Improving Patient Care through a Standardized Laboratory-Clinician Communication Quality Improvement Project: Experiential Learning for Resident Physicians.

IF 2.2 4区 医学 Q1 REHABILITATION
Miriam Alpert, Madeline Miller, Olumide Sokunbi, James Sliwa, Priya Mhatre
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Abstract

Abstract: Education in quality improvement (QI) is linked to high-quality health care, and involving residents as key leadership in QI projects ensures a level of engagement to reinforce principles in practice. Obtaining timely laboratory data in inpatient settings is critical to decision making. This resident-led group identified that the established forms of communication regarding uncollected laboratory draws at this inpatient rehabilitation facility were not standardized. There was significant variance in communication between phlebotomists and clinicians. Based on a root cause analysis, the QI team concluded that a single unified email notifying clinicians about uncollected labs would be an effective and efficient communication method. A standardized email template was created and sent to the resident physicians and advanced practice providers during a two-week feasibility pilot. After a successful pilot intervention, the communication email was expanded to include attending physicians. The standardized weekday email was distributed 100% of the time during both two-week interventions. The residents leading the project gained a better understanding of the dynamics of interdisciplinary collaboration required within hospital operations to facilitate the success of a QI intervention.

通过标准化的实验室-临床医生沟通质量改进项目改善患者护理:住院医师体验式学习。
摘要:质量改善教育(QI)与高质量的医疗保健有关,让居民作为QI项目的关键领导,确保了一定程度的参与,以加强实践中的原则。在住院环境中获得及时的实验室数据对决策至关重要。这个由居民领导的小组发现,在这个住院康复设施中,关于未收集的实验室抽血的既定沟通形式没有标准化。抽血师和临床医生之间的沟通存在显著差异。基于根本原因分析,QI团队得出结论,一个统一的电子邮件通知临床医生未收集的实验室将是一种有效和高效的沟通方法。在为期两周的可行性试点期间,我们创建了一个标准化的电子邮件模板,并将其发送给住院医师和高级执业医师。在一次成功的试点干预后,沟通邮件扩展到主治医生。在两周的干预中,标准化的工作日电子邮件在100%的时间内分发。领导该项目的住院医生更好地了解了医院操作中跨学科合作的动态,以促进QI干预的成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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