Communication

/Tag:Communication

Abstract Number: 463

LIGHTNING HUDDLE: AN INNOVATIVE METHOD FOR IMPROVING PATIENT THROUGHPUT

Background: One of the Society of Hospital Medicine (SHM) core competencies (listed as Principle 7) is that Hospitalists provide effective clinical resource utilization. Examples: cost effective care, high-value care, and designing processes that address cost [...]

By | 2019-03-11T14:27:04-04:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on LIGHTNING HUDDLE: AN INNOVATIVE METHOD FOR IMPROVING PATIENT THROUGHPUT

Abstract Number: 400

PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Background: Peripherally inserted central catheters (PICCs) are often used as devices to extend intravenous treatment for hospitalized patients in post-acute settings. Variation between hospitals, indications for use, device characteristics, and outcomes for patients who receive [...]

By | 2019-03-11T14:25:28-04:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on PICCS IN SNFS: PATTERNS OF PICC USE IN PATIENTS DISCHARGED TO SKILLED NURSING FACILITIES

Abstract Number: 399

A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost [...]

By | 2019-03-11T14:25:26-04:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Abstract Number: 398

THE MORE THE MERRIER: DEVELOPMENT OF A MULTIDISCIPLINARY HEMATOLOGY-ONCOLOGY CARE MODEL

Background: Admitted Hematologic and Oncologic patients are often complex and have a unique set of challenges. Balancing outpatient care plans with inpatient medical and psychosocial issues can lead to long lengths of stay, patient dissatisfaction, [...]

By | 2019-03-11T14:25:25-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Transitions of Care|Comments Off on THE MORE THE MERRIER: DEVELOPMENT OF A MULTIDISCIPLINARY HEMATOLOGY-ONCOLOGY CARE MODEL

Abstract Number: 377

GEOGRAPHIC ROUNDING: A MODEL TO IMPROVE HOSPITALIST- NURSE COMMUNICATION AND UNIT THROUGHPUT

Background: Geographic hospitalist staffing and interdisciplinary rounding has been shown to improve staff communication, patient communication, and reduce length of stay. Communication between hospitalist and nurses also play a crucial role in patient safety and [...]

By | 2019-03-11T14:24:56-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on GEOGRAPHIC ROUNDING: A MODEL TO IMPROVE HOSPITALIST- NURSE COMMUNICATION AND UNIT THROUGHPUT

Abstract Number: 375

BACK TO THE BEDSIDE: UNITING MEDICAL EDUCATION AND INTERPROFESSIONAL ROUNDS

Background: Interprofessional rounding has improved patient safety and provider engagement (1). Our institution implemented interdisciplinary patient rounds (IPR) similarly described in the literature (2). Despite praise for our nursing safety checklist, declining emphasis on bedside [...]

By | 2019-03-11T14:24:53-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on BACK TO THE BEDSIDE: UNITING MEDICAL EDUCATION AND INTERPROFESSIONAL ROUNDS

Abstract Number: 374

IMPROVING PATIENTS’ ABILITY TO IDENTIFY THEIR PHYSICIANS THROUGH THE USE OF PHYSICIAN FACECARDS AND WHITEBOARDS

Background: More often than not, hospitalized patients are not able to correctly identify members of their physician team. Being able to identify physicians is a critical component of developing the patient-physician relationship. The use of [...]

By | 2019-03-11T14:24:52-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING PATIENTS’ ABILITY TO IDENTIFY THEIR PHYSICIANS THROUGH THE USE OF PHYSICIAN FACECARDS AND WHITEBOARDS

Abstract Number: 299

IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Background: Discharge of hospitalized patients is a multistep process, involving communication amongst numerous healthcare providers. Delays in discharge cause a backlog of patients in the ED and ICUs, leading to prolonged patient wait times and [...]

