Southern medical journal
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Southern medical journal · Jun 2015
Feedback on Bounce Backs: Real-Time Notification of Readmissions and the Impact on Readmission Rates and Physician Perceptions.
Readmissions are an increasing area of focus for quality improvement initiatives. Widely variable estimates exist on preventability and impact of multipronged readmission interventions. Given the rotating nature of attending physicians in academic centers, physicians often are unaware of readmissions. We present a before-and-after (uncontrolled) trial evaluating timely feedback of readmissions to hospitalist physicians. ⋯ Our intervention of real-time feedback regarding readmissions and enforced chart review led to a modest reduction in readmission rates without significant changes in length of stay. Physicians continued to believe that a readmission event was multifactorial and largely not preventable. Real-time notification did increase physician involvement in prevention initiatives, in particular with high-use patients.
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Patient satisfaction scores are increasing in importance. Although the influence of selected patient and physician characteristics on satisfaction scores has been identified, the impact of different pediatric diagnoses is unknown. The purpose of this study was to compare patient satisfaction scores in visits for mechanical back pain with visits for clubfoot or scoliosis. ⋯ Satisfaction scores in pediatric patients with back pain were not lower than visits for scoliosis or clubfoot. Future research can be directed toward identifying common goals in visits for pediatric mechanical back pain to further improve the patient experience.
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Southern medical journal · Jun 2015
Developing a Communication Curriculum and Workshop for an Internal Medicine Residency Program.
Learning effective communication is essential for physicians. Effective communication has been shown to affect healthcare outcomes, including patient safety, adherence rates, patient satisfaction, and enhanced teamwork. The importance of these skills has become even more apparent in recent years, with value-based purchasing programs and federal measures of patient satisfaction in the form of Hospital Consumer Assessment of Healthcare Providers and Systems scores becoming an important part of measuring the performance of a healthcare facility. ⋯ Our findings demonstrate a needs gap and an area of potential improvement in medical education. We anticipate that with the growing understanding of the importance of communication skills in the healthcare setting, there will be an enhanced role for teaching these skills at all levels of medical education. More studies are needed to further elucidate the specific areas of communication in health care where additional training is necessary.