Prospective comparison of curbside versus formal consultations
Autor: | Marisha Burden, Nicholas Scaletta, Jessica Campbell, Margherita Mascolo, Ellen Sarcone, Katarzyna Mastalerz, Barbara Statland, Maria G. Frank, Nancy Maller, Sarah A Stella, Rebecca Allyn, Lilia Cervantes, Mark B. Reid, Mary P. Maher, Richard K. Albert, Smitha R. Chadaga, Philip Fung, Jeff Zoucha, Angela Keniston, Julie Taub |
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Rok vydání: | 2012 |
Předmět: |
medicine.medical_specialty
Colorado Quality Assurance Health Care Leadership and Management business.industry Hospitalized patients Attitude of Health Personnel Health Policy Interprofessional Relations MEDLINE Outcome measures General Medicine Assessment and Diagnosis Hospital medicine Hospitals University Hospitals Urban Family medicine medicine Humans Fundamentals and skills Prospective Studies business Care Planning Referral and Consultation |
Zdroj: | Journal of hospital medicine. 8(1) |
ISSN: | 1553-5606 |
Popis: | BACKGROUND: Curbside consultations are commonly requested during the care of hospitalized patients, but physicians perceive that the recommendations provided may be based on inaccurate or incomplete information. OBJECTIVE: To compare the accuracy and completeness of the information received from providers requesting a curbside consultation of hospitalists with that obtained in a formal consultation on the same patients, and to examine whether the recommendations offered in the 2 consultations differed. DESIGN: Prospective cohort. SETTING: University-affiliated, urban safety net hospital. MAIN OUTCOME MEASURES: Proportion of curbside consultations with inaccurate or incomplete information; frequency with which recommendations in the formal consultation differed from those in the curbside consultation. RESULTS: Curbside consultations were requested for 50 patients, 47 of which were also evaluated in a formal consultation performed on the same day by a hospitalist other than the one performing the curbside consultation. Based on information collected in the formal consultation, information was either inaccurate or incomplete in 24/47 (51%) of the curbside consultations. Management advice after formal consultation differed from that given in the curbside consultation for 28/47 patients (60%). When inaccurate or incomplete information was received, the advice provided in the formal versus the curbside consultation differed in 22/24 patients (92%, P < 0.0001). CONCLUSIONS: Information presented during inpatient curbside consultations of hospitalists is often inaccurate or incomplete, and this often results in inaccurate management advice. Journal of Hospital Medicine 2013. © 2012 Society of Hospital Medicine |
Databáze: | OpenAIRE |
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