Session Type
Meeting
Search Results for transition
Abstract Number: 231
Hospital Medicine 2020, Virtual Competition
Background: Hospital Medicine is a young and growing specialty. About 50% of our academic hospital medicine group of nearly 70 physicians are in their first 5 years out of residency. And about 90% of our faculty are millennials (born 1982-2000), the fastest-growing generation in the workforce and the first generation to grow up in a […]
Abstract Number: 291
Hospital Medicine 2020, Virtual Competition
Background: The transitioning from pediatric to adult care has been correlated with worsened outcomes including increased mortality [1]. Improving patient experience (PEX) has been correlated to improved adherence and lower inpatient mortality rates [2] as well as lower 30-day readmission rates for patients with heart failure, acute MI and pneumonia [3]. Young adults transiting from […]
Abstract Number: 296
Hospital Medicine 2020, Virtual Competition
Background: In 2011, ~3.3 million adult 30-day US hospital readmissions generated $41.3 billion in hospital costs. $8.26 billion (20%) of this was considered preventable. Numerous studies demonstrate relationships between hospital readmissions and social determinants of health (SDoH). Lack of education, socioeconomic status, and lack of social support have all been cited as core contributors to […]
Abstract Number: 297
Hospital Medicine 2020, Virtual Competition
Background: End-of-service handoffs on inpatient general medicine services occur when there is a transfer of care to new providers, often at the end of a scheduled rotation. This is high-risk time for patients as increased in-hospital mortality has been observed around the time of end-of-service handoffs. The Society of Hospital Medicine recommends use of a […]
Abstract Number: 299
Hospital Medicine 2020, Virtual Competition
Background: Handoffs are critical to safe and efficient transfer of patient care between hospitalists. While patient handoffs are essential to hospitalist practice, there is great variability in handoff content, preparation, and delivery. Our study aimed to characterize handoff practices at a large academic hospitalist group, which primarily utilizes a written handoff platform. Methods: We conducted […]
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, […]