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Search Results for Communication
Abstract Number: 234
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: All hospitals strive for service excellence. In 2014, there were more than 40,000 hospitalists delivering the lion’s share of inpatient care in our nation’s hospitals. No empiric research has characterized hospitalist comportment and communication patterns as they care for patients so as to establish norms and expectations. We set out to establish a metric […]
Abstract Number: 268
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: : Low patient satisfaction can result in financial loss for hospitals, and potentially for individual physicians or groups and patient satisfaction is known to be lower on academic services.1 Increasingly, Medicare funds will be withheld from hospitals for underperformance in patient satisfaction due to Value Based Purchasing (VBP). We identified a low performing, academic […]
Abstract Number: 288
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Mobile phones enable efficient communication between healthcare providers. These devices also have the advantage of providing faster information retrieval at the point of care. Many hospitals still rely on outdated pager technology that allows only for unidirectional communication. If text messaging contains decisions about patient care both forms of communication technologies must ensure adequate […]
Abstract Number: 310
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Our employed Hospitalist practice in a large academic medical center has been asked to assist with Emergency Department throughput by increasing the number of discharges by noon. Retrospective data analysis of our group showed that less than 20% of our physician discharges are before noon. To further analyze, we looked at discharge data from […]
Abstract Number: 318
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Day-to-night inpatient handoff is a high-risk moment, with potential for miscommunication. A novel handoff program recently reduced medical errors and preventable adverse events. Historically, handoffs performed by Internal Medicine residents at our institution were not standardized and there was little workplace-based performance feedback. We evaluated the impact of a novel standardized handoff tool and […]
Abstract Number: 327
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Effective patient handoffs during care transitions are crucial in the skilled nursing home setting where physician providers may not round on a daily basis, and the healthcare facility staff has shift changes on a daily basis. Currently, many critical communications regarding patients are shared via private phone calls, text messages, emails and log books. […]
Abstract Number: 329
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital discharge describes the point at which inpatient hospital care ends, with ongoing care transferred to other providers. The coordination of such care typically involves multiple health care providers and social care contributors. The inherent complexity of coordinating a large number of players, often based in different settings and hospitals, leads to hospital discharge […]
Abstract Number: 344
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Direct hospital admissions from outside emergency departments and hospitals comprise a large proportion of admissions to tertiary medical centers. Clinical stability in these acutely ill patients can fluctuate, even during transport to a receiving medical center. Here, we report data obtained as part of an internal quality improvement initiative to identity clinical criteria present […]
Abstract Number: 345
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), a post-acute care nursing facility in Manhattan. In 2013, MSH discharges by the hospitalist service to TCC had an average […]