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 [...]

Background: Since the pilot project for the “hospitalist system” began in South Korea in September 2016, hospitalists have been delivering specialized care to inpatients, serving as experts in the field of hospitalization. Given the various reasons such as duty rotations, surgical procedures, and transfers, it is essential for hospitalized patients to undergo changes in their [...]

Background: It is common for Inter-Intensive Care Unit (ICU) transfers between hospitals to take place to provide a patient with a higher level of care to improve clinical outcomes. The decision to transfer ICU patients is not standardized and leads to a wide variability in transfer practice patterns. This may lead to higher cost, burden [...]

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 [...]

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 [...]

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 [...]

Background: Inter-hospital transfer (IHT), defined as the transfer of patients between acute care facilities, is a common practice. Despite assumptions that IHT is done to provide patients with necessary specialized care, the factors which drive patient transfer are highly variable in ways that are not fully explained by differences in patients or hospitals. As such, [...]