Pocket change: a simple educational intervention increases hospitalist documentation of comorbidities and improves hospital quality performance measures
| Autor: | Alex H. Salskov, Kelly L. Wentworth, Anita S. Chang, Thomas O. Staiger, Bradley D. Anawalt, Rachel Sparks, Pritha P. Gupta |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Quality management Leadership and Management Anemia Reminder Systems education MEDLINE Comorbidity Documentation Intervention (counseling) Surveys and Questionnaires medicine Internal Medicine Humans Hospital Mortality Care Planning Quality of Health Care Academic Medical Centers business.industry Health Policy Medical record Middle Aged medicine.disease Quality Improvement Malnutrition Hospitalists Health Care Surveys Emergency medicine Female business |
| Zdroj: | Quality management in health care. 24(2) |
| ISSN: | 1550-5154 |
| Popis: | Background Complete documentation of patient comorbidities in the medical record is important for clinical care, hospital reimbursement, and quality performance measures. We designed a pocket card reminder and brief educational intervention aimed at hospitalists with the goal of improving documentation of 6 common comorbidities present on admission: coagulation abnormalities, metastatic cancer, anemia, fluid and electrolyte abnormalities, malnutrition, and obesity. Methods Two internal medicine inpatient teams led by 10 hospitalist physicians at an academic medical center received the educational intervention and pocket card reminder (n = 520 admissions). Two internal medicine teams led by nonhospitalist physicians served as a control group (n = 590 admissions). Levels of documentation of 6 common comorbidities, expected length of stay, and expected mortality were measured at baseline and during the 9-month study period. Results The intervention was associated with increased documentation of anemia, fluid and electrolyte abnormalities, malnutrition, and obesity in the intervention group, both compared to baseline and compared to the control group during the study period. The expected length of stay increased in the intervention group during the study period. Conclusions A simple educational intervention and pocket card reminder were associated with improved documentation and hospital quality measures at an academic medical center. |
| Databáze: | OpenAIRE |
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