Session Type
Meeting
Search Results for Communication
Abstract Number: 299
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and overcrowding in the ED. Furthermore, many discharges occur in the evening hours, when there is a covering provider. Our institution […]
Abstract Number: 302
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Immobility in the hospital setting is associated with persistent inability to perform activities of daily living, increased length of stay, and decreased return to independent living; this loss of function is identified by patients as a commonly unaddressed barrier to discharge. The reasons for immobility are multifactorial; however, lack of provider interest or value […]
Abstract Number: 345
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Unnecessary laboratory orders are a well-known contributor to healthcare cost. Our residents identified “fear of attending” as a barrier to more mindful lab ordering. This project focused on educating attending physicians on high-value care and promoting resident-attending discussions. Purpose: Data was collected via anonymous pre and post-intervention survey (designed by the study team). Participants […]
Abstract Number: 374
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: More often than not, hospitalized patients are not able to correctly identify members of their physician team. Being able to identify physicians is a critical component of developing the patient-physician relationship. The use of facecards and whiteboards appears to improve hospitalized patients’ ability to identify their physician and may be associated with improvements in […]
Abstract Number: 375
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interprofessional rounding has improved patient safety and provider engagement (1). Our institution implemented interdisciplinary patient rounds (IPR) similarly described in the literature (2). Despite praise for our nursing safety checklist, declining emphasis on bedside teaching and brief patient interactions lead to provider dissatisfaction. Purpose: To provide high-quality patient care, foster interprofessional collaboration, and provide […]
Abstract Number: 377
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Geographic hospitalist staffing and interdisciplinary rounding has been shown to improve staff communication, patient communication, and reduce length of stay. Communication between hospitalist and nurses also play a crucial role in patient safety and hospital throughput. Despite its importance, maintaining geography is difficult and communication between physicians and nurses are often sub-optimal and fragmented. […]
Abstract Number: 398
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Admitted Hematologic and Oncologic patients are often complex and have a unique set of challenges. Balancing outpatient care plans with inpatient medical and psychosocial issues can lead to long lengths of stay, patient dissatisfaction, and provider burnout. Hospitalists offer an expertise in managing complex medical problems along with an adept ability to integrate and […]
Abstract Number: 399
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost for the healthcare system. Reviewing cases of mortality after inter-hospital transfer can identify opportunities to improve patient safety and efficiency […]
Abstract Number: 400
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Peripherally inserted central catheters (PICCs) are often used as devices to extend intravenous treatment for hospitalized patients in post-acute settings. Variation between hospitals, indications for use, device characteristics, and outcomes for patients who receive PICCs and are discharged to skilled nursing facilities (SNFs) is not well known. Methods: Trained abstractors used a standardized approach […]
Abstract Number: 402
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication records were created for the sole purpose of dispensing prescriptions. Pharmacists have little incentive to remove outdated medications and are […]