Session Type
Meeting
Search Results for transition
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: A small number of patients account for a disproportionate number of hospital readmissions. The Complex High Admission Management Program (CHAMP) is designed to improve care and reduce hospitalizations for frequently readmitted patients. Non-randomized studies of CHAMP found reductions in readmission but may be subject to regression to the mean. We conducted a randomized trial […]
Abstract Number: 33
SHM Converge 2021
Background: Many institutions rely on informal training for internal medicine (IM) residents about how to provide effective discharge communication to patients and their caregivers. Complete instructions are essential to safe transitions of care. At our institution, we evaluated baseline knowledge of these topics among IM residents, and assessed how an educational module impacted residents’ knowledge, […]
Abstract Number: 62
SHM Converge 2021
Background: The transition from adolescent to adult care has been associated with worse outcomes including increased mortality (1). Improved patient experience (PEX) correlates with decreased inpatient mortality rates and better adherence to quality guidelines (2) as well as lower 30- day readmission rates for patients with heart failure, acute MI and pneumonia (3). Hospitalized adolescents […]
Abstract Number: 76
SHM Converge 2021
Background: Young adults with special health-care needs is a growing population due to medical advances and improved patient outcomes. [1] Unfortunately, the transition into adult medical care for these young adults is often met with declining health and increasing acute care utilization. [2-5] To redesign care for this growing population, we started the Med-Peds service […]
Abstract Number: 158
SHM Converge 2021
Background: Community acquired pneumonia (CAP) is one of the leading causes of hospitalization in the United States.[1] In an effort to improve the quality of care for this resource-intensive disease, our institution implemented a clinical decision support (CDS) pathway for CAP comprised of three phases: (1) education on best practices, (2) education and a CDS […]
Abstract Number: 188
SHM Converge 2021
Background: Medical short stay units (SSU) are increasing in prevalence and frequently care for patients with infections. Antibiotic misuse at discharge from acute hospitalization is common. SSUs, which have rapid patient turnover, could have increased risk for antibiotic misuse during care transitions. Thus, we aimed to characterize antibiotic misuse at discharge from SSUs. Methods: We […]
Abstract Number: 198
SHM Converge 2021
Background: Hospital discharges represent an important transition of care between the inpatient and outpatient setting. Discharge summary documentation enables providers to convey clinical reasoning and important updates in patient care; however, reviews of these documents suggest error rates as high as 36.4% (1.42 errors per document) (McMillen, et. al. 2006). Formalized resident discharge summary curricula […]
Abstract Number: 200
SHM Converge 2021
Background: Communication between referring Veterans Health Administration (VHA) facilities and home health care agencies in the community is imperative for comprehensive care for Veterans. However, to date little is known about communication during care transitions from VHA facilities to home health care. The purpose of the present study is to conduct a preliminary exploratory survey […]
Abstract Number: 206
SHM Converge 2021
Background: Care of the pediatric patient does not end after the family exits the hospital doors. Post-discharge issues can lead to significant consternation for families, unnecessary risk to the patient, and re-utilization of healthcare resources. Despite careful preparation for transfer of care to the primary care physician (PCP), some post-discharge issues are unanticipated and lead […]
Abstract Number: 223
SHM Converge 2021
Background: With the rising predominance of shift work in healthcare, provider handoffs are important to facilitate the flow of patient information in a way that supports continuity and quality patient care. The Joint Commission has identified poor communication at handoffs as a major source of adverse events (1) which has led to significant work in […]