Session Type
Meeting
Search Results for Length of Stay
Plenary Presentations
Abstract Number: 3
SHM Converge 2024
Background: New hospitalists can often feel overwhelmed by learning system practices, navigating difficult dispositions, and managing difficult patient and family relationships. This can lead to increased length of stay1, increased burn out, and a feeling of lack of mentorship. Purpose: We hypothesized that weekly meetings between a hospitalist director and a junior faculty hospitalist to […]
Plenary Presentations
Abstract Number: 3
SHM Converge 2024
Background: New hospitalists can often feel overwhelmed by learning system practices, navigating difficult dispositions, and managing difficult patient and family relationships. This can lead to increased length of stay1, increased burn out, and a feeling of lack of mentorship. Purpose: We hypothesized that weekly meetings between a hospitalist director and a junior faculty hospitalist to […]
Abstract Number: 24
SHM Converge 2024
Background: Half of US hospitalists have contracts with pay-for-performance incentives based on quality outcomes such as length of stay (LOS) and readmission according to the 2023 State of Hospital Medicine Report. Traditionally, these measures have been linked to the discharging provider. However, as the length of a patient’s stay increases, the influence of the discharging […]
Abstract Number: 88
SHM Converge 2024
Background: Older adults presenting with trauma have worse outcomes than younger adults with similar injury severity. In 2013, the American College of Surgeons Trauma Quality Improvement Program published guidelines that recommended geriatrics consultation (GC) for high-risk older adults. Many trauma centers implemented GC in congruence with these guidelines, but the impact on patient outcomes is […]
Abstract Number: 164
SHM Converge 2024
Background: Delirium is a neuropsychiatric syndrome that can occur in hospitalized patients. The negative impact that delirium has on the patient and the health system are well described and include increased mortality, risk of falls, length of stay and overall healthcare utilization. Delirium can have a heterogenous presentation including hyperactivity with agitation, restlessness and psychosis […]
Abstract Number: 187
SHM Converge 2024
Background: Emergency department (ED) overcrowding is associated with a range of negative outcomes, including increased patient morbidity, decreased patient satisfaction, provider burnout, and violence against providers. ED boarding of admitted patients coupled with increasing ED patient volumes contributes to overcrowding. Geographic localization, where hospitalist provider teams are assigned patients on the same inpatient unit, has […]
Abstract Number: 189
SHM Converge 2024
Background: The Warren Clinic Hospitalist Department oversees adult inpatient admissions for the Saint Francis Health System in Oklahoma, comprising over 140 clinical FTE’s. The department handles approximately 40,000 discharges annually across several acute facilities. The health system has seen unprecedented challenges recently due to COVID-19, staffing shortages, and an increasingly older population. These challenges increased […]
Abstract Number: 195
SHM Converge 2024
Background: Medical procedure services (MPS) are increasingly implemented in Hospital Medicine programs to promote resident learning, support provider workloads, and expedite performance of common bedside medical procedures, including thoracentesis, paracentesis, and lumbar puncture (LP) [. Prior work has demonstrated safety and positive educational experience with MPS but little data exists on the impact of MPS […]
Abstract Number: 203
SHM Converge 2024
Background: Our single academic medical center implemented a standardized Outside Hospital (OSH) communication process, encouraging physician completion of a dedicated templated patient transfer note for admission to any Department of Medicine (DOM) specialty. Prior outcomes analysis revealed that documentation with any transfer note, templated or non-templated, is significantly associated with improved outcomes of death within […]
Abstract Number: 224
SHM Converge 2024
Background: There is little data on the relative prevalence of different causes of care delays that contribute to prolonged length of stay. Unnecessary delays in the care of hospitalized patients increase the risk of hospital-related complications and drive up healthcare costs. Prior observational studies have suggested that a reduction in hospital length-of-stay is possible without […]