502: LOW PREVALENCE OF MANDATORY ETHICS CONSULTATION POLICIES AT MAJOR U.S. ACADEMIC TEACHING HOSPITALS

2018 ◽  
Vol 46 (1) ◽  
pp. 236-236
Author(s):  
Jonathan Neal ◽  
Robert Pearlman ◽  
Douglas White ◽  
Kevin Sheth ◽  
James Bernat ◽  
...  
Keyword(s):  
Ethics Consultation ◽  
Teaching Hospitals ◽  
Academic Teaching ◽  
Low Prevalence

Introducing Delirium Screening To ICU Nurses In Two Academic Teaching Hospitals

2012 ◽  
Author(s):  
S. J. Hsieh ◽  
Mirian Martinez ◽  
Purnema Madahar ◽  
Krishna Aparanji ◽  
S. Selesny ◽  
...  
Keyword(s):  
Teaching Hospitals ◽  
Academic Teaching

scholarly journals Type of facility influences lengths of stay of children presenting to high volume emergency departments

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rhonda J. Rosychuk ◽  
Brian H. Rowe
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Emergency Departments ◽  
High Volume ◽  
Population Based ◽  
Initial Assessment ◽  
Teaching Hospitals ◽  
Emergency Department Crowding ◽  
Academic Teaching ◽  
The Impact

Abstract Background Emergency department crowding may impact patient and provider outcomes. We describe emergency department crowding metrics based on presentations by children to different categories of high volume emergency departments in Alberta, Canada. Methods This population-based retrospective study extracted all presentations made by children (age < 18 years) during April 2010 to March 2015 to 15 high volume emergency departments: five regional, eight urban, and two academic/teaching. Time to physician initial assessment, and length of stay for discharges and admissions were calculated based on the start of presentation and emergency department facility. Multiple metrics, including the medians for hourly, facility-specific time to physician initial assessment and length of stay were obtained. Results About half (51.2%) of the 1,124,119 presentations were made to the two academic/teaching emergency departments. Males presented more than females (53.6% vs 46.4%) and the median age was 5 years. Pediatric presentations to the three categories of emergency departments had mostly similar characteristics; however, urban and academic/teaching emergency departments had more severe triage scores and academic/teaching emergency departments had higher admissions. Across all emergency departments, the medians of the metrics for time to physician initial assessment, length of stay for discharges and for admission were 1h11min, 2h21min, and 6h29min, respectively. Generally, regional hospitals had shorter times than urban and academic/teaching hospitals. Conclusions Pediatric presentations to high volume emergency departments in this province suggest similar delays to see providers; however, length of stay for discharges and admissions were shorter in regional emergency departments. Crowding is more common in urban and especially academic emergency departments and the impact of crowding on patient outcomes requires further study.

Introducing clinical pathways as a strategy for improving care

2008 ◽  
Vol 12 (2) ◽  
pp. 56-60 ◽  
Author(s):  
Sander Feuth ◽  
Leonie Claes
Keyword(s):  
Clinical Pathway ◽  
Clinical Pathways ◽  
Hospital Staff ◽  
Project Teams ◽  
Teaching Hospitals ◽  
Specific Situation ◽  
Pathway Network ◽  
Academic Teaching ◽  
Care Processes ◽  
Under Construction

This article describes the way in which Catharina Hospital introduced clinical pathways to its workforce. The hospital, one of the largest non-academic teaching hospitals in The Netherlands, developed the first clinical pathway in 2004. Since then, clinical pathways have been presented as a strategic tool for improving care. In preparation for an organization-wide project, a team investigated and adapted the methodology as designed by the Clinical Pathway Network to the specific situation of Catharina Hospital. Staff were educated, which in return provided project teams with methodology and tools for development. Started small, the aim of the project is to achieve a snowball effect in the use of clinical pathways. Having started in 2006, six pathways are currently under construction, more of which are considered for development. An evaluation of the methodology and results in the summer of 2007, showed that the method was of great help in optimizing care processes and developing multidisciplinary agreements.

