Transitions of Care

/Tag:Transitions of Care

‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

Background: Persons with opioid use disorder (OUD) represent an estimated 4-11% of hospitalized patients and are increasingly admitted for opioid-related complications. In response to the opioid epidemic, national organizations have recommended hospitals develop protocols to [...]

By | 2019-03-11T14:23:05+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on ‘REACH-IN’: A HOSPITAL-BASED INITIATIVE TO CONFRONT THE OPIOID EPIDEMIC

3-IN-1: MEETING THE NEEDS OF PATIENTS, RESIDENTS, AND THE INSTITUTION DURING HOSPITAL DISCHARGE

Background: High quality discharges improve patients’ health outcomes and experience and are a vital component of resident education. Our internal medicine residency program has had challenges in sustaining our efforts to improve discharge planning and [...]

By | 2018-03-19T13:10:05+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on 3-IN-1: MEETING THE NEEDS OF PATIENTS, RESIDENTS, AND THE INSTITUTION DURING HOSPITAL DISCHARGE

A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

Background: Vaso-occlusive acute pain crises are the leading cause for hospitalization in adult sickle cell patients. For our academic hospitalist group at a quaternary care center in New York, acute pain crises in 2017 accounted [...]

By | 2019-03-11T14:23:19+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A STANDARDIZED HOSPITALIST APPROACH TO ACUTE PAIN CRISES IN SICKLE CELL DISEASE PATIENTS

A TALE OF TWO CITIES … DIVIDED BY A GEOPOLITICAL BORDER

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 [...]

By | 2019-03-18T18:55:25+00:00 March 18th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A TALE OF TWO CITIES … DIVIDED BY A GEOPOLITICAL BORDER

BARRIERS AND FACILITATORS TO IMPLEMENTING AN ELECTRONIC PILLBOX INTERVENTION DURING CARE TRANSITIONS

Background: Adverse drug events are common during transitions of care and often due to patient misunderstanding of the medication regimen or non-adherence. Challenges exist that may influence the ability of new interventions to address this [...]

By | 2018-03-19T12:57:56+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Transitions of Care|Comments Off on BARRIERS AND FACILITATORS TO IMPLEMENTING AN ELECTRONIC PILLBOX INTERVENTION DURING CARE TRANSITIONS

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

EMR based sign-out: A tool that improves efficiency and satisfaction

Background: Transitions of care are critical to maintaining patient safety and decreasing adverse events, but they remain a complex process with many pitfalls. Electronic Medical Record (EMR) based handoffs can enhance communication by centralizing content [...]

By | 2018-03-19T15:44:20+00:00 March 19th, 2018|Innovations, Transitions of Care, Uncategorized|Comments Off on EMR based sign-out: A tool that improves efficiency and satisfaction

ENGAGEMENT WITH A NOVEL PATIENT-FACING MOBILE HEALTH APPLICATION AMONG PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

Background: Mobile health applications have the potential to support patients via improved engagement and self-management. While the use of this technology has been developed for patients with chronic diseases, there is limited evidence to guide [...]

By | 2018-03-19T13:02:14+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on ENGAGEMENT WITH A NOVEL PATIENT-FACING MOBILE HEALTH APPLICATION AMONG PATIENTS WITH ACUTE VENOUS THROMBOEMBOLISM

Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

Background: Patients, particularly the elderly and those who have chronic illnesses, often experience adverse events when transitioning from the hospital to home. An estimated 20% of all discharged patients suffer a preventable adverse event (e.g., [...]

By | 2018-03-19T15:44:36+00:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on Exploring patient and clinic staff members’ experiences with transitional care services: A case study approach

FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

Background: Discharge education is a key component of safe transition from inpatient to outpatient care in the pediatric population. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement project developed to improve [...]

By | 2018-03-19T12:54:48+00:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

FINDING SUPPORT ON THE WARDS: INTRODUCTION OF A DISCHARGE LIAISON TO REDUCE WORK COMPRESSION AND IMPROVE TRAINEE EDUCATION AND WELLNESS IN INPATIENT INTERNAL MEDICINE

Background: At academic centers the work of discharge planning has historically fallen on housestaff. The medical education community’s efforts to improve the trainee experience have led to an iterative process of duty hour reform and [...]

By | 2019-03-11T14:17:43+00:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on FINDING SUPPORT ON THE WARDS: INTRODUCTION OF A DISCHARGE LIAISON TO REDUCE WORK COMPRESSION AND IMPROVE TRAINEE EDUCATION AND WELLNESS IN INPATIENT INTERNAL MEDICINE

IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

Background: Advances in technology and life-sustaining interventions afford patients access to a wider network of subspecialized care through inter-facility transfers. Implicit in these transfers are multiple complex steps that leave patients vulnerable to adverse events. [...]

By | 2018-03-19T15:44:42+00:00 March 19th, 2018|Innovations, Patient Safety, Uncategorized|Comments Off on IMPROVING PATIENT SAFETY OUTCOMES AMONG PATIENTS TRANSFERRED FROM AN OUTSIDE FACILITY: A QUALITY IMPROVEMENT PROJECT

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