Julia Jaschke’s Post

VIDEO. Well, what do you know, 😀. The value of good research skills. When you know how to search and research, you will eventually find the answers or most of them. It could include simply changing search words and the question. If you want to find the answer to certain questions, like why a hospital may be ranked as #5 in best hospital rankings, you do the research. And the hospital itself also asks U.S. News and other hospital rankers on their mythology and possibly why their hospital is ranked at #5, or whatever ranking they got. That I learned from this article and video. And I found and watched videos of top hospital executives talking among themselves about their hospital rankings. As you would expect, 😊. Finding out why Mayo Clinic is ranked #1 takes good research, because the companies that rank hospitals may not tell you all the information. But you could figure it out, but not in one shot. You have to do a series of searches and research and you will eventually get your answer, or most of it. I remember sitting down in the office of a former client who was working under contract to the investment arm of one of the largest banks, and he showed and explained to me how he ranked companies in a particular industry in which he worked many years as a senior vice president. Learn to find information and to figure things out, 😀.

Jean-Luc Tilly, from The Leapfrog Group, emphasizes two crucial points in response to the JAMA Internal Medicine study on diagnostic errors in this recent article from Medical Economics. First, he notes that hospitals with limited access to specialists and delays in testing—common in non-academic medical centers—likely experience higher rates of diagnostic errors, suggesting a broader national challenge. Second, Tilly underscores that addressing diagnostic errors transcends individual clinician responsibility, highlighting the role of hospital leadership and the healthcare system in prioritizing and providing the necessary resources for accurate diagnostics. At Atalan, we echo Tilly's call to action by offering a solution that bridges the gap in access to specialized diagnostics, supporting healthcare leaders in their mission to elevate patient care and safety. Our network connects health systems to a broad array of specialized labs, ensuring timely and precise diagnostics, critical to overcoming the challenges outlined by Tilly. Follow the link below to read his full response. #PatientSafety #DiagnosticAccuracy #HealthcareLeadership #Atalan

Here's a recent study that highlights the impactful role of patient portals and open notes in enhancing referral access in primary care. According to research published in the Journal of the American Medical Informatics Association, engaging with these digital tools can increase the likelihood of completing referrals by up to 40%. https://buff.ly/3SUJP7I #HealthcareInnovation #DigitalHealthcare

What can we do to boost job satisfaction, improve patient care, and help staff with burnout in GP practices?🙌 Getting involved in research could be the answer according to recent findings from our researchers in BJGP Open. Read more in our new blog and watch video explanations from NIHR School for Primary Care Research students 👇 https://ow.ly/oKph50Tp0IL

The psychology of patient engagement is profound. Isn’t it fascinating to see how simple experiments can empirically motivate the development of more intimate ways to engage with patients! This paper reveals that doctors who sit at a patient’s bedside for a shorter period are perceived by patients as being engaged for longer, compared to doctors who stand at the bedside for an even longer time!

### Why Sit While Talking to Patients? The attached image is a paper posted in a US residents' room about a study from the University of Kansas in 2012. Researchers randomly assigned 120 hospital patients into two groups. In one group, doctors sat down while talking to patients during daily rounds. In the other group, doctors remained standing. They then compared patient satisfaction with the conversation, understanding of the doctor’s explanations, and perception of the time doctors spent with them between the two groups. **Results:** Patients with seated doctors felt the doctors spent more time with them compared to standing doctors (despite the actual time being longer with the standing group). Additionally, patients with seated doctors rated the conversation as better (95% compared to 61%) and understood the doctor’s explanations more clearly. These results have been observed in other studies as well. Despite these findings, most hospital residents do not sit while talking to patients (for understandable reasons). Another study conducted at Johns Hopkins in 2020 with 256 patients found that more than half of the patients reported that residents never sat while talking to them. However, when residents did sit, patients felt they received better care and that the doctor was not in a rush to see the next patient. When residents were asked why they don't sit, they mentioned several factors: 1. **Lack of available chairs in the room**, which hospitals should address. 2. **Concerns about transmitting antibiotic-resistant bacteria by sitting on the patient’s bed**, although there is no data to support this. However, patients generally dislike it when doctors sit on their beds without permission. 3. **Belief that sitting might prolong the conversation**, which could be true or not, but we are weighing this against the previously mentioned benefits. In 2018, the Internal Medicine program at Baylor introduced "Humanism Rounds." The idea is that you might not be able to sit with the patient in the morning during pre-rounding, but later in the day, if you have time, you can sit in the room and listen to the patient more, thus building a stronger relationship. This is something I have started to apply with my patients, and I have noticed a significant difference. We used to be told to keep it brief with the patient and not to ask about things related to their life outside of medicine. It is now clear that knowing more personal details about the patient improves your relationship with them. These small actions make a big difference to patients and truly contribute to improving their treatment. Any doctor can gradually incorporate them into their daily practice. Picture by Dr Abushouk

