Background: Bedside rounds (BR) have been proposed as an ideal method to promote patient-centered hospital care. However, their effect on patient-centered outcomes is unclear. Our objective was to determine whether BR, when compared to other forms of hospital ward rounds, improve patient-centered outcomes. To accomplish this aim, we conducted a systematic review and meta-analysis of [...]

Background: Effective communication between health-care providers, patients and their families is a key aspect of the discussion surrounding a patient’s goals of care.  One crucial part of this process is reaching a shared understanding of how the patient views their own quality of life.   The objective of this study was to characterize factors patients and [...]

Background: Electronic health applications that aim to share personalized medical information with patients are not frequently found in hospital settings. These inpatient applications can empower patients and caregivers to review and monitor their most updated medical information and improve communication between patients and their providers (such as clinicians, nurses, case managers etc.). However, these applications [...]

Background: Reversing the life trajectory of hospitalized patients can be challenging. Sixty percent of Americans die in acute care hospitals. Identification of the patient care goals and directives frequently happens after many days of aggressive, uncomfortable and costly interventions at the hospital. We aimed to elucidate if identification of care goals earlier in Intensive Care [...]

Background: In 2016, the Centers for Medicare & Medicaid Services (CMS) released a guide to preventing readmissions among diverse patient populations. According to CMS, once the health system effectively picks up the root causes and characteristics that are linked to readmissions – then a process can be initiated that focuses on addressing barriers and developing [...]

Background: Asking patients “what matters” to them is one of the 4 evidence-based elements of care developed by the Age-Friendly Health Systems initiative to improve the care of older adults, and the question “what matters most” has been extended to other settings. We conducted a study to assess the frequency and categories of responses to [...]

Background: Evidence-based guidelines/protocols for electrolyte replacement that safely encourage oral (PO) and/or intravenous (IV) dosing attain goal levels more successfully than standard care.1-17 PO is generally more comfortable and less dangerous than IV. Between 5/2017-11/2017, Jefferson dosed ~300,000 doses of potassium (K) and magnesium (Mg), with 30% and 19% of doses being PO, respectively. Guiding [...]

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: 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: As members of the patient experience committee, we aimed to identify areas of opportunity to improve the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores. By analyzing the data through the utilization of our analytics tool provided by the patient and customer experience department, we noticed trends in the regional demographics in [...]