Background: Interdisciplinary clinical rounds at the bedside can promote the core principles of patient- and family-centered care, including promoting respect and dignity, information sharing, and participation by the patient in the care and decision making.  However, despite rounding at the bedside, the patient can still be a bystander as the team presents a care plan [...]

Background: Shared decision-making (SDM) has been shown to be an important tool for improving patient engagement and health care outcomes. Despite the demonstrated value of SDM across disciplines, little is known about how to increase SDM in general inpatient settings. We sought to evaluate the effectiveness of an educational bundle on inpatient resident teams’ abilities [...]

Background: Physician burnout poses a critical threat to the United States health care system.  Finding a solution to this problem is a leadership imperative, as studies report that nearly half of physicians in the U.S. experience burnout. Emotional exhaustion, depersonalization, and decreased personal accomplishment are characteristics of burnout and can lead to dire consequenses if [...]

Background: In shared decision making models, decisional conflict is a measure of uncertainty and readiness and comfort level in making a decision. The literature examining decisional conflict is currently relatively immature. The act of a patient being readmitted is, in part, an effect of multiple small decisions a patient makes in the time between index [...]

Background: Driven by meaningful use (MU) incentives, many safety net systems have adopted patient portals, which offer patients online access to their health information. Portal use correlates with increased engagement and better health outcomes, but there are many challenges to effectively engage patients and meet MU metrics in safety net settings. Purpose: We implemented a [...]