Staying Connected: Using Quality Improvement to Bridge the Communication Gap Between Pediatric Hospitalists and Primary Care Providers
| Autor: | Lauren G. Solan, Maha Kaissi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Patient discharge
Quality management Primary Health Care business.industry Communication Health Personnel General Medicine Primary care Root cause Subspecialty medicine.disease Pediatrics Quality Improvement Documentation Ambulatory care Hospitalists Pediatric hospital Pediatrics Perinatology and Child Health Medicine Humans Medical emergency business Child Quality of Health Care |
| Zdroj: | Hospital pediatrics. 11(10) |
| ISSN: | 2154-1671 |
| Popis: | Communication is a complex phenomenon that is woven into virtually every aspect of medicine. It occurs at all hours of the day between various care team members (eg, between physicians, between nurses, between physicians and patients, etc) and in multiple settings and scenarios, making a universal approach or even standardization seemingly impossible. Yet, research has revealed that effective communication improves patient outcomes and decreases medical errors and/or adverse events.1 In contrast, poor communication may generate unintended adverse events, medical errors, and/or provider and patient dissatisfaction and is often cited as a root cause of sentinel events.2,3 With the advance of pediatric hospital medicine as a subspecialty, the divide between inpatient and outpatient care has grown, adding a new layer of complexity and leaving a critical communication gap between hospitalists and primary care providers (PCPs) ripe for intervention.4–10 In recognition of the importance of communication and the existing gaps in discharge communication, this month’s issue of Hospital Pediatrics features a series of admirable quality improvement (QI) studies.11–13 In these articles, researchers tackle the vital yet multifaceted and often challenging topic of communication between inpatient and outpatient providers surrounding patient discharge. Clark et al11 aimed to increase documentation of 2-way communication between hospitalists and PCPs for patients determined to be “high-risk” discharges. Of the average weekly high-risk discharges, their team was able to improve this 2-way communication, from a baseline of 7% to a peak of 39%, but met challenges reaching their goal of 60%. Any documented discharge communication attempts also increased but, similarly, remained below their goal. Interestingly, authors noted that the hospitalist dissatisfaction rate increased throughout the study in follow-up surveys; they attributed this to disagreement with high-risk criteria and discontent with the new communication expectation. In another QI report, … |
| Databáze: | OpenAIRE |
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