By | 2019-03-11T14:23:02-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on IMPROVING COMMUNICATION OF DISCHARGE PLANS AMONGST RESIDENTS, NURSES, AND PATIENTS: A QUALITY IMPROVEMENT PROJECT

Abstract Number: 271

GMS ESCALATE: THE “EASY” BUTTON FOR TEAMS ENCOUNTERING BARRIERS TO PATIENT CARE PROGRESSION

Background: Many efforts to improve bed availability in hospitals with high occupancy focus on encouraging providers to discharge patients earlier in the day without making substantial changes to workflows or to address barriers to patient [...]

By | 2019-03-11T14:22:22-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on GMS ESCALATE: THE “EASY” BUTTON FOR TEAMS ENCOUNTERING BARRIERS TO PATIENT CARE PROGRESSION

Abstract Number: 242

ASSESSMENT OF INFORMATION DELIVERY, SHARED DECISION MAKING AND EMPATHIC COMMUNICATION ON FAMILY CENTERED ROUNDS

Background: Patient- and family- centered care (PFCC) is a key element of safe healthcare. Family-centered-rounds (FCR) incorporate PFCC into the daily workflow of children’s hospitals. This observational study assessed whether our rounds on the Baystate [...]

By | 2019-03-11T14:21:38-04:00 March 11th, 2019|Hospital Medicine 2019, Pediatrics, Research|Comments Off on ASSESSMENT OF INFORMATION DELIVERY, SHARED DECISION MAKING AND EMPATHIC COMMUNICATION ON FAMILY CENTERED ROUNDS

Abstract Number: 187

PATIENT-CENTERED APPROACH TO HEALTH (PATH): OUTCOME ANALYSIS OF INTERDISCIPLINARY BEDSIDE ROUNDING

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 [...]

By | 2019-03-11T14:20:14-04:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PATIENT-CENTERED APPROACH TO HEALTH (PATH): OUTCOME ANALYSIS OF INTERDISCIPLINARY BEDSIDE ROUNDING

Abstract Number: 60

COMMUNICATION SKILLS EDUCATION: BACK TO THE BASICS

Background: Strong evidence exists showing that effective communication in healthcare conversations improves outcomes such as patient satisfaction, safety, reduced malpractice suits, physician professional fulfillment and burnout prevention. Formal communication skills training in medical education is [...]

By | 2019-03-11T14:17:21-04:00 March 11th, 2019|Education, Hospital Medicine 2019, Innovations|Comments Off on COMMUNICATION SKILLS EDUCATION: BACK TO THE BASICS

Abstract Number: 51

THE COMPLEX CARE PLAN FOR FREQUENTLY HOSPITALIZED PATIENTS: A TOOL TO IMPROVE COMMUNICATION IN CARE TRANSITIONS

Background: Frequently hospitalized patients represent a vulnerable population due to discontinuity between episodes of inpatient, outpatient, and specialty care. This discontinuity puts patients at risk for unnecessary over-treatment, dangerous under-treatment, medication errors, and loss of [...]

By | 2019-03-11T14:17:10-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on THE COMPLEX CARE PLAN FOR FREQUENTLY HOSPITALIZED PATIENTS: A TOOL TO IMPROVE COMMUNICATION IN CARE TRANSITIONS

Abstract Number: 49

A NEW WAY TO SAY G-NITE: DEVELOPMENT AND IMPLEMENTATION OF A TOOL TO IMPROVE DOCTOR-PATIENT COMMUNICATION IN THE HOSPITALIZED SETTING

Background: Developing effective tools which enhance patient-physician communication is crucial to improving the patient experience. Existing research has shown that there are several components which are central to effective communication, including creating a good interpersonal [...]

