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Meeting
Search Results for Care Transition
Abstract Number: 316
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Communication is critical to high-quality care transitions, yet little is known about the quality of information transfer from the hospital to home health care (HHC) setting. We performed a cross-sectional survey of HHC nurses and staff to evaluate their perspective on the completeness of medical information transferred from hospitals to HHC agencies in Colorado. […]
Abstract Number: 316
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: There is increasing recognition that high quality transitions of care are essential to ensuring patient safety. While no universal standard has been identified, using available literature and data from provider surveys, Project Impact identified key elements for acute care discharge education. However, no studies have focused on the parent perspective. Objective: To determine parental […]
Abstract Number: 327
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Effective patient handoffs during care transitions are crucial in the skilled nursing home setting where physician providers may not round on a daily basis, and the healthcare facility staff has shift changes on a daily basis. Currently, many critical communications regarding patients are shared via private phone calls, text messages, emails and log books. […]
Abstract Number: 328
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Veterans Health Administration (VHA) is undergoing a national effort to improve access for its patients so that veterans can get the right care, in the right place, at the right time. National benchmarks suggest a time period of two weeks is adequate for non-acute specialty care follow-up, yet our hospital typically averages third […]
Abstract Number: 331
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Failures in communication among healthcare personnel are known threats to patient safety. Communication is particularly vulnerable to error when patient care responsibility is transferred from one provider to another (i.e., handoff). In this study we implemented a web-based handoff tool and provider training, and evaluated the impact on preventable adverse events (AEs). Methods: We […]
Abstract Number: 334
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Due to the complexity of patient discharge needs leading to increased length of stay within a large academic medical center, a specialized inpatient unit became a priority. Purpose: The University of Kentucky Healthcare created the Complex Discharge team to identify and manage patients who may have a long length of stay, a challenging placement […]
Abstract Number: 345
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), a post-acute care nursing facility in Manhattan. In 2013, MSH discharges by the hospitalist service to TCC had an average […]
Abstract Number: 351
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient service handoffs have been recognized as a vulnerable time during a patients’ hospitalization. Prior studies have suggested the need for more systematic, team-based, and patient-centered handoff models. We hypothesized that performing the service handoff at the patients’ bedside may more efficiently transfer patient information between physicians, while further integrating the patient into their […]
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: 417
SHM Converge 2024
Background: Adverse events (AEs) occur in 19-28% of patients after discharge and can lead to unanticipated events, including emergency room visits and readmissions.(1,2) While early indicators include new and worsening symptoms (NWS), monitoring of patient-reported NWS is lacking. The 21st Century Cures Act mandates adoption of application programming interfaces (APIs), offering the potential to engage […]