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Meeting
Search Results for Transitions
Abstract Number: 282
SHM Converge 2024
Background: The transfer of patients between hospitals, i.e., interhospital transfer (IHT), introduces discontinuity of care including gaps in information transfer, which may worsen patient outcomes. In this study we aim to identify gaps in information exchange during IHT of medical patients from transferring hospitals of varying affiliation and electronic health record (EHR) integration to a […]
Abstract Number: 284
SHM Converge 2024
Background: There are over 35 million discharges from inpatient hospitalizations annually in the US. During these transitions of care, patients are at risk for adverse events. It is crucial for patient safety to have accurate communication between the inpatient physician and the provider assuming care.The main conduit for this communication is the hospital discharge summary. […]
Abstract Number: 286
SHM Converge 2024
Background: Inter-hospital transfer (IHT) care is complex and suffers from inefficiencies in information and task organization, which can contribute to high cognitive load for clinicians.[1-4] Cognitive overload can lead to medical errors and clinician stress.[5-8] Our study identifies specific areas of high cognitive load experienced by hospital medicine physicians and advanced practice providers (APPs) who […]
Abstract Number: 290
SHM Converge 2024
Background: Interhospital transfer (IHT) is a pathway by which many patients may receive procedures or specialty care not available at their local hospital. While IHTs present the opportunity for resource sharing between hospitals for the purpose of improved patient outcomes, the discontinuity of care and the acuity of the patients may adversely affect other quality […]
Abstract Number: 291
SHM Converge 2024
Background: Medication errors during hospital discharge can lead to adverse outcomes, medication-related readmissions, and increased healthcare costs [1,2]. Pharmacist-led medication reconciliation at discharge (PMRD) has emerged as a potential solution to mitigate poor outcomes and optimize medication safety [3-7]. The main objectives of this study were to determine the number of errors identified at discharge […]
Abstract Number: 292
SHM Converge 2024
Background: Millions of patients are discharged to skilled nursing facilities (SNFs) each year. In teaching hospitals, resident physicians are often responsible for organizing this transition. Understanding residents’ knowledge and experiences of this care transition has the potential to inform residency training, education, and clinical experience. This study aimed to explore residents’ attitudes and experiences in […]
Abstract Number: 294
SHM Converge 2024
Background: Adverse events (AEs) occur in 19-28% of hospitalized patients in the 30 days after discharge [1,2]. Though new or worsening symptoms (NWS) reported by patients are often an early indicator of post-discharge AEs, they are not systematically captured in electronic health record (EHR) documentation or via patient portals. Higher fidelity capture of patient-reported NWS […]
Abstract Number: 295
SHM Converge 2024
Background: Older adults are commonly discharged to skilled nursing facilities (SNFs) after hospitalization. It is not known how patients anticipate SNF discharges and what they prioritize. The aims of this study are to explore what matters most to older adults during their hospital to SNF care transition. Methods: We conducted a grounded theory qualitative study. […]
Abstract Number: 296
SHM Converge 2024
Background: Over 5 million hospital-to-skilled nursing facility (SNF) transitions occur annually. Of these patients, 20% are readmitted within 30 days, and 25% of those readmissions are deemed preventable. While effective communication between the inpatient clinician and the accepting SNF clinician has been shown to improve re-hospitalization rates, few studies have examined clinician confidence or competence […]
Abstract Number: 379
SHM Converge 2024
Background: Communication failures, particularly when patients transition between care settings, are leading causes of medical errors and sentinel events.1-2 The perception of inadequate intradisciplinary communication have been demonstrated to be a key driver in low patient satisfaction scores. Efforts to standardize handoffs have led to improvements in patient safety and experience.3 Purpose: To improve the […]