By | 2019-03-11T14:17:07-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on A NEW WAY TO SAY G-NITE: DEVELOPMENT AND IMPLEMENTATION OF A TOOL TO IMPROVE DOCTOR-PATIENT COMMUNICATION IN THE HOSPITALIZED SETTING

Abstract Number: 48

IMPLEMENTING ACCEPT NOTE TEMPLATES TO IMPROVE COMMUNICATION DURING INTERHOSPITAL TRANSFERS

Background: Poor communication among providers is a barrier to seamless transitions in patient care. This problem is compounded when patients undergo interhospital transfer (IHT), where complex patients are transferred between providers, settings and healthcare systems. [...]

By | 2019-03-11T14:17:06-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on IMPLEMENTING ACCEPT NOTE TEMPLATES TO IMPROVE COMMUNICATION DURING INTERHOSPITAL TRANSFERS

Abstract Number: 47

‘MYCARE CARD’: A COST EFFECTIVE MEASURE TO IMPROVE PHYSICIAN-PATIENT COMMUNICATION AND HCAHPS SCORES

Background: During hospitalization, many patients cannot identify the physician responsible for their care. Among patients cared for by a hospitalist, many of them are meeting their hospitalist for the first time. Previous work has shown [...]

By | 2019-03-11T14:17:05-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on ‘MYCARE CARD’: A COST EFFECTIVE MEASURE TO IMPROVE PHYSICIAN-PATIENT COMMUNICATION AND HCAHPS SCORES

Abstract Number: 45

DAILY STANDARDIZED MULTIDISCIPLINARY BEDSIDE ROUNDS IMPROVE PATIENT SATISFACTION AND CARE TRANSITIONS

Background: Physicians and nurses often overestimate patients' understanding of their illness, medications, treatments, and care plans. Fragmented discussions can lead to inconsistent conveyance of key information to patients and their caregivers. Multidisciplinary bedside rounds are [...]

By | 2019-03-11T14:17:02-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on DAILY STANDARDIZED MULTIDISCIPLINARY BEDSIDE ROUNDS IMPROVE PATIENT SATISFACTION AND CARE TRANSITIONS

Abstract Number: 44

PATIENTS’ COMPREHENSION OF THEIR OVERALL HEALTH AND HOSPITALIZATION

Background: Studies regarding patient comprehension have mainly focused on discharge instructions and information, and few studies are available on patients’ comprehension of their treatment while hospitalized. The standards for patient-centered communication by The Joint Commission [...]

By | 2019-03-11T14:17:01-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on PATIENTS’ COMPREHENSION OF THEIR OVERALL HEALTH AND HOSPITALIZATION

Abstract Number: 37

GETTING FIT: A NOVEL FRAMEWORK TO IMPROVE COMMUNICATION

Background: Rising inpatient census, limited physical space and unpredictable admission rates introduce communication inefficiencies among doctors, nurses and patients.Purpose: At UC San Diego Health System, we aimed to streamline communication among physicians, patients and other [...]

By | 2019-03-11T14:16:51-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on GETTING FIT: A NOVEL FRAMEWORK TO IMPROVE COMMUNICATION

Abstract Number: 34

RESUSCITATION OF A TWO-WAY TEXTING PLATFORM TO ENHANCE SAFE AND EFFICIENT COMMUNICATION USING ITERATIVE APP PILOTING,FEEDBACK AND ENHANCEMENT

Background: Joint Commission has identified “communication” as the third most frequent root cause of sentinel events.1 Alpha-numeric pagers are common for communication among healthcare professionals. Pagers are not HIPAA compliant and communication through pagers often [...]

By | 2019-03-11T14:16:48-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Innovations|Comments Off on RESUSCITATION OF A TWO-WAY TEXTING PLATFORM TO ENHANCE SAFE AND EFFICIENT COMMUNICATION USING ITERATIVE APP PILOTING,FEEDBACK AND ENHANCEMENT

Abstract Number: 33

HOSPITALIST PERSPECTIVE ON DIFFICULT PATIENT ENCOUNTERS AND THE EFFECT ON PHYSICIAN RESILIENCE: A QUALITATIVE STUDY

Background: Physician burnout impacts job satisfaction and turnover with significant financial and operational costs in addition to the negative impact on patient care. Organizations are increasingly focused on methods to improve physician resilience. Our study [...]

