Structured interdisciplinary bedside rounds improve interprofessional communication and workplace efficiency among residents and nurses on an inpatient internal medicine unit

2021 ◽  
pp. 1-8
Author(s):  
Jeremy I Schwartz ◽  
Rosana Gonzalez-Colaso ◽  
Geliang Gan ◽  
Yanhong Deng ◽  
Michael H Kaplan ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Interprofessional Communication ◽  
Bedside Rounds ◽  
Internal Medicine Unit

scholarly journals The Women's Hospital: the birth of the first gender hospital in Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Cavazzana ◽  
M Errico ◽  
A Gimigliano ◽  
R Anniverno ◽  
L Bernardo ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Women’S Health ◽  
Women's Health ◽  
Maternity Leave ◽  
Holistic Approach ◽  
Health Needs ◽  
Gender Medicine ◽  
Disease Epidemiology ◽  
Developmental Age ◽  
Internal Medicine Unit

Abstract Issue Many diseases show differences in incidence, symptoms, and severity between men and women, combined with a different response to therapies. There are some international experiences of health policies about Gender Medicine, but the practical realizations are few and, for the female sex, usually focused only on fertile age. Description of the problem A Milan hospital (ASST Fatebenefratelli Sacco) decided to dedicate one of its sites, with gynecological and pediatric vocation but also with an Internal Medicine Unit in within, entirely to women's health. The focus of this site is a holistic approach to women's health needs, both physiologic and pathologic. Realized without additional institutional funds, this project was designed between June and October 2019, started in December 2019 and is still ongoing. Results One of the first actions taken was to admit only women in the Internal Medicine Unit. The Unit is now entirely focused on dealing with most frequent female pathologies, in particular on autoimmune, vascular, endocrinology and nephrology conditions. The Mental Health Unit, already specialized in supporting pregnancy and new mothers, is going to activate a “Mother-Baby Unit” to support potential hospitalization issues. Among its major aims, the Occupational Medicine Unit supports female workers in managing maternity leave. New outpatient clinical paths have been planned to strengthen key moments of women's life: developmental age, fertile age, menopause, and senescence. Based on multi-professional teams, these programs are targeted toward age-specific needs and combine knowledge of disease epidemiology with sociological needs. To better face emerging issues, a path is activated for each area every month. Conclusions The birth of the first Italian hospital entirely dedicated to Gender Medicine allows care of women's health on a holistic perspective. This is, indeed, a key step in the general appraisal of Gender Medicine at the national and international levels. Key messages A gender hospital with a holistic approach to women’s health needs, both physiologic and pathologic, was borne in Milan. Integrated clinical paths have been activated to assist women in the key moments of their life (developmental age, fertile age, menopause, and senescence).

Disruption of Services in an Internal Medicine Unit Due to a Nosocomial Influenza Outbreak

2002 ◽  
Vol 23 (10) ◽  
pp. 615-619 ◽  
Author(s):  
Catherine Sartor ◽  
Christine Zandotti ◽  
Fanny Romain ◽  
Véronique Jacomo ◽  
Sophie Simon ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Influenza Virus ◽  
Acute Care ◽  
Influenza A ◽  
Hospital Charges ◽  
Influenza Outbreak ◽  
Vaccination Rates ◽  
Staff Members ◽  
Acute Care Settings ◽  
Internal Medicine Unit

Objective:To describe a nosocomial influenza A out-break, how it was managed, what impact it had on subsequent delivery of health care, and the additional charges attributable to it.Design:Prospective cohort study and microbiological investigation.Setting:One internal medicine unit in an acute care, university-affiliated hospital.Participants:Twenty-three patients and 22 staff members from February 28 to March 6,1999.Results:Attack rates were 41% (9 of 22) among patients and 23% (5 of 22) among staff members, with 3 of 14 cases being classified as “certain”. The influenza virus isolates were typed as A/SYDNEY/5/97 (H3N2). The index case was a patient who shared a room with the first nosocomial case. Vaccination rates for influenza virus were 43% (10 of 23) among patients and 36% (8 of 22) among staff members. The outbreak resulted in staff members' taking 14 person-days of sick leave. Furthermore, 8 scheduled admissions were postponed and all emergency admissions were suspended for 11 days. Hospital charges attributable to the influenza outbreak totaled $34,179 and the average extra charge per infected patient was $3,798.Conclusions:Nosocomial influenza outbreaks increase charges and alter the quality of care delivered in acute care settings. Strategies for their prevention need to be evaluated in acute care settings. (Infect Control Hosp Epidemiol 2002;23:615-619).

