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Meetings Archive For Hospital Medicine 2014, March 24-27, Las Vegas, Nev...
Abstract Number: 161
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: The transfer of patients between acute care hospitals (inter‐hospital transfer, IHT) is becoming increasingly common. However, lack of evidence‐based guidelines to direct high quality patient transfer creates variability in the quality of the transfer process, potentially leading to poor patient outcomes. Therefore, a better understanding of problematic aspects of the transfer process from frontline [...]
Abstract Number: 162
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: In the United States, 21‐23% of the adult population have low literacy, and an additional 27% have low health literacy (difficulty understanding written health education materials). Written materials are commonly used to communicate with patients at time of discharge, but can vary in ease of readability. We evaluated the association of the use of [...]
Abstract Number: 163
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Handoffs are key events in the care of hospitalized patients. Failures in communication at the time of patient handoff have been implicated as contributing factors to preventable adverse events. Standardization of handoff has been proposed as a way to mitigate these breakdowns in communication. Whether standardized handoff results in improved patient outcomes is unknown. [...]
Abstract Number: 164
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Impaired vision is a risk factor for poor health outcomes, such as falls and delirium, during hospitalization. Additionally, hospitalized patients with poor vision may be unable to read critical documents such as consent forms. Vision has large implications for quality of life, including the ability to interact with others and accomplish daily tasks. Our [...]
Abstract Number: 165
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: More than one‐quarter of older patients with diabetes are readmitted to the hospital within three months of discharge. As a result of patients with diabetes’ increased risk for retinal disease and vision loss, those patients with poor vision may have difficulty performing self‐care tasks critical to diabetes self‐management, such as injecting insulin. As such, [...]
Abstract Number: 166
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Improving patient satisfaction and reducing hospital readmissions are both considered important quality improvement goals. However, the relationship between 30‐day readmission and patient satisfaction is not well understood. For example, it is unknown if low patient satisfaction in specific domains after initial admission reflects failure of discharge planning and future readmission. We used multi‐center HCAHPS [...]
Abstract Number: 167
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Transfer of care between healthcare providers is a vulnerable time for patient safety, and ED admission handoffs are subject to unique structural and contextual challenges. The ED admission process involves changes in provider, department, and physical location. It also occurs early in a patient’s evaluation when the clinical trajectory is uncertain. To better understand [...]
Abstract Number: 168
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Failure to synthesize and make available critical information about patients and care plans to cross‐covering physicians represents a predominant cause of decreased quality of care and communication breakdowns. Trainee duty hour restrictions and increased supervisory requirements on faculty has substantially increased the number of patient care handoffs. There is a clear need to train [...]
Abstract Number: 169
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Failure to transition from acute care to outpatient care has been well studied without regard to insurance status. Common experience suggests that underserved patients face unique barriers to effective post‐hospital care. These patients may have magnified risk as they often seek medical care later, present with more advanced disease, and have worse clinical outcomes. [...]
Abstract Number: 170
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: ORI is a lipoglycopeptide with rapid bactericidal activity against Gram‐positive bacteria including MRSA. Its concentration‐dependent activity and long half‐life allow for single dose administration. Methods: SOLO I and SOLO II were Phase 3, multicenter, double‐blind, randomized studies of identical design. Adults with ABSSSI requiring IV therapy received either a single 1200 mg IV dose [...]