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Search Results for Patient
Abstract Number: 299
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Driven by meaningful use (MU) incentives, many safety net systems have adopted patient portals, which offer patients online access to their health information. Portal use correlates with increased engagement and better health outcomes, but there are many challenges to effectively engage patients and meet MU metrics in safety net settings. Purpose: We implemented a […]
Abstract Number: 306
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), affects one to two per one thousand persons annually in the US. Treatment of VTE consists of anticoagulation therapy, and evidence supports treating patients with low-risk VTEs as outpatients. Novel oral agents such as rivaroxaban, an oral factor Xa inhibitor, require less […]
Abstract Number: 308
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In order to most efficiently improve transition of care, hospitals need to target intensive discharge interventions at those patients at high risk of unplanned readmission. The “HOSPITAL” score, derived previously in the US, is an easy to use prediction model that accurately identifies medical patients at high risk of readmission. It includes the following […]
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: 337
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The advent of the Patient-Centered Medical Home (PCMH) and Accountable Care Organizations (ACOs) provide an opportunity for true collaboration in which both inpatient and outpatient providers contribute to improving transitions in care. The goal of this study was to develop, implement, […]
Abstract Number: 341
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Since the roll out of the Affordable Care Act in 2012 there has been an increased financial pressure to prevent 30-day hospital readmissions. Yet the readmissions rate has remained relatively unchanged despite myriad of health system interventions have been trialed. To approach this issue from a new perspective we decided to query the patient’s […]
Abstract Number: 347
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: At our medical center, there are 14,716 discharges annually from the general medicine services. Post discharge appointments are made by residents, nurse practitioners, and hospitalists. In a baseline survey, clinicians identified logistical barriers to successfully making appointments and revealed that patients are rarely involved in scheduling discharge appointments. Only an estimated 66% of attempted […]
Abstract Number: 350
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient handoffs have been recognized as a vulnerable time during a patient’s hospitalization and are widely associated with adverse events and near misses. A variety of strategies have been implemented in order to improve shift handoffs. To date, no study has described how residency program leadership views these strategies, or how the implementation of […]
Abstract Number: 367
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In the outpatient setting, untreated obstructive sleep apnea (OSA) is associated with myriad adverse clinical outcomes including myocardial infarction, heart failure, arrhythmias, and cerebrovascular disease. However, little is known about the impact of treated versus untreated OSA on short-term outcomes in patients hospitalized with acute illness. We propose that the recurrent hypopnea and apnea […]
Abstract Number: 370
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: By 2022 health care spending is expected to climb to 19.9% of the US GDP and is forecasted to continue rising with no end in sight[1]. The patient (or consumer) is completely detached from the reimbursement system and thus unaware of the distribution of health care dollars. The purpose of this study is to […]