By | 2019-03-11T14:16:46-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on HOSPITALIST PERSPECTIVE ON DIFFICULT PATIENT ENCOUNTERS AND THE EFFECT ON PHYSICIAN RESILIENCE: A QUALITATIVE STUDY

Abstract Number: 31

A STUDY ON INTERNET USE FOR HEALTH INFORMATION IN THE HOSPITALIZED PATIENT

Background: Hospitalized patients often crave information about their illness. As many as 70% of outpatients use the internet for this purpose. However, little is known about how often hospitalized patients search for medical information online.Methods: [...]

By | 2019-03-11T14:16:44-04:00 March 11th, 2019|Communication, Hospital Medicine 2019, Research|Comments Off on A STUDY ON INTERNET USE FOR HEALTH INFORMATION IN THE HOSPITALIZED PATIENT

Abstract Number: 3

IMPROVING COMMUNICATION WITH COMMUNITY PEDIATRICIANS

Background: In hospital-based medicine, maintaining an open line of communication between inpatient teams and community pediatricians serves as an essential component of providing comprehensive patient care and ensuring continuity at time of discharge. At St. [...]

By | 2019-03-18T13:17:00-04:00 March 11th, 2019|Communication, Finalist Posters - Innovations, Hospital Medicine 2019, Innovations|Comments Off on IMPROVING COMMUNICATION WITH COMMUNITY PEDIATRICIANS

HM2018 Abstract Number: Plenary presentation

MENTORED IMPLEMENTATION OF THE I-PASS HANDOFF PROGRAM IN DIVERSE CLINICAL ENVIRONMENTS

Background: Handoff miscommunications are a leading source of medical errors. Medical error and adverse event rates decreased following implementation of the I-PASS handoff program (a bundled intervention using a structured mnemonic, I-PASS, and other initiatives [...]

By | 2018-03-29T15:34:50-04:00 March 29th, 2018|Hospital Medicine 2018, Plenary Presentations|Comments Off on MENTORED IMPLEMENTATION OF THE I-PASS HANDOFF PROGRAM IN DIVERSE CLINICAL ENVIRONMENTS

HM2018 Abstract Number: 292

Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

Background: Point of care ultrasound (POCUS) has become an integral part of the physical examination and a valuable diagnostic tool. POCUS is unique among medical technologies in that it requires physical co-location of the provider [...]

By | 2018-03-19T15:44:35-04:00 March 19th, 2018|Research, Technology in Hospital Medicine, Uncategorized|Comments Off on Point of Care Ultrasound Improves Shared Diagnostic Understanding Between Patients and Providers

HM2018 Abstract Number: 316

HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

Background: Communication is critical to high-quality care transitions, yet little is known about the quality of information transfer from the hospital to home health care (HHC) setting. We performed a cross-sectional survey of HHC nurses [...]

By | 2018-03-19T15:44:36-04:00 March 19th, 2018|Research, Transitions of Care, Uncategorized|Comments Off on HOME HEALTH NURSE PERSPECTIVES ON COMMUNICATION AFTER DISCHARGE: RESULTS FROM A STATEWIDE SURVEY

HM2018 Abstract Number: 23

EXPECTATIONS FOR PHYSICIAN COMMUNIATION WITH FAMILY/CAREGIVERS ABOUT GERIATRIC PATIENTS’ CARE DURING HOSPITALIZATION

Background: Elderly inpatients often require the support of family and informal caregivers at transitions and yet adequacy of communication between hospital physicians and members of the patient’s social support is poorly studied.Methods: Mixed methodology survey [...]

