Transitions of Care

A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an [...]

By | 2019-03-11T14:25:38+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A FLUID DISCHARGE: LIQUID OPIOIDS AND OTHER RISK FACTORS THAT CONTRIBUTE TO EXCESSIVE OPIOID PRESCRIPTIONS FROM A HOSPITAL MEDICINE SERVICE

A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost [...]

By | 2019-03-11T14:25:26+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to [...]

By | 2019-03-11T14:26:03+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAN CONDITION-SPECIFIC EDUCATIONAL VIDEOS ACTIVATE PATIENTS PREPARING FOR DISCHARGE?

CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

Background: In response to a national movement toward increasing value in health care, hospitals are seeking to better support patients after discharge. Older patients with functional limitations are frequently referred to receive home health care [...]

By | 2019-03-11T14:25:24+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CAREGIVER EXPERIENCES OF CARE COORDINATION FOR RECENTLY-DISCHARGED PATIENTS: A QUALITATIVE METASYNTHESIS

CHARLSON, CHARLSON AGE, SIMPLIFIED HOSPITAL AND LACE SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

Background: Hospital readmissions are common, detrimental for patients and associated with significant costs for the healthcare system. The aim of this study was to evaluate Charlson, Charlson age, simplified HOSPITAL and LACE score in 30-day [...]

By | 2019-03-11T14:25:58+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CHARLSON, CHARLSON AGE, SIMPLIFIED HOSPITAL AND LACE SCORE TO PREDICT 30-DAY NON-ELECTIVE READMISSION IN A BRAZILIAN TERTIARY CARE TEACHING PUBLIC HOSPITAL

COMPARISON OF PATIENTS DIRECTLY ADMITTED TO INTERMEDIATE CARE UNITS (IMC) VERSUS THOSE TRANSFERRED FROM MEDICAL-SURGICAL WARDS

Background: Previous research indicates that delayed transfer of patients to critical care units from Medical-Surgical units results in increased mortality. However, few studies have compared the outcomes of patients directly admitted from the emergency department [...]

By | 2019-03-11T14:26:09+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on COMPARISON OF PATIENTS DIRECTLY ADMITTED TO INTERMEDIATE CARE UNITS (IMC) VERSUS THOSE TRANSFERRED FROM MEDICAL-SURGICAL WARDS

COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

Background: The simplified HOSPITAL score is an easy-to-use prediction model that accurately identifies patients at high-risk of 30-day unplanned readmission before hospital discharge. The predictors include the last available hemoglobin and sodium levels at discharge. [...]

By | 2019-03-11T14:25:30+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on COMPARISON OF THE SIMPLIFIED HOSPITAL SCORE TO PREDICT 30-DAY READMISSION USING LAB VALUES AT ADMISSION OR AT DISCHARGE

CURRENT PRACTICES IN NALOXONE PRESCRIBING UPON HOSPITAL DISCHARGE

Background: Drug overdose deaths are increasing throughout the country. Increasing naloxone availability is a cost-effective way to prevent opioid-related deaths. High-risk patients admitted in the hospital may benefit from a take-home naloxone prescription. This study [...]

By | 2019-03-11T14:26:02+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on CURRENT PRACTICES IN NALOXONE PRESCRIBING UPON HOSPITAL DISCHARGE

EFFECT OF EARLY POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

Background: Studies have shown about 2 million patients are readmitted to hospitals nationwide yearly. Data from the Center for Health Information and Analysis (CHIA) estimate the annual cost of readmissions of Medicare patients amounts to [...]

By | 2019-03-11T14:25:52+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on EFFECT OF EARLY POST-HOSPITALIZATION FOLLOW-UP IN A TRANSITIONAL MEDICAL CLINIC ON REDUCING 30-DAY READMISSIONS

IDENTIFYING RACIAL/ETHNIC DISPARITIES IN INTERHOSPITAL TRANSFER

Background: Racial/ethnocultural inequities have been demonstrated throughout our health care system, though their presence among patients who undergo interhospital transfer (IHT), commonly done to provide patients with more specialized care, is poorly understood. The goals [...]

By | 2019-03-11T14:26:06+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on IDENTIFYING RACIAL/ETHNIC DISPARITIES IN INTERHOSPITAL TRANSFER

IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

Background: Development of opiate use disorder and opiate overdose has been associated with prolonged opiate-days prescribed. Conventionally, opiate-days supplied has been calculated based on the discharge prescription signature (e.g., how a patient is supposed to [...]

By | 2019-03-11T14:25:40+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on IMPLICATIONS OF USING AN ALTERNATIVE MEASURE TO ASSESS OPIATE DAYS SUPPLIED AT DISCHARGE

INITIAL MOTIVATION TO QUIT SMOKING AS A PREDICTOR OF SUCCESS IN THE CHART TRIAL

Background: Smoking is the leading cause of preventable death in the United States, and hospitalization is an excellent opportunity to promote smoking cessation. Motivation to quit has been shown to be associated with quit attempts, [...]

By | 2019-03-11T14:25:48+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on INITIAL MOTIVATION TO QUIT SMOKING AS A PREDICTOR OF SUCCESS IN THE CHART TRIAL

INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

Background: Cross-cover is defined as caring for hospitalized patients for whom one is not the primary provider. This is a common, daily practice for residents and hospitalists. It has been demonstrated that the primary intern [...]

By | 2019-03-11T14:25:37+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on INPATIENT CROSS-COVER EXPERT CONSENSUS GUIDELINES FOR MEDICAL AND SURGICAL RESIDENTS: A DELPHI ANALYSIS

MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE

Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication [...]

By | 2019-03-11T14:25:31+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on MEDICATIONS DISPENSED AT THE COMMUNITY PHARMACY DESPITE DISCONTINUATION AT HOSPITAL DISCHARGE