Session Type
Meeting
Search Results for Discharges
Plenary Presentations
Abstract Number: 3
SHM Converge 2024
Background: New hospitalists can often feel overwhelmed by learning system practices, navigating difficult dispositions, and managing difficult patient and family relationships. This can lead to increased length of stay1, increased burn out, and a feeling of lack of mentorship. Purpose: We hypothesized that weekly meetings between a hospitalist director and a junior faculty hospitalist to […]
Plenary Presentations
Abstract Number: 3
SHM Converge 2024
Background: New hospitalists can often feel overwhelmed by learning system practices, navigating difficult dispositions, and managing difficult patient and family relationships. This can lead to increased length of stay1, increased burn out, and a feeling of lack of mentorship. Purpose: We hypothesized that weekly meetings between a hospitalist director and a junior faculty hospitalist to […]
Abstract Number: 218
SHM Converge 2023
Background: Hospital crowding and subsequent resource strain have been associated with worse patient outcomes and increased length of stay (1–3). As pediatric hospitals face an overwhelming respiratory illness surge in the wake of the COVID pandemic (4–6), improving hospital patient flow is all the more critical. Nonetheless, a substantial proportion of patients, nearly 1 in […]
Abstract Number: 247
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Long discharge times (DT), (the time from discharge order to patient leaving room), have detrimental impacts on any hospital. Apart from causing dissatisfaction among patients and their families who are waiting to go home, prolonged DT also increases wait times for patients being admitted from the ED. Delayed admissions pursuant to late discharges, caused […]
Abstract Number: 258
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Late discharges are a known barrier to patient flow. Our project was to identify barriers to early discharges and develop processes to increase early discharges from the inpatient medicine teams. Purpose: “Daily afternoon multidisciplinary team huddles will increase the % of discharge orders before 10am by 10% on the medicine teams by June 2015” Description: We initially analyzed reasons […]
Abstract Number: 272
Hospital Medicine 2020, Virtual Competition
Background: Discharges against medical advice (AMA) account for 0.8-2.2% of all national discharges and represents an extreme in non-compliance. Patients who elect to leave AMA have increased rates of mortality, morbidity and readmission rates. Literature on this topic, to date, has focused on AMA in the context of specific admitting diagnoses or discharges from certain […]
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: 335
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Against medical advice (AMA) discharges are often emotionally charged for healthcare providers. Complicated capacity assessments, confusion regarding legal and ethical obligations to patients, and limited resources may strain providers. This cross-sectional survey study explored provider perceptions, experiences, and self-assessed competence with AMA discharges at a county hospital with a high AMA rate. Methods: Surveys, […]
Abstract Number: 406
Hospital Medicine 2020, Virtual Competition
Background: Inefficiencies in the hospital discharge process can be a source of patient and provider dissatisfaction. Further, gaps in post-discharge care have been associated with increases in 30-day mortality and 30-day unplanned re-hospitalization. Addressing these gaps requires a specific focus on the development of a post-acute care treatment plan, identification of potential barriers to the […]