Session Type
Meeting
Search Results for Length of Stay
Abstract Number: 14
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Many end stage renal disease (ESRD) patients present with complaints related to missed or incomplete hemodialysis (HD). Inpatient HD units often are not credentialed for outpatient use which results in extra cost and consumes additional resources for a standard outpatient procedure. Delays in patient throughput in emergency departments (ED) can cause boarding in the […]
Abstract Number: 17
Hospital Medicine 2020, Virtual Competition
Background: Mental illness is common among hospitalized patients and is associated with increased length of stay, higher costs, and worse clinical outcomes. Inpatient psychiatry consultations have traditionally held a reactive model, in which primary teams obtain consultation for patients that have developed active psychiatric symptoms. The reactive model has frequently led to missed opportunities to […]
Abstract Number: 19
Hospital Medicine 2020, Virtual Competition
Background: The hospitalist service at this large Academic tertiary center has a length of stay index that is longer than expected. Despite improvements in multi-disciplinary rounds and co-locating patients on a geographical units, improvements in length of stay slowed. Interviews of hospitalist physicians indicate that there are frequent delays in procedures, imaging and consult recommendations. […]
Abstract Number: 24
SHM Converge 2024
Background: Half of US hospitalists have contracts with pay-for-performance incentives based on quality outcomes such as length of stay (LOS) and readmission according to the 2023 State of Hospital Medicine Report. Traditionally, these measures have been linked to the discharging provider. However, as the length of a patient’s stay increases, the influence of the discharging […]
Abstract Number: 25
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital capacity constraints remain an immense concern throughout the US and has been recognized as a national crisis for greater than a decade. ER overcrowding is of particular concern due to its downstream effects. It occurs when admitted patients are boarded in the emergency room for greater than 2 hours, while inpatient beds become […]
Abstract Number: 37
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Multidisciplinary team-based care is a novel concept in hospital medicine where, healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies have shown that team-based care is associated with improved length of stay (LOS) and increased staff satisfaction but the data on patient safety and patient satisfaction is conflicting. […]
Abstract Number: 40
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In the throughput arena, one of the most challenging groups of hospitalized patients is the long length of stay (LLOS) patients. Although representing a minority of inpatients, this LLOS population contributes to the majority of excess days. At our urban tertiary academic institution, a LLOS is defined as greater than 15 excess days. In […]
Abstract Number: 52
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Discharge delays occur because of inconsistent communication among all clinicians and providers. Inefficient utilization of resources also contributes to delays. Effective communication among the patient care team is a foundation of creating an effective discharge planning process. We must standardize the process of communication as well as resource optimization in order to provide our […]
Abstract Number: 63
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Multidisciplinary (MDR) team rounds were established at Halifax hospital as daily, dedicated interactions between varying members of the care team on each inpatient floor. Members of the care team include physicians, nurses, physical therapists, pharmacists, and case managers. These multidisciplinary interactions allow for smooth, real-time, and accurate information that facilitate communication and enhance the […]
Abstract Number: 66
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hyperkalemia (HK; serum K+ ≥5.0mEq/L) is a common electrolyte imbalance, associated with an increase in all-cause mortality and hospitalization. Moderate to severe HK (K + levels ≥5.5mEq/L) is often managed in the emergency department or hospital, where available treatment options include methods to temporarily lower K+ (e.g., insulin-glucose and beta 2 agonists), use […]