Survey of Internal Medicine Residents

HM2015 Abstract Number: 25

A Brief Educational Intervention During the Internal Medicine Clerkship to Increase Medical Student Confidence with Cost-Effectiveness Analysis and Patient Financial Counseling

Background: The United States spends more on healthcare than other nations but often has worse outcomes.1,2 Healthcare costs place a substantial burden on American families and are a leading cause of bankruptcy.3 Patient access to healthcare [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Brief Educational Intervention During the Internal Medicine Clerkship to Increase Medical Student Confidence with Cost-Effectiveness Analysis and Patient Financial Counseling

HM2015 Abstract Number: 26

Family Centered Rounds Simulation and Medical Students’ Perceptions

Background: Studies show that family centered rounds (FCR) improve family satisfaction by involving the families in their children’s care (Pediatrics, 2003).  Medical students consistently find FCR beneficial to families but have differing attitudes regarding benefits [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Family Centered Rounds Simulation and Medical Students’ Perceptions

HM2015 Abstract Number: 27

Language Barriers in Caring for Patients with Limited English Proficiency: Are Residents Prepared?

Background: As the racial/ethnic diversity of the US population continues to increase, the proportion of patients with limited English proficiency (LEP) expands. Language barriers can pose as a significant obstacle to receiving high-quality health care [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Language Barriers in Caring for Patients with Limited English Proficiency: Are Residents Prepared?

HM2015 Abstract Number: 28

A Safe and Effective Discharge Curriculum Implemented in 11 Internal Medicine Programs

Background: The transition out of the hospital is a vulnerable time for patients and families and is ripe for physician training.  We implemented a discharge curriculum focusing on the competence of a ‘Safe and Effective [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Safe and Effective Discharge Curriculum Implemented in 11 Internal Medicine Programs

HM2015 Abstract Number: 34

Geographically Assigned Hospitalists with a Multi-Disciplinary Approach: Can Unit-Based Rounding Decrease Length of Stay in a Non-Academic Setting?

Background: Increased scrutiny of length of stay (LOS) and readmission rates has led to a changing landscape for hospital medicine. Geographic rounding has been studied in academic settings with good results, including a decrease in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Geographically Assigned Hospitalists with a Multi-Disciplinary Approach: Can Unit-Based Rounding Decrease Length of Stay in a Non-Academic Setting?

HM2015 Abstract Number: 35

The Question: Do Residents Impact Hospital Patient Satisfaction Scores?

Background: In many teaching hospitals, internal medicine residents participate in a majority of patient interactions. However, the impact of trainees on patient satisfaction and the care experience is unknown. We sought to determine how resident [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Question: Do Residents Impact Hospital Patient Satisfaction Scores?

HM2015 Abstract Number: 36

Does Discontinuity of Care Affect Patient Satisfaction?

Background: Continuity of care—one provider caring for an individual patient throughout an episode of care—is a highly valued ideal in healthcare. However with the complexity of inpatient care involving hospitalists, consultants, and trainees, it is [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Does Discontinuity of Care Affect Patient Satisfaction?

HM2015 Abstract Number: 37

Effect of Hcahps Reporting on Patient Satisfaction with Physicians

Background: HCAHPS is a nationally standardized, publically reported survey of patients' perspective of healthcare. However, the effect of HCAHPS reporting on hospitals with baseline low versus baseline high patient satisfaction with physicians has not been [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Effect of Hcahps Reporting on Patient Satisfaction with Physicians

HM2015 Abstract Number: 38

Do Self-Reported Provider Etiquette Behaviors Correlate with Patient Satisfaction?

Background: Provider etiquette behaviors at the bedside may be important determinants of patient satisfaction. However, the degree to which providers are able to assess their own etiquette-based behaviors and the degree to which these self-assessed [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Do Self-Reported Provider Etiquette Behaviors Correlate with Patient Satisfaction?

HM2015 Abstract Number: 39

Prevalence and Appropriateness of Fasting Orders in the Hospital: “Doctor, When Can I Eat?”

Background: Patients are often kept fasting by nil per os (NPO) orders during hospitalization. This practice may lead to patient dissatisfaction or affect their nutrition status. However, the prevalence and appropriateness of these orders are [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Prevalence and Appropriateness of Fasting Orders in the Hospital: “Doctor, When Can I Eat?”

HM2015 Abstract Number: 42

Therapeutic Hypothermia to 33Oc: The Dark Side

Background: Recent studies have called into question the net efficacy of post arrest hypothermia therapy to 33°C. To better understand the risks of hypothermia to 33°C, we specifically focused on the clinical complications of such [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Therapeutic Hypothermia to 33Oc: The Dark Side

HM2015 Abstract Number: 43

Impact of Prolonged Hospitalizations on Overall Length of Stay for General Medicine Patients

Background:  Hospital length of stay (LOS) is an important indicator of the quality, safety, efficiency, and cost of inpatient care.  Hospitalists are often charged with identifying the root causes for excess LOS in order to [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Impact of Prolonged Hospitalizations on Overall Length of Stay for General Medicine Patients

HM2015 Abstract Number: 44

Using Hospital Designation to Identify Unplanned Pediatric Readmissions

Background: Hospitalizations are disruptive, stressful, and costly for patients and families. Readmissions are costly for payers. Readmissions within 30 days occur in 13% of pediatric hospitalizations; prior studies estimate 30-day unplanned readmission rates to children’s [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Using Hospital Designation to Identify Unplanned Pediatric Readmissions

HM2015 Abstract Number: 45

Interdisciplinary Admissions and Rounding to Improve Patient Outcomes

Background: Christiana Care’s medicine service line previously implemented Interdisciplinary Admission (IDA) and Inter Disciplinary Rounding (IDR) to enhance team-based care of our patients. IDA included an admissions team comprised of attending physician, nurse, pharmacist, case [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Interdisciplinary Admissions and Rounding to Improve Patient Outcomes

HM2015 Abstract Number: 47

Delaying the Inevitable? A Case Series of Lower Extremity Mrsa Osteomyelitis

Background: MRSA osteomyelitis in adults is a challenging disease to treat with a high rate of amputation. Patients often undergo prolonged antibiotic therapy and multiple debridements with varied success. In our study, we examine outcomes [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Delaying the Inevitable? A Case Series of Lower Extremity Mrsa Osteomyelitis

HM2015 Abstract Number: 48

Rates of Hospitalization Among Patients with Deep Vein Thrombosis Before and After the Introduction of Rivaroxaban

Background: Compared to warfarin, the new target-specific oral anticoagulant rivaroxaban may have advantages in treating patients with venous thromboembolism because injectable bridging therapy and routine laboratory monitoring are not required. The objective of this study [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Rates of Hospitalization Among Patients with Deep Vein Thrombosis Before and After the Introduction of Rivaroxaban

HM2015 Abstract Number: 49

Evaluating How Patient Satisfaction Affects Patient’s Willingness to Change Their Primary Care Physicians

Background: Continuity of care and good doctor-patient relationships are valued by patients and may improve outcomes. The Comprehensive Care Program (CCP) is a care delivery model in which physicians focus their practice on caring for [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Evaluating How Patient Satisfaction Affects Patient’s Willingness to Change Their Primary Care Physicians

HM2015 Abstract Number: 51

Advanced Illness Initiative: Transforming the Experience of Patients with Dementia

Background:   Patients with dementia are more likely to be hospitalized as compared to those without dementia. Once hospitalized this population has a higher rate of developing complications such as delirium and falls, often leading [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Advanced Illness Initiative: Transforming the Experience of Patients with Dementia

HM2015 Abstract Number: 52

Changes in Hospitalized Anemic Patients’ Fatigue with Red Blood Cell Transfusions

Background: Current guidelines recommend transfusing red blood cells in hospitalized patients at “restrictive” hemoglobin (Hb) concentrations and for symptoms of anemia. However, there is little data on how the symptoms of anemia, specifically fatigue, are [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Changes in Hospitalized Anemic Patients’ Fatigue with Red Blood Cell Transfusions

HM2015 Abstract Number: 53

Does Bisphosphonate Therapy Delay the Progression of Calcific Aortic Stenosis? – a Meta Analysis and Systematic Review

Background: Calcification and inflammation have been shown to have a prominent role in the progression of Aortic Stenosis (AS). Experimental data from patients suggest that bisphosphonates (BPT) may limit vascular and valvular calcifications. However, studies [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Does Bisphosphonate Therapy Delay the Progression of Calcific Aortic Stenosis? – a Meta Analysis and Systematic Review

HM2015 Abstract Number: 54

Causes of New Onset Fever Among Hospitalized Patients and Predictors for In-Hospital Mortality in a Teaching Hospital in Japan

Background: New onset fever is a common symptom among hospitalized patients and it may be a manifestation of fatal illnesses such as infection. However, its epidemiology and predictors for mortality have not been determined in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Causes of New Onset Fever Among Hospitalized Patients and Predictors for In-Hospital Mortality in a Teaching Hospital in Japan

HM2015 Abstract Number: 55

Effect of Contact Precautions on Adverse Events by Patient Report and Chart Review

Background: Contact precautions have been reported to decrease healthcare worker visits and increase the number of medical harms. Contact precautions may also lead to increased adverse events. Our objective was to determine the association between [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Effect of Contact Precautions on Adverse Events by Patient Report and Chart Review

HM2015 Abstract Number: 56

The Effect of Merging Two Infectious Disease Units on Hand Hygiene Adherence in Italy

Background: Healthcare-associated infections (HAIs) are estimated to affect 1 in every 25 patients admitted to an acute care hospital in the United States. Despite the major consequences associated with HAIs, suboptimal adherence to hand hygiene [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Effect of Merging Two Infectious Disease Units on Hand Hygiene Adherence in Italy

HM2015 Abstract Number: 57

Directed Patient Education for Refusal of Venous Thromboembolism Prophylaxis

Background: Hospitalized medical patients who are at risk for venous thromboembolism (VTE) require pharmacologic prophylaxis. However, patients often refuse the administration of the prophylactic anticoagulant.  The primary objective of our study was to determine if [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Directed Patient Education for Refusal of Venous Thromboembolism Prophylaxis

HM2015 Abstract Number: 58

The Use of Sleep Sacks to Improve Safe Sleep Practices in an Inpatient Unit

Background: The American Academy of Pediatrics (AAP) published updated guidelines for safe sleep environments for infants in 2001. The guidelines note that parents who observe unsafe sleep practices performed by a healthcare provider are significantly [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Use of Sleep Sacks to Improve Safe Sleep Practices in an Inpatient Unit

HM2015 Abstract Number: 62

Patient Address As a Universally Available Social Screen in Children Hospitalized with Asthma

Background: Many hospitalized children have ongoing social stressors and strains.  Universal routine social screening is often impractical in clinical practice; however, information on where a child resides is universally available. We sought to determine the [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Patient Address As a Universally Available Social Screen in Children Hospitalized with Asthma

HM2015 Abstract Number: 63

Family Centered Rounding: A Look Into the Room a Decade Later

Background: Family Centered Rounds (FCR) is recommended by the American Academy of Pediatrics as a process for improving communication between the health care team and families, increasing efficiency of rounds, providing a positive learning environment [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Family Centered Rounding: A Look Into the Room a Decade Later

