Session Type
Meeting
Search Results for Length of Stay
Abstract Number: 451
SHM Converge 2024
Background: Delays in medical care are frustrating for all stakeholders involved, including patients, their families, and the clinical teams responsible for moving their care forward. These delays, particularly in inpatient care, not only extend hospital stays but also have a cascading effect on patient throughput and inpatient bed availability. Hospitalists regularly navigate these challenges and […]
Abstract Number: 453
SHM Converge 2024
Background: As hospital systems look to a future of accelerated movement toward value, hospitalist engagement will be necessary for identifying opportunities and executing improvement in the inpatient space. Improvement in efficiency of clinical care, and related decrease in length of stay (LoS), has been identified as a way hospitalist teams can contribute to value-based care. […]
Abstract Number: 454
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The annual incidence of sepsis is about 1.7 million in the United States and about 270,000 Americans die as a result of sepsis each year. Atrial fibrillation is the most common arrhythmia seen in hospitalized patients and has shown to unfavorably alter the cardiovascular hemodynamics in patients admitted with sepsis. However there are only […]
Abstract Number: 455
SHM Converge 2024
Background: At our multi-hospital system, our utilization management (UM) program found that the length of stay (LOS) for observation patients in one hospital was, on average, 10 hours longer than the rest of the hospital system. There was a challenge of having better observation management, but there was no space or staffing to create a […]
Abstract Number: 461
Hospital Medicine 2020, Virtual Competition
Background: Harborview Medical Center (HMC) is a 413-bed academic safety net hospital in Seattle, WA, and a level one trauma center for five states. Over the past seven years, HMC has observed increasingly long length of stay (LOS) resulting in a critically high patient census and limited capacity. To improve LOS, a Care Management department […]
Abstract Number: 464
Hospital Medicine 2020, Virtual Competition
Background: Length of stay (LOS) is an important quality indicator and has significant financial implications and impact on hospital throughput. Geriatric Fracture Center (GFC) is a co-management program between Hospital Medicine and Orthopedic for patients who are age 60 and above with fragility fracture. Delays in skilled nursing facility (SNF) rehabilitation placement are a major […]
Abstract Number: 473
Hospital Medicine 2020, Virtual Competition
Background: In many urban hospitals, Emergency Department (ED) crowding and patient boarding is an increasing challenge. Admitted patients often spend prolonged periods of time in the ED while waiting for an inpatient bed. These ED boarded patients can have delayed or inadequate care, increased adverse events and increased mortality. Furthermore, these ED boarded patients place […]
Abstract Number: 805
SHM Converge 2024
Case Presentation: A 63-year-old man with polycystic kidney disease and bilateral renal masses was seen in our dedicated Pre-Operative clinic before a bilateral nephrectomy for renal cell carcinoma. In preparation for this surgery his nephrologist had placed a referral for community hemodialysis. However, regional wait times for community dialysis chairs averaged 2-3 months necessitating prolonged […]
Abstract Number: A16
SHM Converge 2022
Background: Interhospital transfers are shown to be associated with increased length of stay (LOS), mortality, and discharge to facility.[1,2] Delirium has been associated with similar outcomes.[3] Our prior data showed that interhospital transfers had 1.91 times the risk of delirium when compared to ED admissions. We hypothesized that an interaction between admission source, namely interhospital […]
Abstract Number: B15
SHM Converge 2022
Background: Fewer hospitalized patients are discharged per day on weekends as compared to weekdays.1 Hospital medicine groups have implemented quality improvement (QI) initiatives to increase weekend discharges, however, the factors contributing to lower rates of weekend discharges are not well-described.2 To better understand contributors to missed opportunities for weekend discharge, we analyzed patients discharged on […]