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Search Results for transfer
Abstract Number: 35
Hospital Medicine 2020, Virtual Competition
Background: Approximately 1.6 million patients are transferred between hospitals yearly, with disproportionately high cost and mortality. Despite the risk associated with inter-hospital transition of care, there is no established best practice in coordinating and triaging transfers. This gap in knowledge is partly driven by a dearth of studies which integrate clinical data before and after […]
Abstract Number: 48
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Poor communication among providers is a barrier to seamless transitions in patient care. This problem is compounded when patients undergo interhospital transfer (IHT), where complex patients are transferred between providers, settings and healthcare systems. Templated notes have been used in other hospital-based care transitions to improve communication but have not been widely utilized during […]
Abstract Number: H2
SHM Converge 2022
Background: Emergency Department (ED) overcrowding and lack of hospital bed capacity are pervasive problems made worse by the Covid-19 pandemic. Bed capacity is a significant concern at Academic Medical Centers (AMCs), as patients depend upon AMCs for specialized in-hospital care not available at other regional hospitals. Bed capacity shortage is acutely felt at rural AMCs, […]
Abstract Number: K9
SHM Converge 2022
Background: Hospital admissions at a tertiary care hospital occurs mostly by two routes: 1) through the Emergency Department (ED), and 2) through Transfer center. Several perceptions exist about transfer patients being more complex, and association with worse outcomes, or similar outcomes as compared to ED admits, and hence need for optimization of transfer decision and […]
Abstract Number: 107
SHM Converge 2023
Background: Most medical centers have limited ICU beds to directly admit high acuity patients from the emergency department. This is compounded by the trend towards increased medical acuity. Thus, rising numbers of patients with higher acuity are being admitted to general medical units and later requiring transfer to ICU. These patients have higher in-hospital mortality […]
Abstract Number: 110
Hospital Medicine 2020, Virtual Competition
Background: ST-segment elevation myocardial infarctions (STEMI) is a significant cause of morbidity and mortality in the United States. Inter-hospital transfers (IHT) are becoming the standard for treatment of ST-elevation myocardial infarctions (STEMIs) as specialized care is often concentrated at tertiary centers. The American Heart Association and the American College of Cardiology (AHA/ACC) recommends door-to-balloon time […]
Abstract Number: 130
SHM Converge 2021
Background: Coronavirus disease of 2019 (COVID-19) is a novel widespread disease that has a range of manifestation from asymptomatic to fatal. In the United States, there have been approximately 396,000 hospitalizations as of this writing, of which an estimated 25% will require the intensive care unit (ICU)1,2. With the ongoing spread and repeated waves of […]
Abstract Number: 136
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: A small population of patients disproportionately consume an increasing share of medical resources. These super-utilizers often have complex medical and psychosocial conditions that require carefully coordinated, individualized care. As this population drives unplanned readmissions, programs to reduce readmissions may create unintended incentives to direct super-utilizers to another hospital system. This study was designed to […]
Abstract Number: 137
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs. Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all in settings of high patient complexity and acuity. We developed a large database of patients transferred between hospitals to identify […]
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 […]