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Search Results for Hospital Transfer
Abstract Number: 174
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. The few guidelines that exist regarding the inter-facility transfer process focus on critically-ill or surgical patients, and emphasize pre-transfer communication […]
Abstract Number: 184
SHM Converge 2023
Background: With the recent consolidation of hospital systems and the increasing complexity of inpatient care, receiving inter-hospital transfers (IHT) has become more common for large academic medical centers. Notably, studies have shown IHT to be associated with increased length of hospital stay (1,2), increased cost of care (2,3), as well as delays in care and […]
Abstract Number: 205
SHM Converge 2021
Background: Interhospital transfer (IHT), which is often performed to provide patients with necessary procedural and specialized care, is a common occurrence in modern healthcare. Racial/ethnic inequities in IHT have been described using nationally representative data, however such inequities have not been characterized at a more local level, which can provide more granular data to adjust […]
Abstract Number: 212
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Capacity constraints are a common problem at many academic institutions. At Duke University Hospital (DUH) , capacity constraints continue to result in critical bed shortages. Our affiliated hospital, Duke Regional Hospital (DRH) which is less than 5 miles away, has the capacity and capability to provide care to these general medicine patients. Shifting general […]
Abstract Number: 258
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate patient experiences with IHT.Methods: Interview guides were developed using themes extracted from prior research along with expert opinion and stakeholder […]
Abstract Number: 259
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In this national study, we evaluated the appropriateness of transfer, as measured by the frequency of required specialty services available at […]
Abstract Number: 272
SHM Converge 2023
Background: The transfer of patients between hospitals, known as inter-hospital transfer (IHT), is associated with higher rates of mortality, longer lengths of stay, and higher hospitalization costs compared to admissions from the emergency department. Despite these poor patient outcomes, best practices to guide IHTs are lacking. To characterize the IHT process and identify key challenges […]
Abstract Number: 277
SHM Converge 2023
Background: Interhospital transfer (IHT) is intended to improve access to specialized therapies, maintain continuity of care, or care concordant with patients’ wishes; however, it is correlated with higher costs, longer length of stay, and greater mortality for many patients, even after illness severity adjustment (1-5). A better understanding of frontline providers’ reasons to accept transfer […]
Abstract Number: 282
SHM Converge 2024
Background: The transfer of patients between hospitals, i.e., interhospital transfer (IHT), introduces discontinuity of care including gaps in information transfer, which may worsen patient outcomes. In this study we aim to identify gaps in information exchange during IHT of medical patients from transferring hospitals of varying affiliation and electronic health record (EHR) integration to a […]
Abstract Number: 286
SHM Converge 2024
Background: Inter-hospital transfer (IHT) care is complex and suffers from inefficiencies in information and task organization, which can contribute to high cognitive load for clinicians.[1-4] Cognitive overload can lead to medical errors and clinician stress.[5-8] Our study identifies specific areas of high cognitive load experienced by hospital medicine physicians and advanced practice providers (APPs) who […]