Improving the quality of care for medical inpatients by placing a higher priority on ward rounds
Models suggested for managing acute, non-elective, medical admissions include expanding geriatric services, extending the role of the acute physician and rejuvenating the role of the general physician. We investigated improving inpatient care by changing consultants’ work patterns and placing a high...
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| Veröffentlicht in: | Clinical medicine (London, England) England), 2013-12, Vol.13 (6), p.534-538 |
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| container_title | Clinical medicine (London, England) |
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| creator | Soliman, Ash Riyaz, Shahzad Said, Elmhutady Hale, Melissa Mills, Andy Kapur, Kapil |
| description | Models suggested for managing acute, non-elective, medical admissions include expanding geriatric services, extending the role of the acute physician and rejuvenating the role of the general physician. We investigated improving inpatient care by changing consultants’ work patterns and placing a higher priority on the ward rounds. A focus group and a questionnaire were used to study the impact on several ward round parameters. All respondents reported an overall satisfaction: 93% rated the quality of care as good or excellent, 75% reported increased safe patient discharges and 68% observed improved teamwork. Length of stay reduced to 4 days from 5.3 days without an increase in readmission. The main themes showed improved quality of care, better assured patients and relatives, and better consultant job satisfaction, but also showed reduced junior doctors’ independent decision-making and a slight reduction in specialty-related activity. The study concluded that placing a higher priority on ward rounds by altering consultants’ work patterns has a positive impact on inpatient care. |
| doi_str_mv | 10.7861/clinmedicine.13-6-534 |
| format | Article |
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| ispartof | Clinical medicine (London, England), 2013-12, Vol.13 (6), p.534-538 |
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| source | MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Consultants Focus Groups General aspects general physician hospitalist Humans Inpatients Length of Stay - statistics & numerical data medical hospital admissions Medical sciences Medical Staff, Hospital - standards Miscellaneous Patient Admission - standards Patient Satisfaction Patients' Rooms - standards Public health. Hygiene Public health. Hygiene-occupational medicine Quality Improvement - organization & administration Quality insurance (general aspects) specialist Surveys and Questionnaires Ward rounds |
| title | Improving the quality of care for medical inpatients by placing a higher priority on ward rounds |
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