HM2015 Abstract Number: 64

Hemorrhaging: The Health Care System Versus the Patient. the Utility of Pre-Operative Laboratory Evaluation in the Pediatric Emergency Department

Background: We have an obligation as a healthcare system to eliminate irrelevant, expensive, and painful procedures if they do not change our clinical management. Previous research demonstrated a lack of evidence in the utility and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Hemorrhaging: The Health Care System Versus the Patient. the Utility of Pre-Operative Laboratory Evaluation in the Pediatric Emergency Department

HM2015 Abstract Number: 66

Reducing Length of Stay by Using Standardized Admission Process: Retrospective Analysis of 11,249 Patients

Background: Increasing cost is one of the biggest challenges for present day health care systems. Standardized admission processes help in reducing length of stay (LoS) which in turn can reduce health care cost significantly. We [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Reducing Length of Stay by Using Standardized Admission Process: Retrospective Analysis of 11,249 Patients

HM2015 Abstract Number: 70

Clinical Outcomes of a Multidisciplinary Copd Inpatient and Transition Pathway

Background: Patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are at high risk for readmission. In September 2012, a COPD longitudinal inpatient pathway and transition (CLIPT) was implemented at a 552-bed academic [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Clinical Outcomes of a Multidisciplinary Copd Inpatient and Transition Pathway

HM2015 Abstract Number: 71

A Multifaceted Hospitalist Quality Improvement Intervention: Decreased Frequency of Common Labs

Background: Common labs such as a daily complete blood count (CBC) or a daily basic metabolic panel (BMP) represent possible waste and have been targeted by professional societies and the Choosing Wisely campaign for critical [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Multifaceted Hospitalist Quality Improvement Intervention: Decreased Frequency of Common Labs

HM2015 Abstract Number: 74

Hyperglycemia of Hospitalization: Side Effect of Sleep Deprivation?

Background: During hospitalization, many patients experience acute sleep deprivation and hyperglycemia. Given laboratory and epidemiologic studies demonstrate associations between sleep loss, hyperglycemia, and diabetes, we aimed to assess these relationships among hospitalized adults.  Methods: We [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Hyperglycemia of Hospitalization: Side Effect of Sleep Deprivation?

HM2015 Abstract Number: 75

The Perceptions & Attitudes of Physicians Towards Patient Readmissions

Background: Avoidable readmissions represent poor outcomes for patients and unnecessary costs to the healthcare system. Many clinicians lack knowledge of readmission rates, whether personal or hospital wide.  Under the Affordable Care Act, CMS will penalize [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Perceptions & Attitudes of Physicians Towards Patient Readmissions

HM2015 Abstract Number: 76

Disruptive Decibels: Delving Into the Possible Associations Between Noise, Sleep Loss, and Blood Pressure in Hospitalized Adults

Background: Hospitalized patients are exposed to fragmented sleep due to high noise levels, which may contribute to insomnia. Studies also highlight a relationship between noise pollution and elevated blood pressure. Because hospital room noise levels [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Disruptive Decibels: Delving Into the Possible Associations Between Noise, Sleep Loss, and Blood Pressure in Hospitalized Adults

HM2015 Abstract Number: 77

“Neglected Guidelines of Staphylococcus Aureus Bacteremia”

Background: Staphylococcus aureus is a leading cause of both community-acquired and healthcare-acquired bacteremia resulting in complications with high morbidity and mortality. There are increasing concerns in health care community regarding the physician’s compliance with recommended guidelines. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on “Neglected Guidelines of Staphylococcus Aureus Bacteremia”

HM2015 Abstract Number: 78

Improving Inpatient Patient Satisfaction: Role of a Resident

Background: Patient satisfaction with their care delivery experience has become a universal parameter tracked in health care systems. Studies have suggested a correlation between patient satisfaction and level of communication between patient and provider. The [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Improving Inpatient Patient Satisfaction: Role of a Resident

HM2015 Abstract Number: 80

Impact of High Occupancy Rates on Patients Who Left the Emergency Department Without Being Seen: Who Are These Patients?

Background: Rapid access to a provider upon presentation to the Emergency Department (ED) is a key component of patient experience and effective healthcare.  However, as the occupancy rates increase in the hospital, there is an [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Impact of High Occupancy Rates on Patients Who Left the Emergency Department Without Being Seen: Who Are These Patients?

HM2015 Abstract Number: 83

Real-Time Patient Satisfaction Surveys of Hospitalist Physicians

Background: Since implementation of Centers for Medicare and Medicaid Value Based Purchasing model in 2010, hospitals are increasingly evaluated and incentivized on patient satisfaction.  Denver Health scores in one of the lowest quartiles compared to other [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Real-Time Patient Satisfaction Surveys of Hospitalist Physicians

HM2015 Abstract Number: 89

Reducing Hospital Length of Stay Through a Patient Centered Discharge Pathway

Background: Prolonged hospital stay following surgery can increase healthcare cost and decrease patient satisfaction. On the cardiothoracic surgery service at Mayo Clinic the expected length of stay following open heart surgery is 5-7 days. Multiple [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Reducing Hospital Length of Stay Through a Patient Centered Discharge Pathway

HM2015 Abstract Number: 91

Cancer Outcomes Augmented Through Safe Transitions (CoastTm) – Piloting a Hospitalist Readmissions Reduction Program in a Comprehensive Cancer Center

Background: Readmissions have been considered as adverse outcomes of hospitalization. Policymakers have started using this to measure the quality of health services provided by hospitals. Currently, there is no benchmark data on readmission rates or [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Cancer Outcomes Augmented Through Safe Transitions (CoastTm) – Piloting a Hospitalist Readmissions Reduction Program in a Comprehensive Cancer Center

HM2015 Abstract Number: 94

Standardizing Attending Rounds to Improve the Patient Experience: A Cluster Randomized Controlled Trial

Background: At most academic medical centers, attending rounds (AR) serve as a cornerstone for the advancement of patient care and clinical training. Despite their ubiquity, rounds lack standardized best practices, and they often vary in [...]

By | 2015-04-08T11:08:38+00:00 February 27th, 2015|Uncategorized|Comments Off on Standardizing Attending Rounds to Improve the Patient Experience: A Cluster Randomized Controlled Trial

HM2015 Abstract Number: 95

Sutter Health Sacramento Sierra Region Inter-Professional Collaboration Approach to ICU Liberation

Background: In 2012 the Sutter Health Sacramento Sierra Region (SSR), supported by the Gordon and Betty Moore Foundation, implemented the Awakening, Breathing, Coordination (of A and B), Delirium, and Early Mobility (ABCDE) bundle in seven [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Sutter Health Sacramento Sierra Region Inter-Professional Collaboration Approach to ICU Liberation

HM2015 Abstract Number: 96

Sutter Roseville Medical Center Inter-Professional Team Glycemic Control Project

Background: Today an estimated 29 million people-9.3% of the population—are living with diabetes in the United States. It was the underlying cause of death in more than 69,000 U.S. deaths in 2010 and a contributing [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Sutter Roseville Medical Center Inter-Professional Team Glycemic Control Project

HM2015 Abstract Number: 97

Effects of Pictorial Representation of Study Design on Patient Ability to Provide Informed Consent in a Clinical Study: Results of Randomized Controlled Trial

Background: Informed consent in clinical research often requires that patients understand complex concepts, such as randomization, control groups, and follow-up. Current guidelines recommend assessing patients’ understanding by asking them to “teach-back” key information about a [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Effects of Pictorial Representation of Study Design on Patient Ability to Provide Informed Consent in a Clinical Study: Results of Randomized Controlled Trial

HM2015 Abstract Number: 98

Barriers to Timely Discharge from the General Medicine Ward at an Academic Tertiary Care Center

Background: Delayed discharge of patients to their homes or an intermediate care facility is a long-standing problem faced by hospitals. Patients who have an unnecessary prolonged length of stay diminish a hospital’s capacity to effectively [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Barriers to Timely Discharge from the General Medicine Ward at an Academic Tertiary Care Center

HM2015 Abstract Number: 99

The Burden of Readmissions: A Patient Perspective

Background: 30-day readmissions have become a feared complication of hospitalists and administrators, and previous literature suggests that readmissions lead to patient dissatisfaction. We conducted a study to evaluate readmissions from a patient-centered perspective, as the [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Burden of Readmissions: A Patient Perspective

HM2015 Abstract Number: 103

To Sleep, Perchance to Heal: An Appropriateness Evaluation of Medications Administered Overnight

Background: Nighttime interruptions are common on inpatient units; sleep quantity and quality impact physiologic and psychological health for hospitalized patients.  In addition to contributing to delirium and subsequent falls, sleep influences patient experience and satisfaction and is [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on To Sleep, Perchance to Heal: An Appropriateness Evaluation of Medications Administered Overnight

HM2015 Abstract Number: 105

Evaluation of a Two-Step Intervention to Improve Time of Discharge

Background: Late afternoon discharges create a backlog of patients in the ER and OR, delay incoming transfers, and decrease patient satisfaction. In 2012, we conducted a 3-month pilot intervention that improved average time of discharge. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Evaluation of a Two-Step Intervention to Improve Time of Discharge

HM2015 Abstract Number: 106

Examining the Future of Hospitalist Medicine: Impact of Bedside Rounding with Nurses on Patient Care

Background: Patient satisfaction scores are becoming an increasingly recognized publically reported measure by which hospitals are evaluated.  Similarly, teamwork, patient safety, and quality are at the cornerstone of the hospitalist’s daily routine.  Interprofessional rounds have [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Examining the Future of Hospitalist Medicine: Impact of Bedside Rounding with Nurses on Patient Care

HM2015 Abstract Number: 109

Changing of the Guard-Christiana Care Health System Plmonary Stepdown

Background: The pulmonary step down unit (SDU) at Christiana Hospital, Christiana Care Health System Hospital (CCHS) is a 32-bed unit. Seriously ill patients who do not meet ICU admission criteria but are too sick for general medical floors are [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Changing of the Guard-Christiana Care Health System Plmonary Stepdown

HM2015 Abstract Number: 112

Comparison of Printed Handoff Documentation Among Inpatient Medical and Surgical Services

Background: Medical errors remain a leading cause of morbidity and mortality in the United States, and communication failures are a leading cause of these errors. Handoff improvement programs have been shown to reduce medical errors, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Comparison of Printed Handoff Documentation Among Inpatient Medical and Surgical Services

HM2015 Abstract Number: 115

Youtube As a Source of Patient Education on the Role of Hospitalists

Background: “Hospitalist” is a relatively new and evolving specialty field within modern medicine, dedicated to the delivery of comprehensive medical care to hospitalized patients. Unfortunately, few primary care and emergency department physicians inform patients about [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Youtube As a Source of Patient Education on the Role of Hospitalists

HM2015 Abstract Number: 116

Friend or Foe: Faculty, Resident and Patient Perceptions of Ipad Use in the Inpatient Setting

Background: Use of tablet computers in the hospital is becoming more common. Unfortunately, studies show interns spend much more time in front of a screen than in direct patient care.  Further, while iPad use in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Friend or Foe: Faculty, Resident and Patient Perceptions of Ipad Use in the Inpatient Setting

HM2015 Abstract Number: 117

In-Hospital Communication Preferences Among Internal Medicine Residents: Ease of Use Vs. Privacy?

