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Search Results for Boarding
Abstract Number: 12
Hospital Medicine 2020, Virtual Competition
Background: Our hospitalist group has seen a rise in the number of Advanced Practice providers (APP) due to increasing patient workload. The APPs come from varying backgrounds, are within 2 years of graduation and have had little experience in evaluating common emergent and nonemergent presentations on the hospital medicine service. Our current practice is for […]
Abstract Number: 21
SHM Converge 2024
Background: Increased Emergency Department (ED) boarding has been linked to worse patient outcomes, including delays in treatment (Jiraporn et al 2014), increased length of stay (Singer et al 2011), and increased mortality (Singer et al 2011; Sun et al 2013). Patients who meet time zero (T-0) for diagnosis with severe sepsis while boarding in the […]
Abstract Number: 58
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Optimal patient care requires excellent patient communication skills. These skills are associated with improved patient satisfaction and adherence and may positively impact overall patient care and reduction in readmissions. Standardized patients (SPs) are commonly used in Undergraduate and Graduate Medical Education; however, their use for faculty education is uncommon, despite being considered an effective […]
Abstract Number: 84
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Advanced practice providers (APPs) such as nurse practitioners and physician assistants have become an important addition to the hospital medicine team with the growing demand for physician providers. As APPs experience variable exposure to hospital medicine during training, the Society of Hospital Medicine and other governing bodies such as the American Academy of Physician […]
Abstract Number: 91
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospital Medicine continues to grow as a specialty and hospital medicine programs are rapidly expanding to meet this demand. One of the challenges of a rapidly growing program is how to onboard our new hires in a way that ensures their satisfaction and at the same time preserves engagement in a rapidly growing group. Purpose: The aim […]
Abstract Number: 113
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). Longer ED boarding time and delay in inpatient discharge process are parts of a vicious cycle of internal bottleneck contributing […]
Abstract Number: 147
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital medicine programs have a responsibility to maintain high standards of clinical excellence, patient safety, and efficiency for all hospitalists within their program. Organizational change, program growth, and faculty turnover make this endeavor challenging. Developing a thoughtful monitoring, evaluation and feedback process is essential to successfully maintain the highest standards of care. Purpose: Describe […]
Abstract Number: 187
SHM Converge 2024
Background: Emergency department (ED) overcrowding is associated with a range of negative outcomes, including increased patient morbidity, decreased patient satisfaction, provider burnout, and violence against providers. ED boarding of admitted patients coupled with increasing ED patient volumes contributes to overcrowding. Geographic localization, where hospitalist provider teams are assigned patients on the same inpatient unit, has […]
Abstract Number: 231
SHM Converge 2024
Background: Many U.S. emergency departments (EDs) and hospitals experience critical overcrowding and capacity challenges which has been exacerbated by the COVID-19 pandemic.(1) ED boarding has been associated with a range of adverse outcomes, and pre-pandemic data suggests that racial minority patients may be disproportionately impacted.(2-4) We aim to identify the effects of patient race and […]
Abstract Number: 240
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours for a medicine inpatient bed at our large urban academic center. In July 2016, we deployed a 24-hour hospital medicine […]