Interdisciplinary Bedside Rounds
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Interdisciplinary Bedside Rounds
In the domain of hospital medicine, interdisciplinary bedside rounds are a collaborative approach to patient care that involves the participation of the bedside nurse, primary provider, and the patient. They are often joined by family members and allied health professionals such as the patient's pharmacist and case manager. During interdisciplinary bedside rounds, these participants visit the patient's bedside together — a type of short, interdisciplinary care team meeting. The rounds are typically conducted for all of a provider's patients on a hospital unit, one after another, with each patient's primary nurse joining for his or her patients. Unlike conventional hospital care in which medical professionals treat patients independently and with minimal coordination, Interdisciplinary Bedside Rounds aim to foster real-time collaboration by having the whole care team converge at a patient's bedside to discuss their care and discharge plans. This approach, by design, seeks to ...
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Hospital Medicine
Hospital medicine is a medical specialty that exists in some countries as a branch of family medicine or internal medicine, dealing with the care of acutely ill hospitalized patients. Physicians whose primary professional focus is caring for hospitalized patients only while they are in the hospital are called hospitalists. Originating in the United States, this type of medical practice has extended into Australia and Canada. The vast majority of physicians who refer to themselves as hospitalists focus their practice upon hospitalized patients. Hospitalists are not necessarily required to have separate board certification in hospital medicine. The term ''hospitalist'' was first coined by Robert Wachter and Lee Goldman in a 1996 ''New England Journal of Medicine'' article. The scope of hospital medicine includes acute patient care, teaching, research, and executive leadership related to the delivery of hospital-based care. Hospital medicine, like emergency medicine, is a specia ...
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Patient Safety
Patient safety is a specialized field about enhancing healthcare quality through the systematic prevention, reduction, reporting, and analysis of medical errors and preventable harm that contribute to severe outcomes for the patient. While healthcare risks have always existed, patient safety only gained formal recognition in the 1990s after multiple nations reported alarming rates of medical error-related injuries. The urgency of the issue was underscored when the World Health Organization (WHO) identified that 1 in 10 patients globally experience harm due to healthcare errors, declaring patient safety an "Endemic (epidemiology), endemic concern" in modern medicine. Today, patient safety stands as a distinct Health care, healthcare discipline, supported by a growing—though still evolving—scientific framework. A robust Transdisciplinarity, transdisciplinary body of theoretical and empirical research underpins this field, with emerging technologies like MHealth, mobile health ap ...
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Society Of Hospital Medicine
The Society of Hospital Medicine (SHM) is a membership society for hospitalists, physicians, and other caregivers who practice the specialty of hospital medicine. SHM provides continuing education and industry updates for hospitalists in its monthly newsmagazine, ''The Hospitalist'', and peer-reviewed journal for hospital medicine, the '' Journal of Hospital Medicine''. In addition to its publications, the society conducts surveys, prepares written analyses, and offers discussion forums that aid in the overall development and practice of the specialty of hospital medicine. The society is focused on providing resources, programs, and mentoring for quality improvement programs for reducing readmissions and hospital acquired diseases while optimizing transitions of care, glycemic control, and overall patient care. SHM has been integral in the development of policy and position statements to address the concerns and issues of hospitalists and advocates on behalf of hospitalists bef ...
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Emory University Hospital
Emory University Hospital is an 853-bed hospital in Atlanta, Georgia (U.S. state), Georgia, specializing in the care of acutely ill adults. Emory University Hospital is staffed exclusively by Emory University School of Medicine faculty who also are members of The Emory Clinic. The hospital is renowned as one of the nation's leaders in cardiology and cardiac surgery, oncology, transplantation, ophthalmology, and the neurosciences. History Emory University Hospital's history dates back over a century. In March 1904, its predecessor, Wesley Memorial Hospital, was chartered with 50 beds. The hospital was housed in a downtown Atlanta mansion that had been spared from destruction by General Sherman's army during the Civil War. By November 1922, the hospital had grown too large for its quarters and moved to its current DeKalb County site on the Emory University campus. The new 275-bed facility was a gift of Asa G. Candler, philanthropist and founder of The Coca-Cola Company. In the mi ...
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Efficiency
Efficiency is the often measurable ability to avoid making mistakes or wasting materials, energy, efforts, money, and time while performing a task. In a more general sense, it is the ability to do things well, successfully, and without waste. In more mathematical or scientific terms, it signifies the level of performance that uses the least amount of inputs to achieve the highest amount of output. It often specifically comprises the capability of a specific application of effort to produce a specific outcome with a minimum amount or quantity of waste, expense, or unnecessary effort.Sickles, R., and Zelenyuk, V. (2019).Measurement of Productivity and Efficiency: Theory and Practice. Cambridge: Cambridge University Press. . Efficiency refers to very different inputs and outputs in different fields and industries. In 2019, the European Commission said: "Resource efficiency means using the Earth's limited resources in a sustainable procent manner while minimising impacts on the envi ...
