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Search Results for Hospital Transfer
Abstract Number: 290
SHM Converge 2024
Background: Interhospital transfer (IHT) is a pathway by which many patients may receive procedures or specialty care not available at their local hospital. While IHTs present the opportunity for resource sharing between hospitals for the purpose of improved patient outcomes, the discontinuity of care and the acuity of the patients may adversely affect other quality […]
Abstract Number: 306
Hospital Medicine 2020, Virtual Competition
Background: Inter-hospital transfer (IHT, the transfer of patients between hospitals) exposes patients to risks of discontinuity of care, including errors in communication. However, the association between communication among providers during IHT and patient outcomes has yet to be rigorously studied due to limitations of administrative data to adequately capture quality of communication. In this study, […]
Abstract Number: 308
Hospital Medicine 2020, Virtual Competition
Background: Interhospital transfer (IHT) is often performed to provide patients with necessary specialized care. While there are numerous examples of racial/ethnic health inequities in our healthcare system, inequities in IHT are not well-characterized. We sought to determine if there are racial/ethnic inequities in IHT among patients with select conditions previously associated with a mortality benefit […]
Abstract Number: 312
Hospital Medicine 2020, Virtual Competition
Background: Background: Patients transferred between hospitals undergo a high-risk transition of care, where communication is asynchronous, information is commonly lost, and mortality is disproportionately high. Prior studies have shown that standardizing communication through checklists can improve outcomes, and conversely lost documentation has been associated with higher mortality. The lack of interoperability of electronic health records […]
Abstract Number: 332
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Care transitions expose hospitalized patients to risks of discontinuity of care. Although various forms of care transitions have been widely studied, little is known about inter-hospital transfers (IHT, the transfer of patients between acute care hospitals). We used national Medicare data to examine the frequency of IHT and compare patient characteristics of transferred versus […]
Abstract Number: 344
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Direct hospital admissions from outside emergency departments and hospitals comprise a large proportion of admissions to tertiary medical centers. Clinical stability in these acutely ill patients can fluctuate, even during transport to a receiving medical center. Here, we report data obtained as part of an internal quality improvement initiative to identity clinical criteria present […]
Abstract Number: 346
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: As electronic health records (EHR) become ubiquitous, the impact on patient outcomes remains largely unknown. One major communication barrier during patient transfers is the lack of interoperability between EHR systems. Inter-hospital transfers involve transitioning high acuity patients between hospital systems that may not be able to directly communicate with one another, creating the ideal […]
Abstract Number: 365
SHM Converge 2021
Case Presentation: Our patient is a 74-year-old male with a history of thrombocytopenia thought secondary to ITP, hypothyroidism, and prior spontaneous coronary artery dissection requiring cardiac bypass who was transferred from an outside hospital for acute kidney injury and abdominal distention. A few weeks prior to admission, the patient experienced congestion, cough and low-grade fever […]
Abstract Number: 380
SHM Converge 2023
Background: Boarding of admitted patients in the Emergency Department has become an increasingly large problem throughout the country. Longer boarding times are associated with a wide range of adverse effects, ranging from patient discomfort to medical errors and death. Emergency Departments are not designed to provide inpatient care and require frequent diversion of attention and […]
Abstract Number: 399
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost for the healthcare system. Reviewing cases of mortality after inter-hospital transfer can identify opportunities to improve patient safety and efficiency […]