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Search results for "United States of America"

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Journal Article > Commentary

Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine.

Singh H, Zwaan L. Ann Intern Med. 2016;165:HO2-HO4.

Hospitalists have a key role in facilitating transitions and communication. This commentary discusses how hospitalists can prevent diagnostic errors and reviews opportunities for improvement, including encouraging patient involvement in their care and face-to-face team communication in difficult-to-diagnose cases.

Journal Article > Study

Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes.

Sokol-Hessner L, White AA, Davis KF, Herzig SJ, Hohmann SF. J Hosp Med. 2016;11:245-250.

Although interhospital transfers are considered risky, they are not well characterized. This analysis of inpatient records found that even after adjustment for illness severity and patient characteristics, transferred patients had a higher risk of death compared with patients admitted through the emergency department. This finding should prompt prospective study of transfers to elucidate and address safety vulnerabilities.

Journal Article > Study

The effect of hospitalist discontinuity on adverse events.

O'Leary KJ, Turner J, Christensen N, et al. J Hosp Med. 2015;10:147-151.

Clinician discontinuity is often cited as a potential patient safety issue. However, this study found that transfers of care between hospitalists did not appear to be associated with adverse events. The authors note that as hospital care is provided within teams, research should focus on the effects of team complexity and changes on patient safety.

Journal Article > Study

Liability impact of the hospitalist model of care.

Schaffer AC, Puopolo AL, Raman S, Kachalia A. J Hosp Med. 2014;9:750-755.

This review of closed malpractice claims found that hospitalists are less likely to be subject to malpractice claims than other internal medicine physicians and specialists. These findings counter the concern that hospitalists raise liability risk due to discontinuity of care. A related editorial suggests that an emphasis on diagnostic safety and interprofessional communication would improve safety in acute care settings with hospitalists.

Journal Article > Review

Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians?

Olson R, Garite TJ, Fishman A, Andress IF. Am J Obstet Gynecol. 2012;207:81-86.

This review discusses how the obstetric-gynecologic hospitalist model can help reduce physician fatigue and delays in care.

Journal Article > Commentary

Hospital quality and patient safety competencies: development, description, and recommendations for use.

O'Leary KJ, Afsar-Manesh N, Budnitz T, Dunn AS, Myers JS. J Hosp Med. 2011;6:530-536.

This piece describes eight areas of competence that should be incorporated into professional education to provide hospitalists with training in health care quality.

Newspaper/Magazine Article

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

This article discusses how drug shortages in hospitals can endanger care and suggests that hospitalists communicate with pharmacists to improve patient safety.

Journal Article > Study

A comprehensive obstetrics patient safety program improves safety climate and culture.

Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.

A multifaceted patient safety program resulted in a sustained improvement in safety culture in an academic obstetrics unit. The program had previously been shown to reduce the incidence of preventable adverse events.

Journal Article > Study

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

Mittal VS, Sigrest T, Ottolini MC, et al. Pediatrics. 2010;126:37-43.

Nearly half of pediatric hospitalists in this survey reported conducting family-centered rounds—multidisciplinary rounds conducted at the bedside in the presence of the patient and family members. Among other benefits, family-centered rounds engage patients in patient safety.

Journal Article > Study

Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment.

Apker J, Mallak LA, Applegate EB 3rd, et al. Ann Emerg Med. 2010;55:161-170.

This study reports on the development of a tool to assess the content and structure of handoff communications between emergency physicians and hospitalists. The authors found that the handoff communication was mostly "one-way," consisting primarily of information exchange without interactive questions and answers.

Book/Report

The Role of Hospitalists in Patient Safety.

Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. ISBN: 9781599403045.

This book discusses the rise of the hospitalist movement within the context of quality and safety and reviews how hospitalists can support several National Patient Safety Goals.

Journal Article > Study

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

Hinami K, Farnan JM, Meltzer DO, Arora VM. J Hosp Med. 2009;4:535-540.

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

Journal Article > Study

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record.

Zsenits B, Polashenski WA, Sterns RH, Brown DR IV, Moheet A. J Hosp Med. 2009;4:308-312.

An electronic system was developed in order to ensure correct assignment of hospitalist physicians to patients at admission and at the time of care transitions (e.g., discharge from the intensive care unit).

Newspaper/Magazine Article

Pediatric safety.

Runy LA. Hosp Health Netw. 2009 May;83:8 p following 32, 2.

This condensed discussion shares information on safety issues that affect care for children.

Journal Article > Study

Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions.

Flanders SA, Kaufman SR, Saint S, Parekh VI. J Patient Saf. 2009;5:3-8.

This study analyzes findings from a 2-year program to share best practices and train hospitalists as patient safety champions in a consortium of nine Michigan hospitals.

Journal Article > Study

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.

Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

This study surveyed hospitalists and found significant variability in institutional medication reconciliation practices, increased time demands on providers, and underutilization of pharmacists in the process.

Journal Article > Study

Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.

Were MC, Abernathy G, Hui SL, Kempf C, Weiner M. J Am Med Inform Assoc. 2009;16:196-202.

Structured reminders within an existing computerized order entry system increased implementation of recommendations made by consulting physicians.

Newspaper/Magazine Article

Hospitals move to reduce risk of night shift.

Landro L. Wall Street Journal. May 28, 2008:D1.

This article reports how hospitals are aiming to boost the safety of care delivered on nights and weekends by employing "nocturnists" (a hospitalist subspecialty)—physicians who work only the night shift.

Journal Article > Commentary

Implementing a rapid response team: a practical guide.

Garretson S, Dip HE, Rauzi MB. Nursing. 2008;38:56cc1-56cc3.  

This article discusses how one hospital implemented a rapid response team consisting of a hospitalist, advance practice nurse, and respiratory therapist. The process of educating staff, encouraging calls, and adjusting the team's roles and responsibilities was based on initial experiences.

Journal Article > Review

Implementing patient safety interventions in your hospital: what to try and what to avoid.

Ranji SR, Shojania KG. Med Clin North Am. 2008;92:275-293.

Patient safety improvement initiatives are often chosen in the context of an existing tension between taking an evidence-based approach versus a practical one. This commentary provides a framework for choosing various interventions with a particular focus on what hospitalists should target for implementation. The authors advocate for a "balanced diet" approach in combining: (1) important practices with strong evidence (e.g., prevention of catheter-related blood stream infections), (2) momentum-generating projects (e.g., executive walk rounds), and (3) system-level interventions (e.g., computerized physician order entry [CPOE]). A previous AHRQ WebM&M perspective addresses how to interpret the patient safety literature.

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