Discharge

/Tag:Discharge

‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

Background:  Most patient discharges(DC) from hospitals occur in the afternoons, thus creating patient flow and potentially patient safety issues. This creates increased ER boarding hours and delays interunit patient transfers between ICU, stepdown and medical units. Sick patients may [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Other|Comments Off on ‘discharge by Appointment’ Improves Patient Flow, by Increasing Number of Discharges Before Noon

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

ALWAYS THERE WHEN YOU CALL: HOSPITAL MEDICINE WITHIN THE ER IMPROVES DISCHARGE RATES

Background: Hospital capacity constraints remain an immense concern throughout the US and has been recognized as a national crisis for greater than a decade. ER overcrowding is of particular concern due to its downstream effects. [...]

By | 2019-03-18T14:01:42+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on ALWAYS THERE WHEN YOU CALL: HOSPITAL MEDICINE WITHIN THE ER IMPROVES DISCHARGE RATES

Are We on the Same Team? Interprofessional Perceptions of Discharge Delay Causes and Occurrence Frequency

Background: Unintentional discharge delays account for up to 20% of total patient hospital days. Previous studies identified bed availability, scheduling logistics for studies, and poor communication as causes of delay factors. Although discharge requires a [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Are We on the Same Team? Interprofessional Perceptions of Discharge Delay Causes and Occurrence Frequency

DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

Background: A “safe” hospitalist workload - that is, the point at which caring for too many patients leads to poorer outcomes for each individual patient – has not been defined.  We sought to understand whether [...]

By | 2017-04-26T02:46:42+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on DOES INCREASED CLINICAL WORKLOAD LEAD TO POORER PERFORMANCE ON QUALITY IMPROVEMENT INDICATORS?

EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

Background: Earlier discharge time is an important satisfaction metric for patients, maximizes the utilization of hospital beds, and reduces waste and capacity issues in EDs /PACUs. Overall, early discharge represents high-value care and responsible stewardship [...]

By | 2018-03-15T20:51:00+00:00 April 20th, 2017|Research Abstracts, Value in Hospital Medicine|Comments Off on EARLY DISCHARGE FROM AN ACADEMIC HOSPITALIST SERVICE – MULTIPLE SUSTAINED INTERVENTIONS ARE NECESSARY FOR SUCCESS

EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) multi-site quality improvement collaborative aims to improve discharge transitions by use of a transition bundle, including use of a discharge checklist (DCL) to ensure completion of important [...]

By | 2019-03-11T14:21:34+00:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on EFFECT OF A DISCHARGE CHECKLIST ON HOSPITAL REUTILIZATION; PROJECT IMPACT INTERIM REPORT

GETTING DISCHARGES OFF THE BACK BURNER: THE ROLE OF THE ATTENDING NURSE

Background: Throughput is a challenge for many hospitals. Discharging patients impacts throughput, but is time-consuming and competes with other physician and nurse tasks, often being left on the “back burner” while attending to sicker patients. [...]

By | 2018-03-19T13:07:41+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on GETTING DISCHARGES OFF THE BACK BURNER: THE ROLE OF THE ATTENDING NURSE

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

IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and [...]

By | 2019-03-11T14:23:02+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

IMPROVING DISCHARGE COMMUNICATION: THE EXCELLENT COMMUNICATION LEADS TO IMPROVED PATIENT SATISFACTION AND EXPERIENCE (ECLIPSE) PROJECT

Background: The hospital discharge is one of the most important aspects of a patient’s hospitalization, yet in residency training, this process often goes overlooked. Most residents are never properly taught how to effectively discharge a [...]

By | 2018-03-19T13:23:18+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on IMPROVING DISCHARGE COMMUNICATION: THE EXCELLENT COMMUNICATION LEADS TO IMPROVED PATIENT SATISFACTION AND EXPERIENCE (ECLIPSE) PROJECT

IMPROVING DISCHARGE TIME AND DECREASING LENGTHS OF STAY: PILOT STUDY OF AN EMR-EMBEDDED, PHYSICIAN-DESIGNED SOLUTION FOR CROSS-DISCIPLINARY CLINICAL COMMUNICATION

Background: The EMR does not provide readily available information that conveys an at-a-glance understanding of discharge progress for a given patient. Healthcare workers have different workflows and need to manage the information in different ways, [...]

By | 2019-03-11T14:24:25+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPROVING DISCHARGE TIME AND DECREASING LENGTHS OF STAY: PILOT STUDY OF AN EMR-EMBEDDED, PHYSICIAN-DESIGNED SOLUTION FOR CROSS-DISCIPLINARY CLINICAL COMMUNICATION

Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding

Background: The Improving Pediatric Patient-Centered Care Transitions (IMPACT) Multi-site Quality Improvement Collaborative aims to improve discharge transitions by testing a patient-centered transition bundle. Teach-back is a core component. This is a well-established method of confirming [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Improving Pediatric Centered Care Transitions: Use of Teachback for Discharge Education Decreases Hospital Reulitization and Improves Parental Comfort and Understanding