Session Type
Meeting
Search Results for Transitions of Care
Abstract Number: 61
Hospital Medicine 2020, Virtual Competition
Background: Literature regarding resident education in transitions of care is limited, particularly in geriatric populations. The University of Colorado performed a pilot of a virtual multidisciplinary conference call between providers on the geriatric inpatient unit of the University of Colorado Hospital and its Seniors Clinic. Residents rotating on the Acute Care of the Elder (ACE) […]
Abstract Number: 65
SHM Converge 2024
Background: By law, patients have prompt access to electronic discharge notes in their charts. Technical language and abbreviations make notes difficult to read and understand for a typical patient. Large language models such as GPT-4 may have the potential to transform these notes into patient-friendly language and format. Our objective was to determine whether GPT-4 […]
Abstract Number: 73
Hospital Medicine 2020, Virtual Competition
Background: Although many older adults will be hospitalized in their lifetime, most do not consider or plan ahead for their post-hospitalization support needs. When older adults experience a hospitalization, families often must react to the crisis leaving the older adult out of the decision process (e.g. choosing a skilled nursing facility, caregivers). With PCORI funding, […]
Abstract Number: 78
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: At academic centers the work of discharge planning has historically fallen on housestaff. The medical education community’s efforts to improve the trainee experience have led to an iterative process of duty hour reform and re-design. One effect has been “work compression” – each day a trainee is required to complete more tasks in less […]
Abstract Number: 136
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: A small population of patients disproportionately consume an increasing share of medical resources. These super-utilizers often have complex medical and psychosocial conditions that require carefully coordinated, individualized care. As this population drives unplanned readmissions, programs to reduce readmissions may create unintended incentives to direct super-utilizers to another hospital system. This study was designed to […]
Abstract Number: 138
Hospital Medicine 2020, Virtual Competition
Background: Persons with opioid use disorders (OUD) represent a disproportionately high percentage of hospitalized patients, have greater lengths of stay and readmissions, can incur higher costs, and are at greater risk of drug-related death immediately post-discharge. Further, despite the availability of effective medications for OUD, patients often are not offered treatment during the inpatient encounter. […]
Abstract Number: 143
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Warfarin and other anticoagulants increase the risk of hemorrhagic complications, including upper gastrointestinal hemorrhages (UGIB). Warfarin is commonly used in the management of atrial fibrillation to reduce the risk of ischemic stroke, and frequently resumed following UGIB. However, optimal timing of reinitiation remains unclear. Theory suggests that resuming warfarin immediately after UGIB would lead […]
Abstract Number: 147
SHM Converge 2023
Background: For patients at increased risk of hospitalization, reducing hospitalization is often a key objective and can have important effects on health care costs. The Comprehensive Care Physician (CCP) model was developed originally at the University of Chicago to reintegrate inpatient and outpatient care under the same physician for patients at high risk of hospitalization […]
Abstract Number: 158
SHM Converge 2021
Background: Community acquired pneumonia (CAP) is one of the leading causes of hospitalization in the United States.[1] In an effort to improve the quality of care for this resource-intensive disease, our institution implemented a clinical decision support (CDS) pathway for CAP comprised of three phases: (1) education on best practices, (2) education and a CDS […]
Abstract Number: 165
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Accurate medication reconciliation during transitions of care can decrease medication related adverse drug events. The Joint Commission has prioritized medication reconciliation as one of the national patient safety goals. Effective pharmacist-physician-patient collaboration can improve the medication reconciliation process and thus medication safety for hospitalized patients Purpose: 1. Develop a standardized provider-pharmacist discharge medication reconciliation […]