Document Detail


Improving Interunit Transitions of Care Between Emergency Physicians and Hospital Medicine Physicians: A Conceptual Approach.
MedLine Citation:
PMID:  23035952     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ACADEMIC EMERGENCY MEDICINE 2012; 19:000-000 © 2012 by the Society for Academic Emergency Medicine ABSTRACT: Patient care transitions across specialties involve more complexity than those within the same specialty, yet the unique social and technical features remain underexplored. Further, little consensus exists among researchers and practitioners about strategies to improve interspecialty communication. This concept article addresses these gaps by focusing on the hand-off process between emergency and hospital medicine physicians. Sensitivity to cultural and operational differences and a common set of expectations pertaining to hand-off content will more effectively prepare the next provider to act safely and efficiently when caring for the patient. Through a consensus decision-making process of experienced and published authorities in health care transitions, including physicians in both specialties as well as in communication studies, the authors propose content and style principles clinicians may use to improve transition communication. With representation from both community and academic settings, similarities and differences between emergency medicine and internal medicine are highlighted to heighten appreciation of the values, attitudes, and goals of each specialty, particularly pertaining to communication. The authors also examine different communication media, social and cultural behaviors, and tools that practitioners use to share patient care information. Quality measures are proposed within the structure, process, and outcome framework for institutions seeking to evaluate and monitor improvement strategies in hand-off performance. Validation studies to determine if these suggested improvements in transition communication will result in improved patient outcomes will be necessary. By exploring the dynamics of transition communication between specialties and suggesting best practices, the authors hope to strengthen hand-off skills and contribute to improved continuity of care.
Authors:
Christopher Beach; Dickson S Cheung; Julie Apker; Leora I Horwitz; Eric E Howell; Kevin J O'Leary; Emily S Patterson; Jeremiah D Schuur; Robert Wears; Mark Williams
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-4
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  -     ISSN:  1553-2712     ISO Abbreviation:  Acad Emerg Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 by the Society for Academic Emergency Medicine.
Affiliation:
From the Department of Emergency Medicine (CB) and Division of Hospital Medicine (KJO, MW), Northwestern University-The Feinberg School of Medicine, Chicago, IL; Sky Ridge Medical Center, Carepoint, P.C. (DSC), Denver, CO; the School of Communication, Western Michigan University (JA), Kalamazoo, MI; the Section of General Medicine, Department of Medicine, Yale University School of Medicine, Center for Outcomes Research and Evaluation (LIH), New Haven, CT; the Division of Collaborative Inpatient Medicine Service, Johns Hopkins Medical Institutions (EEH), Baltimore, MD; the School of Allied Medical Professions, College of Medicine, Ohio State University (ESP), Columbus, OH; the Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School (JDS), Boston, MA; and the Department of Emergency Medicine, University of Florida (RW), Jacksonville, FL.
Vernacular Title:
La Mejora de las Transiciones de la Atención Interunidad entre los Urgenciólogos y los Médicos de Medicina Hospitalaria: Un Propuesta Conceptual.
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