Background: Medical procedure services (MPS) are increasingly implemented in Hospital Medicine programs to promote resident learning, support provider workloads, and expedite performance of common bedside medical procedures, including thoracentesis, paracentesis, and lumbar puncture (LP) [. Prior work has demonstrated safety and positive educational experience with MPS but little data exists on the impact of MPS [...]

Background: Patient-centered care has recently attained the spotlight in the healthcare delivery model. An essential aspect of it depends on the patient’s perception of the care the healthcare team provides, and it’s a challenge for the healthcare community to provide a high-level patient care experience. Methods: This is a prospective study conducted in a Medicine [...]

Background: A 2013 Mayo Clinic initiative (Henkin et al, 2016) to encourage communication between physicians and nurses by paging each to bedside for daily morning rounds improved physician and nursing perceptions of teamwork. Utilizing a mobile electronic-health-record-based alert for such a process has the potential to reduce implementation cost and feasibility barriers but has not [...]

Background: Effective doctor-patient communication is crucial for the exchange of important information. Improved communication can positively influence patient satisfaction, adherence and ultimately can lead to improvement in health outcomes.Patient satisfaction scores in the inpatient setting are elicited using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Effective communication between a physician and [...]

Background: Interdisciplinary rounding at the bedside is associated with improvements in patient flow metrics, interdisciplinary communication, and patient perception of teamwork among care team members. At UC San Diego Health, FIT (Focused Interdisciplinary Team) Rounding has been the standard of care on seven diverse patient care units since 2017. However, with the arrival of the [...]

Background: SIBR originated from a multi-pronged initiative to improve value and outcomes for our patients. On the Oncology floor where the complexity of care is high and patients have several consultants involved in their care, it is very easy to have fragmentation of care and lose the patient’s trust. Our objective was to engage the [...]