Session Type
Meeting
Search Results for Discharge
Plenary Presentations
Abstract Number: 3
SHM Converge 2023
Background: To relieve hospital capacity strain, hospitals often encourage clinicians to prioritize early morning discharges which may have unintended consequences. We aimed to test the effects of hospitalist physicians rounding on discharging patients first. Methods: Prospective, multi-center randomized controlled trial at three large academic hospitals. Participants were Hospital Medicine attending-level physicians and patients the physicians […]
Plenary Presentations
Abstract Number: PL2
SHM Converge 2022
Background: Patients hospitalized with COVID-19 can clinically deteriorate in the second week of illness after a period of initial stability. Thus, an important clinical question is determining when it is safe to discharge these patients from the hospital without overwhelming hospitals’ capacities. Unfortunately, discharge criteria for COVID-19 patients are often based on expert opinion, with […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Executing safe transitions of care for hospitalized patients is important because of the vulnerability of patients during this time period. While hospital-based providers frequently schedule appointments on behalf of their patients prior to discharge, cancellations and non-attendance (“no-shows”) for post-discharge follow-up appointments are anecdotally common and diminish the quality of patient care. Little is […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Creating a Best Practice for Discharges Against Medical Advice Background: Nationally, 1-2% of medical discharges from hospitals are against medical advice (AMA). Patients that leave AMA are at higher risk for readmission and adverse health events. At our facility, FY 2014 data revealed that 1% of discharges from the medical/surgical wards were AMA. The 30 […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Delays in the discharge process of hospitalized patients impact patient flow and lead to increased costs and slower progression of care. As hospitalist work becomes increasingly shift based, there are concerns for proper patient handoffs and hesitancy with clinical progression of care overnight. This leads to daytime patient flow congestion and is a significant […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) Multi-site Quality Improvement Collaborative aims to improve discharge transitions by testing a patient-centered transition bundle. Teach-back is a core component. This is a well-established method of confirming understanding. However, limited evidence exists about the effect of using teach-back for pediatric discharge education on parental knowledge/understanding of essential […]
Oral Presentations
Abstract Number: OP12
SHM Converge 2022
Background: Previous studies have documented discriminatory refusals from post-acute care facilities related to opioid use disorder or opioid agonist therapy, however the impact of inability to secure skilled nursing facility (SNF) placement for patients with any substance use disorder (SUD) has not been fully explored. The objective of this study is to measure the odds […]
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: As a result of COVID-19, clinical care across the U.S. has changed with virtual services becoming the new normal in many clinics.1-5 How these changes impact patient care following hospitalization is unclear as data are limited.6 We report on characteristics and rates of clinic follow up and satisfaction with care in patients discharged during […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Executing safe transitions of care for hospitalized patients is important because of the vulnerability of patients during this time period. While hospital-based providers frequently schedule appointments on behalf of their patients prior to discharge, cancellations and non-attendance (“no-shows”) for post-discharge follow-up appointments are anecdotally common and diminish the quality of patient care. Little is […]
Oral Presentations
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Creating a Best Practice for Discharges Against Medical Advice Background: Nationally, 1-2% of medical discharges from hospitals are against medical advice (AMA). Patients that leave AMA are at higher risk for readmission and adverse health events. At our facility, FY 2014 data revealed that 1% of discharges from the medical/surgical wards were AMA. The 30 […]