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Meeting
Search Results for Barriers
Abstract Number: 258
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Late discharges are a known barrier to patient flow. Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams. Purpose: “Daily afternoon multidisciplinary team huddles will increase the % of discharge orders before 10am by 10% on the medicine teams by June 2015” Description: We initially analyzed reasons […]
Abstract Number: 274
SHM Converge 2023
Background: Point of Care Ultrasound (POCUS) has been used to improve diagnostic accuracy and provide earlier and more focused treatment intervention. Although hospital-based clinicians are prime candidates for utilizing this skill, very few regularly integrate POCUS into their clinical practice after completing a training course. This study sought out to identify the facilitators and barriers […]
Abstract Number: 277
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: As healthcare costs continue to burgeon and grow at an unprecedented rate, cost utilization is an increasingly important field of research. In-hospital costs are one of the most expensive contributors to healthcare costs in the United States. Very little research has been done in the United States regarding length of stay outliers and their […]
Abstract Number: 279
SHM Converge 2023
Background: Anti-Black racism is embedded in American healthcare, (1) with roots in the structure and curriculum of medical education. (2) Dismantling racism in health care demands that medical education promote racial justice at all levels, from pre-clinical curriculum to clinical training and beyond. (3) However, there are significant barriers to teaching anti-racism content in the […]
Abstract Number: 393
SHM Converge 2023
Background: To date, there are limited reports around the use of well-designed information technology tools to enhance communication during interdisciplinary rounds (IDRs). Computer supported cooperative work (CSCW) is a field that studies the integration of information technology into the workflow of healthcare teams. In collaboration with our technology innovations center, we developed a Microsoft Teams […]
Abstract Number: 405
SHM Converge 2023
Background: In November 2021, we initiated a project to improve our length of stay (LOS) and plan of care for patients with a LOS of ≥6 days. We created the Complex Cases Rounds (CCRs) for all patients hospitalized under the hospital medicine service in our community hospital, Emory Johns Creek Hospital. Purpose: CCRs provide a […]
Abstract Number: 409
SHM Converge 2024
Background: Medically stable patients with barriers to discharge in the acute care setting are a growing proportion of hospitalized patients throughout the nation at a time when many hospitals are experiencing both bed and healthcare worker shortages. These patients remain bedded across various acute units in the hospital, reducing bed availability and staffing for more […]
Abstract Number: 421
SHM Converge 2023
Background: Hospitals are facing increasing pressure to optimize throughput in order to reduce excess length of stay and improve emergency department (ED) boarding times. Improving coordination and throughput in complex organizations with multiple care sites can be particularly challenging. Health systems have implemented numerous initiatives to improve hospital throughput, but these efforts have mainly been […]
Abstract Number: B15
SHM Converge 2022
Background: Fewer hospitalized patients are discharged per day on weekends as compared to weekdays.1 Hospital medicine groups have implemented quality improvement (QI) initiatives to increase weekend discharges, however, the factors contributing to lower rates of weekend discharges are not well-described.2 To better understand contributors to missed opportunities for weekend discharge, we analyzed patients discharged on […]
Abstract Number: N16
SHM Converge 2022
Background: While hospitals are primarily designed to provide acute care, a subset of patients have prolonged lengths of stay beyond medical necessity for months on general medicine wards[1]. These cases often occur in vulnerable patient populations, including those with mental health and substance use disorders[2], impaired decision-making capacity[3, 4], and housing insecurity[3]. However, few studies […]