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Search Results for transfer
Abstract Number: 184
SHM Converge 2023
Background: With the recent consolidation of hospital systems and the increasing complexity of inpatient care, receiving inter-hospital transfers (IHT) has become more common for large academic medical centers. Notably, studies have shown IHT to be associated with increased length of hospital stay (1,2), increased cost of care (2,3), as well as delays in care and […]
Abstract Number: 203
SHM Converge 2024
Background: Our single academic medical center implemented a standardized Outside Hospital (OSH) communication process, encouraging physician completion of a dedicated templated patient transfer note for admission to any Department of Medicine (DOM) specialty. Prior outcomes analysis revealed that documentation with any transfer note, templated or non-templated, is significantly associated with improved outcomes of death within […]
Abstract Number: 205
SHM Converge 2021
Background: Interhospital transfer (IHT), which is often performed to provide patients with necessary procedural and specialized care, is a common occurrence in modern healthcare. Racial/ethnic inequities in IHT have been described using nationally representative data, however such inequities have not been characterized at a more local level, which can provide more granular data to adjust […]
Abstract Number: 212
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Capacity constraints are a common problem at many academic institutions. At Duke University Hospital (DUH) , capacity constraints continue to result in critical bed shortages. Our affiliated hospital, Duke Regional Hospital (DRH) which is less than 5 miles away, has the capacity and capability to provide care to these general medicine patients. Shifting general […]
Abstract Number: 212
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Numerous early warning systems (EWS) exist as potential tools to improve patient safety. Our system recognized higher than peer rates of rapid response (RRT) utilization as well as higher than desired out-of-ICU code blue rates leading to a desire to implement a EWS system. Over a three-year period we reviewed the literature, developed, and […]
Abstract Number: 213
SHM Converge 2023
Background: Outside hospital (OSH) transfer processes vary across institutions. The fragmented and complex nature of OSH transfers pose patient safety risks. A recent implementation of a standardized OSH transfer process with templated note for hospital medicine patients at our institution demonstrated promising patient safety outcomes and a significant increase in physician satisfaction. This pilot study […]
Abstract Number: 251
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Transfers to academic tertiary care centers often involve complicated patients requiring subspecialty consultation and coordination of care. Therefore appropriate handoff and communication from sending to receiving institution is needed to streamline care and minimize redundancies. At our institution, we received approximately 1200 transfer requests annually. Process improvement carries the potential to impact many patients […]
Abstract Number: 258
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inter-hospital transfer (IHT, the transfer of patients between acute care hospitals) exposes patients to risks of discontinuity of care and remains a largely unstudied process of care. In this study, we aimed to investigate patient experiences with IHT.Methods: Interview guides were developed using themes extracted from prior research along with expert opinion and stakeholder […]
Abstract Number: 259
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Patients are often transferred between hospitals to provide access to required specialty services. However, prior research suggests that transfer destinations are often chosen based on institutional relationships rather than solely on patient need. In this national study, we evaluated the appropriateness of transfer, as measured by the frequency of required specialty services available at […]
Abstract Number: 272
SHM Converge 2023
Background: The transfer of patients between hospitals, known as inter-hospital transfer (IHT), is associated with higher rates of mortality, longer lengths of stay, and higher hospitalization costs compared to admissions from the emergency department. Despite these poor patient outcomes, best practices to guide IHTs are lacking. To characterize the IHT process and identify key challenges […]