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Meeting
Search Results for Care Transitions
Abstract Number: 2
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Sub-optimal communication during care transitions contributes to poor patient outcomes. Patients who undergo interhospital transfer (IHT, the transfer of patients between hospitals) are at especially high risk given their level of illness severity. In examination of the IHT process at Brigham and Women’s Hospital (BWH), a 740-bed tertiary care referral hospital, we previously found […]
Abstract Number: 45
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Physicians and nurses often overestimate patients’ understanding of their illness, medications, treatments, and care plans. Fragmented discussions can lead to inconsistent conveyance of key information to patients and their caregivers. Multidisciplinary bedside rounds are an essential opportunity to facilitate patient-centered care. Our medical-surgical units did not have a standardized approach to ensuring consistent, clear […]
Abstract Number: 175
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-center quality improvement collaborative aiming to improve hospital to home transitions. As part of this project, providers attempt to schedule follow-up visits prior to discharge and conduct post-discharge phone calls. Objective: 1.Determine relationship between scheduling post-discharge follow-up visits and 30-day reutilization rates 2. Characterize patients […]
Abstract Number: 220
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The hospital discharge is one of the most important aspects of a patient’s hospitalization, yet in residency training, this process often goes overlooked. Most residents are never properly taught how to effectively discharge a hospitalized patient. As a sequelae, patients often lack understanding about their hospitalization, treatment(s), and follow up plans. This uncertainty can […]
Abstract Number: 242
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Communication has been cited as the most common root cause in sentinel events, with failed patient care handoffs contributing to an estimated 80% of serious preventable adverse events. Handoffs to sub-acute care such as nursing homes are at particularly high risk for communication breakdown given high patient complexity and comorbidity. Our healthcare system includes […]
Abstract Number: 254
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are discharged home on medications different than those they were taking before admission. New and discontinued medications as well as dosage changes contribute to medication-related adverse events. Purpose: To help address this problem, interns in our program developed a standard process during their quality improvement (QI) curriculum to ensure that at least 95% […]
Abstract Number: 258
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate patient experiences with IHT.Methods: Interview guides were developed using themes extracted from prior research along with expert opinion and stakeholder […]
Abstract Number: 259
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In this national study, we evaluated the appropriateness of transfer, as measured by the frequency of required specialty services available at […]
Abstract Number: 263
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Care transitions between hospitals, nursing homes, and home are a vulnerable time for patients. Given the increasing elderly population and the shortage of primary care physicians with training in geriatrics or nursing home care, there is a growing need to identify organizational systems to optimize physician practice, enhance quality of care and increase educational […]
Abstract Number: 263
SHM Converge 2023
Background: Hospital admissions are stressful for adults with dementia and their caregivers. During care transitions from hospital to home, outcomes for adults with dementia depend, in part, on the caregiver’s health and well-being. We aimed to identify the resources and training needs of dementia caregivers during care transitions. Methods: We conducted semi-structured interviews with licensed […]