• Need more information on these or other topics? Ask an information specialist at (312) 422-2050 or rc@aha.org

  • Enter your email address to subscribe to this blog and receive notifications of new posts by email.

    Join 319 other followers

  • Share this blog

    Share |
  • Note:

    Information posted in this blog does not necessarily represent the views of the American Hospital Association
  • Archives

  • Categories

  • Top Posts

  • Top Rated Posts

ROBOTICS: What is a social robot for hospitalized kids?

The effect of introducing Huggable, a social robot, to hospitalized children aged 3 to 10 years old at Boston Children’s Hospital was studied.  This cuddly blue interactive bear, small enough to sit on a table top, was studied compared to a tablet-based version of the bear and an old-school plush toy bear.  The pediatric patients who played with Huggable were found to exhibit “greater levels of joyfulness and agreeableness than comparison interventions.”  Huggable is suggested as a promising way to address the emotional needs of hospitalized children.  There is an interesting free 4-minute video interview that accompanies this article.

Source: Logan, D.E., and others. (2019, July). Social robots for hospitalized children. Pediatrics, 144(1).  Click here for video: https://pediatrics.aappublications.org/content/144/1/e20181511?sso=1&sso_redirect_count=1&nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR%3a+No+local+token

Click here for abstract: https://pediatrics.aappublications.org/content/144/1/e20181511  Posted by AHA Resource Center (312) 422-2050 rc@aha.org

VALUE: Americans are lousy patients

Could the problem with America’s health-care system lie not only with the American system but with American patients?”

Americans do not take prescribed medications.  We make poor lifestyle choices.  We demand expensive tests and scans and procedures.  All of these factors contribute to making the American health care system costly while failing to produce very good outcomes, compared to other developed nations.

Source: Freedman, D.H. (2019, July). The worst patients in the world. The Atlantic, 324(1), 28-30.  Click here for text: https://www.theatlantic.com/magazine/archive/2019/07/american-health-care-spending/590623/  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

MODELS OF CARE: Geographic unit-based teams case study

Redesign of the care model for inpatient units at Brooklyn Hospital Center (NY, 464 beds)  is described in this article.  Previously, hospital medicine teams would round on patients scattered about the hospital.  After the redesign, geographic unit-based teams were created.  How staff handled the transition to the new model and interactions with the bed board system are discussed.  Workstations on wheels (WOWs) were added to rounds.  Provider and patient satisfaction were found to improve after implementation of the new model.

Source: Pendharkar, S., Malieckal, G., and Gasperino, J. (2019, May 10). Unit-based models of care. The Hospitalist.  Click here for full text:  https://www.the-hospitalist.org/hospitalist/article/200713/mixed-topics/unit-based-models-care  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

READMISSIONS: Continuity of care in 12 months before hospital admission reduces 30-day readmission rate

This study of over 14,000 Mayo Clinic patients cared for under a patient-centered medical home (PCMH) model looked at the concept of visit entropy, which pertains to the degree of what the authors term “disorganization” of patient care.  What this refers to is whether a patient is seen always by the same primary physician (perfect continuity of care) or whether a patient is seen by different physicians on different visits.

Statistics About These Mayo Clinic PCMH Patients

  • 14,662 patients admitted to hospital (and included in this analysis)
  • 11.6 percent readmitted within 30 days
  • 8 outpatient visits (median patient visits in 12 months before hospital admission) – this excludes any ED visits on the day of admission
  • 5 different clinicians seen (median patient during 12 months before hospital admission)

CONCLUSION

Patients with higher [visit entropy] in the 12 months before hospital admission were more likely to be readmitted or die within 30 days of hospital discharge.

Source: Garrison, G.M., and others. (2017, January-February). Visit entropy associated with hospital readmission rates. Journal of the American Board of Family Medicine, 30(1), 63-70. Click here for free full text: http://www.jabfm.org/content/30/1/63.full.pdf  Posted by AHA Resource Center (312) 422-2050 rc@aha.org

READMISSIONS: What is a transitional care bundle?