Measures of Drug Prescribing at Care Transitions in an Internal Medicine Unit

2018 ◽  
Vol 58 (9) ◽  
pp. 1171-1183 ◽  
Author(s):  
Fabrizio Colombo ◽  
Pietro Nunnari ◽  
Giovanni Ceccarelli ◽  
Angelo Valerio Romano ◽  
Pietro Barbieri ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Care Transitions ◽  
Drug Prescribing ◽  
Internal Medicine Unit

Electronic records with tablets at the point of care in an internal medicine unit (Preprint)

2021 ◽  
Author(s):  
Montserrat Pérez-Martí ◽  
Lina Cristina Casadó-Marín ◽  
Abraham Guillén-Villar
Keyword(s):  
Internal Medicine ◽  
Point Of Care ◽  
Electronic Records ◽  
Main Variable ◽  
Care Situation ◽  
Work Shifts ◽  
Security Communication ◽  
Nursing Professionals ◽  
The Impact ◽  
Internal Medicine Unit

BACKGROUND There are many benefits of nursing professionals being able to consult and record electronic clinical histories [ECH] at the point of care. It promotes quality and patient security, communication, continuity of care and time dedicated to records. OBJECTIVE This project evaluates the impact of having nursing records on electronic tablets at the patient’s bedside in relation to the time dedicated to the records. METHODS A before after single branch trial study was carried out in the internal medicine unit. A total of 130 observations of 2 to 3 hours duration were made. We calculated the time dedicated to measuring key patient signs, patient evaluation and ECH recording. The main variable was time spent per patient. RESULTS The analysis results for the whole sample show significant differences 0.44±0.13 min [w=-3.208, p=0.001] in the time dedicated to each patient. The findings showed a reduction in time spent on records when the tablets were used because transcription, latency time and displacements were no longer necessary. CONCLUSIONS There were different results for the different work shifts. It could have been due to multiple factors that can develop in any care situation in complex organisations like hospitals.

Art in the Hospital: Its Impact on the Feelings and Emotional State of Patients Admitted to an Internal Medicine Unit

2010 ◽  
Vol 16 (8) ◽  
pp. 853-859 ◽  
Author(s):  
Franco Trevisani ◽  
Rachele Casadio ◽  
Francesca Romagnoli ◽  
Maria Paola Zamagni ◽  
Chiara Francesconi ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Emotional State ◽  
Internal Medicine Unit

scholarly journals Impact of COVID-19 on liver function: results from an internal medicine unit in Northern Italy

2020 ◽  
Vol 15 (8) ◽  
pp. 1399-1407 ◽  
Author(s):  
Marco Vincenzo Lenti ◽  
◽  
Federica Borrelli de Andreis ◽  
Ivan Pellegrino ◽  
Catherine Klersy ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Intensive Care ◽  
Liver Function ◽  
Laboratory Data ◽  
Liver Function Tests ◽  
Gamma Glutamyl Transpeptidase ◽  
Function Tests ◽  
Altered Liver ◽  
The Impact ◽  
Internal Medicine Unit

Abstract Little is known regarding coronavirus disease 2019 (COVID-19) clinical spectrum in non-Asian populations. We herein describe the impact of COVID-19 on liver function in 100 COVID-19 consecutive patients (median age 70 years, range 25–97; 79 males) who were admitted to our internal medicine unit in March 2020. We retrospectively assessed liver function tests, taking into account demographic characteristics and clinical outcome. A patient was considered as having liver injury when alanine aminotransferase (ALT) was > 50 mU/ml, gamma-glutamyl transpeptidase (GGT) > 50 mU/ml, or total bilirubin > 1.1 mg/dl. Spearman correlation coefficient for laboratory data and bivariable analysis for mortality and/or need for intensive care were assessed. A minority of patients (18.6%) were obese, and most patients were non- or moderate-drinkers (88.5%). Liver function tests were altered in 62.4% of patients, and improved during follow-up. None of the seven patients with known chronic liver disease had liver decompensation. Only one patient developed acute liver failure. In patients with altered liver function tests, PaO2/FiO2 < 200 was associated with greater mortality and need for intensive care (HR 2.34, 95% CI 1.07–5.11, p = 0.033). To conclude, a high prevalence of altered liver function tests was noticed in Italian patients with COVID-19, and this was associated with worse outcomes when developing severe acute respiratory distress syndrome.

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