scholarly journals Developing Lifetime Relationships with Patients: Strategies to Improve Patient Care and Build Your Practice

2008 ◽  
Vol 9 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Roger P. Levin
Keyword(s):  
Oral Health ◽  
Home Care ◽  
Patient Care ◽  
Customer Service ◽  
Improve Patient Care ◽  
Well Being ◽  
Dental Practice ◽  
Patient Centered ◽  
Comprehensive Service ◽  
Improve Patient

Abstract Aim The purpose of this article is to describe three strategies to build a thriving, patient-centered practice and promote oral health throughout a patient's lifetime. Background Compared to previous decades, more dental patients are “shopping around” for dental care and changing dental practices. This trend is due to factors such as acceptance of dental insurance, more comprehensive service offerings by other dentists, and effective marketing campaigns by other dental offices. Findings Delivering customer service exceeding patient expectations (“WOW” service), advocating patient education, and developing customized home care regimens will help lead to long-term patient retention and promote optimal patient care. Discussion A dental team making relationship-building a priority conveys respect for their patients’ time and well-being. Once trust has been established patients are more likely to be receptive to oral health education and become more compliant with home care regimens. Since a patient's oral health status will likely change over time, it's important to make education and customized treatment planning an integral part of each visit. Conclusions By demonstrating a strong commitment to customer service, education, and home care, patients recognize the care providers in a dental practice are interested in their well-being rather than simply treating problems. Clinical Significance If patients recognize a dental practice is focused on prevention and at-home oral health care, they are more likely to partner with that practice for a lifetime of excellent oral health care. Keywords Patient-centered practice, comprehensive service, patient education Citation Levin RP. Developing Lifetime Relationships with Patients: Strategies to Improve Patient Care and Build Your Practice. J Contemp Dent Pract 2008 January; (9)1:105-112.

scholarly journals Patient-Centered Collaborative Care: The Impact of a New Approach to Postpartum Rounds on Residents' Perception of Their Work Environment

2010 ◽  
Vol 2 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Maureen Baldwin ◽  
Jason Hashima ◽  
Jeanne-Marie Guise ◽  
William Thomas Gregory ◽  
Alison Edelman ◽  
...  
Keyword(s):  
Patient Care ◽  
Work Environment ◽  
Collaborative Care ◽  
Improve Patient Care ◽  
Well Being ◽  
Care Patient ◽  
Case Managers ◽  
Patient Centered ◽  
Negative Impacts ◽  
The Impact

Abstract Objective At our institution, traditional postpartum rounds consisted of separate visits from all members of the obstetric team. This led to patient care inefficiencies and miscommunication. In an effort to improve patient care, patient-centered collaborative care (PCCC) was established, whereby physicians, residents, medical students, nurses, case managers, and social workers conduct rounds as a team. The goal of this observational study was to evaluate how PCCC rounds affected resident physicians' assessment of their work environment. Methods Obstetrics and gynecology residents completed a 13-question written survey designed to assess their sense of workflow, education, and workplace cohesion. Surveys were completed before and 6 months after the implementation of PCCC. Responses were compared in aggregate for preintervention and postintervention with Pearson χ2 test. Results Ninety-two percent of the obstetrics residents (n  =  23) completed the preintervention survey, and 79% (n  =  19) completed the postintervention survey. For most measures, there was no difference in resident perception between the 2 time points. After implementation of PCCC rounds, fewer residents felt that rounds were educational (preintervention  =  39%, postintervention  =  7%; P  =  .03). Conclusion Residents did not report negative impacts on workflow, cohesion, or general well-being after the implementation of PCCC rounds. However, there was a perception that PCCC rounds negatively impacted the educational value of postpartum rounds. This information will help identify ways to improve the resident physician experience in the obstetric service while optimizing patient care.

scholarly journals Exploring the utility of internal whistleblowing in healthcare via agent-based models

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e021705
Author(s):  
Paul Rauwolf ◽  
Aled Jones
Keyword(s):  
Patient Care ◽  
Computational Models ◽  
Improve Patient Care ◽  
Well Being ◽  
Healthcare Sector ◽  
Complex Nature ◽  
Speaking Up ◽  
Holistic Understanding ◽  
Internal Whistleblowing ◽  
Improve Patient

