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Meeting
Search Results for Handoff
Abstract Number: 221
SHM Converge 2023
Background: National guidelines recommend hospitals implement standardized approaches to handoffs, and recent quantitative research has indicated that standardized approaches such as the I-PASS tool can lead to sustained improvements in patient safety and provider communication in a diverse array of settings.1 Our hospital medicine group piloted a formal written handoffs process based on the I-PASS […]
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: 255
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Standardizing inter-shift handoff procedures enhances continuity of care and quality with an associated reduction in preventable medical errors. This is particularly relevant in the inpatient oncology population where patients have a relatively high morbidity/mortality compared to the general inpatient population. With increasing handoffs due to work hour restrictions, and rising utilization of multidisciplinary teams, […]
Abstract Number: 264
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalized medical patients transitioning to new house staff at the end of an inpatient resident rotation are associated with an increased risk of mortality as compared with patients not exposed to such handoffs, yet no data exist on improvement strategies targeting this transition. Given the frequency with which residents rotate service, a transition in […]
Abstract Number: 267
SHM Converge 2023
Background: Direct admissions (DA), wherein patients are non-emergently admitted to the hospital, bypassing the emergency room (ER), makeup 15% of non-elective adult hospitalizations (1). DAs can reduce ER volumes (2), but may lead to delays in initial evaluation of patients and inappropriate admissions (2,3). DAs carry risks involved with transitions of care and handoffs, yet […]
Abstract Number: 270
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Communication breakdown plays a part in the majority of adverse events in healthcare. Physician to physician handoffs are particularly prone to communication errors, yet have been shown to be more complete when systematized according to a standardized bundle. However, the degree to which individual elements of this bundle, including written versus verbal handoffs, contribute […]
Abstract Number: 296
SHM Converge 2024
Background: Over 5 million hospital-to-skilled nursing facility (SNF) transitions occur annually. Of these patients, 20% are readmitted within 30 days, and 25% of those readmissions are deemed preventable. While effective communication between the inpatient clinician and the accepting SNF clinician has been shown to improve re-hospitalization rates, few studies have examined clinician confidence or competence […]
Abstract Number: 299
Hospital Medicine 2020, Virtual Competition
Background: Handoffs are critical to safe and efficient transfer of patient care between hospitalists. While patient handoffs are essential to hospitalist practice, there is great variability in handoff content, preparation, and delivery. Our study aimed to characterize handoff practices at a large academic hospitalist group, which primarily utilizes a written handoff platform. Methods: We conducted […]
Abstract Number: 314
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content for serial handoffs between providers, facilitating real-time updates and automatically incorporating patient data elements. Over the past several years, much […]
Abstract Number: 318
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Day-to-night inpatient handoff is a high-risk moment, with potential for miscommunication. A novel handoff program recently reduced medical errors and preventable adverse events. Historically, handoffs performed by Internal Medicine residents at our institution were not standardized and there was little workplace-based performance feedback. We evaluated the impact of a novel standardized handoff tool and […]