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Meeting
Search Results for Admission
Abstract Number: 404
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Unplanned hospital readmissions are a burden on patients and cost taxpayers tens of billions of dollars each year in the United States1. Multi-component interventions have been the most effective at readmission reduction.2. But with hospital resources spread thin, it may not be necessary or even feasible to provide a multicomponent intervention for all discharging […]
Abstract Number: 410
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Following discharge from hospital, Community Care Teams (CCT) continue the care of patients with chronic medical problems. Handover is by means of discharge summary with no further communication between Inpatient Teams (IPT) and CCT. When problems arise, CCT refer patients to the Emergency Department (ED) and re-admissions back to IPT are not infrequent. Purpose: […]
Abstract Number: 414
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Procedures are often an integral component of a patient’s care plan. Delays in procedures may lead to increased length of stay and decreased quality of care. For instance, prompt paracenteses in hospitalized patients with ascites is associated with a 24% decreased mortality in one study. At our institution, hospital throughput is essential given a […]
Abstract Number: 415
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Studies have shown about 2 million patients are readmitted to hospitals nationwide yearly. Data from the Center for Health Information and Analysis (CHIA) estimate the annual cost of readmissions of Medicare patients amounts to billions of dollars annually; about half this cost may be preventable. Hospitals are working to create programs to decrease readmission […]
Abstract Number: 419
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate Charlson, Charlson age, simplified HOSPITAL and LACE score in 30-day non-elective readmission prediction at a Brazilian tertiary care teaching public hospital in Southern Brazil. Methods: Retrospective cohort study including all […]
Abstract Number: 420
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate simplified HOSPITAL score (Aubert et al, 2017) in 30-day non-elective readmission prediction at a Brazilian tertiary care teaching public hospital in Southern Brazil. Methods: Retrospective cohort study including all hospital […]
Abstract Number: 430
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: One of the challenges in hospital medicine is the effective and efficient evaluation of patients through the emergency department and admission. When this does not work well we see long wait times in the emergency department, patients leaving without being seen and decreased patient satisfaction. In the extreme case, we see ambulance diversion. This […]
Abstract Number: 461
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital readmission rate is viewed as an indirect indicator of quality of care provided by a hospital. We completed a small pilot study looking at a multidisciplinary bedside huddle in the 24 – 48 hours before discharge which decreased readmission rates in high risk patients from 36% to 20% in a small pilot study. […]
Abstract Number: 597
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 76 year-old male with a history of diverticulitis, T2DM, HTN, persistent atrial fibrillation and compensated alcoholic cirrhosis presented for recurrent gastrointestinal bleeding (GIB). He initially presented to an outside hospital six months prior for shortness of breath and found to be anemic requiring 4 units of packed red blood cells (PRBCs). Since […]