Increasing PCP and Hospital Medicine Physician Verbal Communication During Hospital Admissions
| Autor: | Kathleen Pulda, Jessica Marischen, Blair E. Simpson, Grant M. Mussman, Camille Graham, Craig H. Gosdin, Denise Warrick, Matthew Zackoff, Paul Bunch, Michael Vossmeyer |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Attitude of Health Personnel
media_common.quotation_subject Interprofessional Relations Psychological intervention MEDLINE Run chart Pediatrics Physicians Primary Care 03 medical and health sciences 0302 clinical medicine Phone 030225 pediatrics medicine Electronic Health Records Humans Conversation 030212 general & internal medicine media_common Quality of Health Care business.industry Telephone call Health services research Reproducibility of Results General Medicine Continuity of Patient Care medicine.disease Quality Improvement Patient Discharge Hospital medicine Hospitalists Pediatrics Perinatology and Child Health Interdisciplinary Communication Medical emergency Health Services Research business |
| Zdroj: | Hospital pediatrics. 8(4) |
| ISSN: | 2154-1663 |
| Popis: | OBJECTIVES: During hospital admission, communication between primary care physicians (PCPs) and hospital medicine (HM) physicians provides an opportunity for collaboration. Two-way communication facilitates collaboration by allowing the receiver to ask and respond to questions. At our institution, most HM-to-PCP communication occurred by telephone call after discharge. Our specific aim was to increase the percentage of patients for whom a telephone conversation occurred between HM and PCPs during hospital admission from 40% to >80%. METHODS: An improvement team that included PCPs and HM physicians redesigned the process for communication with PCPs to emphasize collaboration during hospitalization. Interventions were used to target key drivers of information transparency, PCP and HM provider buy-in, the value of early call initiation, process standardization, accommodating provider availability, and preoccupation with failure. We used improvement-science methods and run charts to measure our progress and attain our goal. RESULTS: The median weekly percentage of patients with a phone call completed during hospitalization increased from 40% to 85% at the satellite campus and 40% to 80% at the main campus. In addition to the standardized use of a telephone operator system to route calls and follow-up on unplaced calls, critical interventions included feedback on PCP call preferences to providers and the provider script for calls. CONCLUSIONS: PCPs and HM physicians applied quality-improvement methodology to ensure reliable HM-PCP communication during hospital admission. Interventions to facilitate communication between providers and learners (who may otherwise have limited interaction), such as the scripting of phone calls and feedback from PCPs to HM physicians, were important for success. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|