Emergency department visits by older adults receiving postacute care in skilled nursing facilities
AbstractSkilled nursing facilities (SNF) represent a common postdischarge destination for hospitalized older adults. The goals of SNF care include the completion of extended skilled nursing care and physical rehabilitation to enable patients to safely return home. However, nearly one in four older adults discharged to SNF are rehospitalized and one in five seek care in the emergency department (ED) but are discharged back to SNF. Our aim was to measure the national prevalence and costs to Medicare of ED visits by SNF patients. Of the 1,551,703 Medicare beneficiaries discharged to SNF in 2019, 16.3% had an ED visit within 1...
Source: Journal of Hospital Medicine - October 23, 2023 Category: Hospital Management Authors: Ye Tian,
Kaitlyn Shultz,
Kira Ryskina Tags: BRIEF REPORT Source Type: research
How do we detect and respond to clinical deterioration in hospitalized children? Results of the Pediatric Care BefOre Deterioration Events (CODE) survey
In conclusion, most pediRES-Q institutions utilize systems to detect/respond to deteriorating hospitalized children. Heterogeneity exists among programs. Rigorous evaluation is needed to identify best practices. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 21, 2023 Category: Hospital Management Authors: Amanda O'Halloran,
Justin Lockwood,
Tina Sosa,
Orsola Gawronski,
Vinay Nadkarni,
Monica Kleinman,
Maya Dewan,
for the pediRES ‐Q Investigators Tags: BRIEF REPORT Source Type: research
Advancing health information during interhospital transfer: An interrupted time series
This study aims to design, implement, and rigorously evaluate the implementation of a HIE platform to improve data access during IHT.Methods and AnalysisStudy subjects include patients aged >18 transferred to the medical, cardiology, oncology, or intensive care unit (ICU) services at an 800-bed quaternary care hospital; and healthcare workers involved in their care. The first aim of this study is to optimize clinician workflow, data visualization, and interoperability through user-centered design sessions for HIE platform development. The second aim is to evaluate the impact of the intervention on clinician-reported ...
Source: Journal of Hospital Medicine - October 17, 2023 Category: Hospital Management Authors: Stephanie K. Mueller,
Pamela Garabedian,
Eric Goralnick,
David W. Bates,
Lipika Samal Tags: ORIGINAL RESEARCH Source Type: research
Hospital care while incarcerated: A tale of two policies
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 16, 2023 Category: Hospital Management Authors: Lawrence A. Haber,
Farah A. Kaiksow,
Brie A. Williams,
Johanna T. Crane Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research
Pneumonia is not just pneumonia: Differences in utilization and costs with common comorbidities
AbstractWe sought to explore the heterogeneity among patients hospitalized with pneumonia, a condition targeted in payment reform. In a retrospective cohort study of Medicare beneficiaries hospitalized for pneumonia, we compared postacute care utilization and costs of 90-day episodes of care among patients with and without comorbidities of chronic obstructive pulmonary disease (COPD) and/or heart failure. Of the 1,926,674 discharges, 28.1% had COPD, 14.3% had heart failure, and 14.6% carried both diagnoses. Patients with pneumonia were more likely to be discharged to a facility than those with pneumonia and COPD with or wi...
Source: Journal of Hospital Medicine - October 11, 2023 Category: Hospital Management Authors: Jessica T. Lee,
Amol S. Navathe,
Rachel M. Werner Tags: BRIEF REPORT Source Type: research
Point ‐counterpoint: Should teaching hospitalists be required to provide direct care?
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 10, 2023 Category: Hospital Management Authors: Samantha Wang,
Suchita S. Sata,
Andrew P. J. Olson,
Julia B. Caton Tags: POINT ‐COUNTERPOINT Source Type: research
Association of hospital spending with care patterns and mortality in patients hospitalized with community ‐acquired pneumonia
ConclusionsGreater spending at the hospital level was not associated with lower mortality. Lower diagnostic costs were associated with lower cost of care, suggesting that judicious use of diagnostic testing might reduce costs without worsening patient outcomes. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 9, 2023 Category: Hospital Management Authors: Marina Latif,
Ning Guo,
Larisa G. Tereshchenko,
Michael B. Rothberg Tags: ORIGINAL RESEARCH Source Type: research
Ten common misconceptions about antibiotic use in the hospital
AbstractAntimicrobials are one of the most administered medications in hospitals. Thoughtful and rational antibiotic prescribing by clinicians are important in reducing the adverse effects to both the host that takes the antibiotic and also the individuals in the host's community. Principles informing antibiotic prescribing in the hospital are commonly rooted in misconceptions. We review 10 common myths associated with antibacterial usage in hospitalized patients and share contemporary evidence in hopes of enhancing evidence-informed practice in this patient care setting. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - October 9, 2023 Category: Hospital Management Authors: John C. Lam,
Samuel Bourassa ‐Blanchette Tags: REVIEW Source Type: research
Observing sources of system resilience using in situ alarm simulations
AbstractAlarm fatigue (and resultant alarm nonresponse) threatens the safety of hospitalized patients. Historically threats to patient safety, including alarm fatigue, have been evaluated using a Safety I perspective analyzing rare events such as failure to respond to patients' critical alarms. Safety II approaches call for learning from the everyday adaptations clinicians make to keep patients safe. To identify such sources of resilience in alarm systems, we conducted 59 in situ simulations of a critical hypoxemic-event alarm in medical/surgical and intensive care units at a tertiary care pediatric hospital between Dece...
Source: Journal of Hospital Medicine - October 9, 2023 Category: Hospital Management Authors: Melissa McLoone,
Meghan McNamara,
Megan A. Jennings,
Hannah R. Stinson,
Brooke T. Luo,
Daria Ferro,
Kimberly Albanowski,
Halley Ruppel,
James Won,
Christopher P. Bonafide,
Irit R. Rasooly Tags: BRIEF REPORT Source Type: research
