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Search Results for Transition of Care
Abstract Number: 345
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), a post-acute care nursing facility in Manhattan. In 2013, MSH discharges by the hospitalist service to TCC had an average […]
Abstract Number: 353
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Poor communication among health providers during transitions of care (TOC) between inpatient and outpatient settings is being increasingly recognized as responsible for subpar health outcomes, wasteful healthcare spending and low patient satisfaction. Such poor communication remains the status quo as it becomes part of the implicit curriculum in residency training when residents are not […]
Abstract Number: 398
SHM Converge 2023
Background: Early discharge from the hospital improves hospital throughput as well as patient and staff satisfaction. At times, our emergency room tends to board many admitted patients for more than 24 hours, which further distresses our patients and staff. We noticed that the total number of patients leaving the hospital earlier in the day decreased […]
Abstract Number: 401
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. Because an earlier stratification risk of readmission would allow more preparation time for transitional care interventions, we aimed to assess […]
Abstract Number: 402
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication records were created for the sole purpose of dispensing prescriptions. Pharmacists have little incentive to remove outdated medications and are […]
Abstract Number: 407
SHM Converge 2023
Background: Adverse events (AE) are common during care transitions (19-28%) in patients with multiple chronic conditions (MCC) and often lead to unanticipated healthcare resource utilization after discharge. While early indicators of these AEs include new and worsening symptoms, systematic monitoring of patient-reported symptoms is lacking. The 21st Century Cures Act mandates the healthcare industry to […]
Abstract Number: 410
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Following discharge from hospital, Community Care Teams (CCT) continue the care of patients with chronic medical problems. Handover is by means of discharge summary with no further communication between Inpatient Teams (IPT) and CCT. When problems arise, CCT refer patients to the Emergency Department (ED) and re-admissions back to IPT are not infrequent. Purpose: […]
Abstract Number: 418
Hospital Medicine 2020, Virtual Competition
Background: Our 165-bed community hospital is in a phase of rapid growth due to demographic changes and expansion of services offered within the hospital. While offering unprecedented level of healthcare access to the community, improvement with emergency department (ED) throughput has emerged as one of our challenges from a patient safety perspective. Unnecessarily prolonged ED […]
Abstract Number: 426
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharge is a complex and dangerous process. The emergence and rapid growth of the Hospitalist specialty with the simultaneous decline of traditional practice models complicates discharges. In light of the discontinuity, it is crucial to build reliable communication tools that facilitate transmission of critical information.The discharge summary is an essential piece of that […]
Abstract Number: 450
Hospital Medicine 2020, Virtual Competition
Background: Patients with complex medical problems are at high risk of readmission when transitioning from the hospital to home, especially when they reside in rural areas (as is the case within our VA Health Care System (HCS)). Innovative solutions are needed to improve access to post hospitalization follow up within our facility. We hypothesized that […]