Background: Personal smartphones and tablets (mobile technology), capable of short message service text (SMS) messaging, allow for the easy, accessible, and rapid transfer of clinical information between providers. SMS messaging is perceived to improve in-hospital [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on In-Hospital Communication Preferences Among Internal Medicine Residents: Ease of Use Vs. Privacy?

HM2015 Abstract Number: 118

Glass Half Full or Empty? Patient Perceptions of Google Glass and the Doctor-Patient Relationship

Background: Google Glass (“Glass”) is a wearable computer with a mounted head display. “Early adopters” of Glass technology in medicine have developed ways to monitor vital signs, search health records, and provide real time data [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Glass Half Full or Empty? Patient Perceptions of Google Glass and the Doctor-Patient Relationship

HM2015 Abstract Number: 119

Effectiveness of Wearable Cardioverter Defibrillator in Prevention of Sudden Cardiac Death

Background: According to the American Heart Association, annually there are around 359,400 people in the United States that experience out-of-hospital non-traumatic Sudden Cardiac Arrest (SCD), and 90% of the victims die. This paper will discuss [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Effectiveness of Wearable Cardioverter Defibrillator in Prevention of Sudden Cardiac Death

HM2015 Abstract Number: 120

Team-Based Readmission Assessment Inititaive Notes (T.R.a.I.N.) Project- a Quality Improvement Strategy to Reduce 30 Day Readmissions to the Medicine Service

Background: Currently about 20% of Medicare patients are readmitted to a hospital within 30 days of discharge.  A systematic, interdisciplinary approach is imperative to understanding why patients are readmitted. Methods: We developed an on-line tool, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Team-Based Readmission Assessment Inititaive Notes (T.R.a.I.N.) Project- a Quality Improvement Strategy to Reduce 30 Day Readmissions to the Medicine Service

HM2015 Abstract Number: 123

Improving the Patient Experience Through Enhanced Communication During Transitions of Care: The Safe Transitions Anticoagulation Report (Star)

Background: Adverse drug events are common in the period after acute hospitalization. Anticoagulant medications are among the most common drug classes responsible for these events. Vitamin K antagonists present a unique challenge during transitions of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Improving the Patient Experience Through Enhanced Communication During Transitions of Care: The Safe Transitions Anticoagulation Report (Star)

HM2015 Abstract Number: 124

A Prospective Observational Study of Care Transitions: Are the Doctors Talking to Each Other?

Background: Improper care transitions or hand-offs account for more than 12 billion dollars in estimated added health care costs. No scholarly studies address the influence of communication between acute care provider, or hospitalist and the [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Prospective Observational Study of Care Transitions: Are the Doctors Talking to Each Other?

HM2015 Abstract Number: 125

Venous Thromboembolism on Arrival: An Analysis of Transfers from Outside Hospitals

Background: The risk of developing venous thromboembolism (VTE) in the hospitalized patient has been well established in the medical literature. Stratifying patients based on risk factors and initiating appropriate VTE prophylaxis at admission has become [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Venous Thromboembolism on Arrival: An Analysis of Transfers from Outside Hospitals

HM2015 Abstract Number: 126

Evaluating the Utility of Osteoporosis Screening Tools (Ost, Frax) and Video Education in Hospitalized Patients

Background:             Eight million women and two million men in the US suffer from osteoporosis, with the cost of fragility fractures an estimated $10-15 billion annually. Methods: Two osteoporosis fracture risk assessment tools were used. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Evaluating the Utility of Osteoporosis Screening Tools (Ost, Frax) and Video Education in Hospitalized Patients

HM2015 Abstract Number: 131

Effect of a Pharmacist Counseling Intervention on Healthcare Utilization After Hospital Discharge: A Randomized Controlled Trial

Background: Reduction in 30-day readmission rates following hospitalization for acute coronary syndrome (ACS) and acute decompensated heart failure (ADHF) is a national goal. We sought to determine the effect of a tailored, pharmacist-delivered, health literacy [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Effect of a Pharmacist Counseling Intervention on Healthcare Utilization After Hospital Discharge: A Randomized Controlled Trial

HM2015 Abstract Number: 134

The First 72 Hours of Hospitlization Are a High Risk Period for Inpatients

Background: In 2004, the Institute for Healthcare Improvement (IHI) initiated The 100,000 Lives Campaign, which supported rapid response team (RRT) deployment to assist staff to quickly recognize clinical deterioration and respond with appropriate interventions geared [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The First 72 Hours of Hospitlization Are a High Risk Period for Inpatients

HM2015 Abstract Number: 135

Functional Outcomes of Hospitalized Older Adults with Advanced Cancer Discharged to Sub-Acute Rehabilitation

Background: As the number of long term cancer survivors increases, the role of rehabilitation becomes more intriguing following acute hospitalization. Few published reports have explored the effectiveness of rehabilitation for advanced cancer patients, particularly in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Functional Outcomes of Hospitalized Older Adults with Advanced Cancer Discharged to Sub-Acute Rehabilitation

HM2015 Abstract Number: 136

Communication from Inpatient Discharging Providers to Pcps and Patients Regarding Medication Changes

Background: Hospitalist medicine is the fastest growing medical specialty, but introduces a critical transition of care between the discharging provider (DP) and primary care physician (PCP) at hospital discharge, when patients are most vulnerable. Medication [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Communication from Inpatient Discharging Providers to Pcps and Patients Regarding Medication Changes

HM2015 Abstract Number: 137

A Silver-Lining in the Clouds?: A Qualitative Analysis of Patient’s Sentiments on Hospitalist Service Changes

Background: Inpatient service handoffs are a frequent source of discontinuity in inpatient care. Despite the large amount of research on handoffs, none has described the patient perspective when cared for by a hospitalist physician. We [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Silver-Lining in the Clouds?: A Qualitative Analysis of Patient’s Sentiments on Hospitalist Service Changes

HM2015 Abstract Number: 138

July Effect: Are Patients Discharged in July from an Academic Medical Center More Likely to Be Readmitted?

Background: The month of July may be associated with suboptimal outcomes at academic medical centers. This is thought to be attributed to staff turnover as seasoned residents graduate, new interns begin residency, and new attendings [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on July Effect: Are Patients Discharged in July from an Academic Medical Center More Likely to Be Readmitted?

HM2015 Abstract Number: 139

Predictors of Recurrent Hospital Admission for Patients Presenting with Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State

Background: Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are two of the most serious acute complications of diabetes mellitus. Analysis of recurrent admissions for DKA and HHS has the potential to assist hospitals in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Predictors of Recurrent Hospital Admission for Patients Presenting with Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State

HM2015 Abstract Number: 140

Increasing Appropriate Inpatient Palliative Care Consults with a Nurse-Initiated Consult Process

Background: Palliative care improves quality of life and mortality outcomes in individuals with terminal cancer diagnoses. Yet palliative care is often not made available to these patients in a timely manner, either due to lack [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Increasing Appropriate Inpatient Palliative Care Consults with a Nurse-Initiated Consult Process

HM2015 Abstract Number: 141

Do All Patients with Pulmonary Embolism Need Hospitalization? A Retrospective Risk Stratification of Patients with Pulmonary Emboli

Background:  The Simplified Pulmonary Embolism Severity Index (sPESI) is a validated, bedside clinical prediction model used to predict all cause mortality following pulmonary embolism.  The sPESI utilizes a binary scoring system in which a score [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Do All Patients with Pulmonary Embolism Need Hospitalization? A Retrospective Risk Stratification of Patients with Pulmonary Emboli

HM2015 Abstract Number: 142

Patient Out of Pocket Costs for Hospital Observation Services

Background:  The use of hospital observation services has expanded dramatically in the last decade and should continue to increase with the Center for Medicare and Medicaid Services’ implementation of the upcoming “two midnight rule.”   [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Patient Out of Pocket Costs for Hospital Observation Services

HM2015 Abstract Number: 148

Association Between Copy-Paste Behavior and Physician Service: Who Does It? Who Does It?

Background: The use of copy-paste in the medical record is ubiquitous, potentiated by the explosive increase in use of electronic health record systems. Copy-paste events (CPE) decrease the readability of the medical record (e.g. “note-bloat”) [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Association Between Copy-Paste Behavior and Physician Service: Who Does It? Who Does It?

HM2015 Abstract Number: 149

Association Between Adaptive Reserve and Nurse-Physician Collaboration in a Tertiary Care, Inpatient Setting

Background: Adaptive reserve (AR) has been evaluated in the outpatient setting to assess willingness to change in the era of transition from traditional primary care to patient-centered medical homes. Miller et al describe AR as [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Association Between Adaptive Reserve and Nurse-Physician Collaboration in a Tertiary Care, Inpatient Setting

HM2015 Abstract Number: 150

The Elusive “Good” Text Page: An Analysis of Electronic Communication Quality Using Big Data Tools

Background: In the inpatient setting text paging is an important but inefficient tool for communicating critical tasks between physicians, nurses, ancillary staff, and consultants. Studies have shown that text pages sent by nurses, physicians and [...]

By | 2015-04-07T11:34:45+00:00 February 27th, 2015|Uncategorized|Comments Off on The Elusive “Good” Text Page: An Analysis of Electronic Communication Quality Using Big Data Tools

HM2015 Abstract Number: 152

Predicting and Communicating Risk of Clinical Deterioration: An Observational Cohort Study of Internal Medicine Residents

Background: The 2011 Accreditation Council for Graduate Medical Education (ACGME) duty hour regulations have led to an increase in patient handoffs among internal medicine (IM) residents, as well as a call for improvement in the [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Predicting and Communicating Risk of Clinical Deterioration: An Observational Cohort Study of Internal Medicine Residents

HM2015 Abstract Number: 153

Smartphones in the Improvement of Inter-Professional Communication

Background:  Effective communication among health care professionals is cornerstone of patient care. New advancements have incorporated smartphone technology into clinical practice, however, assessment of smartphone intervention in improving inter-professional communication is lacking. In 2012, a [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Smartphones in the Improvement of Inter-Professional Communication

HM2015 Abstract Number: 154

Are Consultants Frustrated with Us? A Qualitative Look at Our Behaviors and How We Can Improve

Background: Medical students and interns often lack formal training on how to initiate a consult, resulting in a potentially unpleasant experience for both parties. Most current literature addressing consult etiquette involves either outpatient referrals or [...]