By | 2018-03-19T13:24:43-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on EXPECTATIONS FOR PHYSICIAN COMMUNIATION WITH FAMILY/CAREGIVERS ABOUT GERIATRIC PATIENTS’ CARE DURING HOSPITALIZATION

HM2018 Abstract Number: 179

DO MEDICAL STUDENTS SLEUTH? VALIDITY OF PATIENT- AND FAMILY-CENTERED ROUNDS TOOL IN RATING PRESENTER EMPOWERMENT ACTIONS OF MEDICAL STUDENTS AND INTERNS

Background: Medical students and interns are the primary communicators during pediatric patient- and family-centered rounds (PFCR). Presenter empowerment actions (PEAs) represent behaviors that empower presenters during PFCR to deliver effective, patient- and family-centered care. Third [...]

By | 2018-03-19T13:16:42-04:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on DO MEDICAL STUDENTS SLEUTH? VALIDITY OF PATIENT- AND FAMILY-CENTERED ROUNDS TOOL IN RATING PRESENTER EMPOWERMENT ACTIONS OF MEDICAL STUDENTS AND INTERNS

HM2018 Abstract Number: 24

USING A POSITIVE DEVIANCE FRAMEWORK TO INFORM PROVIDER-FAMILY COMMUNICATION ON GERIATRIC INPATIENT UNITS

Background: Family members often play a significant role in the care of geriatric patients during and after hospitalization. Both patients and families have expectations for communication with the provider team in the acute setting, but [...]

By | 2018-03-19T13:11:31-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on USING A POSITIVE DEVIANCE FRAMEWORK TO INFORM PROVIDER-FAMILY COMMUNICATION ON GERIATRIC INPATIENT UNITS

HM2018 Abstract Number: 35

HOSPITALIST PERCEPTIONS OF AN ELECTRONIC HANDOFF TOOL

Background: Hospitalists increasingly rely upon electronic handoff tools to communicate important patient care information. Our institution transitioned from a paper/verbal handoff process to a completely electronic system in April 2017 for day-to-night patient care handoff. [...]

By | 2018-03-19T13:05:46-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on HOSPITALIST PERCEPTIONS OF AN ELECTRONIC HANDOFF TOOL

HM2018 Abstract Number: 37

The Impact of Multidisciplinary Team Based Patient Care in a Geographically Positioned Hospital Medicine Unit at a Large Academic Medical Center

Background: Multidisciplinary team-based care is a novel concept in hospital medicine where, healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies have shown that team-based care is associated with [...]

By | 2018-03-19T13:03:24-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Research|Comments Off on The Impact of Multidisciplinary Team Based Patient Care in a Geographically Positioned Hospital Medicine Unit at a Large Academic Medical Center

HM2018 Abstract Number: 1

VIRTUAL MULTIDISCIPLINARY ROUNDS: AN ELECTRONIC MEDICAL RECORD – BASED DISCHARGE COMMUNICATION TOOL

Background: Multidisciplinary rounds (MDRs) or discharge huddles in the hospital were developed to enhance safety and streamline discharge by improving communication between members of the patient care team. Despite efforts to coordinate care around a [...]

By | 2018-03-22T15:06:23-04:00 March 19th, 2018|Communication, Finalist Posters, Hospital Medicine 2018, Innovations|Comments Off on VIRTUAL MULTIDISCIPLINARY ROUNDS: AN ELECTRONIC MEDICAL RECORD – BASED DISCHARGE COMMUNICATION TOOL

HM2018 Abstract Number: 188

FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

Background: Discharge education is a key component of safe transition from inpatient to outpatient care in the pediatric population. Project IMPACT (Improving Pediatric Patient-Centered Care Transitions) is a multi-site quality improvement project developed to improve [...]

By | 2018-03-19T12:54:48-04:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on FACTORS INFLUENCING CAREGIVER PERCEPTIONS OF DISCHARGE EDUCATION

HM2018 Abstract Number: 27

A UNIT BASED LEADERSHIP TEAM INITIATIVE TO IMPROVE PROVIDER COMMUNICATION WITH HOSPITALIZED PATIENTS ABOUT NEW MEDICATION

Background: Many hospitalized patients have difficulty understanding what their care team tells them about medications and how to comply with medications. Communication failures about medications can have devastating consequences for hospitalized patients. Patients who report [...]

