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Hyung J Cho, Neil Desai, Angelita Florendo, Christine Marshall, Jaime Michalski, Nathan Lee, Andrew Dunn
Short stay admissions that are outside of observation unit models hold challenges for throughput and decreasing length of stay (LOS). In our institution at Mount Sinai Hospital in New York City, United States, we noticed a lack of communication about potential next-day discharges from the day and night admission teams to the inpatient teams. Our hospitalist division started the Early Discharge Initiation Project (E-DIP), a system of flagging and communicating potential discharges to improve this problem. We used a multidisciplinary approach with PDSA cycles, engaging members of all teams involved in this process, including the nocturnists...
2016: BMJ Quality Improvement Reports
Ronald G Amedee, Genevieve F Maronge, William W Pinsky
BACKGROUND: Patient transfers from other hospitals within the Ochsner Health System to the main campus are coordinated through a Transfer Center that was established in fall 2008. We analyzed the transfer process to assess distinct opportunities to enhance the overall transition of patient care. METHODS: We surveyed internal medicine residents and nocturnists to determine their satisfaction with transfers in terms of safety, efficiency, and usefulness of information provided at the time of transfer...
2012: Ochsner Journal
Lawrence A Haber, Catherine Y Lau, Bradley A Sharpe, Vineet M Arora, Jeanne M Farnan, Sumant R Ranji
BACKGROUND: New supervisory regulations highlight the challenge of balancing housestaff supervision and autonomy. To better understand the impact of increased supervision on residency training, we investigated housestaff perceptions of education, autonomy, and clinical decision-making before and after implementation of an in-hospital, overnight attending physician (nocturnist). METHODS: We established a nocturnist program in July 2010 at our academic, tertiary care medical center...
October 2012: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
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November 2011: Healthcare Benchmarks and Quality Improvement
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