Patient-Centered Interprofessional Collaborative Care: Factors Associated with Bedside Interprofessional Rounds

Gonzalo, Jed D.; Wolpaw, Daniel R.; Lehman, Erik; Chuang, Cynthia H.

doi:10.1007/s11606-014-2817-x

Cited by 53 publications

(55 citation statements)

References 31 publications

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“…29,39,40 Lastly, patients' ability to obtain, process, and understand information to improve their care, or health literacy, is a cross-cutting priority area in health policy. Studies demonstrate that patients have poor understanding of medical information presented to them, resulting in unnecessary admissions and emergency department utilization.…”

Section: Discussionmentioning

confidence: 99%

“…Two primary methods for team meetings in medicine units are care coordination rounds and team bedside interprofessional rounds, the latter of which are infrequent. 29,49 Additionally, team bedside rounds occur commonly during initial hospitalization days, rather than focusing on discharge transitions. 29,50 Standardization and utility of these two interprofessional team meetings may improve communication during patient discharges.…”

Section: Discussionmentioning

confidence: 99%

“…Five teams, organized into three teaching teams and two non-teaching teams, provide care for all patients. 29 The internal medicine residency program consists of 69 medicine and 14 medicine-pediatrics house staff. Teaching teams consist of one junior (PGY2) or senior (PGY3-4) house staff, two interns (PGY1), ≤ 2 medical students, and one attending physician.…”

Section: Study Settingmentioning

confidence: 99%

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Interprofessional Communication Patterns During Patient Discharges: A Social Network Analysis

2015

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BACKGROUND: Optimal care delivery requires timely, efficient, and accurate communication among numerous providers and their patients, especially during hospital discharge. Little is known about communication patterns during this process. OBJECTIVE: Our aim was to assess the frequency and patterns of communication between patients and providers during patient discharges from a hospital-based medicine unit. DESIGN AND APPROACH: On the day of the patient's discharge, the patient and all healthcare providers involved in the discharge were interviewed using structured questions related to information exchange during the discharge process. Each interview identified the frequency and method of communication between participants, including synchronous (e.g., face-to-face) and asynchronous (e.g., through electronic medical record) routes. Communication patterns were visually diagramed using social network analysis. PARTICIPANTS: Forty-six patients were screened for inclusion in the network analysis. Of those, seven patients who were fully oriented and able to complete an interview and all providers who participated in their care during the discharge were selected for inclusion in the analysis. In all, 72 healthcare professionals contributing to the discharge process were interviewed, including physicians, nurses, therapists, pharmacists, care coordinators, social workers, and nutritionists. KEY RESULTS: Patients' mean age was 63, length-ofstay was 7.8 days, and most (86 %) were discharged to home. On average, 11 roles were involved with each discharge. The majority of communication was synchronous (562 events vs. 469 asynchronous events, p=0.004). Most communication events occurred between the primary nurse and patient and the care coordinator and primary nurse (mean 3.9 and 2.3 events/discharge, respectively). Participants identified intern physicians as most important in the discharge process, followed by primary nurses and care coordinators. CONCLUSIONS: In patients being discharged from the medicine service, communication was more frequently synchronous, and occurred between intern physicians, primary nurses, and patients. Potential improvements in coordinating patients' discharges are possible by reorganizing systems to optimize efficient communication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Settingmentioning

confidence: 99%

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Interprofessional Communication Patterns During Patient Discharges: A Social Network Analysis

2015

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“…We were encouraged by the growing number of studies on interprofessional education, reflecting the national shift towards collaborative patientcentered medical homes and related care structures, but found little evidence regarding the impact on patient outcomes. 14,16,19,25 We also found descriptive studies on use of the milestone-based learner assessments. 18 Our selection process prioritized those most relevant, important, and generalizable, and with greatest methodological quality, for our audience of general internist educators.…”

Section: Discussionmentioning

confidence: 95%

“…[13][14][15][16][17][18][19][20][21][22][23][24][25] Compared to our review of the 2013 literature relevant to general medicine educators, 26 we found more multi-institutional studies of high quality. Similar to last year, resident continuity clinic and handoffs were areas of focus.…”

Section: Discussionmentioning

confidence: 99%

For the General Internist: A Summary of Key Innovations in Medical Education

et al. 2016

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We conducted a review of published medical education articles to identify high-quality research and innovation relevant to educators in general medicine. Our review team consisted of six general internists with expertise in medical education and a professional medical librarian. We manually searched 15 journals in pairs (a total of 3062 citations) for original research articles in medical education published in 2014. Each pair of reviewers independently rated the relevance, importance, and generalizability of articles on medical education in their assigned journals using a 27-point scale (maximum of 9 points for each characteristic). From this list, each team member independently reviewed the 22 articles that received a score of 20 or higher from both initial reviewers, and for each selected article rated the quality and global relevance for the generalist educator. We included the seven toprated articles for presentation in this review, and categorized the studies into four general themes: continuity clinic scheduling, remediation, interprofessional education, and quality improvement and patient safety. We summarized key findings and identified significant limitations of each study. Further studies assessing patient outcomes are needed to strengthen the literature in medical education. This summary of relevant medical education articles can inform future research, teaching, and practice.

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Critical Care Obstetric Nursing

Troiano

Baird

2018

Critical Care Obstetrics

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Patient-Centered Interprofessional Collaborative Care: Factors Associated with Bedside Interprofessional Rounds

Cited by 53 publications

References 31 publications

Interprofessional Communication Patterns During Patient Discharges: A Social Network Analysis

Interprofessional Communication Patterns During Patient Discharges: A Social Network Analysis

For the General Internist: A Summary of Key Innovations in Medical Education

Critical Care Obstetric Nursing

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