Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Handoffs are ubiquitous to Hospital Medicine and are considered a vulnerable time for patient safety. ⋯ The systematic review and resulting recommendations provide hospitalists a starting point from which to improve in-hospital handoffs.
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Randomized Controlled Trial
Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.
One of the causes of postdischarge adverse events is poor discharge communication between hospital-based physicians, patients, and outpatient physicians. The value of hospital discharge software to improve communication and clinically relevant outcomes is unknown. ⋯ Discharge software with CPOE did not affect readmissions, emergency department visits, or adverse events after discharge. Future studies should assess other endpoints such as patient perceptions or physician perceptions to see if discharge software has value.
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Efficacy of simulators in teaching central venous catheterization (CVC) in an internal medicine residency program is unknown. ⋯ Use of simulators in teaching CVC in an internal medicine residency program results in improved procedural performance, knowledge, and self-reported confidence. Improvement in knowledge and confidence was retained at 18 months.
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Little is known about the professional help-seeking behavior of residents as they perform procedures in the hospital. ⋯ Resident physicians appear to seek formal assistance appropriately for procedures they perform on sicker patients. Additional research is needed to understand whether overconfidence or poor access to attending physicians is responsible for their failure to seek consultation with urgent and emergent cases.