By | 2015-04-07T11:36:52+00:00 February 27th, 2015|Uncategorized|Comments Off on Are Consultants Frustrated with Us? A Qualitative Look at Our Behaviors and How We Can Improve

HM2015 Abstract Number: 155

Steroids or Antimicrobials? A Case of Eosinophilic Gastroenteritis

Background: Enteral eosinophilia may manifest from an infectious trigger or a primary inflammatory process. Parasitic infections may mimic eosinophilic gastroenteritis clinically and pathologically with eosinophilic infiltration of the gut wall. Management sharply differs depending on [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Steroids or Antimicrobials? A Case of Eosinophilic Gastroenteritis

HM2015 Abstract Number: 156

A Physician Led, Skills-Based Ehr Training Curriculum Can Improve Ehr Skills for Interns

Background: Electronic health record (EHR) systems are being implemented nationwide, but little is known about how to best train physicians in their use. EHR training for interns is typically lecture based, led by IT personnel [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Physician Led, Skills-Based Ehr Training Curriculum Can Improve Ehr Skills for Interns

HM2015 Abstract Number: 157

Frequency of Fast Food Consumption and Being Overweight Among Highly Educated People

Background: The purpose of the study was to assess the relationship between the frequency of fast food consumption and being overweight among highly educated people. The survey was unique because all the participants have some [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Frequency of Fast Food Consumption and Being Overweight Among Highly Educated People

HM2015 Abstract Number: 160

“If You Play It, They Will Come…and Learn:” the Effectiveness of Using Game Show Format in Medical Student Teaching

Background: The use of game show formats as a teaching strategy is gaining popularity as an alternative to traditional didactic lectures in medical education. However, data regarding the learning experience associated with this format are [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on “If You Play It, They Will Come…and Learn:” the Effectiveness of Using Game Show Format in Medical Student Teaching

HM2015 Abstract Number: 167

Impact of Inpatient Case-Load, Emergency Department Duties, and Online Learning Resource on General Medicine In-Training Examination Scores in Japan

Background: Both clinical workload and access to learning resource are important components of learning environment. However, little is known about whether higher clinical workload during residency is associated with increased clinical knowledge. It is also [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Impact of Inpatient Case-Load, Emergency Department Duties, and Online Learning Resource on General Medicine In-Training Examination Scores in Japan

HM2015 Abstract Number: 172

From Big Data to the Bedside: Using Data Science to Identify Gaps in Medical Residents’ Inpatient Clinical Experience

Background: Training programs assume that routine clinical care provides interns experience in caring for common diagnoses and prepares them to practice with increasing responsibility and independence.  We sought to analyze the accuracy of this assumption [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on From Big Data to the Bedside: Using Data Science to Identify Gaps in Medical Residents’ Inpatient Clinical Experience

HM2015 Abstract Number: 176

Medical Trainees Experiences and Perceptions of Code Teams: In Need of Resuscitation

Background: Approximately 200,000 patients experience a cardiac arrest in United States hospitals each year, with a mortality rate of over 80%.  Academic hospitalists often lead resuscitation teams, which include medical students.  Medical students receive Basic [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Medical Trainees Experiences and Perceptions of Code Teams: In Need of Resuscitation

HM2015 Abstract Number: 178

Medical Student Perceptions of Cost-Conscious Care in an Inpatient Internal Medicine Clerkship

Background: Although physicians direct as much as 87% of all health care spending, studies demonstrate that physicians lack knowledge about the costs of medical care. Similarly, learners have not traditionally received instruction on cost conscious [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Medical Student Perceptions of Cost-Conscious Care in an Inpatient Internal Medicine Clerkship

HM2015 Abstract Number: 179

Regional Trends in Long-Term Acute Care Hospital Use in Texas

Background: There is significant regional variation in the use of long-term acute care hospitals (LTCH), even within states such as Texas that have a relatively abundant supply. We sought to assess whether increased LTCH use [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Regional Trends in Long-Term Acute Care Hospital Use in Texas

HM2015 Abstract Number: 180

Functional Measures Predict Discharge Destination but Not Readmissions

Background:  Current readmission prediction models have limitations, and there is a widespread call to improve models by using functional status data. This study examines which physical performance measures can be used in the inpatient setting [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Functional Measures Predict Discharge Destination but Not Readmissions

HM2015 Abstract Number: 181

Efficacy and Safety of Methylnaltrexone for Opioid-Induced Constipation in Patients with Chronic Noncancer Pain: A Placebo Crossover Analysis

Background: In patients with chronic noncancer pain, subcutaneous methylnaltrexone for opioid-induced constipation (OIC) was examined in a 4-wk, randomized, controlled trial (RCT), followed by an 8-wk open-label extension (OLE) phase. The current analysis evaluated the [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Efficacy and Safety of Methylnaltrexone for Opioid-Induced Constipation in Patients with Chronic Noncancer Pain: A Placebo Crossover Analysis

HM2015 Abstract Number: 182

Fixed-Dose Subcutaneous Methylnaltrexone in Patients with Advanced Illness and Opioid-Induced Constipation: Results of a Randomized, Placebo-Controlled Study and Open-Label Extension

Background: Subcutaneous methylnaltrexone (MNTX), dosed based on body weight, is efficacious and well tolerated for opioid-induced constipation (OIC) in patients (pts) with advanced illness; however, fixed-dosing may improve administration ease. Methods: A phase 4, double-blind, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Fixed-Dose Subcutaneous Methylnaltrexone in Patients with Advanced Illness and Opioid-Induced Constipation: Results of a Randomized, Placebo-Controlled Study and Open-Label Extension

HM2015 Abstract Number: 183

Once-Daily Tiotropium Respimat® Add-On to at Least Inhaled Corticosteroid Maintenance Therapy Reduces the Risk of Severe Exacerbations and Asthma Worsening in Patients with Symptomatic Asthma

Background: Poorly controlled asthma places a burden on healthcare systems, with healthcare costs rising with increasing asthma severity and the occurrence of asthma exacerbations (Ivanova et al. J Allergy Clin Immunol 2012;129:1229-35). A reduction in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Once-Daily Tiotropium Respimat® Add-On to at Least Inhaled Corticosteroid Maintenance Therapy Reduces the Risk of Severe Exacerbations and Asthma Worsening in Patients with Symptomatic Asthma

HM2015 Abstract Number: 185

Hospice: A Home for the Abandoned Children and Elderly?

Background: Patients with end-stage renal disease (ESRD) experience a high symptom burden and poor quality of life that approximates that of patients with advanced cancer.  Despite this common and prevalent symptom burden and higher mortality, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Hospice: A Home for the Abandoned Children and Elderly?

HM2015 Abstract Number: 190

A Distinct Variant of Diabetic Amyotrophy with Abdominal Pseudo-Herniation and Pain: A Systematic Review and Meta-Analysis of Cases

Background: Diabetic amyotrophy (DA) with abdominal pain and unilateral herniation may relate to a rare but severe variant. It is often misdiagnosed leading to extensive work up for intra-abdominal pathologies. We performed a systematic review [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Distinct Variant of Diabetic Amyotrophy with Abdominal Pseudo-Herniation and Pain: A Systematic Review and Meta-Analysis of Cases

HM2015 Abstract Number: 191

Hypoglycemia in Diabetes Mellitus: Correlation with Hemoglobin A1C and Overall Glycemic Control

Background: Hypoglycemia is a limiting factor for the effective management of glycemic control in both type 1 and 2 Diabetes Mellitus. We planned to analyze the correlation between hypoglycemia and Hemolgobin A1C (HbA1C), as well [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Hypoglycemia in Diabetes Mellitus: Correlation with Hemoglobin A1C and Overall Glycemic Control

HM2015 Abstract Number: 193

Once-Daily Tiotropium Respimat® Add-On to Inhaled Corticosteroids Plus Long-Acting β2-Agonists Reduces Exacerbation Risk in Patients with Severe Symptomatic Asthma

Background: In the USA in 2007, there were 1.4 million asthma-related outpatient department visits and 1.75 million asthma-related emergency department visits (Akinbami et al. Natl Health Stat Report 2011;32:1-14). We evaluated the effect of treatment [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Once-Daily Tiotropium Respimat® Add-On to Inhaled Corticosteroids Plus Long-Acting β2-Agonists Reduces Exacerbation Risk in Patients with Severe Symptomatic Asthma

HM2015 Abstract Number: 194

Exacerbation Risk Is Not Worse When Ics Are Withdrawn in a Stepwise Manner in Severe to Very Severe Copd Patients Receiving Lama+Laba: The Wisdom Study

Background: Global initiative for chronic Obstructive Lung Disease (GOLD) strategy recommends treating patients with chronic obstructive pulmonary disease (COPD) who have recurrent exacerbations with inhaled corticosteroids (ICS). The Withdrawal of Inhaled Steroids During Optimized bronchodilator [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Exacerbation Risk Is Not Worse When Ics Are Withdrawn in a Stepwise Manner in Severe to Very Severe Copd Patients Receiving Lama+Laba: The Wisdom Study

HM2015 Abstract Number: 195

The Effecacy of Acticoat-Silver Dressing in Preventing Left-Ventricle-Assisted Device Infections

Background: The optimal local care of continuous-flow left ventricular-assisted device (CF-LVAD) exit site in unclear. The new silver-coated wound dressing (ACTICOAT) has not been compared with the conventional wound care method. Methods: A retrospective case-control [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Effecacy of Acticoat-Silver Dressing in Preventing Left-Ventricle-Assisted Device Infections

HM2015 Abstract Number: 196

ICU Admission Patterns in Patients with Dka, Stroke and GI Bleed: Do They All Need Icu?

Background: Intensive Care Units (ICUs) are among the most expensive components of hospital care. Experts believe that ICUs are overused; however hospitals vary in their ICU admissions rate. Our hypothesis is based on clinical observations [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on ICU Admission Patterns in Patients with Dka, Stroke and GI Bleed: Do They All Need Icu?

HM2015 Abstract Number: 197

Comparison of Medical Costs Avoided When New Oral Anticoagulants Are Used for the Treatment of Patients with Nonvalvular Atrial Fibrillation and Venous Thromboembolism Vs. Standard Therapies in the U.S

Background: Nonvalvular atrial fibrillation (NVAF) and venous thromboembolism (VTE) are both associated with significant morbidity and substantial health care resource utilization and costs. Randomized clinical trials have demonstrated that the four new oral anticoagulants (NOACs), [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Comparison of Medical Costs Avoided When New Oral Anticoagulants Are Used for the Treatment of Patients with Nonvalvular Atrial Fibrillation and Venous Thromboembolism Vs. Standard Therapies in the U.S

HM2015 Abstract Number: 198

Intravenous Versus Oral Fluoroquinolones for the Initial Treatment of Community Acquired Pneumonia in Hospitalized Patients

Background: Fluoroquinolones are widely used in the treatment of community-acquired pneumonia (CAP) and they have equivalent oral (PO) and intravenous (IV) bioavailability, but patients hospitalized with CAP are generally treated intravenously. We compared the outcomes [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Intravenous Versus Oral Fluoroquinolones for the Initial Treatment of Community Acquired Pneumonia in Hospitalized Patients

HM2015 Abstract Number: 199

Structure and Outcomes of Inter-Disciplinary Rounds in Hospitalized Medicine Patients: A Systematic Review

Background: In hospitalized patients, Inter Disciplinary Rounds (IDR) has been described to improve collaboration among physicians and nurses, increase compliance with guidelines, reduce length of stay and reduce adverse drug events. However, there is variation [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Structure and Outcomes of Inter-Disciplinary Rounds in Hospitalized Medicine Patients: A Systematic Review

HM2015 Abstract Number: 200

Candidemia in an Inner-City University Hospital: Epidemiology and Outcomes

Background: Fungal infections have become an important cause of blood stream infections as a result of the increased number of immunosuppressed patients in recent years. Candida is the most common cause of these infections, and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Candidemia in an Inner-City University Hospital: Epidemiology and Outcomes

