scholarly journals Lean-Based Redesign of Multidisciplinary Rounds on General Medicine Service

2018 ◽  
Author(s):  
Marlena Kane ◽  
Nidhi Rohatgi ◽  
Paul A Heidenreich ◽  
Arkanksha Thakur ◽  
Marcy Winget ◽  
...  
Keyword(s):  
General Medicine ◽  
Medicine Service ◽  
Multidisciplinary Rounds

Care Coordination

2018 ◽  
pp. 163-167
Keyword(s):  
Emergency Department ◽  
Care Coordination ◽  
Medical Center ◽  
Academic Medical Center ◽  
General Medicine ◽  
Ethnically Diverse ◽  
Medicine Service ◽  
Academic Medical ◽  
Diverse Patient Population ◽  
Hospital Visits

This case focuses on improving care coordination for patients who have been discharged from the hospital by asking the question: Is it possible to reduce the rate of repeat emergency department and hospital visits after discharge by improving care coordination? The study group included adults admitted to the general medicine service of an urban, academic medical center that serves an “ethnically diverse patient population.” Patients were assigned to nurse discharge advocates who provided the patients with delineated services and assistance during the hospitalization The Project Reengineered Discharge (RED) program substantially reduced repeat emergency department and hospital visits by improving care coordination at the time of hospital discharge.

scholarly journals Detection of errors by attending physicians on a general medicine service

2003 ◽  
Vol 18 (8) ◽  
pp. 595-600 ◽  
Author(s):  
Sarwat I. Chaudhry ◽  
Kolawole A. Olofinboba ◽  
Harlan M. Krumholz
Keyword(s):  
General Medicine ◽  
Medicine Service ◽  
Attending Physicians

Time analysis of a general medicine service

1994 ◽  
Vol 9 (5) ◽  
pp. 272-277 ◽  
Author(s):  
Steven Guarisco ◽  
Eugene Oddone ◽  
David Simel
Keyword(s):  
General Medicine ◽  
Time Analysis ◽  
Medicine Service

Unsuspected clinically important findings detected with a small portable ultrasound device in patients admitted to a general medicine service

2003 ◽  
Vol 16 (9) ◽  
pp. 901-905 ◽  
Author(s):  
Savitri Fedson ◽  
Gregg Neithardt ◽  
Patrick Thomas ◽  
Alex Lickerman ◽  
Michael Radzienda ◽  
...  
Keyword(s):  
General Medicine ◽  
Portable Ultrasound ◽  
Ultrasound Device ◽  
Medicine Service

scholarly journals Comparative assessment of content overlap between written documentation and verbal communication: an observational study of resident sign-outs

JAMIA Open ◽  
2018 ◽  
Vol 1 (2) ◽  
pp. 210-217 ◽  
Author(s):  
Joanna Abraham ◽  
Imade Ihianle ◽  
Charlotte E Ward ◽  
Vineet M Arora ◽  
Thomas G Kannampallil
Keyword(s):  
General Medicine ◽  
Verbal Communication ◽  
Medical Record Number ◽  
Face To Face ◽  
Code Status ◽  
Medicine Service ◽  
Verbal Content ◽  
And Gender ◽  
Transfer Of Information ◽  
High Degree

Abstract Objective Effective sign-outs involve verbal communication supported by written or electronic documentation. We investigated the clinical content overlap between sign-out documentation and face-to-face verbal sign-out communication. Methods We audio-recorded resident verbal sign-out communication and collected electronically completed (“written”) sign-out documentation on 44 sign-outs in a General Medicine service. A content analysis framework with nine sign-out elements was used to qualitatively code both written and verbal sign-out content. A content overlap framework based on the comparative analysis between written and verbal sign-out content characterized how much written content was verbally communicated. Using this framework, we computed the full, partial, and no overlap between written and verbal content. Results We found high a high degree of full overlap on patient identifying information [name (present in 100% of sign-outs), age (96%), and gender (87%)], past medical history [hematology (100%), renal (100%), cardiology (79%), and GI (67%)], and tasks to-do (97%); lesser degree of overlap for active problems (46%), anticipatory guidance (46%), medications/treatments (15%), pending labs/studies/procedures (7%); and no overlap for code status (<1%), allergies (0%) and medical record number (0%). Discussion and Conclusion Three core functions of sign-outs are transfer of information, responsibility, and accountability. The overlap—highlighting what written content was communicated—characterizes how these functions manifest during sign-outs. Transfer of information varied with patient identifying information being explicitly communicated and remaining content being inconsistently communicated. Transfer of responsibility was explicit, with all pending and future tasks being communicated. Transfer of accountability was limited, with limited discussion of written contingency plans.

scholarly journals An Educational and Administrative Intervention to Promote Rational Laboratory Test Ordering on an Academic General Medicine Service

2017 ◽  
Vol 130 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Bradley M. Wertheim ◽  
Andrew J. Aguirre ◽  
Roby P. Bhattacharyya ◽  
John Chorba ◽  
Ashutosh P. Jadhav ◽  
...  
Keyword(s):  
Laboratory Test ◽  
General Medicine ◽  
Medicine Service ◽  
Test Ordering

scholarly journals Urinalysis Orders Among Patients Admitted to the General Medicine Service

2015 ◽  
Vol 175 (10) ◽  
pp. 1711 ◽  
Author(s):  
Penny Yin ◽  
Alex Kiss ◽  
Jerome A. Leis
Keyword(s):  
General Medicine ◽  
Medicine Service
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