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Search Results for transition
Abstract Number: 465
Hospital Medicine 2020, Virtual Competition
Background: As hospital length of stay has shortened from an average of 6.5 days in 2015 to 4.5 days in 2019 (1), there is increased urgency for providers to efficiently address inpatient needs and to shift diagnostic and therapeutic management to outpatient settings. Patients are faced with increased self-care burdens, often tasked to implement complex […]
Abstract Number: 466
Hospital Medicine 2020, Virtual Competition
Background: Despite significant efforts, sepsis remains a common cause of hospital readmissions nationwide, and patients are often readmitted within two weeks after their index admission. Not only are patients who develop sepsis often chronically debilitated, sepsis can lead to systemic sequelae that includes functional deconditioning, cognitive impairment, sepsis-induced immunosuppression and inflammation, and cardiovascular risks. This […]
Abstract Number: 467
Hospital Medicine 2020, Virtual Competition
Background: Discharge planning and transition of care (TOC) is a crucial process for inpatient teams hoping to optimize patient experience and outcomes. Feedback from patients prior to leaving the hospital identifies several areas for improvement, as there are often misunderstandings about hospital courses and treatment plans. Such confusion leads to poor TOC. The Hospital Consumer […]
Abstract Number: 476
Hospital Medicine 2020, Virtual Competition
Background: COPD is the third leading cause of death and hospital readmissions. Inpatient care for patients with COPD exacerbations varies widely across the US which can lead to patients failing to receive recommended evaluation, treatment, education, and follow-up to reduce the likelihood of recurrent exacerbations and unnecessary acute care utilization. In an effort to innovate […]
Abstract Number: 608
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 22 year-old G1P1000 pregnant woman at 24 weeks presented with hypertensive urgency and newly diagnosed intrauterine growth restriction in the setting of pre-eclampsia. On admission her physical exam and laboratory data were unremarkable. The patient was admitted to maternal fetal medicine for closer fetal monitoring. On hospital day (HD) 9 she began […]
Abstract Number: 638
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: The logistical complexity of hospital-to-hospital transfer of care in the United States is well-documented. However, little is known about the processes involved in cross-border hospital transfer. This case illustrates the challenges and complexities of patient care across the U.S.-Mexico border. Discussion: A 26-year-old Mexican male presented to the ED with hypovolemic shock via […]
Abstract Number: 760
SHM Converge 2024
Case Presentation: A 32-year-old woman with sickle cell HbSS disease presented due to acute encephalopathy in the setting of recent admission for diffuse urticarial rash treated with steroids and diphenhydramine. She was found to be hypotensive, tachycardic, and tachypneic with development of fever soon after presentation. Chest x-ray showed left basilar opacities. She was intubated […]
Abstract Number: B16
SHM Converge 2022
Background: Patients hospitalized with COVID-19 are at risk for clinical deterioration after discharge. Because of this concern, hospitals established home monitoring programs during the pandemic. This study sought to describe these programs among a sample of US academic medical centers. Methods: We conducted a voluntary survey of hospital medicine leaders who participate in the Hospital […]
Abstract Number: B23
SHM Converge 2022
Background: The Centers for Medicare & Medicaid Services (CMS) uses a five‐star quality rating system to measure Medicare beneficiaries’ experience with their health care system. Unplanned readmission rates serve as a marker of the effectiveness and safety of its transitional care process and carry significant weight in determining a hospital’s overall rating. Our institution, an […]
Abstract Number: D23
SHM Converge 2022
Background: Hospital throughput and length of stay (LOS) are important drivers of success in an increasingly competitive healthcare landscape where revenues are down and demand can exceed hospital capacity. More specifically, longer LOS and hospital throughput bottlenecks impact access to timely care, the quality and safety of care delivery, patient and family satisfaction, and provider […]