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Search Results for Transitions
Abstract Number: 460
Hospital Medicine 2020, Virtual Competition
Background: Hospitalization provides an opportunity to provide patients who use tobacco with evidence-based treatment for cessation, including nicotine replacement therapy, motivational interviewing, and pharmacotherapy. However, this benefit is often lost without appropriate transitions in care to outpatient cessation resources. We have found that inpatient tobacco cessation interventions at our 600-bed urban academic medical center do […]
Abstract Number: 461
Hospital Medicine 2020, Virtual Competition
Background: Harborview Medical Center (HMC) is a 413-bed academic safety net hospital in Seattle, WA, and a level one trauma center for five states. Over the past seven years, HMC has observed increasingly long length of stay (LOS) resulting in a critically high patient census and limited capacity. To improve LOS, a Care Management department […]
Abstract Number: 462
Hospital Medicine 2020, Virtual Competition
Background: Given the shift-based nature of modern hospital medicine, block schedules where physicians are on clinical service for a defined period of time are common place. As such, end-of-service handoffs are a routine element of hospital medicine practice. Like handoffs to an overnight cross-covering physician, end-of-service handoffs pose a risk to patients if critical information […]
Abstract Number: 463
Hospital Medicine 2020, Virtual Competition
Background: Our experience developing the Comprehensive Care Physician (CCP) program within the Section of Hospital Medicine at the University of Chicago has illustrated the value of relational continuity in the care of patients with complex medical needs. For patients with increased risk of hospitalization and who are willing to find a new primary care physician, […]
Abstract Number: 465
Hospital Medicine 2020, Virtual Competition
Background: As hospital length of stay has shortened from an average of 6.5 days in 2015 to 4.5 days in 2019 (1), there is increased urgency for providers to efficiently address inpatient needs and to shift diagnostic and therapeutic management to outpatient settings. Patients are faced with increased self-care burdens, often tasked to implement complex […]
Abstract Number: 476
Hospital Medicine 2020, Virtual Competition
Background: COPD is the third leading cause of death and hospital readmissions. Inpatient care for patients with COPD exacerbations varies widely across the US which can lead to patients failing to receive recommended evaluation, treatment, education, and follow-up to reduce the likelihood of recurrent exacerbations and unnecessary acute care utilization. In an effort to innovate […]
Abstract Number: 608
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 22 year-old G1P1000 pregnant woman at 24 weeks presented with hypertensive urgency and newly diagnosed intrauterine growth restriction in the setting of pre-eclampsia. On admission her physical exam and laboratory data were unremarkable. The patient was admitted to maternal fetal medicine for closer fetal monitoring. On hospital day (HD) 9 she began […]
Abstract Number: 638
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: The logistical complexity of hospital-to-hospital transfer of care in the United States is well-documented. However, little is known about the processes involved in cross-border hospital transfer. This case illustrates the challenges and complexities of patient care across the U.S.-Mexico border. Discussion: A 26-year-old Mexican male presented to the ED with hypovolemic shock via […]
Abstract Number: 760
SHM Converge 2024
Case Presentation: A 32-year-old woman with sickle cell HbSS disease presented due to acute encephalopathy in the setting of recent admission for diffuse urticarial rash treated with steroids and diphenhydramine. She was found to be hypotensive, tachycardic, and tachypneic with development of fever soon after presentation. Chest x-ray showed left basilar opacities. She was intubated […]
Abstract Number: B23
SHM Converge 2022
Background: The Centers for Medicare & Medicaid Services (CMS) uses a five‐star quality rating system to measure Medicare beneficiaries’ experience with their health care system. Unplanned readmission rates serve as a marker of the effectiveness and safety of its transitional care process and carry significant weight in determining a hospital’s overall rating. Our institution, an […]