Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Randomized Controlled Trial Multicenter Study
Helping Seniors Plan for Posthospital Discharge Needs Before a Hospitalization Occurs: Results from the Randomized Control Trial of PlanYourLifespan.org.
Investigate the effect of PlanYourLifespan.org (PYL) on knowledge of posthospital discharge options. ⋯ Seniors who used PYL demonstrated an increased understanding of posthospitalization and home services compared to the control group.
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Randomized Controlled Trial
A Randomized Controlled Trial of a CPR Decision Support Video for Patients Admitted to the General Medicine Service.
Patient preferences regarding cardiopulmonary resuscitation (CPR) are important, especially during hospitalization when a patient's health is changing. Yet many patients are not adequately informed or involved in the decision-making process. ⋯ Hospitalized patients who watched a video about CPR and code status choices were less likely to choose full code and more likely to choose DNR/DNI.
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Randomized Controlled Trial
Sitting at patients' bedsides may improve patients' perceptions of physician communication skills.
Sitting at a patient's bedside in the inpatient setting is recommended as a best practice but has not been widely adopted. Previous studies suggest that a physician's seated posture may increase the patient's perception of time spent in the room but have not included hospitalists. We performed a cluster-randomized trial of seated versus standing physician posture during inpatient rounds on a hospitalist service at an academic medical center. ⋯ Patients' perception of the time their physician spent in their room was not affected by physician posture. Sitting at the bedside during rounds does not increase the amount of time spent with the patient but may improve patient-physician communication. Journal of Hospital Medicine 2015;11:865-868. © 2015 Society of Hospital Medicine.
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Randomized Controlled Trial
Real-time patient experience surveys of hospitalized medical patients.
Real-time feedback about patients' perceptions of the quality of the care they are receiving could provide physicians the opportunity to address concerns and improve these perceptions as they occur, but physicians rarely if ever receive feedback from patients in real time. ⋯ Real-time feedback, followed by coaching and patient revisits, seem to improve patient experience.
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Randomized Controlled Trial
Strategies to engage stakeholders in research to improve acute care delivery.
Many families involved in research are well versed in the care system due to chronic conditions. Engagement of families of children with serious acute illnesses is infrequent, and no studies have documented the feasibility or acceptability of different methods of family engagement. We describe a model used in the Hospital-to-Home Outcomes study, which utilized a novel approach of short-term focused engagement of families and other stakeholders to incorporate the unique viewpoints of families whose care experience is primarily focused around the period surrounding their child's hospitalization for acute illness.