HM2015 Abstract Number: 201

Factors Influencing Readmission to a Hospitalist Co-Managed Medical Oncology Unit in a Tertiary Referral Hospital

Background: Unplanned hospital readmissions account for an additional $175 billion in additional expenses every year.  Reduction of readmission rates has thus become a high priority research area for hospitalists. We investigated the 30-day hospital readmission [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Factors Influencing Readmission to a Hospitalist Co-Managed Medical Oncology Unit in a Tertiary Referral Hospital

HM2015 Abstract Number: 202

Medicare’s Acute Care Episode Demonstration: Effects of Bundled Payments on Costs and Quality of Care for Cardiac Surgery

Background: Bundled payments replace standard fee-for-service payments with a lump-sum payment for episodes of care that begin with hospital admission and extend up to 90 days post-discharge. Medicare’s Bundled Payments for Care Improvement (BPCI) program [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Medicare’s Acute Care Episode Demonstration: Effects of Bundled Payments on Costs and Quality of Care for Cardiac Surgery

HM2015 Abstract Number: 203

Epidemiology of Picc Use in Michigan Hospitals

Background: Despite growing use, limited data regarding "real world" use of peripherally inserted central catheters (PICCs) exist. Available evidence is informed by single-center experiences or studies of specific populations (e.g., cancer or critically ill patients). [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Epidemiology of Picc Use in Michigan Hospitals

HM2015 Abstract Number: 204

Quality of Warfarin Therapy and Its Impact on Healthcare Resource Utilization and Costs Among Nonvalvular Atrial Fibrillation Patients in an Integrated Delivery Network Setting in the U.S

Background: Warfarin has been shown to be efficacious for reducing stroke risk among patients with nonvalvular atrial fibrillation (NVAF). However, the efficacy and safety of warfarin is influenced by its time in therapeutic range (TTR), [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Quality of Warfarin Therapy and Its Impact on Healthcare Resource Utilization and Costs Among Nonvalvular Atrial Fibrillation Patients in an Integrated Delivery Network Setting in the U.S

HM2015 Abstract Number: 205

Pulmonary Embolism: Is Outpatient Management the Future?

Background:  Clinical guidelines recommend risk stratifying patients with acute pulmonary embolism (PE) and considering early discharge or outpatient management for those who are at low risk of early mortality. However, in the United States, almost [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Pulmonary Embolism: Is Outpatient Management the Future?

HM2015 Abstract Number: 206

Evaluation of Supratherapeutic Inr Values and the Use of Phytonadione in Hospitalized Medicine Patients

Background: Supratherapeutic INRs in patients on chronic warfarin therapy is a common untoward side effect.  Updated clinical guidelines recommend against the use of vitamin K to correct INRs between 4.5-10. The impact of giving versus [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Evaluation of Supratherapeutic Inr Values and the Use of Phytonadione in Hospitalized Medicine Patients

HM2015 Abstract Number: 207

Hospitalists’ Utilization of Inpatient Weight Loss Resources with Discharge Texts and Primary Care Contact: A Feasibility Study

Background: Obesity is a global epidemic afflicting nearly 300 million individuals, and is associated with multiple comorbidities.  Thus far, inpatient weight loss interventions with telephone follow up calls have not achieved more successful weight loss [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Hospitalists’ Utilization of Inpatient Weight Loss Resources with Discharge Texts and Primary Care Contact: A Feasibility Study

HM2015 Abstract Number: 208

Impact of Variation in Hospital Medicine Management Intensity Across Academic Medical Centers and Their Affiliated Institutions

Background: Does hospital medicine management make a difference in resource consumption and patient outcomes?  Large hospital discharge databases enable investigators to examine differences between patients discharged by hospital medicine versus other physician specialties.  This study [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Impact of Variation in Hospital Medicine Management Intensity Across Academic Medical Centers and Their Affiliated Institutions

HM2015 Abstract Number: 209

Red Blood Cell Distribution Width (Rdw) As an Independent Predictor of Readmission Rate and Length of Stay of Patient with Heart Failure

Background: RDW is believed to be a prognostic factor in patients with CHF. Assessing correlation of RDW with CHF readmission in patient admitted for CHF exacerbation could reflect disease severity and help predict readmission. We [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Red Blood Cell Distribution Width (Rdw) As an Independent Predictor of Readmission Rate and Length of Stay of Patient with Heart Failure

HM2015 Abstract Number: 210

The Effect of Hospital-Acquired Anemia on 30-Day Readmission and Mortality

Background: Hospital-acquired anemia (HAA) is associated with increased inpatient mortality and resource utilization. However, little is known about the effect of HAA on adverse outcomes following hospital discharge. We sought to describe the prevalence and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Effect of Hospital-Acquired Anemia on 30-Day Readmission and Mortality

HM2015 Abstract Number: 211

Vital Signs Are Still Vital – Association Between Instability on Hospital Discharge and 30-Day Readmissions and Mortality

Background: Instability on discharge has been previously shown to be associated with adverse clinical outcomes among hospitalized patients with pneumonia. However, little is known about the association between instability and outcomes among all hospitalized individuals. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Vital Signs Are Still Vital – Association Between Instability on Hospital Discharge and 30-Day Readmissions and Mortality

HM2015 Abstract Number: 212

Defining Appropriate Use of Bridging Anticoagulation Among Patients with Atrial Fibrillation

Background: Bridging anticoagulation is commonly prescribed to patients with atrial fibrillation who are initiating therapy or require interruption of anticoagulation for procedures. Current guidelines recommend bridging for patients at high risk of stroke, but no [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Defining Appropriate Use of Bridging Anticoagulation Among Patients with Atrial Fibrillation

HM2015 Abstract Number: 213

An Occult Finding in Heparin Drip Order Set

Background: Order sets in electronic medical records (EMR) have shown to reduce variation in clinical practice, reduce error, and increase the quality of care. It is important to regularly evaluate appropriateness of existing order sets [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on An Occult Finding in Heparin Drip Order Set

HM2015 Abstract Number: 214

Community-Acquired Pneumonia in Elderly Patients: Characteristics, Manifestations, and Outcomes

Background: Community-acquired pneumonia (CAP) is one of the leading causes of mortality in the elderly. Additionally, the elderly population is increasing and an even more dramatic upward trend in the ‘very elderly’ subgroup is projected [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Community-Acquired Pneumonia in Elderly Patients: Characteristics, Manifestations, and Outcomes

HM2015 Abstract Number: 215

The Association Between Discharge-Before-Noon and Length of Stay in Medical and Surgical Patients

Background: Slow hospital ‘throughput’ – the process whereby patients are admitted, placed in a room, and eventually discharged home – can worsen outcomes by forcing patients to be cared for in emergency rooms or post-anesthesia [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Association Between Discharge-Before-Noon and Length of Stay in Medical and Surgical Patients

HM2015 Abstract Number: 216

Pilot Study of Characteristics and Outcomes of Patients Discharged from the Ed After Referral for Hospitalist Admission

Background: Our attending-only hospitalist practice in a tertiary academic center admits approximately 350 patients monthly.  The majority (approximately 280/month) of those patients are referred through our emergency department (ED).  Our group has the option of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Pilot Study of Characteristics and Outcomes of Patients Discharged from the Ed After Referral for Hospitalist Admission

HM2015 Abstract Number: 217

The Cost of Delirium in the Intensive Care Unit: Attributable Costs of Care Intensity and Mortality

Background: ICU delirium duration has been associated with increased costs, however, it is unclear if this relationship is independent of time-varying changes in illness. In addition, delirium is associated with early mortality, and it is [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Cost of Delirium in the Intensive Care Unit: Attributable Costs of Care Intensity and Mortality

HM2015 Abstract Number: 218

Risk Factors Associated with Prolonged Length of Stay in a Brazilian Secondary Community Hospital

Background: Prolonged length of stay is associated with increased costs and decreased quality of care and patient satisfaction. Patient data regarding clinical characteristics and outcomes in non-teaching community hospitals are scant in Brazil.  Methods: We [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Risk Factors Associated with Prolonged Length of Stay in a Brazilian Secondary Community Hospital

HM2015 Abstract Number: 219

Mortality Reduction of Hospital Medicine Patients After ICU Opening in a Middle Size Community Hospital in Southern Brazil

Background: In large urban hospitals, having one or more Intensive Care Units (ICU) is indispensable. In Brazil, many middle size community hospitals do not offer ICUs and the cost benefit of them has been put [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Mortality Reduction of Hospital Medicine Patients After ICU Opening in a Middle Size Community Hospital in Southern Brazil

HM2015 Abstract Number: 220

Pioneer Brazilian Hospital Medicine Service: Inpatient Profile 17 Months After Implementation

Background: Prospectively collected patient clinical data regarding hospital admissions and outcomes are very rare in Brazil. Most managerial and regulatory decisions are made based on North American or European databases. Seventy percent of hospital care [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Pioneer Brazilian Hospital Medicine Service: Inpatient Profile 17 Months After Implementation

HM2015 Abstract Number: 221

Diabetes Mellitus Is Not a Risk Factor for Mortality in Hospitalized Patients

Background: Patients with Diabetes (DM) in the community setting have a higher mortality risk when compared with non-diabetic patients. Type 1 patients have a 2.4 higher risk of death and type 2 patients have a [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Diabetes Mellitus Is Not a Risk Factor for Mortality in Hospitalized Patients

HM2015 Abstract Number: 223

30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events in Medical Patients

Background: Adverse drug events occurring after hospital discharge are an important reason for readmissions within 30 days. However, these events need to be better characterized in order to find the most appropriate risk reduction interventions. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events in Medical Patients

HM2015 Abstract Number: 224

Communication and Follow-Up of Incidental Lung Nodules Found on Chest Ct in a Hospitalized and Ambulatory Patient Population

Background: Diagnostic imaging studies frequently yield unexpected or “incidental” findings, many of which require longitudinal follow-up and subsequent imaging in order to exclude malignancy or other serious conditions. Since these findings frequently do not relate [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Communication and Follow-Up of Incidental Lung Nodules Found on Chest Ct in a Hospitalized and Ambulatory Patient Population

HM2015 Abstract Number: 225

Clostridium Difficile Infection in the United States: A National Study Assessing Preventive Practices Used & Perceptions of Practice Evidence

Background: Clostridium difficile infection (CDI) is a common healthcare-associated infection and potentially lethal problem. Current CDI prevention practices used by hospitals, and the perception of the strength of evidence for these practices, however, are unknown. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Clostridium Difficile Infection in the United States: A National Study Assessing Preventive Practices Used & Perceptions of Practice Evidence

HM2015 Abstract Number: 227

Analysis of Telemetry Alarms and Alerts Demonstrates an Overburden of False Alerts

Background: Telemetry - designed to monitor active cardiac conditions - has become a highly utilized component of inpatient care. The Choosing Wisely campaign has promoted the American Heart Association (AHA)'s guidelines for appropriate telemetry use, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Analysis of Telemetry Alarms and Alerts Demonstrates an Overburden of False Alerts

HM2015 Abstract Number: 229

Stop the Blame Game: Restructuring Morbidity and Mortality Conference to Teach Patient Safety and Quality Improvement to Internal Medicine Residents

