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Meeting
Search Results for Transitions
Abstract Number: 418
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The ACGME identifies care transitions as both a core competency and focus area for the Clinical Learning Environment Review, but there is a scarcity of literature on standardized curricula designed to teach residents how to facilitate safe discharges. While focusing on the patient as the central locus of the transition is important, an under […]
Abstract Number: 423
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to execute a safe discharge plan and less likely to be readmitted. Educational videos focused on self-management may increase patient activation […]
Abstract Number: 424
SHM Converge 2023
Background: Like many other health systems, our large, academic, quaternary care center is experiencing a capacity crisis, with increasing number and duration of emergency department boarders. We hypothesized that there is a population of admitted patients who may be appropriately discharged home with timely follow-up and connection with community resources. Purpose: Our project sought to […]
Abstract Number: 425
Hospital Medicine 2020, Virtual Competition
Background: A discharge summary serves as a crucial means of communication between inpatient and outpatient providers. Appropriate transitions of care rely on updates to patient problems, diagnostics, treatment history, and discharge plans. Many studies have identified lacking components in discharge summaries that may lead to poor medical management.In an effort to improve patient transitions of […]
Abstract Number: 428
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: End of shift sign out is a major part of inpatient care and occurs multiple times for each patient on a Hospital Medicine service. Sign out guidelines recommend specific elements of the written sign out process to ensure patient safety. Use of these standardized written sign outs has been shown to improve care when […]
Abstract Number: 437
SHM Converge 2024
Background: Inter-hospital transfer (IHT), defined as the transfer of patients between acute care facilities, is a common practice. Despite assumptions that IHT is done to provide patients with necessary specialized care, the factors which drive patient transfer are highly variable in ways that are not fully explained by differences in patients or hospitals. As such, […]
Abstract Number: 439
SHM Converge 2024
Background: In 2006, the Institute of Medicine issued a report on the state of emergency care, which identified overcrowding and patient boarding as major concerns. Subsequent research has confirmed that boarding in the emergency department (ED) leads to adverse events including medication errors, higher mortality, and lower patient satisfaction. In answer to this, hospitalist groups […]
Abstract Number: 451
Hospital Medicine 2020, Virtual Competition
Background: Patients with advanced cancer have high readmission rates, up to 27% in some studies, and represent unique challenges related to transitions of care, complex disease management, and care coordination. Recent efforts have focused on better identification of potentially avoidable readmissions (PARs). One study found that primary reasons for PARs in cancer patients included pre-mature […]
Abstract Number: 452
Hospital Medicine 2020, Virtual Competition
Background: Communication between home health care agencies and referring facilities is important for comprehensive care for patients. Yet, both home health care providers and hospitalists feel that this communication is frequently lacking. Purpose: To implement weekly teleconferences to discuss patients recently discharged from the Rocky Mountain Regional VA Medical Center (RMR VAMC) who are initiating […]
Abstract Number: 458
Hospital Medicine 2020, Virtual Competition
Background: Medically complex patients discharged from hospitals to skilled nursing facilities (SNFs) are at high risk for unintentional errors, re-hospitalization, and mortality. Commonly reported transitional care errors include poor communication of critical information, limited access to medical records, and lack of clarity as to follow-up plans or patients care goals. Telehealth is increasingly used in […]