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Search Results for Capacity
Abstract Number: 256
SHM Converge 2023
Background: Increased hospital capacity causes significant strain on medical institutions. Patients who are clinically ready for discharge but “stuck” awaiting post-acute resources are thought to contribute to this capacity strain. Here, we aim to provide a clinically relevant measurement of the prevalence (proportion of patients) and weight (proportion of days) for patients who have spent […]
Abstract Number: 265
SHM Converge 2023
Background: Hospitals increasingly face capacity strain and challenges with patient flow, leading to emergency department (ED) crowding, ED boarding, and threats to patient safety and quality of care. ED boarding occurs from the time of the decision to admit until the patient arrives in an inpatient bed and is affected by many factors including discharge […]
Abstract Number: 308
SHM Converge 2021
Background: The COVID-19 crisis has put an unprecedented strain on the US healthcare system (1). Hospital Medicine (HM) has been on the front lines of the crisis response (2). Multiple surges and troughs are expected before the pandemic subsides with a very large surge predicted for the winter of 2020-2021 (3). As the HM service […]
Abstract Number: 402
SHM Converge 2023
Background: Inter-hospital transfers are integral to a functioning health care network. Critical access, rural, and community hospitals established in sparsely populated territories are unable to support tertiary care infrastructure and rely on academic centers for consultation and transfer. Transfers comprise an estimated 3.5% of inpatient admissions (1), owing in part to increased procedural specialization concentrated […]
Abstract Number: 404
SHM Converge 2023
Background: Our region has the lowest hospital bed per capita of any metropolitan area in the United States. Additionally, during the COVID-19 pandemic there have been outpatient dialysis chair shortages due to workforce staffing issues. This has led to many patients waiting weeks or even months in the hospital to secure a new chair for […]
Abstract Number: 423
SHM Converge 2024
Background: In 2020 due to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services approved the Acute Hospital Care at Home Waiver allowing hospitals to be reimbursed for hospital-level care for patients in their own home. Almost 300 hospitals across 37 states have been approved to launch their own Hospital at Home (HaH) programs. […]
Abstract Number: 440
SHM Converge 2024
Background: Hospitals globally have been facing unprecedented challenges with patient throughput and capacity, especially in the aftermath of the COVID-19 pandemic. Efficient discharge processes are integral to improving bed availability and mitigating the negative outcomes associated with patient boarding in emergency departments Purpose: This study evaluates the efficacy of an early morning huddle approach in […]
Abstract Number: 453
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital disaster response has historically been the purview of emergency medicine and surgery, without significant involvement of hospitalists themselves or consideration of how mass casualty incidents impact the hospital as a whole. However, many disaster modalities, e.g. pandemic infectious disease or bioterrorism, are outside of the surgical scope of practice and require involvement of […]
Abstract Number: 456
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Partnership with Regional Medical Centers is a growth strategy for Virginia Mason as well as a service to our patients in the community. It is important to maintain our capacity to provide care to all patients wanting to come to Virginia Mason. Deflections, when we turn away patients from outside transferring hospitals, are expensive […]
Abstract Number: 483
SHM Converge 2023
Case Presentation: 67-year-old gentleman with medical history significant for alcohol use presented to the Emergency Department (ED) with hallucinations and tremors. His last drink was the day prior. In the ED, he was tremulous, tachycardic, hypertensive and confused. He was admitted and placed on the alcohol withdrawal protocol with diazepam. At discharge, he was evaluated […]