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Search Results for Discharge
Abstract Number: 25
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital capacity constraints remain an immense concern throughout the US and has been recognized as a national crisis for greater than a decade. ER overcrowding is of particular concern due to its downstream effects. It occurs when admitted patients are boarded in the emergency room for greater than 2 hours, while inpatient beds become […]
Abstract Number: 25
SHM Converge 2021
Background: Discharge planning should begin at the time of admission and involve preparing patients for the transition out of the hospital. Unfortunately, many hospitalized patients disagree with their provider about their discharge plan, including what needs to be accomplished in the hospital or the dismissal’s timing and location. When patients and their providers do not […]
Abstract Number: 28
Hospital Medicine 2020, Virtual Competition
Background: The discharge process is complex and high-risk. Clear and accurate communication between the physician or Advanced Practice Provider (providers), nurse, and patient are essential to ensure a safe and effective transition of care. Upon literature review, there have not been studies looking at interprofessional communication during the discharge process. Also, our institution (a large […]
Abstract Number: 33
SHM Converge 2021
Background: Many institutions rely on informal training for internal medicine (IM) residents about how to provide effective discharge communication to patients and their caregivers. Complete instructions are essential to safe transitions of care. At our institution, we evaluated baseline knowledge of these topics among IM residents, and assessed how an educational module impacted residents’ knowledge, […]
Abstract Number: 34
Hospital Medicine 2020, Virtual Competition
Background: Commonly used discharge communication workflows hinder timely and efficient discharge. Studies exploring the use of the electronic health record (EHR) for discharge planning have been limited to electronic reports constructed from EHR data elements, including barriers to discharge documented at admission, care management data, and discharge criteria or other targeted interventions such as improving […]
Abstract Number: 35
SHM Converge 2024
Background: To date, there are limited reports around the use of well-designed information technology tools to enhance throughput communication during interdisciplinary rounds (IDRs). In collaboration with our technology innovations center, we developed a Microsoft Teams IDR tool known as “NORA.” NORA is an automated process-oriented tool designed to extract patient summary information from electronic health […]
Abstract Number: 38
SHM Converge 2023
Background: Patients experiencing unsheltered homelessness are at extreme risk for worse outcomes, including increased mortality 10 times that of the general population and an average life expectancy of 53 (over 20 yrs less than general population). Transitions of care pose unique difficulties for this vulnerable population, with numerous barriers to ongoing care and resulting readmission […]
Abstract Number: 38
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharging patients is a complicated process that requires planning, coordination and communication between multiple care team members. Ideally this process begins at admission and is updated in real time as the patient care plan evolves and discharge needs become known. Discharge plans are often made using some form of static communication, such as in-person […]
Abstract Number: 39
Hospital Medicine 2020, Virtual Competition
Background: Multidisciplinary rounding (MDR) is a necessary component to safe and effective patient care and discharge during hospitalization. However, there are many barriers to daily MDR that can limit the effectiveness of the team. An interdisciplinary needs assessment of MDR at our institution revealed poor communication on plan of care and limited understanding of interdisciplinary […]
Abstract Number: 42
Hospital Medicine 2020, Virtual Competition
Background: Discharge planning should begin at the time of admission and, among its many purposes, involves preparing patients for the transition out of the hospital. Unfortunately, many hospitalized patients do not understand or agree with their provider about their discharge plan, including the timing and location of dismissal. When patients and their providers do not […]