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Search Results for rounding
Abstract Number: 187
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interdisciplinary team-based care is a promising concept in hospital medicine in which healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies showed that team based care is associated with decreased length of stay (LOS).1,2Patient-Centered Approach to Health (PATH) team was a redesign of the Structured Interdisciplinary Bedside Rounding […]
Abstract Number: 233
SHM Converge 2024
Background: The leadership of our academic hospital medicine group designed a geographic rounding intervention with the goal of improving patient-nursing communication, decreasing hurdles in discharging patients and eventually leading to reducing patient length of stay and increasing discharge rate. Our quantitative analysis compared the pre-intervention and post-intervention time periods with regard to observed to expected […]
Abstract Number: 238
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The quality of communication between physicians and nurses plays an important role in patient safety and provider job satisfaction. Efforts to improve the effectiveness of MD-RN communication have traditionally disseminated new programs such as staff training or communication tools, rather than improve established routines such as morning rounds. Having MDs and RNs round together […]
Abstract Number: 253
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Geographical rounding can improve provider to nurse communication as well as between other members of healthcare team resulting in improved efficiency of care. Better communication enables improvement in patient safety and decrease adverse events. Moreover in recent years, the Centers for Medicare and Medicaid Services (CMS) has tied part of hospital’s re-imbursement to patients’ […]
Abstract Number: 261
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Growing antimicrobial resistance, C. difficile infection and cost have triggered a greater reliance on antimicrobial stewardship. Most stewardship models rely upon a central team, often led by ID specialists, to oversee prescribing in an institution. However, there are limitations to this paradigm. Purpose: We believe opportunities exist for hospitalists to drive stewardship by integrating […]
Abstract Number: 269
SHM Converge 2021
Background: Throughout medical training future hospitalists have many opportunities to observe the teaching techniques of a variety of clinical instructors to inform the development of their own teaching skills. In contrast, after starting a career as an academic hospitalist there are few chances for ongoing observation of clinical teachers to refine their practice. Peer rounding […]
Abstract Number: 284
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Traditionally, models of healthcare delivery to hospitalized patients have been indirect and inefficient. The typical hospital system has providers spread between multiple units and nurses interacting with multiple provider teams. Several studies focusing on interdisciplinary rounding (IDR) have shown a variety of positive impacts on hospital-associated metrics such as length of stay (LOS), hospital […]
Abstract Number: 287
SHM Converge 2021
Background: The role of the hospitalists was originally to improve efficiency in medicine; however, in order to reach maximum efficiency, a quality dynamic must be achieved. Hospitalists face a particular challenge with increased workload and patient volume partnered with decreased treatment time. Purpose: There is no “gold standard” method of rounding for hospitalists. This study […]
Abstract Number: 288
SHM Converge 2021
Background: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys allow patients to reflect on their hospital stay and provide standardized metrics for hospitals to improve the quality of care they provide. hospital administrators have a vested interest in earning strong HCAHPS scores, as this information is publicly available. One theorized way to improve […]
Abstract Number: 291
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Inpatient physicians often spend 30-60 minutes daily creating a “rounding list,” a process that requires reviewing the electronic health record (EHR) and transcribing data to paper. Previous studies have described automated rounding-lists leveraging EHR data showing improved clinician satisfaction, decreased daily chart review time, and improved accuracy of information. However, previous rounding lists were […]