Background: The Accreditation Council for Graduate Medical Education requires all residents to participate in quality improvement and patient safety programs. One way to incorporate patient safety and systems-based learning into resident education is through an [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Stop the Blame Game: Restructuring Morbidity and Mortality Conference to Teach Patient Safety and Quality Improvement to Internal Medicine Residents

HM2015 Abstract Number: 232

Trends in Pediatric Hospitalizations

Background: Surveys indicate a loss of community hospital pediatric (pedi) units and crowding at larger hospitals. Our team previously presented findings from data through 2009 that demonstrated a shift in pedi discharges (d/c) from smaller [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Trends in Pediatric Hospitalizations

HM2015 Abstract Number: 233

Efficacy and Safety of Once-Daily Tiotropium Respimat® Add-On to Inhaled Corticosteroids Over 1 Year in Adolescent Patients with Symptomatic Asthma

Background: Up to 64% of pediatric patients have inadequately controlled asthma despite treatment with currently available therapies, with the occurrence of asthma exacerbations resulting in increased healthcare costs (Liu et al. J Pediatr 2010;157:276-81; Ivanova [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Efficacy and Safety of Once-Daily Tiotropium Respimat® Add-On to Inhaled Corticosteroids Over 1 Year in Adolescent Patients with Symptomatic Asthma

HM2015 Abstract Number: 234

Changes in UTI Hospitalizations After 2011 AAP UTI Guidelines

Background: Outpatient management of UTI as a treatment option was firmly established by Hoberman's study in 1999 and confirmed in Cochrane reviews in 2003 and 2007 yet admission rates remained constant through 2009. In 2011 [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Changes in UTI Hospitalizations After 2011 AAP UTI Guidelines

HM2015 Abstract Number: 235

UTI Hospitalization Demographics After 2011 AAP UTI Guidelines

Background: Prior results from a single institution looking at UTI admissions before and after the 2011 revised AAP UTI guidelines showed a similar admission rate, a predominance of younger patients requiring admission and Medicaid as [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on UTI Hospitalization Demographics After 2011 AAP UTI Guidelines

HM2015 Abstract Number: 236

Somatic Symptom Disorder: A Challenging Diagnosis with Variation in Evaluation and Treatment

Background: The evaluation and treatment of pediatric patients with somatic symptoms is not standardized.    This lack of standardization may lead to incomplete diagnosis, inadequate or delayed specialist consultation, prolonged hospitalization and both patient and provider [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Somatic Symptom Disorder: A Challenging Diagnosis with Variation in Evaluation and Treatment

HM2015 Abstract Number: 237

True Versus False Bacteremia in Febrile 0-36 Months Olds

Background:   Previously healthy young children often have a blood culture drawn when presenting with fever. False positive blood cultures vastly outnumber true positives leading to repeat exams, antibiotic use, and even hospitalization. Identification of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on True Versus False Bacteremia in Febrile 0-36 Months Olds

HM2015 Abstract Number: 238

Trends in National Pediatric Bed Census

Background: No government or private institution keeps track of the national pediatric bed census. Regional and state data have demonstrated loss of pediatric beds is select areas. Anecdotal and survey reports are consistent about emerging [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Trends in National Pediatric Bed Census

HM2015 Abstract Number: 239

Incidence of Refeeding Syndrome Is Rare in Children with Failure to Thrive

Background: Refeeding syndrome is a potentially fatal consequence of reintroduction of adequate nutrition in a malnourished patient.  The pathophysiology of refeeding syndrome is attributed to the body’s instantaneous conversion from a catabolic state to an [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Incidence of Refeeding Syndrome Is Rare in Children with Failure to Thrive

HM2015 Abstract Number: 240

The Predictability of Using the Egami Score to Identify Children with Refractory Kawasaki Disease: One Institution’s Analysis

Background: Kawasaki Disease (KD) is an acute systemic inflammatory illness.  Typical presentation consists of prolonged fever, bilateral conjunctivitis, cervical lymphadenopathy, oral-mucosal involvement, extremity changes, and rash.  Intravenous immunoglobulin (IVIG) is the current standard therapy; however, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Predictability of Using the Egami Score to Identify Children with Refractory Kawasaki Disease: One Institution’s Analysis

HM2015 Abstract Number: 241

Use of Marijuana in Adolescent Teens and Effect on School Performance

Background:   Over the last decade, marijuana (MJ) usage has declined.  However, in the last 3 years, there has been a resurgence of use.  Adolescent use of MJ has been linked to a range of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Use of Marijuana in Adolescent Teens and Effect on School Performance

HM2015 Abstract Number: 242

Stress in Familiies with a Developmentally Challenged Child

Background: Parents of children with developmental disabilities have been shown to experience increases in stress, depression, and anxiety, which are also associated with child behavior problems. Objective:   To examine the roles of parenting stress and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Stress in Familiies with a Developmentally Challenged Child

HM2015 Abstract Number: 243

Culture Pus Not Blood; an Intervention to Reduce Uneeded Laboratory Testing for Children with Ssti

Background: Blood cultures and CBCs are commonly used in evaluating patients with skin and soft tissue infections (SSTIs). Published data have shown these tests may not aid patient management.  We sought to decrease the collection of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Culture Pus Not Blood; an Intervention to Reduce Uneeded Laboratory Testing for Children with Ssti

HM2015 Abstract Number: 244

Different Lga Cutoffs for Neonatal Hypoglycemia Screening

Background: The 2011 AAP clinical report on postnatal glucose homeostasis gives firm recommendations on certain neonates to screen for hypoglycemia such as small for gestational age (SGA), maternal diabetes, and late pre-term. It is less [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Different Lga Cutoffs for Neonatal Hypoglycemia Screening

HM2015 Abstract Number: 245

Diabetes Mellitus Type 2 Pediatric Hospitalizations and Ed Visit Trends

Background: The AAP's 2013 clinical practice guideline describes an increasing prevalence of Diabetes Mellitus Type 2 (DM2) over the last 30 years. This largely arises from the pediatric obesity epidemic. DM2 is dangerous itself and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Diabetes Mellitus Type 2 Pediatric Hospitalizations and Ed Visit Trends

HM2015 Abstract Number: 247

Hyponatremia in the Post-Operative Orthopedic Patient: A Consensus

Background: Post-operative hyponatremia occurs after about 30% of orthopedic surgeries, increasing morbidity, mortality and hospital length of stays and hospital costs.  The cause of the hyponatremia is not clearly understood. Methods: To investigate the cause [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Hyponatremia in the Post-Operative Orthopedic Patient: A Consensus

HM2015 Abstract Number: 249

Pre-Operative Echocardiograms Are Associated with Delays in Operative Repair and Prolonged Hospitalizations in Hip Fracture Patients

Background: In older adults, a hip fracture can lead to significant morbidity and is associated with increased mortality after operative repair. Delays in operative repair are associated with increased rates of complications and poor outcomes [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Pre-Operative Echocardiograms Are Associated with Delays in Operative Repair and Prolonged Hospitalizations in Hip Fracture Patients

HM2015 Abstract Number: 250

The Effects of Medication Prophylaxis in Incidence of Delerium in Elderly Undergoing Orthopedic Surgery; a Meta Analysis

Background:  Delirium is common in the post operative period in patients who have undergone orthopedic surgery, and the elderly are especially vulnerable. It leads to increased costs, longer hospital stays and higher rates of discharge [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Effects of Medication Prophylaxis in Incidence of Delerium in Elderly Undergoing Orthopedic Surgery; a Meta Analysis

HM2015 Abstract Number: 251

Surgical Co-Management by Hospitalists Improves Patient Outcomes

Background:   The purpose of this study is to examine the impact of a surgical co-management (SCM) program in an academic medical center.  The findings validate the hypothesis that implementing a SCM program reduces medical complications, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Surgical Co-Management by Hospitalists Improves Patient Outcomes

HM2015 Abstract Number: 252

Are We Being an Oxymoron : The Overuse of Oxygen in a Community Hospital Setting

Background: Oxygen is one of the most important and yet the most misused therapy in an in-patient hospital setting. In spite of having clear indications physicians often tend inadvertently order oxygen on every patient being [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Are We Being an Oxymoron : The Overuse of Oxygen in a Community Hospital Setting

HM2015 Abstract Number: 254

Resident-Driven Quality Improvement Project to Reduce Diagnostic Errors by the Application of Debiasing Strategies

Background: A major cause of diagnostic errors is thought to be cognitive failure, often because of cognitive biases. We speculate that these errors could potentially be reduced by incorporating mindfulness and utilizing specific debiasing strategies. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Resident-Driven Quality Improvement Project to Reduce Diagnostic Errors by the Application of Debiasing Strategies

HM2015 Abstract Number: 256

Optimizing Resident Utilization of Laboratory Services Through Clinic Documentation Improvement

Background: Reducing routine laboratory ordering for clinically stable inpatients is one of the goals of the Choosing Wisely Campaign for Adult Hospital Medicine.  Overutilization of routine testing contributes to wasteful spending of limited health care [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Optimizing Resident Utilization of Laboratory Services Through Clinic Documentation Improvement

HM2015 Abstract Number: 257

Appropriateness Criteria for Picc Use in Hospitalized Patients

Background: Growing use of peripherally inserted central catheters (PICCs) in hospitalized patients has led to the recognition that they are associated with important complications. Defining when use of PICCs and related vascular access devices (VADs) [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Appropriateness Criteria for Picc Use in Hospitalized Patients

HM2015 Abstract Number: 260

Picking on Piccs to Decrease Upper Extremity Dvts and Reduce Costs

Background: Central line placement is a common procedure used frequently in the inpatient setting. Upper extremity deep vein thrombosis (UEDVT) is its most common complication and inappropriate management can cause significant morbidity and mortality including [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Picking on Piccs to Decrease Upper Extremity Dvts and Reduce Costs

HM2015 Abstract Number: 262

Do Insurance Mandated Weight Loss Programs Influence Post-Surgical Outcomes in Patients Undergoing

Background: Insurance companies often require a mandated pre surgical weight loss program prior to bariatric surgery. It is debated whether this would improve weight loss after surgery. We argue that the authority deciding the indications, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Do Insurance Mandated Weight Loss Programs Influence Post-Surgical Outcomes in Patients Undergoing

HM2015 Abstract Number: 266

Insulin Prescribing by Provider Type in an Urban Academic Medical Center

Background: Poor glycemic control has been linked with adverse patient outcomes in hospitalized patients.  Randomized inpatient data support the use of scheduled (basal-bolus) insulin over sliding scale insulin (SSI) only regimens with respect to glycemic [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Insulin Prescribing by Provider Type in an Urban Academic Medical Center

HM2015 Abstract Number: 267

Evaluation of Inpatient Teaching Rounds

Background: Medical residency programs use inpatient rounds as a time to review clinical data, discuss plans of care, communicate with patients, family, and other care providers, and to teach the science and art of medicine. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Evaluation of Inpatient Teaching Rounds

HM2015 Abstract Number: 271

Thrombophilia Testing – Testing to a Fault?

Background: Determining the underlying cause of a thrombus may be difficult, owing to the various etiologies of a hypercoagulable state. To simplify this process, hypercoagulable panel (HCPAN) order sets have become more common to aid [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Thrombophilia Testing – Testing to a Fault?