By | 2018-03-19T12:53:41-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on A UNIT BASED LEADERSHIP TEAM INITIATIVE TO IMPROVE PROVIDER COMMUNICATION WITH HOSPITALIZED PATIENTS ABOUT NEW MEDICATION

HM2018 Abstract Number: 165

INTER-PROFESSIONAL QUALITY IMPROVEMENT PROJECT TO IMPROVE THE SAFETY OF DISCHARGE MEDICATION RECONCILIATION PROCESS FOR HOSPITALIZED PATIENTS

Background: Accurate medication reconciliation during transitions of care can decrease medication related adverse drug events. The Joint Commission has prioritized medication reconciliation as one of the national patient safety goals. Effective pharmacist-physician-patient collaboration can improve [...]

By | 2018-03-19T12:53:02-04:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Patient Safety|Comments Off on INTER-PROFESSIONAL QUALITY IMPROVEMENT PROJECT TO IMPROVE THE SAFETY OF DISCHARGE MEDICATION RECONCILIATION PROCESS FOR HOSPITALIZED PATIENTS

HM2018 Abstract Number: 28

USING AN INTENSIVE FEEDBACK CURRICULUM TO IMPACT MEDICAL RESIDENT INTERPROFESSIONAL TEAMWORK BEHAVIORS AND ATTITUDES

Background: Medical errors in hospitals are a significant threat to patient safety and often result from poor communication or poorly-activated interprofessional teams. Despite a recent focus on interprofessional education (IPE) in pre-clinical years and simulation [...]

By | 2018-03-19T12:52:39-04:00 March 19th, 2018|Communication, Hospital Medicine 2018, Innovations|Comments Off on USING AN INTENSIVE FEEDBACK CURRICULUM TO IMPACT MEDICAL RESIDENT INTERPROFESSIONAL TEAMWORK BEHAVIORS AND ATTITUDES

HM2017 Abstract Number: 312

AN ITIM OF NECESSITY FOR TEAMWORK – THE INTERPROFESSIONAL TEAMWORK INNOVATION MODEL (ITIM©)

Background: Interprofessional teamwork in healthcare organizations is crucial to the delivery of quality patient care. Efforts to improve teamwork on hospital medicine units commonly fail due to clinicians and other care team members (case managers [...]

By | 2018-03-15T20:51:00-04:00 April 20th, 2017|Innovations Abstracts, Value in Hospital Medicine|Comments Off on AN ITIM OF NECESSITY FOR TEAMWORK – THE INTERPROFESSIONAL TEAMWORK INNOVATION MODEL (ITIM©)

HM2017 Abstract Number: 216

USEFULNESS OF THE SURPRISE QUESTION ON AN INPATIENT ONCOLOGY SERVICE

Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding.  Prognostic disagreement occurs even amongst providers and is a less studied phenomenon.  We introduced the Surprise Question (SQ), [...]

By | 2017-04-26T02:49:51-04:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on USEFULNESS OF THE SURPRISE QUESTION ON AN INPATIENT ONCOLOGY SERVICE

HM2017 Abstract Number: 16

IMPROVING ADVANCE CARE PLANNING IN HOSPITALIZED PATIENTS WITH A LETTER PROJECT

Background: Advance care planning is nationally recognized as important for honoring patient wishes at the end of life. Despite this widespread recognition, many patients lack advance care planning and spend their last days in ways [...]

By | 2017-04-20T18:19:16-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on IMPROVING ADVANCE CARE PLANNING IN HOSPITALIZED PATIENTS WITH A LETTER PROJECT

HM2017 Abstract Number: 1

THE IMPACT OF GENERAL MEDICINE SERVICE REGIONALIZATION ON INTERPROFESSIONAL TEAMWORK

Background: Most academic general medical services cover patients across several different care units in the hospital. Studies have shown that de-regionalized care leads to a lack of team cohesion and poor communication between healthcare providers. [...]

