Session Type
Meeting
Search Results for Transitions
Abstract Number: 310
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Vaso-occlusive acute pain crises are the leading cause for hospitalization in adult sickle cell patients. For our academic hospitalist group at a quaternary care center in New York, acute pain crises in 2017 accounted for 65 admissions, with an average length of stay (LOS) of 10.28 days, and readmission index (observed-over-expected ) of 1.10. […]
Abstract Number: 397
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In response to a national movement toward increasing value in health care, hospitals are seeking to better support patients after discharge. Older patients with functional limitations are frequently referred to receive home health care services at hospital discharge, including skilled nursing and therapy. Caregivers of patients with functional limitations receiving often have a key […]
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: 405
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Cognitive load (CL) is increasing in healthcare leading to provider frustration and poor performance. Human factors design principles like cognitive load theory (CLT) may mitigate the negative impacts of CL. This study examined the impact of a post-hospital dashboard (PHD) designed using CLT on provider performance and perceptions of workload in the post-hospitalization visit. […]
Abstract Number: 406
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Cross-cover is defined as caring for hospitalized patients for whom one is not the primary provider. This is a common, daily practice for residents and hospitalists. It has been demonstrated that the primary intern for a patient is available for only 39% of a patient’s hospital stay. Despite this, no guidelines currently exist regarding […]
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: 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: 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: 417
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interhospital transfer is a necessary part of patient care in an increasingly complex healthcare environment. However, it is an ill-defined process that has been associated with increased mortality, cost, and length of stay, even after disease severity adjustment. Purpose: We aim to describe the triage process for interhospital transfer requests at a large, urban […]
Abstract Number: 418
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The ACGME identifies care transitions as both a core competency and focus area for the Clinical Learning Environment Review, but there is a scarcity of literature on standardized curricula designed to teach residents how to facilitate safe discharges. While focusing on the patient as the central locus of the transition is important, an under […]