Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Multicenter Study
Development of a handoff evaluation tool for shift-to-shift physician handoffs: the Handoff CEX.
Increasing frequency of shift-to-shift handoffs coupled with regulatory requirements to evaluate handoff quality make a handoff evaluation tool necessary. ⋯ This handoff evaluation tool was easily used by trainees and attendings, had high internal consistency, and performed similarly across institutions. Because peers consistently provided higher scores than external evaluators, this tool may be most appropriate for external evaluation.
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Multicenter Study
Where do you want to spend your last days of life? Low concordance between preferred and actual site of death among hospitalized adults.
Death in the U.S. frequently occurs in institutions despite the overwhelming majority of persons who state that they prefer to die at home. Little research to date has examined how well individual preferences compare to actual site of death. ⋯ Concordance between preferred and actual site of death is low and female gender was the sole patient level variable associated with concordance.