By | 2017-04-25T14:42:45-04:00 April 20th, 2017|Communication, Research Abstracts|Comments Off on THE IMPACT OF GENERAL MEDICINE SERVICE REGIONALIZATION ON INTERPROFESSIONAL TEAMWORK

HM2017 Abstract Number: 178

A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part [...]

By | 2017-04-20T17:35:49-04:00 April 20th, 2017|Innovations Abstracts, Quality Improvement|Comments Off on A SIMPLE TOOL TO INCREASE FREQUENCY OF CODE STATUS DISCUSSIONS UPON HOSPITAL ADMISSION

HM2017 Abstract Number: 36

ON THE OTHER SIDE: AN EDUCATIONAL INNOVATION TO HELP LEARNERS UNDERSTAND COMMUNICATION BARRIERS

Background: Communicating with patients with limited English proficiency (LEP) can be a challenge. Despite laws and studies reinforcing the need to use appropriate interpretation services, many fail to do so. Impressing upon learners the importance [...]

By | 2017-04-20T17:03:03-04:00 April 20th, 2017|Education, Innovations Abstracts|Comments Off on ON THE OTHER SIDE: AN EDUCATIONAL INNOVATION TO HELP LEARNERS UNDERSTAND COMMUNICATION BARRIERS

HM2016 Abstract Number: 345

Acute and Post-Acute Care Collaboration: Front Line Approach to Reduce Readmissions

Background: Patients discharged to post-acute care facilities are at higher risk for re-admissions compared to those discharged home. Mount Sinai Hospital (MSH) discharges a significant number of patients to Terence Cardinal Cooke Health Care Center (TCC), [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on Acute and Post-Acute Care Collaboration: Front Line Approach to Reduce Readmissions

HM2016 Abstract Number: 344

Prehospital Communication and Clinical Decompensation Following Direct Hospital Admission

Background:  Direct hospital admissions from outside emergency departments and hospitals comprise a large proportion of admissions to tertiary medical centers. Clinical stability in these acutely ill patients can fluctuate, even during transport to a receiving [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Prehospital Communication and Clinical Decompensation Following Direct Hospital Admission

HM2016 Abstract Number: 329

Ddemap – a Formal Discharge Time-Out Tool

Background: Hospital discharge describes the point at which inpatient hospital care ends, with ongoing care transferred to other providers. The coordination of such care typically involves multiple health care providers and social care contributors. The [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on Ddemap – a Formal Discharge Time-Out Tool

HM2016 Abstract Number: 318

Helping Housestaff with Handoffs: Impact of Direct Observation and a Novel Handoff Tool on Resident General Medicine Team Handoff Performance

Background: Day-to-night inpatient handoff is a high-risk moment, with potential for miscommunication. A novel handoff program recently reduced medical errors and preventable adverse events. Historically, handoffs performed by Internal Medicine residents at our institution were [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Research Abstracts, Transitions of Care|Comments Off on Helping Housestaff with Handoffs: Impact of Direct Observation and a Novel Handoff Tool on Resident General Medicine Team Handoff Performance

HM2016 Abstract Number: 310

Hospitalist Perceptions of Barriers to Discharge

Background: Our employed Hospitalist practice in a large academic medical center has been asked to assist with Emergency Department throughput by increasing the number of discharges by noon. Retrospective data analysis of our group showed [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on Hospitalist Perceptions of Barriers to Discharge

HM2016 Abstract Number: 209

Resident Progress Note Improvement Via a Standardized Template

Background: The daily progress note is the foundation of inpatient documentation and communication for healthcare providers. With the advent of the electronic medical record, copy-and-pasting, note bloat, inconsistencies, erroneous data, and lack of cognitive processing [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Resident Progress Note Improvement Via a Standardized Template