ObjectiveThe benefits of internal whistleblowing or speaking-up in the healthcare sector are significant. The a priori assumption that employee whistleblowing is always beneficial is, however, rarely examined. While recent research has begun to consider how the complex nature of healthcare institutions impact speaking-up rates, few have investigated the institutional processes and factors that facilitate or retard the benefits of speaking up. Here we consider how the efficacy of formal inquiries within organisations in response to employees’ speaking up about their concerns affects the utility of internal whistleblowing.DesignUsing computational models, we consider how best to improve patient care through internal whistleblowing when resource and practical limitations constrain healthcare operation. We analyse the ramifications of varying organisational responses to employee concerns, given organisational and practical limitations.SettingDrawing on evidence from international research, we test the utility of whistleblowing policies in a variety of organisational settings. This includes institutions where whistleblowing inquiries are handled with varying rates of efficiency and accuracy.ResultsWe find organisational inefficiencies can negatively impact the benefits of speaking up about bad patient care. We find that, given resource limitations and review inefficiencies, it can actually improve patient care if whistleblowing rates are limited. However, we demonstrate that including softer mechanisms for internal adjustment of healthcare practice (eg, peer to peer conversation) alongside whistleblowing policy can overcome these organisational limitations.ConclusionHealthcare organisations internationally have a variable record of responding to employees who speak up about their workplace concerns. Where organisations get this wrong, the consequences can be serious for patient care and staff well-being. The results of this study, therefore, have implications for researchers, policy makers and healthcare organisations internationally. We conclude with a call for further research on a more holistic understanding of the interplay between organisational structure and the benefits of whistleblowing to patient care.

Community Oncology Medical Homes: Physician-Driven Change to Improve Patient Care and Reduce Costs

2015 ◽  
Vol 11 (6) ◽  
pp. 462-467 ◽  
Author(s):  
Teresa M. Waters ◽  
Jennifer A. Webster ◽  
Laura A. Stevens ◽  
Tao Li ◽  
Cameron M. Kaplan ◽  
...  
Keyword(s):  
Patient Care ◽  
Continuity Of Care ◽  
Medical Home ◽  
Improve Patient Care ◽  
Improve Quality ◽  
Model Of Care ◽  
Patient Centered ◽  
Medical Homes ◽  
Community Oncology ◽  
Improve Patient

The Community Oncology Medical Home offers a patient-centered model of care to improve quality and continuity of care.

Abstract 11119: Real-Time Nanopore Sequencing for Bacterial Pneumonia After Out-of-Hospital Cardiac Arrest, a Pilot Proof-of-Concept Study

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Alexandra Weissman ◽  
Mariam Bramah Lawani ◽  
Thomas Rohan ◽  
Clifton W CALLAWAY
Keyword(s):  
Patient Care ◽  
Pathogen Detection ◽  
Bacterial Pathogen ◽  
Improve Patient Care ◽  
Antibiotic Administration ◽  
Nanopore Sequencing ◽  
Proof Of Concept ◽  
Chi Square ◽  
Significant Difference ◽  
Improve Patient

Introduction: Pneumonia is common after OHCA but is difficult to diagnose in the first 72 hours following ROSC, this results in early untargeted antibiotic administration based on non-specific imaging and laboratory findings. Antibiotic resistance is rising, is influenced by untargeted antibiotic administration, and can increase patient morbidity and mortality as well as healthcare costs. Precision methods of bacterial pathogen detection in OHCA patients are needed to improve patient care. This proof-of-concept pilot study aimed to assess feasibility of bacterial pathogen sequencing and comparability of sequencing results to clinical culture after OHCA. Methods: Blood and bronchoalveolar lavage (BAL) were obtained from residual clinical specimens collected within 12 hours of ROSC. Bacterial DNA was extracted using the Qiagen PowerLyzer PowerSoil DNA kit, sequenced using the MinION nanopore sequencer, and analyzed with Oxford Nanopore Technologies’ EPI2ME bioinformatics software. Sequencing results were compared to culture results using McNemar’s chi-square statistic. Study-defined pneumonia was based on presence of at least two characteristics within 72 hours of ROSC: fever (temperature ≥38°C); persistent leukocytosis >15,000 or leukopenia <3,500 for 48 hours; persistent chest radiography infiltrates for 48 hours per clinical radiology read; bacterial pathogen cultured. Results: We enrolled 38 consecutive OHCA subjects: mean age 61.8 years (18.0); 16 (42%) female; 25 (66%) White, 7 (18%) Black, 6 (16%) “Other” race; 7 subjects (18%) survived and 31 (82%) died; 16 (42%) subjects had pneumonia. Sequencing results were available in 12 hours while culture results were available in 48-72 hours after collection. There was a non-significant difference in the proportion of the same pathogens identified for each method per McNemar’s chi-square: p = 0.38, difference of 0.095 (-0.095, 0.286). Conclusions: Nanopore sequencing detects pathogenic bacteria comparable to clinical microbiologic culture and in less time. This technology can produce a paradigm shift in early bacterial pathogen detection in OHCA survivors, which can improve patient care. The technology is applicable to other patient populations and for viral and fungal pathogens.

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