Understanding communication during hospitalist service changes: a mixed methods study.

Provide Feedback |

Submit a Case

Study

Understanding communication during hospitalist service changes: a mixed methods study.

January 6, 2010

Hinami K, Farnan JM, Meltzer DO,et al. J Hosp Med. 2009;4(9):535-540.

View more articles from the same authors.

Handoffs between hospitalists were sometimes incomplete or lacking clarity, creating the potential for patient harm.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?

September 7, 2005

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care.

December 21, 2022

The abrupt expansion of ambulatory telemedicine: implications for patient safety.

February 9, 2022

What do patients and their carers do to support the safety of cancer treatment and care? A scoping review.

December 14, 2022

Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.

June 1, 2022

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.

June 9, 2021

Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.

October 11, 2017

Do words matter? Stigmatizing language and the transmission of bias in the medical record.

January 26, 2018

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

We want to know: eliciting hospitalized patients' perspectives on breakdowns in care.

August 23, 2017

Patient perceptions of hospital experiences: implications for innovations in patient safety.

March 16, 2022

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Resident and nurse perspectives on the use of secure text messaging systems.

October 19, 2022

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.

September 16, 2020

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients.

March 2, 2022

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions.

March 8, 2023

Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.

February 22, 2023

The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system.

May 25, 2022

Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers.

September 23, 2020

A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients.

January 9, 2008

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.

March 8, 2023

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.

January 2, 2008

When do supervising physicians decide to entrust residents with unsupervised tasks?

September 8, 2010

Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic.

February 23, 2022

Safer prescribing for hospitalized older adults with an electronic health records‐based prescribing context.

October 28, 2020

Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups.

October 13, 2021

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

September 15, 2021

Fast tracking in cardiac surgery: is it safe?

May 11, 2022

Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.

May 5, 2021

How safe is prehospital care? A systematic review.

November 17, 2021

Critical events during land-based interfacility transport.

February 12, 2014

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.

February 17, 2021

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review.

September 28, 2022

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

November 11, 2020

Ensuring primary care diagnostic quality in the era of telemedicine.

October 27, 2021

To expand the evidence base about harms from tests and treatments.

September 15, 2021

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.

July 21, 2021

Increased patient safety-related incidents following the transition into Daylight Savings Time.

September 9, 2020

Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant.

September 19, 2018

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.

June 20, 2018

The effect of automated alerts on provider ordering behavior in an outpatient setting.

September 21, 2005

Prevalence of potentially inappropriate medication use in older adults living in nursing homes: a systematic review.

August 17, 2016

Bullying of junior doctors prevails in Irish health system: a bitter reality.

December 7, 2005

Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.

January 11, 2023

Are personal health records (PHRs) facilitating patient safety? A scoping review.

June 15, 2022

Safety considerations for IMRT.

August 10, 2011

Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era.

July 22, 2020

Incoming interns recognize inadequate physical examination as a cause of patient harm.

July 15, 2020

'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors.

November 24, 2021

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.

December 14, 2022

Detecting patient deterioration using artificial intelligence in a rapid response system.

March 25, 2020

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents?

March 11, 2015

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes.

August 17, 2022

Mitigating racial bias in machine learning.

June 22, 2022

The impact of COVID-19 workflow changes on radiation oncology incident reporting.

November 2, 2022

The potential for leveraging machine learning to filter medication alerts.

May 4, 2022

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.

December 2, 2020

Hospital-readmission risk--isolating hospital effects from patient effects.

September 20, 2017

Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs.

May 23, 2012

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.

June 8, 2016

COVID-19: to be or not to be; that is the diagnostic question.

July 8, 2020

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

June 8, 2011

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

WebM&M Cases

The Perils of Cross Coverage

May 1, 2012

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?

September 11, 2019

Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services.

November 3, 2021

Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.

November 4, 2009

Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.

December 17, 2008

Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV.

December 17, 2008

Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.

March 24, 2021

Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.

November 11, 2020

Addressing the health care needs of people who identify as transgender: what do nurses need to know?

July 22, 2020

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

A model for improving health care quality for transgender and gender nonconforming patients.

January 23, 2020

'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.

November 14, 2007

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.

October 26, 2022

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations.

February 1, 2023

Systems thinking for managing COVID-19 in health care systems: seven key messages.

September 23, 2020

Sustaining Improvement.

July 20, 2016

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals.

August 10, 2022

A qualitative study of what care workers do to provide patient safety at home through telecare.

June 23, 2021

Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit.

August 8, 2018

Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis.

March 23, 2022

Strategies to reduce errors associated with 2-component vaccines.

December 2, 2020

Integrating and evaluating the data quality and utility of smart pump information in detecting medication administration errors: evaluation study.

November 4, 2020

A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.

September 22, 2021

Failure to engage hospitalized elderly patients and their families in advance care planning.

April 10, 2013

Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

September 7, 2005

Related Resources

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists.

January 9, 2019

Perspective

The Comprehensivist Model of Care: A Hospitalist's View

November 1, 2018

Interview

In Conversation With… David Meltzer, MD, PhD

November 1, 2018

Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.

October 24, 2018

Peer support for clinicians: a programmatic approach.

July 20, 2016

Communication and shared understanding between parents and resident-physicians at night.

July 13, 2016

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

The effect of hospitalist discontinuity on adverse events.

March 25, 2015

Liability impact of the hospitalist model of care.

November 5, 2014

We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.

March 19, 2014

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.

February 12, 2014

Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU.

February 5, 2014

Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties.

January 15, 2014

Developing a medical emergency team running sheet to improve clinical handoff and documentation.

December 11, 2013

Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.

November 27, 2013

An intervention model that promotes accountability: peer messengers and patient/family complaints.

October 9, 2013

'You talking to me?' Docs and feedback.

September 18, 2013

"Excuse me": teaching interns to speak up.

August 28, 2013

Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare.

July 10, 2013

What do patients think about year-end resident continuity clinic handoffs?: a qualitative study.

May 22, 2013

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.

February 13, 2013

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens.

November 28, 2012

Assessment of teamwork during structured interdisciplinary rounds on medical units.

October 31, 2012

Improving teamwork on general medical units: when teams do not work face-to-face.

October 3, 2012

Faculty member review and feedback using a sign-out checklist: improving intern written sign-out.

September 19, 2012

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.

August 15, 2012

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

May 30, 2012

Who makes prescribing decisions in hospital inpatients? An observational study.

May 30, 2012

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

See More About The Topic

General Hospitals

Physicians

Quality and Safety Professionals

Organizational Behaviorists

General Internal Medicine

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364

Understanding communication during hospitalist service changes: a mixed methods study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Understanding communication during hospitalist service changes: a mixed methods study.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site