A5020634135- Hospital Admissions and Outcomes
- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Innovations in Medical Education
- Family and Patient Care in Intensive Care Units
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Patient-Provider Communication in Healthcare
- Diversity and Career in Medicine
- Medical Education and Admissions
- Simulation-Based Education in Healthcare
- Sleep and Work-Related Fatigue
- Healthcare Operations and Scheduling Optimization
- Child and Adolescent Health
- Health Sciences Research and Education
- Interprofessional Education and Collaboration
- Cleft Lip and Palate Research
- Nursing Roles and Practices
- Craniofacial Disorders and Treatments
- Healthcare Systems and Technology
- Healthcare cost, quality, practices
- Healthcare Quality and Management
- Medical Malpractice and Liability Issues
- Telemedicine and Telehealth Implementation
University of California, San Francisco
2015-2025
UCSF Benioff Children's Hospital
2013-2024
American Medical Association
2022
Vanderbilt University Medical Center
2022
San Francisco General Hospital
2017-2021
Universidad Católica de Santa Fe
2020
University of Minnesota
2019
Uniformed Services University of the Health Sciences
2017
Naval Medical Center San Diego
2017
Office of Education
2017
Miscommunications are a leading cause of serious medical errors. Data from multicenter studies assessing programs designed to improve handoff information about patient care lacking.We conducted prospective intervention study resident handoff-improvement program in nine hospitals, measuring rates errors, preventable adverse events, and miscommunications, as well workflow. The included mnemonic standardize oral written handoffs, communication training, faculty development observation program,...
Abstract Objective To determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure healthcare provider-family on centered rounds. Design Prospective, multicenter before study. Setting Pediatric inpatient units in seven North American hospitals, 17 December 2014 3 January 2017. Participants All patients admitted study (3106 admissions, 13171 patient days); 2148 parents or caregivers, 435 nurses,...
Patient handoffs are a key source of communication failures and adverse events in hospitals. Despite Accreditation Council for Graduate Medical Education requirements residency training programs to provide formal handoff skills monitor handoffs, well-established curricula validated assessment tools lacking. Developing curriculum is challenging because the need standardized processes faculty development, cultural resistance change, diverse institution- unit-level factors. In this article,...
<h3>Importance</h3> Medical errors and adverse events (AEs) are common among hospitalized children. While clinician reports the foundation of operational hospital safety surveillance a key component multifaceted research surveillance, patient family not routinely gathered. We hypothesized that novel family-reporting mechanism would improve incident detection. <h3>Objective</h3> To compare error AE rates (1) gathered systematically with vs without reporting, (2) reported by families...
Many programs struggle to recruit, select, and match a diverse class of residents, the most effective strategies for holistic review applications enhance diversity are not clear.We determined if pediatric residency application guided by frameworks that assess bias along structural, interpersonal, individual levels would increase number matched residents from racial ethnic groups underrepresented in medicine (UiM).Between 2017 2020, University California San Francisco Pediatrics Department...
As I entered the family consult room, all eyes turned to me. My husband and his were heartbroken, discussing end-of-life care options with my father-in-law's physician in intensive unit. "She's a physician; she will know what do," said husband's sibling. Stunned by unexpected comment, exchanged glance husband. Once again, me as "medical expert" guide our decisions—a role was not comfortable embracing this setting.Though make quick clinical decisions daily pediatrician, unprepared for...
Hospital laboratory test volume is increasing, and overutilization contributes to errors costs. Efforts reduce utilization have targeted aspects of ordering behavior, but few utilized a multilevel collaborative approach. The study team partnered with residents unnecessary tests associated costs through interventions across the academic medical center. selected for intervention based on cost, volume, frequency (complete blood count [CBC] CBC differential, common electrolytes, enzymes, liver...
Journal Article Concentration in Canadian Manufacturing Industries Get access Industries. By G. Rosenbluth. (Princeton, New Jersey: Princeton University Press for the National Bureau of Economic Research (London: Oxford Press), 1957. Pp. xv + 152. 28s.) P. Sargant Florence Birmingham Search other works by this author on: Academic Google Scholar The Journal, Volume 67, Issue 268, 1 December 1957, Pages 729–731, https://doi.org/10.2307/2227724 Published: 01 1957
Handoff miscommunications are a leading source of medical errors. Harmful errors decreased in pediatric academic hospitals following implementation the I-PASS handoff improvement program. However, across specialties has not been assessed.
PURPOSEThe healthcare system is resource intensive, and many opportunities exist to reduce medical waste. Brachytherapists performing inherently intensive procedures are well poised initiate the transition sustainable, climate-smart care. The authors developed a quality improvement-based (QI) NorCal Brachytherapy Waste Audit Toolkit guide waste reduction in brachytherapy provide climate health education.METHODS AND MATERIALSThe was validated through audits conducted at 2 neighboring...
