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Meeting
Search Results for Transitions of Care
Abstract Number: 309
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients, particularly the elderly and those who have chronic illnesses, often experience adverse events when transitioning from the hospital to home. An estimated 20% of all discharged patients suffer a preventable adverse event (e.g., reaction to medication) within three weeks of discharge and 20% of Medicare patients are readmitted to the hospital within 30 […]
Abstract Number: 310
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Bedside medication delivery (BMD) and teaching by pharmacy is gaining popularity as an important component of safe hospital discharge. Having medications in hand at time of discharge and education with home medications has been shown to reduce medication administration errors and decrease readmission rates in pediatric patients with asthma. As part of Project IMPACT […]
Abstract Number: 314
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content for serial handoffs between providers, facilitating real-time updates and automatically incorporating patient data elements. Over the past several years, much […]
Abstract Number: 318
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transitions of care are known to be high-risk times in healthcare, largely due to communication errors between providers. Prior studies have shown a direct relationship between poor signout practices and adverse events. Verbal handoff tools, such as I-PASS, have been created in efforts to facilitate the signout process. An important aspect of the handoff […]
Abstract Number: 321
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Care Coordination Rounds (CCR) provide an opportunity for members of the multidisciplinary health care team to communicate as a group regarding the care and discharge planning of hospitalized patients. The use of CCR has been found to improve efficiency and patient experience, while reducing healthcare expenditures, inpatient length of stay, and unnecessary readmissions. The […]
Abstract Number: 322
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: High quality discharges improve patients’ health outcomes and experience and are a vital component of resident education. Our internal medicine residency program has had challenges in sustaining our efforts to improve discharge planning and in providing resident feedback on the process. Furthermore, despite access to “big data”, many residency programs struggle to find meaningful […]
Abstract Number: 324
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Health literacy (HL) is the measure of a person’s ability to obtain, process and understand basic health information and services to make appropriate health decisions.1 Previous studies note positive correlation between high HL and patient understanding of their condition.2 Patients with low HL have greater needs in transitional care domains, citing inadequate caregiver support […]
Abstract Number: 332
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Adverse drug events are common during transitions of care and often due to patient misunderstanding of the medication regimen or non-adherence. Challenges exist that may influence the ability of new interventions to address this issue. As part of the Smart Pillbox study, a randomized controlled trial of an electronic pillbox, we explored barriers and […]
Abstract Number: 336
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medical housestaff must participate in a handoff process when transitioning between rotations on hospital services. During this time, a new team of residents assumes care for multiple patients. A prior study demonstrated that this critical period of transition is associated with increased mortality among hospitalized patients. Methods of improving daily patient handoffs to overnight […]