HM2016 Abstract Number: 167

Management of Laboratory Tests Pending at Discharge: A Systematic Review

Background: Failure to follow-up results of laboratory tests pending at discharge (TPADs) can lead to patient harm. Numerous interventions have been proposed to improve follow-up. The Laboratory Medicine Best Practices (LMBP™) workgroup, sponsored by the [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Management of Laboratory Tests Pending at Discharge: A Systematic Review

HM2016 Abstract Number: 137

Diagnostic Discordance and Inter-Hospital Transfer Outcomes

Background:  Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs.  Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Diagnostic Discordance and Inter-Hospital Transfer Outcomes

HM2016 Abstract Number: 44

Critical Communication: Training Deaf Physicians and Interpreters to Communicate Effectively in a Code Blue

Background: Code blue situations, being uncommon yet stressful, require excellent team communication; they can pose challenges for deaf or hard of hearing (DHH) clinicians, trainees, and interpreters, though DHH providers are a growing source of [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Education, Innovations Abstracts|Comments Off on Critical Communication: Training Deaf Physicians and Interpreters to Communicate Effectively in a Code Blue

HM2016 Abstract Number: 15

Social Networks in Electronic Health Records

Background: Team-based approaches have been broadly promoted to improve healthcare delivery in the U.S. However, few studies have analyzed the complexities of team-based communication in the current healthcare delivery landscape of increasing electronic health record [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Communication, Innovations Abstracts|Comments Off on Social Networks in Electronic Health Records

HM2016 Abstract Number: 13

Got Sdm?: A Multimodal Intervention to Improve Shared Decision-Making During Inpatient Rounds on Medicine and Pediatric Services

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 [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Got Sdm?: A Multimodal Intervention to Improve Shared Decision-Making During Inpatient Rounds on Medicine and Pediatric Services

HM2016 Abstract Number: 10

Confidence and Perceived Barriers to Communication with Seriously Ill Patients and Their Families: A Survey of Hospitalists at Two Centers

Background: As generalist physicians on the frontlines of hospital care for seriously ill patients across the country, hospitalists are optimally positioned to lead discussions regarding serious illness. Little is known about hospitalists’ confidence in serious [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Confidence and Perceived Barriers to Communication with Seriously Ill Patients and Their Families: A Survey of Hospitalists at Two Centers

HM2016 Abstract Number: 6

Understanding Physician Workflow, Task Management, and Communication in the Era of Ehr Adoption

Background:   Academic medical centers are complex healthcare delivery systems that are quickly adopting electronic health records (EHR) nationwide while still using alpha-numeric paging for physicians-in-training raised with cell phones, texting, messaging, and newer technologies.  [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Communication, Research Abstracts|Comments Off on Understanding Physician Workflow, Task Management, and Communication in the Era of Ehr Adoption

HM2016 Abstract Number: 4

Who Moved My Ehr Cheese? A New Approach to Curating and Individualizing Communications to Physicians About Ehr Software Updates

Background: Communicating to physicians about electronic health record (EHR) software updates is important for maintaining clinical workflow and preserving patient safety. However, reaching providers with mass e-mails is challenging; the optimal strategy for educating providers [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Communication, Finalist, Innovations Abstracts|Comments Off on Who Moved My Ehr Cheese? A New Approach to Curating and Individualizing Communications to Physicians About Ehr Software Updates

HM2016 Abstract Number:

Hospitalist Empathy Is Associated with Decreased Patient Anxiety and Higher Ratings of Communication in Admission Encounters

Background: Experts identify empathic responses to patient expressions of negative emotion - such as anxiety, sadness, and anger - as a key component of patient-centered communication, yet evidence on the impact of empathy on patient-reported [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Oral Presentations, Research Abstracts|Comments Off on Hospitalist Empathy Is Associated with Decreased Patient Anxiety and Higher Ratings of Communication in Admission Encounters