Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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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.
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Alarm fatigue from frequent nonactionable physiologic monitor alarms is frequently named as a threat to patient safety. ⋯ Physiologic monitor alarms are commonly nonactionable, and evidence supporting the concept of alarm fatigue is emerging. Several interventions have the potential to reduce alarms safely, but more rigorously designed studies with attention to possible unintended consequences are needed.
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Prior studies, using limited data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys, reported that public reporting increases satisfaction scores in all domains except physician communication. Our objective was to examine changes in patient satisfaction with physician communication using all available data. ⋯ Although there has been an improvement in patient satisfaction with physicians during the past 7 years, this improvement was not seen in all hospitals. The overall gap between hospitals has narrowed, which can be further improved through sharing best practices.
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Comparative Study
Measuring patient experiences on hospitalist and teaching services: Patient responses to a 30-day postdischarge questionnaire.
Data comparing patient experiences between general medicine teaching and nonteaching hospitalist services are lacking. ⋯ Patients on a nonteaching hospitalist service rated their overall care slightly better than patients on a general medicine teaching service. Team structure and complexity may play a role in this difference.