Self-reflection as a Tool to Increase Hospitalist Participation in Readmission Quality Improvement
| Autor: | Vipulkumar Rana, Pooja Nagpal, Bipin Thapa, Geoffrey C. Lamb, Kathlyn E. Fletcher, Sumanta Chaudhuri Saini, Ankur Segon |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Health (social science) Quality management Leadership and Management Patient Readmission Severity of Illness Index 01 natural sciences 03 medical and health sciences 0302 clinical medicine Severity of illness medicine Humans 030212 general & internal medicine 0101 mathematics Care Planning Data abstraction Academic Medical Centers business.industry Health Policy 010102 general mathematics Middle Aged Readmission rate Quality Improvement United States Group discussion Socioeconomic Factors Hospitalists Self-reflection Family medicine Facilitator Female business |
| Zdroj: | Quality Management in Health Care. 25:219-224 |
| ISSN: | 1063-8628 |
| DOI: | 10.1097/qmh.0000000000000111 |
| Popis: | Background Reducing 30-day readmissions is a national priority. Although multipronged programs have been shown to reduce readmissions, the role of the individual hospitalist physician in reducing readmissions is not clear. Objectives We evaluated the effect of physicians' self-review of their own readmission cases on the 30-day readmission rate. Methods Over a 1-year period, hospitalists were sent their individual readmission rates and cases on a weekly basis. They reviewed their cases and completed a data abstraction tool. In addition, a facilitator led small group discussion about common causes of readmission and ways to prevent such readmissions. Results Our preintervention readmission rate was 16.16% and postintervention was 14.99% (P = .76). Among hospitalists on duty, nearly all participated in scheduled facilitated discussions. Self-review was completed in 67% of the cases. Conclusions A facilitated reflective practice intervention increased hospitalist participation and awareness in the mission to reduce readmissions and this intervention resulted in a nonsignificant trend in readmission reduction. |
| Databáze: | OpenAIRE |
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