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Search Results for Discharge
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 Pharmacists have little incentive to remove outdated medications and are […]
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: 407
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an excessive number of opioid prescription days after discharge from the hospital. We studied this population retrospectively to understand which patient-level […]
Abstract Number: 408
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Development of opiate use disorder and opiate overdose has been associated with prolonged opiate-days prescribed. Conventionally, opiate-days supplied has been calculated based on the discharge prescription signature (e.g., how a patient is supposed to take the medication) and the number of pills dispensed. It is not clear whether the number of days supplied reflects […]
Abstract Number: 409
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In March of 2016, the CDC released guidelines recommending shorter duration of opioid prescriptions. While these guidelines have the potential to influence hospitalist practice, it is not clear whether discharge prescribing patterns have changed for hospitalized patients. We perform an interrupted time series analysis to examine changes in discharge opioid prescribing from an inpatient […]
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: 413
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As patient turnover increases, inpatients and providers may feel pressure during discharge preparation. Hospitals emphasize early daily discharge to improve throughput and decrease length of stay. At our academic center, providers often report feeling rushed in the 24 hours before discharge. Increased work intensity may contribute to burnout for the interdisciplinary team. Few studies […]
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: 426
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharge is a complex and dangerous process. The emergence and rapid growth of the Hospitalist specialty with the simultaneous decline of traditional practice models complicates discharges. In light of the discontinuity, it is crucial to build reliable communication tools that facilitate transmission of critical information.The discharge summary is an essential piece of that […]