Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Multicenter Study
Techniques and Behaviors Associated with Exemplary Inpatient General Medicine Teaching: An Exploratory Qualitative Study.
Clinician educators face numerous obstacles to their joint mission of facilitating high-quality learning while also delivering patient-centered care. Such challenges necessitate increased attention to the work of exemplary clinician educators, their respective teaching approaches, and the experiences of their learners. ⋯ This study identified consistent techniques and behaviors of excellent teaching during inpatient general medicine rounds.
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Multicenter Study Observational Study
Association between intensive care unit transfer delay and hospital mortality: A multicenter investigation.
Previous research investigating the impact of delayed intensive care unit (ICU) transfer on outcomes has utilized subjective criteria for defining critical illness. ⋯ Delayed ICU transfer is associated with increased hospital length of stay and mortality. Use of an evidence-based early warning score, such as eCART, could lead to timely ICU transfer and reduced preventable death. Journal of Hospital Medicine 2016;11:757-762. © 2016 Society of Hospital Medicine.
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Multicenter Study Observational Study
Interhospital transfer patients discharged by academic hospitalists and general internists: Characteristics and outcomes.
Prior work suggests interhospital transfer (IHT) may be a risky event. Outcomes for patients transferred from another acute care institution and discharged by hospitalists and general internists at academic health systems are not well described. ⋯ In this large national sample, IHT status is independently associated with inpatient mortality.
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Multicenter Study
Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment.
Handoffs of patient care are a leading root cause of medical errors. Standardized techniques exist to minimize miscommunications during verbal handoffs, but studies to guide standardization of printed handoff documents are lacking. ⋯ Wide variation exists in the content of printed handoff documents. Standardizing printed handoff documents has the potential to decrease omissions of key data during patient care transitions, which may decrease the risk of downstream medical errors.
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Multicenter Study Observational Study
The july effect: an analysis of never events in the nationwide inpatient sample.
Prior studies examining the impact of the "July effect" on in-hospital mortality rates have generated variable results. In 2008, the Centers for Medicare & Medicaid Services published a series of high-cost, high-volume, nonreimbursable hospital-acquired complications (HACs). These events were believed to be preventable and indicate deficiencies in healthcare delivery. ⋯ July admissions are associated with increased likelihood of HAC occurrence. This trend may represent breakdowns in organization structure distinct from traditional quality measures, requiring novel transition protocols dedicated to improving HACs.