Session Type
Meeting
Search Results for Delay
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: 270
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharging patients in an efficient manner improves patient satisfaction and hospital throughput. In this project, we sought to improve patient throughput as well as benefit resident education. Prior to our project, 75% of patient discharges were delayed more than two hours after the patient was determined to be medically ready for discharge; 21% were […]
Abstract Number: 279
SHM Converge 2024
Background: Hospitalized patients often require post-acute care (PAC) after discharge ranging from long-term acute care hospitals (LTACH) to home health services. However, patients waiting for discharge to PAC are at risk for delayed discharges [1], which can increase in-hospital complications, increase costs, and decrease access to hospital care for other patients. [2, 3] Disposition prediction […]
Abstract Number: 280
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delays in care can lead to patient harm. At our large urban academic medical center, we have been struggling with increasing inpatient volumes and delays, particularly to enter our medicine, observation, and cardiology units. With a desire to provide more timely care, we used a model that employed queuing theory to predict expected delays […]
Abstract Number: 349
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Unintentional discharge delays account for up to 20% of total patient hospital days. Previous studies identified bed availability, scheduling logistics for studies, and poor communication as causes of delay factors. Although discharge requires a team approach, no single study has examinedperceptions of discharge delays among interprofessional team members, including residents and hospitalists, at an […]
Abstract Number: 451
SHM Converge 2024
Background: Delays in medical care are frustrating for all stakeholders involved, including patients, their families, and the clinical teams responsible for moving their care forward. These delays, particularly in inpatient care, not only extend hospital stays but also have a cascading effect on patient throughput and inpatient bed availability. Hospitalists regularly navigate these challenges and […]
Abstract Number: 468
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Almost 3 yo female presented to the ED) with multiple contusions, finger fractures and abrasions. Mother sought care for evaluation of a left occipital swelling that she noticed following the patient’s stay with a respite-care. The worker denied injury. When questioned by the social worker, the mother mentioned that her daughter did not […]
Abstract Number: 474
Hospital Medicine 2020, Virtual Competition
Background: Internal medicine and hospital medicine providers are under pressure to move patients quickly through the hospital and decrease length of stay. Providers spending most of their clinical time seeing patients, documenting or coordinating care and have minimal time to disrupt workflow to perform common bedside procedures such as paracentesis, lumbar punctures, central lines, arthrocentesis […]
Abstract Number: 614
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77-year-old African American female with rheumatoid arthritis on chronic prednisolone presented with fever, weakness and unsteady gait. Further history revealed latent tuberculosis (TB) infection treated over 15 years ago and granulomatous abdominal lymphadenopathy three years ago. Physical exam revealed fever and limited left hip mobility due to weakness and pain. Labs showed […]
Abstract Number: 648
SHM Converge 2021
Case Presentation: A 48-year-old female presented with a 1-day history of exertional, non-positional, mid-sternal, severe chest pain associated with nausea, palpitations and dyspnea. She denied orthopnea, ankle swelling, cough, wheeze, coryza, fever, chills, or recent ill contacts. Past medical history: asthma, vertebral artery dissection, hypothyroidism, migraines, and severe acute respiratory syndrome coronavirus 2 (COVID-19) infection […]