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Search Results for Transitions
Abstract Number: 300
Hospital Medicine 2020, Virtual Competition
Background: Effective teams share common attitudes, behaviors, and cognitions that support teamwork. Within patient safety literature, effective teamwork is a core feature of interventions that reduce adverse events. However, research on teamwork in healthcare has focused on teams of healthcare professionals and has not examined how patients and their family caregivers experience teamwork as part […]
Abstract Number: 301
Hospital Medicine 2020, Virtual Competition
Background: In a learning healthcare system, data collected as part of routine care is used to fuel innovation and improvement. Predictive models for post-discharge adverse events have relied on data that is available prior to hospital discharge. Post-discharge care (e.g. appointments, phone calls) can be collected from electronic health records and may impact patient risk […]
Abstract Number: 303
Hospital Medicine 2020, Virtual Competition
Background: Millions of people are hospitalized in the United States annually and many of those patients are medically complex requiring a team-based approach to care for their medical problems and complex planning for discharge and the transitions thereafter. The process of discharging a patient is multilayered, time-consuming, and arguably one of the most pivotal times […]
Abstract Number: 304
Hospital Medicine 2020, Virtual Competition
Background: Patients with limited English proficiency (LEP) face barriers communicating with their medical providers and understanding their treatment plans. Prior work shows that communication barriers limit LEP patients’ understanding of their discharge instructions. However, little is known about disparities in outcomes between LEP and English proficient (EP) patients. To address this gap, we measured the […]
Abstract Number: 306
Hospital Medicine 2020, Virtual Competition
Background: Inter-hospital transfer (IHT, the transfer of patients between hospitals) exposes patients to risks of discontinuity of care, including errors in communication. However, the association between communication among providers during IHT and patient outcomes has yet to be rigorously studied due to limitations of administrative data to adequately capture quality of communication. In this study, […]
Abstract Number: 425
Hospital Medicine 2020, Virtual Competition
Background: A discharge summary serves as a crucial means of communication between inpatient and outpatient providers. Appropriate transitions of care rely on updates to patient problems, diagnostics, treatment history, and discharge plans. Many studies have identified lacking components in discharge summaries that may lead to poor medical management.In an effort to improve patient transitions of […]
Abstract Number: 451
Hospital Medicine 2020, Virtual Competition
Background: Patients with advanced cancer have high readmission rates, up to 27% in some studies, and represent unique challenges related to transitions of care, complex disease management, and care coordination. Recent efforts have focused on better identification of potentially avoidable readmissions (PARs). One study found that primary reasons for PARs in cancer patients included pre-mature […]
Abstract Number: 452
Hospital Medicine 2020, Virtual Competition
Background: Communication between home health care agencies and referring facilities is important for comprehensive care for patients. Yet, both home health care providers and hospitalists feel that this communication is frequently lacking. Purpose: To implement weekly teleconferences to discuss patients recently discharged from the Rocky Mountain Regional VA Medical Center (RMR VAMC) who are initiating […]
Abstract Number: 458
Hospital Medicine 2020, Virtual Competition
Background: Medically complex patients discharged from hospitals to skilled nursing facilities (SNFs) are at high risk for unintentional errors, re-hospitalization, and mortality. Commonly reported transitional care errors include poor communication of critical information, limited access to medical records, and lack of clarity as to follow-up plans or patients care goals. Telehealth is increasingly used in […]
Abstract Number: 460
Hospital Medicine 2020, Virtual Competition
Background: Hospitalization provides an opportunity to provide patients who use tobacco with evidence-based treatment for cessation, including nicotine replacement therapy, motivational interviewing, and pharmacotherapy. However, this benefit is often lost without appropriate transitions in care to outpatient cessation resources. We have found that inpatient tobacco cessation interventions at our 600-bed urban academic medical center do […]