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Meeting
Search Results for Discharge
Abstract Number: 268
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge from an in-patient hospital stay is a critical opportunity to teach patients about their medications. Communication about medications and appropriate transition of care are two domains of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey via which patients evaluate hospitals. Communication about new medications and side effects is one of […]
Abstract Number: 270
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharging patients in an efficient manner improves patient satisfaction and hospital throughput. In this project, we sought to improve patient throughput as well as benefit resident education. Prior to our project, 75% of patient discharges were delayed more than two hours after the patient was determined to be medically ready for discharge; 21% were […]
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: 320
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: There have been increases in the incidence of and significant costs associated with hospitalizations due to injection-related infection sequelae both in the U.S. and worldwide. Infection sequelae include but are not limited to cellulitis and abscess, bacteremia and sepsis, endocarditis, osteomyelitis, septic arthritis, ulcers, and thrombophlebitis. Because of the unique bio-socio-psycho needs of injection […]
Abstract Number: 335
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharges before noon have become a common institutional goal in order to improve hospital throughput, reduce emergency department boarding time, and enhance patient satisfaction. Evaluation of baseline rates at Brigham and Women’s Faulkner Hospital (BWFH), a 100-bed academically-affiliated community hospital, demonstrated <10% of patients were discharged before noon. Purpose: To improve rates of […]
Abstract Number: 348
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Prior to this project, inpatient Advanced Practice Providers (APPs) at UW Health lacked organizational data including volumes, patient experience, hospital acquired conditions, and operational efficiency metrics. In 2016, inpatient APPs collaborated with UW Health’s Analytics and Information Systems team to develop a method for inpatient APP attribution and identification of team-based, APP sensitive metrics […]
Abstract Number: 355
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The EMR does not provide readily available information that conveys an at-a-glance understanding of discharge progress for a given patient. Healthcare workers have different workflows and need to manage the information in different ways, with a reliance on one-to-one conversations. We believe that optimizing patient length of stay is hindered by lack of: data […]
Abstract Number: 383
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sub-optimal discharge preparation during hospitalization may adversely impact safety and lead to a poor patient experience. As part of an AHRQ-funded study, we designed and developed interactive digital health tools (Figure 1) to engage patients and caregivers in self-assessing discharge preparedness: an educational video and 16-item discharge checklist addressing 4 domains (understanding the plan, […]
Abstract Number: 387
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Typical solutions to incorporating provider input into discharge planning often rely on one-way communication mechanisms and data entry that is not dynamic (i.e. providers estimate day of discharge in advance). We are designing a discharge readiness tool to be integrated into our current electronic health record (EHR), Epic Systems-Verona Wisconsin, that allows providers to […]
Abstract Number: 396
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The Agency for Healthcare Research and Quality recommends a structured, patient-centered discharge communication process. To create patient-centered discharge communication, it is vital to understand the information that patients value upon discharge. Little is known about how patients prioritize discharge information; therefore, our objective was to determine the perceptions of hospitalized patients about the relative […]