How Asking Patients a Simple Question Enhances Care at the Bedside: Medical Students as Agents of Quality Improvement

Ward, Hope Olivia; Kibble, Sarah; Mehta, Gney; Franklin, Marc A.; Kovoor, Joshua G; Jones, Aled; Panesar, Sukhmeet S.; Carson‐Stevens, Andrew

doi:10.7812/tpp/13-028

Cited by 8 publications

(9 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Health-care workers should take an active stance in soliciting patient narratives (pre-op and post-op) by directly asking donors questions like, What can I do to improve your stay? ( 15 ) What can I do to improve your care today? ( 16 ) Although it can be easy to think of Good Samaritans as “superhuman” ( 1 ) and living donation as “relatively safe,” long-term outcome data shown in this study indicate that negative experiences are indeed occurring in this philanthropic population.…”

Section: Discussionmentioning

confidence: 99%

“…Organ donations are a community good, as is giving pre- and postdonation care to organ donors. Although it may not be practical to administer “experience surveys” to all donors pre- and postdonation, all health-care workers have the daily opportunity to learn their patient’s experience and potentially improve it, by asking questions ( 15 , 16 ), listening, showing empathy, and taking action. Great outcomes and giving great care should not be assumptions, but rather they require active observation, questioning, and responding.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

What’s Mine is Yours

Bramstedt

2017

Journal of Patient Experience

View full text Add to dashboard Cite

This study is a long-term follow-up on the health and quality of life of Good Samaritan living organ donors who donated an average of 10 years ago. Thirteen donors (kidney, liver, and lung) completed 2 surveys. Data from the RAND 36-Item Health Survey showed that for all domains, as well as the physical and mental component summary scales, the Good Samaritan donor outcomes were superior to the general population (P < .0001). Data from the European Living Donor Satisfaction Survey (EULID) showed that in all 8 theme areas, the donors reported statistically significant positive reactions as compared to negative reactions. With regard to self-reported health status, there was a strong, positive correlation between the RAND 36-Item Health Survey and the EULID (n = 13, Pearson correlation coefficient: 0.874). All but 1 donor reported good, very good, or excellent health status. Although donors overwhelmingly reported positivity about the donation experience, narrative comments about adverse events and recipient death must keep transplant teams alert to these critical areas. Good Samaritan organ donors come to the hospital healthy, give a gift to a stranger, and sometimes leave and linger disabled. Donor teams should be observing, questioning, and responding in an effort to maximize their welfare. This research is unique because investigation of the long-term health and psychosocial outcomes of Good Samaritan organ donors is rare. Existing studies that report long-term outcomes of kidney donors do not separately analyze Good Samaritan donor data from related living donors.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What’s Mine is Yours

Bramstedt

2017

Journal of Patient Experience

View full text Add to dashboard Cite

show abstract

“…It is interesting to note though that 25% of Danish chiropractic practices do not employ dedicated reception staff [ 5 ]. A question that springs to mind then is, whether these chiropractors employ more sophisticated bedside manners in order to facilitate patient-centered care both in an out of the consultation room [ 21 ]?…”

Section: Discussionmentioning

confidence: 99%

Health care encounters in Danish chiropractic practice from a consumer perspectives - a mixed methods investigation

et al. 2016

View full text Add to dashboard Cite

BackgroundPerceived value is the key ingredient to carving and maintaining a competitive business niche. The opportunities to interact with consumers to understand and enhance perceived value are termed ‘touch points’. Due to the out-of-pocket expense incurred by patients, Danish chiropractors are subject to consumer trends and behaviors. The purpose of this investigation was to explore and describe consumer touch points relevant to perceived value through healthcare journeys in chiropractic practices.MethodWe designed a convergent parallel, mixed methods study. Our purposive sampling framework identified 11 chiropractic clinics from which we collected observational field notes, video recordings and face-to-face interviews.ResultsData was collected between April 14th and June 26th 2014. We described the exteriors and interiors of all participant clinics, interviewed 32 staff members, 12 new patients and 36 follow-up patients and finally video recorded 11 new and 24 follow-up consultations. Categorization and analysis led to the emergence six consumer touch point themes: ‘the internet’, ‘the physical environment’, ‘practice models’, ‘administrative staff’, ‘the consultation sequence and timing’ and ‘a consultation that adds value’. The Internet functions as a tool when choosing/confirming a clinic as appropriate, developing and initial image and managing appointments. The administrative hub appears integral to the shaping of positive consumer experiences outside of the consultation. Clinic location, practice model and interior design may contribute to context effects and thus may influence value perception during the clinical encounter. The duration of hands-on treatment received from the chiropractor is not an apparent consumer focus point. Rather, through a seven stage clinical procedure patients value consultations with clinicians who demonstrate professional competence by effective communication diagnosis/management and facilitating satisfactory treatment outcomes.ConclusionAt least six consumer touch points add/detract from value-related experiences in chiropractic practices. The duration of hands-on treatment per se does not appear to be a particular focus point. More research is required to explore this issue.

show abstract

“…Many studies [9][10][11][12] have been published regarding QI training in medical school and residency programs.…”

Section: Linking Community Hospital Initiatives With Osteopathic Medimentioning

confidence: 99%

Linking Community Hospital Initiatives With Osteopathic Medical Students’ Quality Improvement Training: A Pilot Program

Brannan

Russ²,

Winemiller³

et al. 2016

Journal of Osteopathic Medicine

View full text Add to dashboard Cite

Quality improvement (QI) continues to be a health care challenge, and the literature indicates that osteopathic medical students need more training. To qualify for portions of managed care reimbursement, hospitals are required to meet measures intended to improve quality of care and patient satisfaction, which may be challenging for small community hospitals with limited resources. Because osteopathic medical training is grounded on community hospital experiences, an opportunity exists to align the outcomes needs of hospitals and QI training needs of students. In this pilot program, 3 sponsoring hospitals recruited and mentored 1 osteopathic medical student each through a QI project. A mentor at each hospital identified a project that was important to the hospital's patient care QI goals. This pilot program provided osteopathic medical students with hands-on QI training, created opportunities for interprofessional collaboration, and contributed to hospital initiatives to improve patient outcomes.

show abstract

How Asking Patients a Simple Question Enhances Care at the Bedside: Medical Students as Agents of Quality Improvement

Cited by 8 publications

References 16 publications

What’s Mine is Yours

What’s Mine is Yours

Health care encounters in Danish chiropractic practice from a consumer perspectives - a mixed methods investigation

Linking Community Hospital Initiatives With Osteopathic Medical Students’ Quality Improvement Training: A Pilot Program

Contact Info

Product

Resources

About