Improving promptness and quality of hospitalist-consultant interactions at an academic teaching hospital.

John M Cunningham, Robert Leverence, Nico Gotera, Phillip A Minor, Nathan Sevigny, Ankur Segon
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Abstract

Communication between consulting and consultant services is essential to provide high-value care. We implemented a collaborative project between hospital medicine (HM), emergency medicine (EM), and departmental leadership of the major consulting services to provide feedback regarding consultant communication, promptness, and follow-up planning. We conducted pre- and postintervention surveys of HM and EM clinicians and measured the mean turnaround time (TAT) from consult order to consultant note completion. Perceptions of consultant promptness and follow-up communication improved postintervention. Mean TAT was significantly reduced postintervention (1098 vs. 1011 min, p = .002, confidence interval [CI]: 30.7-143.3). A collaborative approach using interdepartmental feedback improved perceptions of the quality of interactions with consulting services.

提高学术教学医院医患互动的及时性和质量。
咨询和咨询服务之间的沟通对于提供高价值的护理至关重要。我们在医院医学(HM)、急诊医学(EM)和主要咨询服务的部门领导之间实施了一个协作项目,以提供关于顾问沟通、及时性和后续计划的反馈。我们对HM和EM临床医生进行了干预前和干预后的调查,并测量了从咨询订单到咨询记录完成的平均周转时间(TAT)。干预后,对咨询师的及时性和随访沟通的看法有所改善。平均TAT在干预后显著降低(1098 vs 1011 min, p =。002,置信区间[CI]: 30.7-143.3)。采用部门间反馈的协作方法提高了对咨询服务相互作用质量的认识。
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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