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Consistency
In deductive logic, a consistent theory is one that does not lead to a logical contradiction. A theory T is consistent if there is no formula \varphi such that both \varphi and its negation \lnot\varphi are elements of the set of consequences of T. Let A be a set of closed sentences (informally "axioms") and \langle A\rangle the set of closed sentences provable from A under some (specified, possibly implicitly) formal deductive system. The set of axioms A is consistent when there is no formula \varphi such that \varphi \in \langle A \rangle and \lnot \varphi \in \langle A \rangle. A ''trivial'' theory (i.e., one which proves every sentence in the language of the theory) is clearly inconsistent. Conversely, in an explosive formal system (e.g., classical or intuitionistic propositional or first-order logics) every inconsistent theory is trivial. Consistency of a theory is a syntactic notion, whose semantic counterpart is satisfiability. A theory is satisfiable if it has a mod ...
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Role Conflict
Role conflict occurs when there are incompatible demands placed upon a person relating to their job or position. People experience role conflict when they find themselves pulled in various directions as they try to respond to the many statuses they hold. Role conflict can be something that can be for either a short period of time, or a long period of time, and it can also be connected to situational experiences. Intra-role conflict occurs when the demands are within a single domain of life, such as on the job. An example would be when two superiors ask an employee to do a task, and both cannot be accomplished at the same time. Inter-role conflict occurs across domains of life. An example of inter-role conflict would be a husband and father who is also Chief of Police. If a tornado strikes the small town he is living in, the man has to decide if he should go home and be with his family and fulfill the role of being a good husband and father or remain and fulfill the duties of a "go ...
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Mental Model
A mental model is an internal representation of external reality: that is, a way of representing reality within one's mind. Such models are hypothesized to play a major role in cognition, reasoning and decision-making. The term for this concept was coined in 1943 by Kenneth Craik, who suggested that the mind constructs "small-scale models" of reality that it uses to anticipate events. Mental models can help shape behaviour, including approaches to solving problems and performing tasks. In psychology, the term ''mental models'' is sometimes used to refer to mental representations or mental simulation generally. The concepts of schema and conceptual models are cognitively adjacent. Elsewhere, it is used to refer to the "mental model" theory of reasoning developed by Philip Johnson-Laird and Ruth M. J. Byrne. History The term ''mental model'' is believed to have originated with Kenneth Craik in his 1943 book ''The Nature of Explanation''. Georges-Henri Luquet in ''Le dessin enfant ...
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Patient Satisfaction
Patient satisfaction is a measure of the extent to which a patient is content with the health care which they received from their health care provider. In evaluations of health care quality, patient satisfaction is a performance indicator measured in a self-report study and a specific type of customer satisfaction metric. Validity as a metric for evaluating health care quality Because patients may be dissatisfied with health care which improves their health or satisfied with health care which does not, there are circumstances in which patient satisfaction is not a valid indicator of health care quality even though it is often used as such. Many studies in acute medicine have failed to identify a relationship between patient satisfaction and health care quality. However, in long term conditions such as rheumatoid arthritis and other chronic inflammatory arthritides patient satisfaction with care has been measured reliably and shown to be an outcome of care. Factors influencing pa ...
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Shared Decision-making In Medicine
Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions. Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as their unique cultural and personal beliefs. In contrast to SDM, the Biomedical model, traditional biomedical care system placed physicians in a position of authority with patients playing a passive role in care. Physicians instructed patients about what to do, and patients rarely took part in the treatment decision. History One of the first instances where the term ''shared decision-making'' was employed was in a report on Ethics in Medicine, ethics in medicine by Robert Veatch in 1972. It was used again in 1982 in the "President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research". This work ...
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Collaboration
Collaboration (from Latin ''com-'' "with" + ''laborare'' "to labor", "to work") is the process of two or more people, entities or organizations working together to complete a task or achieve a goal. Collaboration is similar to cooperation. The form of leadership can be social within a decentralized and egalitarian group.Spence, Muneera U. ''"Graphic Design: Collaborative Processes = Understanding Self and Others."'' (lecture) Art 325: Collaborative Processes. Fairbanks Hall, Oregon State University, Corvallis, Oregon. 13 April 2006See also. Teams that work collaboratively often access greater resources, recognition and rewards when facing competition for finite resources. Caroline S. Wagner and Loet Leydesdorff. Globalisation in the network of science in 2005: The diffusion of international collaboration and the formation of a core group.'' Structured methods of collaboration encourage introspection of behavior and communication. Such methods aim to increase the success of t ...
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