Session Type
Meeting
Search Results for Transitions of Care
Abstract Number: 332
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Adverse drug events are common during transitions of care and often due to patient misunderstanding of the medication regimen or non-adherence. Challenges exist that may influence the ability of new interventions to address this issue. As part of the Smart Pillbox study, a randomized controlled trial of an electronic pillbox, we explored barriers and […]
Abstract Number: 334
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Studies have shown that care transitions represent times of great risk, especially to vulnerable patients; medication reconciliation is a major component of ensuring safe care transitions. Yet, challenges exist to obtaining a best possible home medication list (BPHML) on a provider, patient, and institutional level. Academic hospitals have large pools of in-training providers. Safety […]
Abstract Number: 336
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medical housestaff must participate in a handoff process when transitioning between rotations on hospital services. During this time, a new team of residents assumes care for multiple patients. A prior study demonstrated that this critical period of transition is associated with increased mortality among hospitalized patients. Methods of improving daily patient handoffs to overnight […]
Abstract Number: 338
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: High-risk patients with hematuria often warrant an outpatient evaluation for bladder cancer; however the presence of microscopic hematuria may often be missed by primary care physicians after hospital discharge. Whether outpatient physician’s routinely follow-up incidental microscopic hematuria on urinalysis performed during inpatient visits is yet to be fully elucidated. Our aim was to assess […]
Abstract Number: 346
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: As electronic health records (EHR) become ubiquitous, the impact on patient outcomes remains largely unknown. One major communication barrier during patient transfers is the lack of interoperability between EHR systems. Inter-hospital transfers involve transitioning high acuity patients between hospital systems that may not be able to directly communicate with one another, creating the ideal […]
Abstract Number: 347
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: At our medical center, there are 14,716 discharges annually from the general medicine services. Post discharge appointments are made by residents, nurse practitioners, and hospitalists. In a baseline survey, clinicians identified logistical barriers to successfully making appointments and revealed that patients are rarely involved in scheduling discharge appointments. Only an estimated 66% of attempted […]
Abstract Number: 355
SHM Converge 2023
Background: Medication reconciliation (MR) is a patient medication verification process performed by providers. Best practices and the intricacies of MR are poorly defined nationally, institutionally, and amongst individual providers. In graduate medical education, the skills of MR are implied and imperative in the Transitions of Care (TOC) Milestones 2.0. Prior institutional studies have indicated only […]
Abstract Number: 379
SHM Converge 2024
Background: Communication failures, particularly when patients transition between care settings, are leading causes of medical errors and sentinel events.1-2 The perception of inadequate intradisciplinary communication have been demonstrated to be a key driver in low patient satisfaction scores. Efforts to standardize handoffs have led to improvements in patient safety and experience.3 Purpose: To improve the […]
Abstract Number: 397
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In response to a national movement toward increasing value in health care, hospitals are seeking to better support patients after discharge. Older patients with functional limitations are frequently referred to receive home health care services at hospital discharge, including skilled nursing and therapy. Caregivers of patients with functional limitations receiving often have a key […]
Abstract Number: 400
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Peripherally inserted central catheters (PICCs) are often used as devices to extend intravenous treatment for hospitalized patients in post-acute settings. Variation between hospitals, indications for use, device characteristics, and outcomes for patients who receive PICCs and are discharged to skilled nursing facilities (SNFs) is not well known. Methods: Trained abstractors used a standardized approach […]