Urgent care medical conferences 2016
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Chart review demonstrated many patients could have been managed in the ambulatory setting with pharmacy, infusion, and palliative care support.Ī task force was formed to determine current practices among disease teams and included practice nurses, nurse coordinators, and advanced practice providers (APPs) from solid tumor and hematology disease teams. The five most common admitting diagnoses included: (1) fever/neutropenic fever/sepsis (2) abdominal pain (3) altered mental status (4) dehydration/electrolyte imbalance and (5) pneumonia/dyspnea. Most hospitalizations resulted from expected disease progression. Sixty-two percent of patients arrived to the ED between the hours of 9:00 AM and 5:00 PM, and average length of stay was 6.74 days. A total of 391 patients presented to the ED, and approximately 90% of those patients were admitted. We reviewed oncology ED data over a 5-month period from January 1 through May 31, 2014. We examined preventable emergency department (ED) admissions during daytime hours. It incorporates ambulatory and inpatient services as well as radiation therapy services, infusion centers, women’s services, radiology, surgical suites, cancer survivorship, and complementary services. Smilow Cancer Hospital at Yale New Haven is a 15 story, 500,000 square foot facility affiliated with Yale-New Haven Hospital and Yale Cancer Center. For patients with advanced cancer, most hospitalizations arise from expected disease progression. In the United States, 30% of the total cancer expenditure is spent in the last year of the life, and 55% of this is spent on inpatient care.