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: End-of-Life Care and How Communities Can Become "Conversation Ready"
WIHI: 10 Things Every Hospital Needs to Know to Be Safe
WIHI: The Road to Team-Based Primary Care and Behavioral Health
WIHI: 100 Million Healthier Lives by 2020
WIHI: Optimizing Safety with the Electronic Health Record: The Latest on Glitches and Fixes from the Frontlines
WIHI: Better Care and Better Value for Hip and Knee Replacement
WIHI: Mental Health Care in the Hospital: Preventing Harm, Promoting Safety
WIHI: From Here to CLER: Graduate Medical Education and the Clinical Learning Environment Review (CLER)
WIHI: Tread Water No More! Making Sense of Patient Experience Data
WIHI: Preventing Financial Harm to Patients: The Costs of Care Initiative
WIHI: From Prehospital to In-Hospital: The Continuum for Time-Sensitive Care
WIHI: New Roles, New Routes for Managing Populations
WIHI: Making the Work of QI Less Draining and More Sustaining
WIHI: The Patient-Centered Medical Home: Early Results, Tough Scrutiny
WIHI: Partnering with Patients for Safety: The Next Phase of Work and Commitment
WIHI: Transforming Tensions and Tempers on Health Care Teams
WIHI: Reclaiming Empathy — Best Practices for Engaging with Patients
WIHI: Bright Spots for Patients with Complex Needs
WIHI: How High? How Low? Shared Decision Making Amidst Shifting (Hypertension) Guidelines
WIHI: Mobilizing Skilled Nursing Facilities to Reduce Avoidable Rehospitalizations
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