Stephanie Taylor
speaker
149 appearances
1 recordings
1 series
first heard Jun 2025
last heard Jun 2025
Stephanie Taylor’s voice in public audio — every appearance, attributed to the second.
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Um, so that gets us to how do we how do we improve those outcomes?
Um, and I I like this slide because we tend to focus on practices that happen after discharge, but it's really important to remember that long-term outcomes are also influenced by a lot of the early stuff that we do.
And getting antibiotics right and getting that early treatment right uh has long-term effects and improves long-term outcomes too.
So we can't kind of lose sight on our our momentum in making progress.
progress there and then other things that we can do in the hospital.
I Dr.
Prescott and I didn't practice our talk, but the things that she was saying about uh making the hospital a better place to recover also represented here, um, really not waiting to start recovery until the patient gets discharged, but uh creating a hospital environment that's focused towards recovery as well.
But a lot of my work and um work that I'm gonna share here is gonna talk about after discharge, what can we do to improve or affect uh patients' morbility and mortality.
I also put this in here because it's really important when we think about how do we reach out to and care for patients after discharge.
At least in the US, quite a few patients don't go home after discharge, even with home health or other home services.
If you combine a skilled nursing facility and long term acute care hospital, over a quarter of patients actually end up going to some sort of uh facility after discharge and aren't discharged home.
And that presents a really unique situation of how do we uh how do PCPs care for patients in that setting or how do transition programs care for patients in those settings which are traditionally kind of hard to reach and hard to engage with patients while they're in those type of settings.
So that's a unique, I think, cohort of patients that deserve special attention.
And obviously patients who are discharged to those settings have even higher rates of disproportionately higher rates of readmission and mortality and
And other adverse outcomes.
So, onto what can we do for patients after discharge?
In this kind of right panel, I summarized recommendations from Dr.
Prescott and Derek Ingus, wrote this really great review article, kind of expert guidance on what we should do for patients after discharge for sepsis.
And it kind of boiled down to about four practices that can be summarized as screening for common.
treatable impairments after sepsis, reviewing and adjusting medications, anticipating and mitigating risks for common and preventable causes of health deterioration, and understanding and establishing and documenting patients' goals of care.
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