Session Type
Meeting
Search Results for Discharge
Abstract Number: 38
SHM Converge 2023
Background: Patients experiencing unsheltered homelessness are at extreme risk for worse outcomes, including increased mortality 10 times that of the general population and an average life expectancy of 53 (over 20 yrs less than general population). Transitions of care pose unique difficulties for this vulnerable population, with numerous barriers to ongoing care and resulting readmission […]
Abstract Number: 211
SHM Converge 2023
Background: Using average length of stay (LOS) as a quality indicator for individual hospitalists is problematic because it is a metric typically attributed to the discharging attending, who may not have cared for the patient for the majority of the hospitalization. In addition, a hospitalist may have a long average LOS if they are skilled […]
Abstract Number: 226
SHM Converge 2023
Background: A hospital discharge summary serves as an important document that outlines the patient’s hospital course, changes made to their medication regimen, and significant studies or events that took place during their stay. Studies have shown that high-quality discharge summaries are instrumental in facilitating safe transitions from the hospital, minimizing adverse events, and reducing hospital […]
Abstract Number: 231
SHM Converge 2023
Background: Over 8 million Americans with diabetes require insulin for disease management. Insulin is a high-risk medication with immense potential for harm. Transitions of care from the hospital to ambulatory settings are particularly prone to error. Studies have suggested a substantial number of insulin prescriptions at hospital discharge contain errors which can result in increased […]
Abstract Number: 357
SHM Converge 2023
Background: Discharge delays adversely affect patient flow leading to prolonged Emergency Department (ED) boarding time and decrease in hospital bed availability. Discharge improvement processes can mitigate these delays, but in practice it has been difficult to implement and create substantial impact on discharge delays. Purpose: To develop and implement a discharge physician assistant (DAP) role […]
Abstract Number: 365
SHM Converge 2023
Background: Effective discharge education is important to help patients understand their medications and follow up appointments, thereby improving adherence and reducing risk of readmissions. Our institution’s electronic medical record has a standard After Visit Summary (AVS) that is utilized by nursing staff to educate patients on the discharge care plan and then given to patients […]
Abstract Number: 390
SHM Converge 2023
Background: Delivering high quality and efficient care is a top priority at our 800-bed quaternary care hospital. We have seen significant improvements in many patient-care domains by implementing hospital-wide standardized interdisciplinary rounds. As part of our ongoing efforts to further improve efficiency and value, we hope to leverage a simple order in our electronic medical […]
Abstract Number: 419
SHM Converge 2023
Background: Reducing hospital length of stay (LOS) for patients who are medically ready for discharge is both an operational necessity and a shared patient goal given fixed hospital capacities and rising costs of care. Presently, there is no readily identifiable time-point in the electronic medical record (EMR) denoting when patients become medically ready for discharge. […]
Abstract Number: 424
SHM Converge 2023
Background: Like many other health systems, our large, academic, quaternary care center is experiencing a capacity crisis, with increasing number and duration of emergency department boarders. We hypothesized that there is a population of admitted patients who may be appropriately discharged home with timely follow-up and connection with community resources. Purpose: Our project sought to […]