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Search Results for Transitions
Abstract Number: 167
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Failure to follow-up results of laboratory tests pending at discharge (TPADs) can lead to patient harm. Numerous interventions have been proposed to improve follow-up. The Laboratory Medicine Best Practices (LMBP™) workgroup, sponsored by the Centers for Disease Control, commissioned a systematic review to address the impact of various interventions on TPAD documentation, communication, and […]
Abstract Number: 174
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. The few guidelines that exist regarding the inter-facility transfer process focus on critically-ill or surgical patients, and emphasize pre-transfer communication […]
Abstract Number: 175
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-center quality improvement collaborative aiming to improve hospital to home transitions. As part of this project, providers attempt to schedule follow-up visits prior to discharge and conduct post-discharge phone calls. Objective: 1.Determine relationship between scheduling post-discharge follow-up visits and 30-day reutilization rates 2. Characterize patients […]
Abstract Number: 175
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transition from the inpatient to outpatient setting presents a safety risk to pediatric patients. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement collaborative developed to improve the hospital to home transition for pediatric patients using a transition bundle. One bundle element is the use of teach-back (TB) to confirm caregiver […]
Abstract Number: 176
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: To address safety risks with transitions from hospital to home, the IMPACT collaborative designed, tested and implemented the Pediatric Patient Centered Care Transition (PACT) Bundle. The bundle element “perfect” handoff (timely and complete) aimed to improve hospitalist handoff to outpatient providers at hospital discharge.Our objective was to assess outpatient medical provider’s perceptions of hospitalists’ handoff […]
Abstract Number: 184
Hospital Medicine 2020, Virtual Competition
Background: Nearly half of hospitalized patients with bacteriuria or treated for pneumonia receive unnecessary antibiotics (non-infectious/non-bacterial syndrome, e.g., asymptomatic bacteriuria), excess duration (antibiotics prescribed for longer than necessary), or avoidable fluoroquinolones (safer alternative available) at hospital discharge.1-3 However, it is unknown whether antibiotic overuse at discharge varies between hospitals or is associated with patient outcomes. […]
Abstract Number: 186
Hospital Medicine 2020, Virtual Competition
Background: Between 2007 and 2015, inpatient fluoroquinolone use declined in U.S. Veterans Affairs (VA) hospitals. Whether fluoroquinolone use at discharge has also declined, in particular since antibiotic stewardship programs became mandated at VA hospitals in 2014, is unknown. Methods: In this retrospective cohort study of hospitalizations with infection between January 1, 2014 and December 31, […]
Abstract Number: 187
SHM Converge 2023
Background: Failure to follow-up on lab tests and radiology results can lead to major patient safety concerns due to missed or delayed diagnoses and can be a cause for litigation for health care practitioners. With increasing patient loads, the volume of follow-up testing and clarifications to documentation needed for billing can be a significant burden […]
Abstract Number: 188
SHM Converge 2021
Background: Medical short stay units (SSU) are increasing in prevalence and frequently care for patients with infections. Antibiotic misuse at discharge from acute hospitalization is common. SSUs, which have rapid patient turnover, could have increased risk for antibiotic misuse during care transitions. Thus, we aimed to characterize antibiotic misuse at discharge from SSUs. Methods: We […]
Abstract Number: 188
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Discharge education is a key component of safe transition from inpatient to outpatient care in the pediatric population. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement project developed to improve care transitions for pediatric patients using a transition bundle. One bundle element focuses on thorough discharge education (DE) and the […]