HM2015 Abstract Number: 272

Hospital Use of Pharmacologic Prophylaxis for Venous Thromboembolism – Does Patient Risk Make a Difference in Prescribing Practice?

Background: Current national guidelines recommend against the use of pharmacologic venous thromboembolism (VTE) prophylaxis for hospitalized medical patients who are at low risk for thrombosis. The Michigan Hospital Medicine Safety Consortium, a multihospital quality collaborative, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Hospital Use of Pharmacologic Prophylaxis for Venous Thromboembolism – Does Patient Risk Make a Difference in Prescribing Practice?

HM2015 Abstract Number: 273

Identifying Hospitalized Medical Patients for Whom Venous Thromboembolism Pharmacologic Prophylaxis Is Not Needed

Background: Increasingly, clinical practice guidelines are recommending venous thromboembolism (VTE) risk stratification for hospitalized medical patients and targeted use of pharmacologic prophylaxis in high-risk patients.  Implied in this approach is avoidance of pharmacologic prophylaxis in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Identifying Hospitalized Medical Patients for Whom Venous Thromboembolism Pharmacologic Prophylaxis Is Not Needed

HM2015 Abstract Number: 274

Preventing Catheter-Associated Urinary Tract Infection in Acute Care Hospitals Across the United States

Background: Catheter-associated urinary tract infection (CAUTI) is one of the most common device-associated infections in hospitals. Both technical aspects – appropriate catheter use, aseptic catheter insertion, proper catheter maintenance – and socio-adaptive components, such as [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Preventing Catheter-Associated Urinary Tract Infection in Acute Care Hospitals Across the United States

HM2015 Abstract Number: 276

Engaging Residents in Venous Thromboembolism Prevention and Stroke Quality Measures Through an Interactive Checklist and Incentive Program

Background: Venous thromboembolism (VTE) is the most common preventable cause of hospital death.  Stroke is the third leading cause of death in the United States.  Given that checklists have been demonstrated to improve patient safety, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Engaging Residents in Venous Thromboembolism Prevention and Stroke Quality Measures Through an Interactive Checklist and Incentive Program

HM2015 Abstract Number: 277

Optimize Your Electronic Medical Record to Increase Value: Addressing Laboratory Overutilization

Background: Hospitals are under increased pressure to lower costs without compromising care. Laboratory testing presents an opportunity for hospitals to achieve these aims. Laboratory service utilization has increased in recent decades, but a substantial proportion [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Optimize Your Electronic Medical Record to Increase Value: Addressing Laboratory Overutilization

HM2015 Abstract Number: 278

Teaming Up to Improve Patient Flow: Implementation of Daily Huddles on an Inpatient Teaching Service

Background: At academic medical centers, teaching rounds with housestaff can present barriers to timely advancement of patient care.  Teaching hospitals are seeking innovative ways to maintain the educational mission without sacrificing efficiency. To address this [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Teaming Up to Improve Patient Flow: Implementation of Daily Huddles on an Inpatient Teaching Service

HM2015 Abstract Number: 279

Adherence to Pharmacological Venous Thromboembolism Prophylaxis in Medical Inpatients

Background: Pulmonary embolism is one of the most preventable causes of hospital death and guidelines recommend venous thromboembolism (VTE) prophylaxis for high risk hospitalized medical patients. Guidelines preferentially recommend pharmacologic prophylaxis over mechanical means in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Adherence to Pharmacological Venous Thromboembolism Prophylaxis in Medical Inpatients

HM2015 Abstract Number: 280

Discharge Timing and Length of Stay: Finding the Right Balance Between Early and Late Discharges

Background: Discharge timing for inpatients has significant impacts on length of stay (LOS), room availability for new patients, patient satisfaction, overall patient flow and costs. Considerable efforts have been made to improve early discharges at [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Discharge Timing and Length of Stay: Finding the Right Balance Between Early and Late Discharges

HM2015 Abstract Number: 281

Predicting All-Cause 30-Day Hospital Readmissions Using Electronic Health Record Data Over the Course of Hospitalization: Model Derivation, Validation and Comparison

Background: Predicting those at highest risk readmission can help target resource-intensive interventions to those most likely to benefit. However, current models have only modest discriminatory power. This study sought to: 1) derive and validate a [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Predicting All-Cause 30-Day Hospital Readmissions Using Electronic Health Record Data Over the Course of Hospitalization: Model Derivation, Validation and Comparison

HM2015 Abstract Number: 286

A Time-Motion Study of Hospitalists in the Community Hospital Setting

Background: Previous studies have shown hospitalists reduce the length of the stay and costs during inpatient visits.  However, hospitals are under continuous financial and regulatory pressure to improve the quality and efficiency of inpatient care. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Time-Motion Study of Hospitalists in the Community Hospital Setting

HM2015 Abstract Number: 287

Appropriate Utilization of Telemetry

Background: Telemetry is overused in hospitals and continues to be a significant source of health system waste.  It is considered a leading issue in quality initiatives, as highlighted by its presence in the top five [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Appropriate Utilization of Telemetry

HM2015 Abstract Number: 288

Improving Diagnosis and Ensuring Safety in Patients Presenting to the Emergency Department with Syncope

Background:   Evidence-based medicine is inconsistently used in the evaluation of syncope, leading to unnecessary testing and increased healthcare costs. We studied the effect of a multifaceted intervention, including a best practice algorithm, on the [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Improving Diagnosis and Ensuring Safety in Patients Presenting to the Emergency Department with Syncope

HM2015 Abstract Number: 290

Capability for Change: Differences in Reported Adaptive Reserve by Profession

Background: Adaptive Reserve has been shown to be positively correlated to implementing change in ambulatory settings. To our knowledge, this construct has not been studied in the inpatient setting. The purpose of our analysis was [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Capability for Change: Differences in Reported Adaptive Reserve by Profession

HM2015 Abstract Number: 292

Using an Evidence Based Computerized Clinical Decision Alert to Reduce Unnecessary Blood Transfusions in Stable Hospitalized Patients and Increase Cost Savings Associated with Needless Blood Transfusion

Background: In the United States, approximately 15 million units of red blood cells (RBC) are transfused annually. Data suggest that liberal transfusion practices are unnecessary, expensive and may even lead to significant harm to patients. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Using an Evidence Based Computerized Clinical Decision Alert to Reduce Unnecessary Blood Transfusions in Stable Hospitalized Patients and Increase Cost Savings Associated with Needless Blood Transfusion

HM2015 Abstract Number: 293

Recent Hospitalization Predicts Risk of Venous Thromboembolism

Background: Hospitalization represents a significant risk factor for future  venous thromboembolism (VTE). To reduce this risk, current strategies address administration of daily VTE prophylaxis for high risk hospitalized patients unless contraindicated. However, a significant risk [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Recent Hospitalization Predicts Risk of Venous Thromboembolism

HM2015 Abstract Number: 294

An Effort to Increase Compliance of Addressing Code Status on Admission: A Quality Improvement Project

Background: Many patients who are admitted to the hospital might get resuscitated against their wishes, or their wishes might never be known if a discussion on code status has not been held. Patients get admitted [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on An Effort to Increase Compliance of Addressing Code Status on Admission: A Quality Improvement Project

HM2015 Abstract Number: 297

High-Value Treatment of Pulmonary Embolism

Background: Rising health care costs is one of the most pressing issues of our time.  Two main drivers for inpatient costs are length of stay and resource utilization.  Hospitalists at Mount Sinai Hospital care for [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on High-Value Treatment of Pulmonary Embolism

HM2015 Abstract Number: 298

Capability for Change: Association of Adaptive Reserve and Self-Reported Burnout Among Inpatient Medicine Physicians and Nurses

Background: Practice Adaptive Reserve has been shown to be positively correlated to implementing change in ambulatory settings. To our knowledge, this construct has not been studied in the inpatient setting. We examined the association of [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Capability for Change: Association of Adaptive Reserve and Self-Reported Burnout Among Inpatient Medicine Physicians and Nurses

HM2015 Abstract Number: 300

More with Less: Evaluating Transfusion Practices in Oncology Patients

Background: Recent guidelines support restrictive blood transfusion practices in the majority of patients.  However, the National Comprehensive Cancer Network continues to recommend a goal hemoglobin (Hgb) range of 7-9 g/dL in the oncology patient population. [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on More with Less: Evaluating Transfusion Practices in Oncology Patients

HM2015 Abstract Number: 301

The Impact of a Computerized Clinical Decision Support Tool on Inappropriate Clostridium Difficile Testing

Background: Rates of Clostridium difficile (C diff) infections in hospitalized patients have more than doubled in the last decade. As C diff infections have increased, so too has asymptomatic carriage. Rates of toxigenic C diff [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on The Impact of a Computerized Clinical Decision Support Tool on Inappropriate Clostridium Difficile Testing

HM2015 Abstract Number: 305

Development of an Automated Padua Prediction Score for Venous Thromboembolism Prophylaxis

Background: The Padua Prediction Score (PPS) is a widely utilized risk prediction tool for in-hospital Venous Thromboembolism (VTE). Its usefulness as a means of risk stratifying patients who should and should not receive VTE Prophylaxis [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Development of an Automated Padua Prediction Score for Venous Thromboembolism Prophylaxis

HM2015 Abstract Number: 306

Use of Historical Data to Validate Simulation Modeling in the Creation of a Geographically-Focused Admitting System

Background: It has been nearly a decade since the National Academy of Engineering and the Institute of Medicine recommended the application of systems engineering approaches in order to deliver healthcare that is efficient, effective, and [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Use of Historical Data to Validate Simulation Modeling in the Creation of a Geographically-Focused Admitting System

HM2015 Abstract Number: 308

Medication Reconciliation and Health Information Technology: Systems Challenges in the Marquis Study

Background: Health information technology (HIT) is promoted to improve the medication reconciliation process. However, the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) found an increase in potentially harmful medication discrepancies after HIT implementation. We explore [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Medication Reconciliation and Health Information Technology: Systems Challenges in the Marquis Study

HM2015 Abstract Number: 309

Decreasing Readmissions: A Comprehensive Electronic Tool for Assessing Risk

Background: Identifying patients who are at risk of 30-day readmission is necessary to target interventions to decrease these readmissions. Previously proposed risk factor assessments have had limited success due to multiple factors including low sensitivity [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Decreasing Readmissions: A Comprehensive Electronic Tool for Assessing Risk

HM2015 Abstract Number: 310

Outcomes of a Home Visit Transitional Care Model to Reduce Hospital Admission for High-Risk Patients

Background: Hospital readmissions are a significant current focus of healthcare organizations and payor sources with significant resources being devoted to readmission prevention.  Current literature shows mixed results for different programs targeting readmission rates.  Post-hospitalization home [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Outcomes of a Home Visit Transitional Care Model to Reduce Hospital Admission for High-Risk Patients

HM2015 Abstract Number: 314

Holdover Signout: Characteristics of New Overnight Admission Handoffs

Background: Resident duty hour restrictions have resulted in an increase in the number of new overnight admissions that are transferred to day teams. These “holdovers” make up about 40% of all admissions to our teaching [...]