Medical professionals and community members are invited to join us at the 4th Annual Improving Diagnostic Accuracy in Medicine Conference 4-8 p.m. on May 9-10 at Providence Alaska Medical Center. The conference is also available via livestream. Learn from local, national, and international experts as they share information, tools, and techniques to recognize and mitigate risk factors that contribute to diagnostic error or delay. Efforts to improve patient outcomes will be shared from both the perspective of medical professionals and patient advocates. Featured presenters include: — Jack Penner, M.D. Clinical Problem Solving Exercise — Andrew M. Freeman M.D., FACC, FACP, Improving Diagnostic Accuracy in Cardiology — Laura Zwaan, Ph.D., Managing Uncertainty in the Diagnostic Process — Edward Hoffer M.D., FACP, FACC, FACMI, Diagnostic Error and Failure to Rescue — Helene Epstein, national advocate for patients and families and author of the blog "Patient No More" — Sue Sheridan, MIM, MBA, DHL, founding member of Patients for Patient Safety US and the director of Patient Engagement emeritus at the Society to Improve Diagnosis in Medicine Please contact pamc.cme@providence.org if you are interested in attending. Caregivers interested in attending can register on the CME Tracker at https://bit.ly/CMETracker. Call (907) 212-4571 for more information.

Using the example of Manchester Digital Pain Manikin, I am going to talk about how longitudinally and frequently collected digital pain self reports can promote collaborative care. Looking forward to follow up discussions too.

“As described in this article, the management of the patient with CS is complex and frequently requires multidisciplinary collaboration. Care heterogeneity exists within and across health care institutions and systems. Such heterogeneity threatens to stymie collaborative scientific endeavors and potentially undermine patient outcomes. Challenges in CS care include but are not limited to (1) the ability to identify patients early; (2) the institution of timely, life‐saving interventions; (3) the transfer of patients to centers with advanced resources; (4) an understanding of the utility of temporary MCS devices; (5) the vetting of indications for escalation or deescalation of support; and (6) the capacity to define optimal methods to facilitate transition from temporary to more durable heart‐replacement strategies. Few would argue that CS care is easy, and complicated problems often require coordinated decision‐making. We believe that the employment of a CS team can lead to better outcomes and more thoughtful resource use. Although there exist several high‐quality CS registries and collaboratives that have been pivotal toward our understanding of the contemporary landscape, none have specifically focused on the shock team, multidisciplinary involvement, or process improvement.”

🚀 Exciting New Publication Alert! 🚀 We're thrilled to share a recent publication by Line Raunsbæk Knudsen, Annette Thurah et al in BMC Health Services Research 📄! The research explores the crucial implementation perspectives for a digital patient education (PE) program in rheumatoid arthritis (RA) self-management 🧠💻. 🔑 Key findings: ✅ Broad patient benefits, with potential for even wider adoption ✅ Technology embraced by both patients and healthcare providers 👩⚕️👨⚕️ ✅ Easy to use – no technical skills required 🔧 Challenges include the need for organizational adjustments and role adaptation. Check out how digital PE can enhance care and optimize healthcare resources: https://lnkd.in/e-nbZSbj 🌍🩺 #DigitalHealth #PatientEducation #Rheumatology #Telehealth #HealthcareInnovation