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Search Results for Design
Abstract Number: 299
SHM Converge 2024
Background: Traditional measures of workload such as wRVUs may not be adequate to understand the impact of work design on key patient, workforce, and organizational outcomes. In this study, we developed a workforce application to capture clinician perception of workload and environment and then paired this data with electronic workload measures in the EHR in […]
Abstract Number: 309
SHM Converge 2023
Background: Hospital discharge summaries are critical to transitions of care as they are oftentimes the only substantive form of communication that accompanies patients to their next care setting. The lack of interoperability in our healthcare IT ecosystem amplifies the need for discharge summaries to mitigate subsequent duplication of services and increased costs. These documents must […]
Abstract Number: 337
SHM Converge 2023
Background: Design thinking is a framework for creative problem solving. When the design thinking process (often leveraged in fields outside of healthcare delivery) is applied, it leads to a human-centered path to innovation. The infusion of deep empathy, holistic examination, inclusive collaboration, and effective iteration fosters sustainable solutions for complex human concerns. In traditional problem-solving, […]
Abstract Number: 342
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospital medical groups use various staffing models which systematically affect care continuity during the admission process. Our service changed models of care from a “general model”, where hospitalists who perform hospital rounds and discharges also perform admissions on the same service day, to an “admitter-rounder model”, where service work is divided each day between […]
Abstract Number: 345
SHM Converge 2024
Background: The majority of medical students indicate that the health policy and health systems education they receive is insufficient, even though they will face barriers to practicing care at the systems level. In addition, there is little uniformity or evaluation of pedagogical approaches to health policy in undergraduate medical education, especially in connecting health policy […]
Abstract Number: 356
SHM Converge 2024
Background: Prolonged hospitalizations of patients who are medically ready for discharge are highly prevalent in the current acute care environment.1 Patients who remain in the hospital beyond resolution of their acute medical needs often have high medical, social and psychiatric complexity and are poorly served remaining in an environment that is not designed for their […]
Abstract Number: 387
SHM Converge 2024
Background: Hospital systems are increasingly focusing on health equity, including identifying and addressing social drivers of health and healthcare disparities. Conventional quality improvement (QI) approaches have been used to address disparities with varying success. In our health system, using QI to increase use of interpreters has been the primary intervention for improving outcomes in patients […]
Abstract Number: 413
SHM Converge 2023
Background: As hospital medicine looks to the future, we carry forward achievements and lessons learned from the past three years. In our large and diverse health system (with 14 acute care hospitals that serve adult inpatients from a populous catchment area, ranging in type from quaternary/academic to community based) we found we can best support […]
Abstract Number: 443
SHM Converge 2024
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a post-discharge survey which captures patient experience during and after hospitalization (1). Previous studies have demonstrated that high quality discharge communication is vital for patient safety, with poor communication leading to decreased medication adherence, unplanned readmissions, and poorer health outcomes—important implications for both […]
Abstract Number: 458
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalization can be overwhelming for patients. Diagnostic uncertainty is common, and patients interact with many professionals who present information that may seem confusing. We bring a design thinking perspective to creating more patient-responsive hospital care, allowing their stories to drive the creation of a human-centered experience. Design thinking is about understanding needs and generating […]