Kaiser Permanente Northwest (Portland, Ore.) developed a transitional care bundle in 2009 intended to assist patients on discharge from hospital to home.  The initial results of implementation of this approach are reported in this study.  Hospital inpatients are assigned a risk level – high, medium, or low – and then receive different level of support services.  The services include:

  • Telephone hotline number
  • Same-day standardized discharge summaries and discharge instructions
  • Post-hospital follow-up – 5 days for high risk and longer for lower risk patients
  • Medication reconciliation

In the 269-bed hospital that was studied, about half of all patients discharged from hospital to home were judged to be high risk.  In the 5 years studied, the readmission rate was cut from 12.1 percent to 10.6 percent.

Source: Rice, Y.B., and others. (2016, Feb.). Tackling 30-day, all-cause readmissions with a patient-centered transitional care bundle. Population Health Management, 19(1), 56-62.  Click here: http://online.liebertpub.com/doi/pdf/10.1089/pop.2014.0163

Related news item: Erich, J. (2015, July 1). Kaiser Permanente’s plan to prevent readmissions. IH Executive. Click here: http://www.ihexecutive.com/patient-care/clinical-pathways/article/12076292/kaiser-permanentes-plan-to-prevent-readmissions  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

PATIENT SATISFACTION: Academic medical center improves the patient experience

This is a case study of University of Utah Health Care, a four-hospital system that was created in 2004 by bringing together the School of Medicine and the University Hospitals and Clinics.  Radically different cultures hampered the ability of the organization to achieve top patient satisfaction scores until launch of an initiative in 2008.  Working on aligning culture was one of the first tasks of the Exceptional Patient Experience (EPE) initiative.  Among the other EPE activities were revision of the mission, vision, and values statements; value-based hiring, retention, and promotion; and, sharing physician-specific patient feedback data.  Besides the improvement in patient satisfaction scores, the system has seen a big drop in malpractice premium rates and an increase in employee satisfaction.

Source: Lee, V.S., Miller, T., Daniels, C., and others. (2016, Mar.). Creating the exceptional patient experience in one academic health system. Academic Medicine. 91(3), 338-344.  Click here for publisher’s website: http://journals.lww.com/academicmedicine/Fulltext/2016/03000/Creating_the_Exceptional_Patient_Experience_in_One.25.aspx  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

NEEDLESTICK: What is the sharps injury rate in hospitals?

FINDINGS: 21.37 percutaneous injuries per 100 average daily census from EPINet – 2013

These data are from the International Safety Center, in a survey report called the Exposure Prevention Information Network, or EPINet.  This reporting system was established in 1992 and is distributed to over 1,500 U.S. hospitals.  However, the number of hospitals reporting is much smaller – about 25 U.S. hospitals, per telephone call to the ISC, 434.962.3470 (on 2/24/16).

Source: International Safety Center (no date, 2014?). EPINet report for needlestick and sharp object injuries.  Click here: https://internationalsafetycenter.org/wp-content/uploads/2015/08/Official-2013-NeedleSummary.pdf

FINDINGS: 16.5 sharps injuries per 100 licensed hospital beds in MASSACHUSETTS – 2012

The State of Massachusetts requires hospitals to report their annual sharps injury rates.  Here are the most current data – for 2012:

 

Type of Hospital Rate of Sharps Injuries per 100 Licensed Beds
Small (less than 100 beds) 14.0
Medium (101-300 beds) 10.3
Large (greater than 300 beds) 26.6
All hospitals 16.5
Teaching 27.7
Non-teaching   9.7

Source: Massachusetts Department of Public Health, Occupational Health Surveillance Program. (2014, Aug.). Sharps injuries among hospital workers in Massachusetts: Findings from the Massachusetts Sharps Injury Surveillance System, 2012.  Click here: http://www.mass.gov/eohhs/docs/dph/occupational-health/injuries/injuries-hospital-2012.pdf  Posted by AHA Resource Center (312) 422-2050, rc@aha.org