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Search Results for emergency department
Abstract Number: 231
SHM Converge 2024
Background: Many U.S. emergency departments (EDs) and hospitals experience critical overcrowding and capacity challenges which has been exacerbated by the COVID-19 pandemic.(1) ED boarding has been associated with a range of adverse outcomes, and pre-pandemic data suggests that racial minority patients may be disproportionately impacted.(2-4) We aim to identify the effects of patient race and […]
Abstract Number: 240
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours for a medicine inpatient bed at our large urban academic center. In July 2016, we deployed a 24-hour hospital medicine […]
Abstract Number: 320
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The high volume of handoffs between the Emergency Department (ED) team and the inpatient team on a daily basis makes this a ripe area for care improvement. Effective, safe and organized transitions facilitate high quality and efficient care, while a dysfunctional process negatively affects patients and practitioners and compounds overall hospital congestion and delays […]
Abstract Number: 325
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Both inappropriate hospital admissions and inappropriate discharges from the ED are associated with adverse patient outcomes. Little is known about the accuracy (sensitivity and specificity) of the hospital admission triage process. Purpose: We sought to understand the operating characteristics of our triage process to identify opportunities for improvement and project an optimal model. Description: […]
Abstract Number: 349
SHM Converge 2023
Background: In the emergency department (ED), patients living in unsafe conditions in the community, who do not have a clinical reason to be admitted, present the physician with a dilemma: admit the patient to the hospital, exposing the patient to the hazards of hospitalization, or have them return to the hazards of their living situation. […]
Abstract Number: 356
SHM Converge 2023
Background: The CDC recognizes antimicrobial resistance as an urgent global public health threat and supports antibiotic stewardship initiatives to combat antibiotic resistance. Pneumonia is a frequent condition treated by both hospitalists and emergency room physicians and the most common reason for inpatient antibiotic use and over prescribing. Recent IDSA guidelines for the treatment of community […]
Abstract Number: 370
SHM Converge 2023
Background: Many studies have demonstrated the negative effects of emergency department (ED) crowding on outcomes, including increased length of stay, inpatient mortality, and risk of readmission. Early evidence suggests effective and timely triage of patients with hospitalist input can mitigate some of the detrimental effects of ED crowding. In contrast to prior studies focused on […]
Abstract Number: 380
SHM Converge 2024
Background: Healthcare institutions have chronic bed shortages and a medically and socially complex patient population that makes optimal management of post-discharge care especially important. Effective and timely follow up post-hospitalization can improve clinical outcomes by delivering transitional care when patients are the most vulnerable. We developed a multimodal design that delivers education to patients and […]
Abstract Number: 401
SHM Converge 2023
Background: Case Managers (CM) are now a standard presence in emergency departments (ED) of large hospitals, partnering with ED and Hospital Medicine providers to improve care. They are integral in improving hospital throughput and reducing unnecessary hospital admissions and readmissions. Case Managers generally identify high-risk patients using a manual chart review process or by provider […]
Abstract Number: 421
SHM Converge 2024
Background: The process by which patients are admitted to the inpatient setting after evaluation in the emergency department (ED) is a critical component of their care transition. Striking the proper balance between the speed of the process and the quality of the communication is paramount to optimizing workflows and ensuring patient safety. At our institution, […]