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Search Results for Discharge
Abstract Number: 85
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Most patient discharges(DC) from hospitals occur in the afternoons, thus creating patient flow and potentially patient safety issues. This creates increased ER boarding hours and delays interunit patient transfers between ICU, stepdown and medical units. Sick patients may not be getting the appropriate level of care due to lack of higher level of care beds. Purpose: To increase […]
Abstract Number: 93
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Emergency Room departments and the Intensive Care Units (ICU) remain the main locations for the treatment of patients with severe sepsis and septic shock. Nevertheless, health-care systems may have limited resources and insufficient ICU beds for attending patients who might benefit from more intensive monitoring than in a general ward. In this context, […]
Abstract Number: 113
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). Longer ED boarding time and delay in inpatient discharge process are parts of a vicious cycle of internal bottleneck contributing […]
Abstract Number: 129
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Chronic Obstructive Pulmonary Disease (COPD) is the third most common cause of hospital readmission within 30 days of discharge. These readmissions increase the overall healthcare cost burden. We examined the effect of early follow-up visit with patient’s primary care physician (PCP) or pulmonologist on 30-day and 1-year readmission risk. Methods: We constructed an electronic […]
Abstract Number: 141
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Discharge against medical advice (AMA) occurs in up to 2% of all medical admissions. These patients risk morbidity and mortality when being discharged AMA. Given the frequency of AMA discharges and their potential consequences, we sought to evaluate provider opinions on AMA discharges. Methods: A nine question survey was developed using SurveyMonkey (table). One […]
Abstract Number: 167
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Failure to follow-up results of laboratory tests pending at discharge (TPADs) can lead to patient harm. Numerous interventions have been proposed to improve follow-up. The Laboratory Medicine Best Practices (LMBP™) workgroup, sponsored by the Centers for Disease Control, commissioned a systematic review to address the impact of various interventions on TPAD documentation, communication, and […]
Abstract Number: 176
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: To address safety risks with transitions from hospital to home, the IMPACT collaborative designed, tested and implemented the Pediatric Patient Centered Care Transition (PACT) Bundle. The bundle element “perfect” handoff (timely and complete) aimed to improve hospitalist handoff to outpatient providers at hospital discharge.Our objective was to assess outpatient medical provider’s perceptions of hospitalists’ handoff […]
Abstract Number: 177
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Post discharge (d/c) follow-up calls are utilized for many reasons: monitoring patient (pt) status, understanding of d/c instructions including medications and appointments, and satisfaction with hospital care. Adult data suggests such calls improve satisfaction and may impact readmission rates. Little data about the impact of such calls on pediatrics pts exists. Our objective was […]
Abstract Number: 239
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Discharge checklists may reduce medical errors. Traditional paper checklists do not fit into the current workflow in centers that utilize electronic medical records (EMRs). In an era where team-based care is becoming widespread, defining each person’s role in discharge practices is increasingly important. Methods: Our aim was to develop and implement a standardized discharge […]
Abstract Number: 258
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Late discharges are a known barrier to patient flow. Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams. Purpose: “Daily afternoon multidisciplinary team huddles will increase the % of discharge orders before 10am by 10% on the medicine teams by June 2015” Description: We initially analyzed reasons […]