By | 2015-04-07T11:25:48+00:00 February 27th, 2015|Uncategorized|Comments Off on Holdover Signout: Characteristics of New Overnight Admission Handoffs

HM2015 Abstract Number: 315

Standardizing the Handoff Practice at Service Change

Background: Handoffs are a reality of inpatient medical care and a potential source of patient care errors.  Incomplete care transitions during service changes are associated with uncertainty of patient care plans and can result in [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Standardizing the Handoff Practice at Service Change

HM2015 Abstract Number: 316

Inaccuracies on Printed Handoff Documentation: Surgical Vs. Medical Services

Background: Printed handoff documents play an essential role in communicating information between providers and across shifts. However, the integrity of printed documents is easily compromised as changes in clinical management may render them inaccurate, increasing [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Inaccuracies on Printed Handoff Documentation: Surgical Vs. Medical Services

HM2015 Abstract Number: 317

Half-Life of a Printed Handoff Document

Background: Printed handoff documents are nearly universally present in the pockets of providers taking in-house call. These documents typically contain important clinical information about patients for whom the physicians are covering. However, the static nature [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Half-Life of a Printed Handoff Document

HM2015 Abstract Number: 318

“Deterioration to Door Time”: An Analysis of Delays in Escalation of Care for Hospitalized Patients

Background: The identification of clinically deteriorating patients on general inpatient floors and the timely escalation of their care continue to present significant challenges to medical providers and health systems. Clinical deterioration that occurs after admission [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on “Deterioration to Door Time”: An Analysis of Delays in Escalation of Care for Hospitalized Patients

HM2015 Abstract Number: 320

Prediction of Pulmonary Embolism in Postoperative Orthopaedic Patients Using End Tidal Carbon Dioxide Measurements

Background: Pulmonary embolism (PE) is a morbid condition with sequelae including death and chronic pulmonary hypertension.  As a consulting hospitalist in the post-operative period, diagnostic algorithms including d-dimer testing are of limited utility as invasive [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Prediction of Pulmonary Embolism in Postoperative Orthopaedic Patients Using End Tidal Carbon Dioxide Measurements

HM2015 Abstract Number: 321

Are Iron Studies Helpful in Hospitalized Patients with Normocytic Anemia

Background: Iron deficiency usually develops in three stages of which a low mean corpuscular volume (MCV) due to microcytosis comprises the final stage. It is therefore possible to have patients with normal MCV and underlying [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Are Iron Studies Helpful in Hospitalized Patients with Normocytic Anemia

HM2015 Abstract Number: 322

Adult Respiratory Distress Syndrome: State of the Art

Adult Respiratory Distress Syndrome (ARDS) is a common fatal respiratory failure condition in intensive care unit setting. The new Berlin Definition of 2012 has a tetrad diagnostic criteria of time post-insult, degree of hypoxemia, imaging [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Adult Respiratory Distress Syndrome: State of the Art

HM2015 Abstract Number: 323

Treatment of Acute Bacterial Skin and Skin Structure Infections in the Hospital and Outpatient Settings: Analysis of Oritavancin Efficacy Using Eron Severity Classification

Background:   The emergence of new antibiotics has facilitated an increasing shift to outpatient treatment of acute bacterial skin and skin structure infections (ABSSSI), though no global, validated treatment algorithm has emerged. The Eron classification [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Treatment of Acute Bacterial Skin and Skin Structure Infections in the Hospital and Outpatient Settings: Analysis of Oritavancin Efficacy Using Eron Severity Classification

HM2015 Abstract Number: 324

Post-Operative Tachycardia in Orthopedic Patients

Background: Post-operative tachycardia in patients undergoing hip and knee arthroplasty is a common, but incompletely explored phenomenon. Post-operative tachycardia, noted in up to 33% of our orthopedic surgical population, presents a diagnostic dilemma to the [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Post-Operative Tachycardia in Orthopedic Patients

HM2015 Abstract Number: 327

Budget Impact of Rehospitalization with a Rifaximin Regimen Versus Lactulose in Patients with Hepatic Encephalopathy

Background: Patients with hepatic encephalopathy (HE) are at chronic risk for overt HE recurrences requiring hospitalization. The extent to which events recur and require rehospitalization can be impacted by choice of therapy during a hospitalization [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Budget Impact of Rehospitalization with a Rifaximin Regimen Versus Lactulose in Patients with Hepatic Encephalopathy

HM2015 Abstract Number: 328

Does This Patient Need Telemetry? An Analysis of Reported Indications for Telemetry Orders

Background: American Heart Association (AHA) guidelines recommend telemetry monitoring for active cardiac conditions. The Choosing Wisely campaign has adopted these guidelines to promote adherence to protocol-driven, guideline-based utilization of telemetry outside of the intensive care [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Does This Patient Need Telemetry? An Analysis of Reported Indications for Telemetry Orders

HM2015 Abstract Number: 330

Display of Cost Information for Hospitalists Improves Satisfaction and Does Not Change Societal Values

Background: Previous studies have shown that physicians are largely unaware of cost despite national interest in cost of care in both lay press and academic literature. Cost of care information has been displayed in previous [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Display of Cost Information for Hospitalists Improves Satisfaction and Does Not Change Societal Values

HM2015 Abstract Number: 331

Intravenous Versus Oral Corticosteroid Use in Hospitalized Aecopd Patients

Background: International guidelines regarding treatment of moderate-to-severe acute exacerbation of chronic obstructive pulmonary disease (AECOPD) recommend the use of systemic corticosteroids. While the benefit of systemic corticosteroids for patients hospitalized for AECOPD has been demonstrated, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Intravenous Versus Oral Corticosteroid Use in Hospitalized Aecopd Patients

HM2015 Abstract Number: 333

Impact of Performance Feedback and Transparency on Length of Stay

Background: Congress adopted the prospective payment system (PPS) in 1983 which provides hospitals with a fixed payment based on the diagnosis related group (DRG) rather than cost-based reimbursement.  An anticipated result of this has been [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Impact of Performance Feedback and Transparency on Length of Stay

HM2015 Abstract Number: 334

Addressing Code Status on Admission and Success of Cardiopulmonary Resuscitation

Background: Decision about performing cardiopulmonary resuscitation (CPR) in patients being admitted to the hospital is critical. The Patient Self- Determination Act (PSDA) requires that all patients be asked about their care wishes at the time [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Addressing Code Status on Admission and Success of Cardiopulmonary Resuscitation

HM2015 Abstract Number: 335

How Much Are We Overusing Telemetry: A Retrospective Review

Background: Alarm fatigue, the phenomenon of desensitization of medical personnel to monitoring alerts, leads to disabled alarms, missed critical events, and increased morbidity and mortality. It is estimated that between 80-99% of alarms are false [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on How Much Are We Overusing Telemetry: A Retrospective Review

HM2015 Abstract Number: 336

Identifying the Chest Pain Patient Who May Not Need Cardiac Stress Testing

Background: The evaluation of acute chest pain in patients who are at low risk of acute coronary syndrome (ACS) is the most common indication for short-term hospitalization and it frequently involves cardiac stress testing. Clinical [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Identifying the Chest Pain Patient Who May Not Need Cardiac Stress Testing

HM2015 Abstract Number: 338

Cancer and Non-Cancer Related Causes of Death in Colorectal Cancer, Breast Cancer, Lung Cancer and Prostate Cancer

Background: Lung Cancer, Breast Cancer, Colorectal Cancer and Prostate Cancer are leading cancers of adult population. Over the past few decades, there has been an increase in the number of people having cancer. The possibilities are [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Cancer and Non-Cancer Related Causes of Death in Colorectal Cancer, Breast Cancer, Lung Cancer and Prostate Cancer

HM2015 Abstract Number: 339

Test Utilization in Patients Risk Stratified by the Pulmonary Embolism Severity Index

Background: Clinical guidelines recommend risk stratification of patients with acute pulmonary embolism (PE) and the Pulmonary Embolism Severity Index (PESI) was developed for this purpose using patient comorbidities and clinical findings. Normotensive patients with a [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Test Utilization in Patients Risk Stratified by the Pulmonary Embolism Severity Index

HM2015 Abstract Number: 340

Utilization of Imaging in Acute Pyelonephritis

Background: Acute pyelonephritis in the United States is estimated to result in approximately 200,000 hospitalizations per year. The Infectious Disease Society of America does not address if and what should be done regarding imaging of patients [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Utilization of Imaging in Acute Pyelonephritis

HM2015 Abstract Number: 341

Reducing Lab Costs: A Novel Opportunity

Background: The annual cost of healthcare continues to grow and laboratory tests significantly add to this cost. The appropriate use of clinical laboratory tests is a concern for all caregivers, especially hospitalists.. Repeat lab testing [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Reducing Lab Costs: A Novel Opportunity

HM2015 Abstract Number: 342

Unmatched Medical Graduates and Workforce Shortage in Primary Care

Background: According to NRMP 13255 eligible medical graduates didn’t match in to a residency program  after SOAP in 2014. Physicians who trained in medical schools outside of US and Canada represent 71% of this group, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Unmatched Medical Graduates and Workforce Shortage in Primary Care

HM2015 Abstract Number: 343

A Breakdown of Level One Inpatient Admissions at an Academic Medical Center

Background: As academic hospitalist groups (AHG) grow, the need for financial solvency while providing excellent care is vital. Given that the current procedural terminology (CPT) code for each clinical encounter is directly tied to reimbursement, [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on A Breakdown of Level One Inpatient Admissions at an Academic Medical Center

HM2015 Abstract Number: 344

Use of Routine Blood Tests to Predict Length of Stay in Geriatric Non-Operative Hip Fracture Patients

Background:  Most studies of geriatric hip fracture patients focus on those undergoing surgical repair with limited study of the non-operative population. Patients in whom surgical repair is not an option (5-6%) represent a sicker more [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Use of Routine Blood Tests to Predict Length of Stay in Geriatric Non-Operative Hip Fracture Patients

HM2015 Abstract Number: 345

Characteristics Associated with Diagnostic Strategies for Syncope in Hospitalized

Background: Syncope accounts for an annual 740,000 ED visits at a cost of $2.4 billion for US Health Care, with 30% of adults having at least one lifetime syncopal event. Despite intensive diagnostic strategies, almost [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Characteristics Associated with Diagnostic Strategies for Syncope in Hospitalized

HM2015 Abstract Number: 346

Admission Time for Telemetry and Non Telemetry Patients in the Emergency Department

Background: Patients admitted to the hospital are assigned to telemetry and non-telemetry beds. In hospitals with limited telemetry beds, there has been reports of patients staying for hours in the emergency department waiting for open [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Admission Time for Telemetry and Non Telemetry Patients in the Emergency Department

HM2015 Abstract Number: 347

Albumin Utilization and Appropriateness of Use Following Implementation of a Clinical Decision Support Tool

Background: Albumin utilization results in low value care when used for inappropriate indications. A computerized clinical decision support (CDS) tool for albumin use was previously implemented at 3 hospitals in an academic health system. The [...]

By | 2015-02-27T01:00:14+00:00 February 27th, 2015|Uncategorized|Comments Off on Albumin Utilization and Appropriateness of Use Following Implementation of a Clinical Decision Support Tool