Research, Innovations, Clinical Vignettes Competition, Hospital Medicine 2011, May 10–13, 2011

The Centers for Disease Control and Prevention recommended in 2006 to test all patients for HIV without requiring counseling or written consent. The CDC suggested “opt-out” testing to increase adoption. In 2007, California removed the legal requirement for written consent. However, the volume of HIV tests in the University of California, San Francisco infectious disease laboratory did not increase after either the CDC statement or the change in law. The objective of this study was to determine the prevalence of undiagnosed HIV and the practicality of implementing universal opt-out HIV screening for all medicine service inpatients ages 18–65., This was a single-center prospective pilot program run for 1 year on a nonteaching academic medicine service to evaluate 3 outcome measures: (1) number of patients with newly identified HIV infections; (2) identify barriers to physician-administered HIV screening; (3) translatability of the pilot to a larger academic medical center setting. All providers admitting patients to the medicine service were informed of the opt-out HIV screening program by an educational meeting or e-mail memo. A prompt for HIV screening information was added to the electronic admission note. When eligible patients were not screened on admission, practitioners were contacted via e-mail to encourage next-day screening. Data were collected by a single analyst and documented in a secure hospital intranet repository. All identifiers were stripped prior to data analysis., During the initial 6 months of the study, 203 patients between ages 18 and 65 were admitted to the medicine ward involved in this pilot.Of these et al.

Journal of Hospital Medicine, 2011

4 citations

Abstract

Annual Meeting, the Research, Innovations, and Clinical Vignettes (RIV) Competition has been an integral part of the program.The number of abstract entries has grown to 675 for Hospital Medicine 2011, and quality and creativity have grown with quantity.Topics spanned many clinical areas and ranged from scientific research to innovations in hospital medicine practice to diagnostic dilemmas in clinical medicine.

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