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Search Results for Communication
Abstract Number: 17
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Electronic Health Records (EHR) systems are broadly used to support the delivery of patient care and to facilitate communication and coordination among providers. The use of EHR has been demonstrated to improve health care quality and efficiency. However, the impact of how providers utilize EHRs and communicate information in care delivery remains unclear. Specifically, how do […]
Abstract Number: 44
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Code blue situations, being uncommon yet stressful, require excellent team communication; they can pose challenges for deaf or hard of hearing (DHH) clinicians, trainees, and interpreters, though DHH providers are a growing source of language-concordant care for DHH people, an underserved population. No known training specifically addresses such challenges. As educators and mentors, we […]
Abstract Number: 70
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Co-management across service lines has become increasingly common in hospital medicine. SHM’s Co-Management Task Force has outlined several components of a successful co-management program. Recent studies have shown that cross-disciplinary service arrangements, which are more collaborative, enhance provider satisfaction and may improve patient care. These benefits have encouraged institutions to roll out multiple co-management […]
Abstract Number: 137
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs. Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all in settings of high patient complexity and acuity. We developed a large database of patients transferred between hospitals to identify […]
Abstract Number: 154
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Quality and patient safety initiatives are often role-specific with minimal emphasis on cross-discipline collaboration and communication. Prior to project implementation, each discipline’s patient care plans were made in silos without an aligned emphasis on quality and safety initiatives. With implementation of a daily interdisciplinary safety brief based on a shared mental model, our aim […]
Abstract Number: 165
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: We observed that clinical pages in our institution on both medical and surgical services do not always reach the primary inpatient provider. Because we use pagers to communicate critical, time-sensitive information, delayed or misdirected communication can adversely impact patient care. Purpose: Our goal was to quantify the frequency with which pages did not reach […]
Abstract Number: 167
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Failure to follow-up results of laboratory tests pending at discharge (TPADs) can lead to patient harm. Numerous interventions have been proposed to improve follow-up. The Laboratory Medicine Best Practices (LMBP™) workgroup, sponsored by the Centers for Disease Control, commissioned a systematic review to address the impact of various interventions on TPAD documentation, communication, and […]
Abstract Number: 195
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Physician Orders for Life-Sustaining Treatment (POLST) form is an important tool to elicit and document patients’ treatment preferences in a way that is valid across health care settings. Studies on its efficacy have found high rates of consistency between patients’ treatment preferences for cardiopulmonary resuscitation (CPR), medical interventions, and artificial nutrition documented on POLST […]
Abstract Number: 206
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patient pass-offs represent a known vulnerability in patient care. The Hospital Medicine Unit at Massachusetts General Hospital has several specialized roles including an admitting hospitalist, a rounding hospitalist, and a nocturnist. Our on-service time is typically four or five days in a row. Our hospitalists and nocturnists work in six hour, ten hour and […]
Abstract Number: 209
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The daily progress note is the foundation of inpatient documentation and communication for healthcare providers. With the advent of the electronic medical record, copy-and-pasting, note bloat, inconsistencies, erroneous data, and lack of cognitive processing have become widespread leading to difficult to read and inaccurate progress notes. Purpose: At Bassett Medical Center, it was determined […]