WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Date: December 1, 2011
Featuring:
Although most hospitals are open for business 24/7, patients are well aware that days, nights, weekends, and holidays are not created equally in hospitals. There’s a history of assigning fewer medical and nursing staff during these times, creating a host of challenges for improvement leaders seeking to ensure safe and reliable care regardless of what the clock says. And there are real consequences: a study published in JAMA in 2008 found that patients who had heart attacks in the hospital at night and on weekends were less likely to survive than if they’d arrested during “normal business hours.”
Innovative solutions to close this gap in care are cropping up in several corners. In the US, the growing number of and reliance on hospitalists is giving rise to a particular type of hospitalist, known as a “nocturnist,” who specializes in after-hours care. In the UK, attention to patient safety as well as work hours for medical staff have spawned an increasingly widespread practice of interdisciplinary “night teams.” And, many hospitals are focusing on night times and weekends as part of their overall efforts to improve handoffs between nursing shifts and medical residents, who, in the US, now have shifts of their own they must adhere to in order to comply with ACGME regulations.
So, the road to ensuring that patients get the same kind of care, no matter the time of day or night, is definitely still under development. Guests Drs. David Gozzard, Christine White, and Win Whitcomb join WIHI host Madge Kaplan to share how they are contributing to the solutions for providing reliable, high-quality care.
WIHI: How to Speak Up for Safety
WIHI: Building Systems of Safety
WIHI: Engaging and Supporting Family Caregivers
WIHI: Improving Patient Experience: What's Working, What's Not
WIHI: What's Next for Electronic Health Records
WIHI: How Health Care Can Accelerate Health Equity
WIHI: 100 Million Healthier Lives: From Vision to Reality
WIHI: Five Practical Strategies for Managing Successful Improvement Projects
WIHI: Nurturing Trust: Addiction and Maternal and Newborn Health
WIHI: Health Care in Motion: Making Sense of a Moving Picture
WIHI: Joy in Work: An Antidote to Today's Burnout in Health Care
WIHI: The Opioid Crisis: How Health Care and the Community Can Act
WIHI: Breaking the Rules: Lessons from IHI’s Leadership Alliance
WIHI: The New World of Co-producing Health and Health Care
WIHI: A New Framework for Safety in Ambulatory Care
WIHI: Making Data Work for Quality Improvement
WIHI: Morality Matters: How to Reset the Mission of Quality Improvement
WIHI: New Tools and Thinking for Shared Decision Making
WIHI: Realizing “What Matters” (to Patients and Families)
WIHI: Personal Mastery for Transformational Leadership
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