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Abstract Number: 254
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are discharged home on medications different than those they were taking before admission. New and discontinued medications as well as dosage changes contribute to medication-related adverse events. Purpose: To help address this problem, interns in our program developed a standard process during their quality improvement (QI) curriculum to ensure that at least 95% […]
Abstract Number: 258
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate patient experiences with IHT.Methods: Interview guides were developed using themes extracted from prior research along with expert opinion and stakeholder […]
Abstract Number: 259
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In this national study, we evaluated the appropriateness of transfer, as measured by the frequency of required specialty services available at […]
Abstract Number: 261
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: U.S. healthcare costs are rising due to the increase in polypharmacy, which is a potential risk factor for hospital readmission.1 In a cohort study of 5,507 patients with ≥10 discharge medications, more than 25% of them were readmitted.1 At one of the largest public county hospitals in the U.S., readmission rates for patients with high-volume home […]
Abstract Number: 262
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The HOSPITAL score is an internationally validated risk assessment to identify patients at risk of 30 day readmission for adults discharged from an inpatient medical department.1The HOSPITAL score is validated for all hospital admissions – acute and chronic. The purpose of this study was to assess the use of the HOSPITAL score to predict […]
Abstract Number: 263
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Care transitions between hospitals, nursing homes, and home are a vulnerable time for patients. Given the increasing elderly population and the shortage of primary care physicians with training in geriatrics or nursing home care, there is a growing need to identify organizational systems to optimize physician practice, enhance quality of care and increase educational […]
Abstract Number: 264
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalized medical patients transitioning to new house staff at the end of an inpatient resident rotation are associated with an increased risk of mortality as compared with patients not exposed to such handoffs, yet no data exist on improvement strategies targeting this transition. Given the frequency with which residents rotate service, a transition in […]
Abstract Number: 265
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. Many interventions have been tried, with varying degrees of success, and often the problem has been with implementation rather than theoretical efficacy of the intervention.Methods: We developed, implemented, refined, and evaluated a multi-faceted, multi-disciplinary transitions intervention across two hospitals and 18 […]
Abstract Number: 266
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Transitioning patient care between hospitals and skilled nursing facilities (SNFS) brings many challenges. Patient and family anxiety, unfamiliarity and even misinformation about SNFs increase the opportunity for unsatisfactory outcomes and readmissions to the hospital.. Previous research has demonstrated frequent and potentially harmful medication discrepancies during hospital to nursing home transitions, and low frequency of […]
Abstract Number: 268
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Emergency department (ED) overcrowding is a commonly encountered challenge and is associated with adverse events and poor patient satisfaction. One of the factors that can contribute to ED overcrowding is the boarding of admitted patients in the ED. Various methods have been implemented to improve this issue with limited success. Purpose: A collaborative workgroup […]