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Search Results for Localization
Abstract Number: 11
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Geographic localization of inpatient physician services to nursing units has been suggested to improve teamwork and patient safety among health care professionals, while perceived lack of collaboration has been associated with worse patient outcomes. On our inpatient oncology units, we previously found that large discrepancies exist in perceptions of teamwork and collaboration among professionals, […]
Abstract Number: 105
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: In most hospitals, physicians provide care to patients across multiple units while nurses are often unit-based, resulting in team dispersion, and potentially impairing teamwork. Geographically localized care teams may demonstrate improved communication between team members and with patients, potentially enhancing coordination of care. However, the impact of geographically localized teams on patient experience scores […]
Abstract Number: 187
SHM Converge 2024
Background: Emergency department (ED) overcrowding is associated with a range of negative outcomes, including increased patient morbidity, decreased patient satisfaction, provider burnout, and violence against providers. ED boarding of admitted patients coupled with increasing ED patient volumes contributes to overcrowding. Geographic localization, where hospitalist provider teams are assigned patients on the same inpatient unit, has […]
Abstract Number: 196
SHM Converge 2023
Background: Geographic localization (GL) has been shown to improve perceptions of physician-nurse, physician-physician, and physician-Case Management communication. However, data on other benefits of GL are mixed. While some studies show that GL improves time allocated by physicians for direct patient care, others report an increased frequency of workday interruptions and greater time spent on indirect […]
Abstract Number: 225
SHM Converge 2024
Background: Hospitalized patients are often cohorted on specific inpatient wards in an effort to improve outcomes and provider satisfaction. When hospitalist beds are fully occupied, patients may be admitted to off-service inpatient units. Dispersion to multiple units has the potential to affect multiple outcomes. Hospitalist groups may develop cohorting programs, either in the form of […]
Abstract Number: 228
SHM Converge 2024
Background: Geographic co-location, the practice of cohorting a panel of patients on the same hospital unit for a single provider or team, is increasingly popular, with 36.4% of adult hospitalist groups reporting unit-based assignments [1]. Benefits include increased hospitalist-patient interaction time, increased odds of multiple same-day patient visits, improved productivity, and greater interdisciplinary communication [2-4]. […]
Abstract Number: 293
SHM Converge 2023
Background: Prolonged length of stay (LOS) is associated with worse quality outcomes, poor patient satisfaction, and negative financial performance for hospitals. Geographic cohorting of provider teams and their patients could improve LOS, readmissions, and other quality metrics. Many prior studies of geographic cohorting have shown no beneficial effect on these metrics. In 2021, we implemented […]