BACKGROUND AND OBJECTIVES: National guidelines have recommended against codeine use in children, but little is known about prescribing patterns the United States. Our objectives were to assess changes over time pediatric prescription rates emergency departments nationally and determine factors associated with prescription. METHODS: We performed a serial cross-sectional analysis (2001–2010) of department visits for patients ages 3 17 years representative Hospital Ambulatory Medical Care...
Teaching hospitals strive to engage physicians in quality improvement (QI), and graduate medical education (GME) programs must promote trainee competence systems-based practice (SBP). The authors developed a QI incentive program that engages residents fellows, providing them with financial incentives improve while simultaneously gaining SBP experience. In this study, they describe evaluate success meeting goals set during the program's first six years.During fiscal years (FYs) 2007-2012,...
The Accreditation Council for Graduate Medical Education has partnered with member boards of the American Board Specialties to initiate next steps in advancing competency-based assessment residency programs. This initiative, known as Milestone Project, is a paradigm shift from traditional efforts and requires all pediatrics programs report individual resident progression along series 4 5 developmental levels performance, or milestones, competencies every 6 months beginning June 2014. effort...
Journal of Hospital MedicineVolume 15, Issue 7 p. 440-442 Perspectives in Medicine Communicating Effectively With Hospitalized Patients and Families During the COVID-19 Pandemic Glenn Rosenbluth MD, Corresponding Author MD [email protected] Department Pediatrics, UCSF Benioff Children's Hospital, University California San Francisco School Medicine, Francisco, CaliforniaCorresponding Author: Rosenbluth, MD; Email: protected]; Telephone: 415-476-9185; Twitter: @grosenbluth.Search for more...
Importance Investing in educators, educational innovation, and scholarship is essential for excellence health professions education care. Funds innovations educator development remain at significant risk because they virtually never generate offsetting revenue. A broader shared framework needed to determine the value of such investments. Objective To explore factors using measurement methodology domains (individual, financial, operational, social or societal, strategic political) that...
Over the past 15 years, quality and safety of US health care has become a topic national attention, debate, research.1–3 In turn, medical educators have recognized that students residents must be educated in these topics as part their professional development.4–6 Because physicians are acculturated into practice medicine during graduate education (GME) this is an ideal time to embed education. Recognizing this, Accreditation Council for Graduate Medical Education (ACGME)7–9 recently set...
Communication failures during shift-to-shift handoffs of patient care have been identified as a leading cause adverse events in health institutions. The I-PASS Handoff Program is comprehensive handoff program that has shown to decrease rates medical errors and events. As part the spread adaptation this program, implementation guide was created assist individuals process.The Mentored Implementation Guide grew out materials for original Study, Society Hospital Medicine (SHM) mentored programs,...
BACKGROUND AND OBJECTIVES Patient and Family Centered I-PASS (PFC I-PASS) emphasizes family nurse engagement, health literacy, structured communication on family-centered rounds organized around the framework (Illness severity-Patient summary-Action items-Situational awareness-Synthesis by receiver). We assessed adherence, safety, experience after implementing PFC using a novel “Mentor-Trio” implementation approach with multidisciplinary parent-nurse-physician teams coaching sites. METHODS...
Abstract Background Faced with a lack of evidence, institutions often develop local protocols for use heparin to flush‐lock venous access ports. Our objective was evaluate catheter‐related complications in patients after introduction lower‐concentration flush protocol. Procedure Patients implanted vascular devices followed by Pediatric Oncology service were exposed practice change which dose decreased from 5 ml 100 units/ml 10 units/ml. Outcome measures included port malfunctions leading...
The I-PASS Handoff Study found that introduction of a handoff bundle (handoff and teamwork training for residents, mnemonic, tool, faculty development program, sustainability campaign) at 9 pediatrics residency programs was associated with improved communication patient safety.This parallel qualitative study aimed to understand resident experiences inform future implementation strategies.Resident were explored in focus groups (N = 50 residents) 8 hospitals throughout 2012-2013. A content...
Behavior change is notoriously difficult to achieve within health care systems. Successful implementation of the I-PASS handoff bundle with subsequent decreases in medical errors and preventable adverse events represents an example successful transformational academic centers.We designed a campaign support enhance uptake at 9 study sites from 2011 2013.Following Kotter's model change, we established urgency using local data institutional mandates, site leaders built guiding coalitions...
Residents are required to engage in quality improvement (QI) activities, which requires faculty engagement. Because of increasing program requirements and clinical demands, may be resistant taking on additional teaching supervisory responsibilities without incentives. The authors sought create an authentic benefit for University California, San Francisco (UCSF) Pediatrics Residency Training Program who supervise pediatrics residents' QI projects by offering maintenance certification (MOC)...