PHACES (Photographs of Academic Clinicians and Their Educational Status): A Tool to Improve Delivery of Family-Centered Care

Dudas, Robert A.; Lemerman, Hanna B.; Barone, Michael; Serwint, Janet R.

doi:10.1016/j.acap.2009.12.006

Cited by 24 publications

(45 citation statements)

References 16 publications

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“…The use of photographs identifying the care team and their roles may improve recognition, acceptance of trainees, and satisfaction with care. 59 Modeling a PFCC approach can also be accomplished through familycentered rounds 2,60 at change of shift or by having all team members meet the patient and family together for the initial patient assessment. (Pasmann, Nelson; unpublished abstract, April 2013) In the inpatient setting, the care team approach and family-centered rounds were associated with improved family satisfaction, and families felt more involved in developing the care plan.…”

Section: Modeling Pfcc In the Edmentioning

confidence: 99%

Patient- and Family-Centered Care of Children in the Emergency Department

O’Malley¹,

Brown

Krug³

2015

Pediatrics

142

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Patient- and family-centered care is an approach to the planning, delivery, and evaluation of health care that is grounded in a mutually beneficial partnership among patients, families, and health care professionals. Providing patient- and family-centered care to children in the emergency department setting presents many opportunities and challenges. This revised technical report draws on previously published policy statements and reports, reviews the current literature, and describes the present state of practice and research regarding patient- and family-centered care for children in the emergency department setting as well as some of the complexities of providing such care.

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Section: Modeling Pfcc In the Edmentioning

confidence: 99%

Patient- and Family-Centered Care of Children in the Emergency Department

O’Malley¹,

Brown

Krug³

2015

Pediatrics

142

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“…However, the phenomenon of a hospital setting in which practitioners change often is not unique to teaching institutions, and the problem of TTM identification is common. 2,11,12 It is possible that subject participation in the study affected team interactions with the families. This could have biased the team to be more explicit about identifying themselves than they might have previously to ensure a positive result or outcome.…”

Section: Singh Et Almentioning

confidence: 99%

“…3,11,13,15 Based on previaous studies, we estimated that our baseline level of attending identification (in Phase 1) would be 20%. To detect a 25% difference in proportions with an a of 0.05 and power of 0.8, we calculated that we needed to enroll 60 subjects in each group.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…10 Although there are many studies showing improvement in TTM identification with use of paper solutions such as cards/ handouts with names and photos, these print solutions may not adequately accomplish the goal of a real-time, responsive system. [11][12][13][14][15] They must be printed often due to the frequent TTM changes in teaching hospitals and require physical placement in a specific location. This process can become cumbersome and has many potential failure points.…”

mentioning

confidence: 99%

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Who’s My Doctor? Using an Electronic Tool to Improve Team Member Identification on an Inpatient Pediatrics Team

Singh

Rhee²,

Brennan³

et al. 2016

Hospital Pediatrics

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OBJECTIVES: Increase parent/caregiver ability to correctly identify the attending in charge and define terminology of treatment team members (TTMs). We hypothesized that correct TTM identification would increase with use of an electronic communication tool. Secondary aims included assessing subjects’ satisfaction with and trust of TTM and interest in computer activities during hospitalization. METHODS: Two similar groups of parents/legal guardians/primary caregivers of children admitted to the Pediatric Hospital Medicine teaching service with an unplanned first admission were surveyed before (Phase 1) and after (Phase 2) implementation of a novel electronic medical record (EMR)-based tool with names, photos, and definitions of TTMs. Physicians were also surveyed only during Phase 1. Surveys assessed TTM identification, satisfaction, trust, and computer use. RESULTS: More subjects in Phase 2 correctly identified attending physicians by name (71% vs. 28%, P < .001) and correctly defined terms intern, resident, and attending (P ≤ .03) compared with Phase 1. Almost all subjects (>79%) and TTMs (>87%) reported that subjects’ ability to identify TTMs moderately or strongly impacted satisfaction and trust. The majority of subjects expressed interest in using computers to understand TTMs in each phase. CONCLUSIONS: Subjects’ ability to correctly identify attending physicians and define TTMs was significantly greater for those who used our tool. In our study, subjects reported that TTM identification impacted aspects of the TTM relationship, yet few could correctly identify TTMs before tool use. This pilot study showed early success in engaging subjects with the EMR in the hospital and suggests that families would engage in computer-based activities in this setting.

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“…Examples include in-room or inhand reminders that act as visual aids for patients and have been shown to improve identification of physicians. 5,[7][8][9][10][11][12] Adoption of these interventions by physicians has been slow, potentially due to a lack of awareness among providers of the importance of patient identification, unavailability of tools, forgetting to use them, or time constraints. 5,11 We sought to determine the impact of an educational audit and feedback intervention on the use of 2 low-cost tools: business cards and white boards.…”

Section: Introductionmentioning

confidence: 99%