Session Type
Meeting
Search Results for Observation
Abstract Number: 165
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The number of hospitals with dedicated observation units has grown in recent years to one-third of all United States hospitals and 80% of academic medical centers, though much is still unknown about how to best deliver care in this setting. At our institution, syncope is among the most common indications for admission to the […]
Abstract Number: 173
SHM Converge 2024
Background: Pediatric hospitalists are responsible for providing high quality care in the hospital setting while teaching learners and maintaining a professional learning environment. This skill is rarely taught during medical training. Peer observation is a collaborative tool with potential for mutual benefit; offering the observer an opportunity to learn new strategies and the individual observed […]
Abstract Number: 178
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Pediatric (ped) short stay admissions of
Abstract Number: 202
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The observation unit is frequently a destination for patients with yet undifferentiated conditions. The goal of the observation stay is to complete a crucial diagnostic test or treatment trial that should help specify the diagnosis, but that is not always the case. Understanding the frequency of diagnoses that remain unspecified after an observation visit […]
Abstract Number: 223
Hospital Medicine 2020, Virtual Competition
Background: Hospital Medicine is being increasingly involved in improving various metrices of inpatient care such as length of stay and cost of care. Patients who do not meet ‘inpatient criteria’ often contribute to significant financial costs to hospitals and remain in ‘observation status’ during their hospital stay. Observations units which were introduced by emergency doctors […]
Abstract Number: 286
Hospital Medicine 2020, Virtual Competition
Background: Observation status was designed to reduce health care costs for patients in need of short hospital stays. CMS suggests that observation care should typically require less than 24 hours, and only rarely last more than 48 hours. However, studies suggest that length of stay for observation patients is often longer than CMS guidance.[1,2] An […]
Abstract Number: 289
SHM Converge 2024
Background: Post-discharge phone calls to hospitalized patients have been associated with reduced 30-day readmissions.[1,2] But their impact during the COVID-19 pandemic is unknown. Further, whether the 30-day readmission metric is an accurate surrogate for care utilization remains a concern.[3-5] Since 2012, national all-cause readmissions have decreased while emergency department (ED) visits and observation status have […]
Abstract Number: 293
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Observation units were initially intended to function as a short stay unit for lower acuity patients with specific diagnoses, however this traditional model is currently evolving. Rising health care costs and changing health care policy have resulted in an increase utilization of the observation unit and an expansion of diagnostic criteria to include more […]
Abstract Number: 312
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Observation services continue are a growing part of U.S. healthcare, with over 90% of surveyed hospitalist groups providing observation care. Despite observation services growing at teaching hospitals, few residents receive structured training in this area. Purpose: To create a structured clinical experience for internal medicine residents that gives an initial introduction to observation medicine […]
Abstract Number: 315
SHM Converge 2024
Background: Health systems nationwide are grappling with creating innovative strategies to enhance the patient experience. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national survey that provides a standardized approach to valuing the patients’ perspective. Unfortunately, as HCAHPS data is delayed and challenging to link to individual patient interactions, physicians infrequently receive […]