scholarly journals Sub-segmental pulmonary embolism in three academic teaching hospitals: a review of management and outcomes

2015 ◽  
Vol 13 (2) ◽  
pp. 214-218 ◽  
Author(s):  
J. Goy ◽  
J. Lee ◽  
O. Levine ◽  
S. Chaudhry ◽  
M. Crowther
Keyword(s):  
Pulmonary Embolism ◽  
Teaching Hospitals ◽  
Academic Teaching

Using physician assistants at academic teaching hospitals

2016 ◽  
Vol 29 (10) ◽  
pp. 1-2 ◽  
Author(s):  
Travis L. Randolph ◽  
E. Barry McDonough ◽  
Eric D. Olson
Keyword(s):  
Physician Assistants ◽  
Teaching Hospitals ◽  
Academic Teaching

scholarly journals Process mapping evaluation of medication reconciliation in academic teaching hospitals: a critical step in quality improvement

BMJ Open ◽  
2016 ◽  
Vol 6 (12) ◽  
pp. e013663 ◽  
Author(s):  
Anne Holbrook ◽  
James M Bowen ◽  
Harsit Patel ◽  
Chris O'Brien ◽  
John J You ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Medication Reconciliation ◽  
Teaching Hospitals ◽  
Process Mapping ◽  
Academic Teaching ◽  
Critical Step

Policies for Mandatory Ethics Consultations at U.S. Academic Teaching Hospitals: A Multisite Survey Study*

2020 ◽  
Vol 48 (6) ◽  
pp. 847-853 ◽  
Author(s):  
Jonathan B. Neal ◽  
Robert A. Pearlman ◽  
Douglas B. White ◽  
Benjamin Tolchin ◽  
Kevin N. Sheth ◽  
...  
Keyword(s):  
Survey Study ◽  
Teaching Hospitals ◽  
Academic Teaching

Assessment of orientation practices for ethics consultation at Harvard Medical School-affiliated hospitals

2017 ◽  
Vol 44 (2) ◽  
pp. 91-96 ◽  
Author(s):  
Danish Zaidi ◽  
Jennifer C Kesselheim
Keyword(s):  
Ethics Consultation ◽  
Ethics Committee ◽  
Survey Study ◽  
Teaching Hospitals ◽  
Educational Materials ◽  
Advisory Committees ◽  
Self Evaluation ◽  
Level Of Training ◽  
American Society

BackgroundFew studies have been conducted to assess the quality of orientation practices for ethics advisory committees that conduct ethics consultation. This survey study focused on several Harvard teaching hospitals, exploring orientation quality and committee members’ self-evaluation in the American Society of Bioethics and Humanities (ASBH) ethics consultation competencies.MethodsWe conducted a survey study that involved 116 members and 16 chairs of ethics advisory committees, respectively (52% and 62.5% response rates). Predictor variables included professional demographics, duration on committees and level of training. Outcome variables included familiarity with and preparedness in the ASBH competencies and satisfaction with orientations. We hypothesised that responses would be associated with both the aforementioned predictors and whether or not participants had encountered the ASBH competencies in training.ResultsA majority of respondents found their orientation curricula to be helpful (62%), although a significant portion of respondents did not receive any orientation (24%) or were unsatisfied with their orientation (14%). Familiarity with ASBH competencies was a statistically significant predictor of respondents’ self-evaluation in particular categories (54% had heard of the competencies). Standard educational materials were reported as offered during orientation, such as readings (50%) and case studies (41%); different medium resources were less evidenced such as videos on ethics consultation (19%).ConclusionsInstitutions should re-evaluate orientation practices for ethics committee members that perform ethics consultation. Integrating ASBH competencies and useful methods into a resourceful pedagogy will help improve both member satisfaction with orientation and preparation in consultation.

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