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Meeting
Search Results for Handoff
Abstract Number: 320
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The high volume of handoffs between the Emergency Department (ED) team and the inpatient team on a daily basis makes this a ripe area for care improvement. Effective, safe and organized transitions facilitate high quality and efficient care, while a dysfunctional process negatively affects patients and practitioners and compounds overall hospital congestion and delays […]
Abstract Number: 331
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Failures in communication among healthcare personnel are known threats to patient safety. Communication is particularly vulnerable to error when patient care responsibility is transferred from one provider to another (i.e., handoff). In this study we implemented a web-based handoff tool and provider training, and evaluated the impact on preventable adverse events (AEs). Methods: We […]
Abstract Number: 336
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medical housestaff must participate in a handoff process when transitioning between rotations on hospital services. During this time, a new team of residents assumes care for multiple patients. A prior study demonstrated that this critical period of transition is associated with increased mortality among hospitalized patients. Methods of improving daily patient handoffs to overnight […]
Abstract Number: 350
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Inpatient handoffs have been recognized as a vulnerable time during a patient’s hospitalization and are widely associated with adverse events and near misses. A variety of strategies have been implemented in order to improve shift handoffs. To date, no study has described how residency program leadership views these strategies, or how the implementation of […]
Abstract Number: 363
Hospital Medicine 2020, Virtual Competition
Background: As a result of the 2011 ACGME duty-hour policies, many residencies have transitioned to a shift-work system, where swing and overnight residents admit patients for handoff to a new primary team the following morning. In our Internal Medicine residency program, up to 70% of admitted patients are handed off in this fashion. These “holdover […]
Abstract Number: 382
SHM Converge 2024
Background: Critical illness requires initiation of several classes of medications to treat or prevent different conditions. These include nebulizers, PPIs, antipsychotics, antibiotics, steroids, anticoagulants, opioids, benzodiazepines, & several others. Continuation of these medications upon transfer from MICU to the floor is a common occurrence with downstream implications including side effects or potential harm to patients, […]
Abstract Number: 462
Hospital Medicine 2020, Virtual Competition
Background: Given the shift-based nature of modern hospital medicine, block schedules where physicians are on clinical service for a defined period of time are common place. As such, end-of-service handoffs are a routine element of hospital medicine practice. Like handoffs to an overnight cross-covering physician, end-of-service handoffs pose a risk to patients if critical information […]
Abstract Number: 497
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 28-year-old woman with sickle cell disease and chronic pain who required inpatient care several times yearly presented with worsening nausea, emesis and uncontrolled pain to the emergency department (ED). Symptoms were typical of prior pain crises. The patient followed regularly with a hematologist undergoing monthly red blood cell exchange transfusions. In the […]
Abstract Number: J14
SHM Converge 2022
Background: The field of hospital medicine has grown significantly, warranting investigation of staffing models to maximize outcomes and promote patient safety. Handoffs are a source of increased risk for patients and result in longer lengths of stay, increases in error, and missed items for follow up. Our current hospital medicine model uses specialized care teams […]
Abstract Number: J16
SHM Converge 2022
Background: Transitions of care from one service to another are a precarious time with risk of adverse events, medical errors, and clinician dissatisfaction. Every handoff involves transferring information and responsibility for a patient from one physician to another. The appropriateness of transfer is critical to safe patient care. The transfer process from an intensive care […]