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Meetings Archive For Hospital Medicine 2013, May 16-19, National Harbor, Md...
Abstract Number: 14
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Several care transition interventions have proposed that postdischarge phone calls reduce adverse events, increase patient engagement, and decrease costly return visits to the hospital. However, given the multifaceted nature of most care transitions interventions, the true relationship between postdischarge phone calls and readmissions is uncertain. Methods: From June of 2010 to May 2012, 4 […]
Abstract Number: 15
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Hospital readmissions have become a focus of national attention as a potential indicator of poor quality and health care waste. Predicting hospital readmission risk would be helpful in identifying patients who would benefit from more intensive care transition interventions; however, several studies have found that most readmission risk prediction models perform poorly. We sought […]
Abstract Number: 16
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Timely and structured follow‐up after a hospitalization may reduce ED utilization and readmissions. We evaluated whether patients who attended a structured, multidisciplinary hospital follow‐up (HFU) clinic had fewer composite outcomes (ED visits or readmissions) at 30 and 90 days compared with risk‐matched controls. Methods: We conducted a pilot of a multidisciplinary HFU clinic including […]
Abstract Number: 17
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Differences between what medications patients think they should be taking and what is ordered after hospital discharge (i.e., medication errors) place patients at risk for harmful adverse drug events and hospital readmission. We examined patient‐ and medication‐related factors associated with medication errors after discharge. Methods: We analyzed data from a prospective cohort study of […]
Abstract Number: 18
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: A growing body of literature has characterized deficiencies and recommended best practices in communication at the time of hospital discharge for adult medicine patients. However, communication practices around interhospital transfers have not been rigorously assessed in this patient population. We characterized communication practices and explored the association between communication at the time of interhospital […]
Abstract Number: 19
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Patients with diabetes and comorbid cardiovascular disease may be at particularly high risk for medication nonadherence and adverse outcomes after hospital discharge. The objective of this study was to design, implement, and evaluate an intensive discharge intervention for inpatients with type 2 diabetes. Methods: We randomly assigned inpatients on medicine and cardiology services with […]
Abstract Number: 20
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Although legibility and accessibility are advantages to documenting in the electronic health record (EHR), providers nationally have observed a decline in the quality of provider documentation after implementing an EHR. Concerns include: “note bloat” (overinclusion of data leading to lengthy, unreadable notes), copy and paste, loss of the narrative, and a perceived loss of […]
Abstract Number: 21
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Interhospital transfers (IHTs) to academic medical centers may benefit patients by providing access to a higher level of care or continuity with a familiar care team. However, IHTs may also include the risks of transportation and long‐distance handoffs for patients with complex or worsening medical problems. Hospitalists and general internists often serve as the […]
Abstract Number: 22
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Many interventions to improve transitions of care have been informed by patient concerns at the time of discharge, yet few studies have examined patient perceptions of factors that may have contributed to their readmission. Our objectives were to characterize patient‐centered readmission factors using structured survey responses and patients' own words. Methods: This is a […]
Abstract Number: 23
Hospital Medicine 2013, May 16-19, National Harbor, Md.
Background: Among elders, low functional health status (vulnerability) is a significant risk factor for poor outcomes, including functional decline and death. Assessment of vulnerability in hospitalized patients may identify at‐risk individuals, who could benefit from increased post–acute care services such as home health nursing or rehabilitation. We assessed the prevalence of vulnerability among elders hospitalized […]