scholarly journals Improving Code Status Discussions on the General Internal Medicine Ward with Simulation-Based Resident Education

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Stephanie Gottheil MD ◽  
Christine Ibrahim MD FRCPC ◽  
Robert Sibbald MSc

Code status discussions (CSDs) address patient wishes regarding resuscitation. At teaching hospitals, CSDs are often conducted by junior residents. However, residents often omit the prognosis and outcomes during these conversations. Our aim was to develop a brief educational intervention to improve resident skills in leading CSDs.

2012 ◽  
Vol 45 (1-2) ◽  
pp. 22-25 ◽  
Author(s):  
Raul Ruiz-Esteban ◽  
Pilar Relea Sarabia ◽  
Emilio García Delgado ◽  
Carlos Barros Aguado ◽  
Jose Amerigo Cuervo-Arango ◽  
...  

1970 ◽  
Vol 10 (1) ◽  
Author(s):  
Lina Pham BA ◽  
Teri Arany ◽  
William Coke MD ◽  
Vivian Lo ◽  
Robert C. Wu MD

Effective discharge planning is important to ensuring a high quality of patient care and operational efficiency. The general internal medicine (GIM) environment is very complex and fluid, with multiple health professions providing care for patients. This makes coordination of discharges difficult, even with structured daily interprofessional rounds.The purpose of this case-control study was to evaluate a discharge notification form that predicts next-day discharges. The main measures of the study, which took place in GIM wards at two academic teaching hospitals, were the completion and accuracy of the discharge forms, length of stay, discharge times, post-discharge admissions, and emergency department visits.Seventy-six of 200 patients studied had information completed on the discharge notification form. The overall effect appeared to move discharges earlier in the day, while having no effect on length of stay.Patients whose information was completed on the discharge notification form were less likely to have an emergency department visit within 30 days post-discharge.The use of a discharge notification form appears to move discharges earlier in the day, without increasing length of stay. Further refinement and evaluation is necessary to increase usage and assess the impact onoutcomes of care.


PLoS ONE ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. e0191752 ◽  
Author(s):  
Michelle von Babo ◽  
Corinne Chmiel ◽  
Simon Andreas Müggler ◽  
Julia Rakusa ◽  
Caroline Schuppli ◽  
...  

CMAJ Open ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. E1021-E1025
Author(s):  
Michael Fralick ◽  
Neal Kaw ◽  
Mingkun Wang ◽  
Muhammad Mamdani ◽  
Ophyr Mourad

Sign in / Sign up

Export Citation Format

Share Document