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Search Results for research
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Anemia is the most commonly encountered hematologic abnormality in preoperative evaluations and has been associated with major adverse outcomes in surgical procedures but often ignored during preoperative evaluation. The purpose of this study is to examine the prevalence of preoperative anemia and its relationship to postoperative transfusion requirements in patients undergoing elective joint replacement […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Patients with diabetes and comorbid cardiovascular disease may be at particularly high risk for medication non-adherence and adverse outcomes after hospital discharge. The objective of this study was to design, implement, and evaluate an intensive discharge intervention for inpatients with type 2 diabetes. Methods: We randomly assigned inpatients on medicine and cardiology services with […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Hospitalization identifies patients who are particularly costly to the Medicare system and current policy efforts to reduce costs focus on the 30 days after discharge; however, much less is known about which patients will have the greatest long-term Medicare costs. Given the prevalence of functional impairment in Medicare seniors and impact on clinical outcomes […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Ward rounds at our hospital traditionally have been performed by a team of physicians and medical students outside of patients’ rooms, with minimal involvement of nursing staff and limited time spent with patients. As part of a care redesign initiative that included regionalization of clinicians and staff to unit-based care teams in June 2013, […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Venous thromboembolism (VTE) is considered the most common preventable hospital complication and VTE prophylaxis rates are benchmarks of hospital quality. Hospital-acquired VTE (HA-VTE) is defined as VTE that occurs during hospitalization or within 90 days of discharge. Recent studies, however, have shown that higher VTE prophylaxis rates in hospitalized medical patients do not correlate […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: As mobile health and technologies to engage patients in self-care gain increasing attention, it is critical to understand not only access to, but also ability and willingness of, underserved populations to use these resources, to avoid widening the digital divide. While studies estimate up to 80% of adults have internet access, no study to […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Though commonly used in the outpatient setting, patient portals have not been routinely used in hospital settings and their impact on patients’ knowledge and activation is largely unknown. Methods: We created a patient portal mobile application which included pictures, names, and role descriptions of primary team members, scheduled tests and procedures, and a list […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Efficiently improving transitions in care requires hospitals to target discharge interventions at those patients at high risk of potentially avoidable readmission (PAR). We previously derived the “HOSPITAL” score, an easy to use prediction model for medical patients (Table 1). This score had good discrimination for determining PARs in the hospital in which it was […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Planning for safe discharge should optimally begin early in each patient’s stay, and focus on individual patient’s needs. The aims of our study were to, beginning at the start of hospitalization and continuing until discharge, collect patients’ self–reported barriers to discharge, describe the most prevalent barriers, and determine whether barriers were resolved between the […]
Hospital Medicine 2015, March 29-April 1, National Harbor, Md.
Background: Signout of newly admitted patients from a night admitting physician to a primary team is common, making up roughly 40% of admissions to the inpatient medical service at our hospital. Nevertheless, little is known about these “holdover” signouts, and there is no standardized format for ensuring they contain appropriate information transfer and maximize patient […]