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: Working Toward Health Equity
WIHI: SBAR: Structured Communication and Psychological Safety in Health Care
WIHI: Violence Prevention and Community Health
WIHI: Patients as Partners in QI Research
WIHI: New Leadership Skills for Better Health and Health Care
WIHI: Improving Safety and Satisfaction in Ambulatory Care
WIHI: Who’s Conversation Ready? How Health Care Can Respect End-of-Life Wishes
WIHI: New Staffing Models for Primary Care
WIHI: Recognizing Person- and Family-Centered Care: Always Events at IHI
WIHI: On the (Virtual) Road with Mobile Clinics and Population Health
WIHI: Integrating Physical and Behavioral Health
WIHI: Slowdown in the Growth of US Health Care Spending
WIHI: The Ground Game of the Partnership for Patients
WIHI: Large-Scale Change Across a Country: Learning from Scotland
WIHI: Measure Up, (Blood) Pressure Down: 80% by 2016
WIHI: Reliable Practices for Responding to Natural Disasters: Lessons from Long Island Jewish and Hurricane Sandy
WIHI: Home for Life, Aging, and Aging in Place
WIHI: Engaging Patients in Safety — Live from London and the International Forum on Quality and Safety
WIHI: Community Health Needs Assessments, Part 2: Lessons from North Carolina
WIHI: Community Health Needs Assessments, Part 1
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