2017 HSC Section 2 - Practice Management

Przybylo JA, Wang A, Loftus P, et al. Smarter hospital communication: secure smartphone text messaging improves provider satisfaction and perception of efficacy, workflow. J Hosp Med. 2014; 9(9):573-578. EBM level 3b.................................117-122

Summary : This article presents a comparison of paging to smartphone texting to improve provider perception of communication.

IV.

Systems-Based Practice A. Electronic medical record

Nuckols TK, Smith-Spangler C, Morton SC, et al. The effectiveness of computerized order entry at reducing preventable adverse drug events and medication errors in hospital settings: a systemic review and meta-analysis. Syst Rev . 2014; 3:56. EBM level 3a......................................................................................................................123-134 Summary : This meta-analysis of 16 studies shows that computerized order entries reduce preventable adverse drug events and medication errors by 50% compared to written orders, despite the type of EMR system. B. Role of physician extenders (nurse practitioner, physician assistant) Bhattacharyya N. Involvement of physician extenders in ambulatory otolaryngology practice. Laryngoscope . 2012; 122(5):1010-1013. EBM level 2b........................135-138 Summary : This article uses a large national database to determine the prevalence of care provided by an advanced practice clinician (APC) in an outpatient ENT practice, the visit type, and common diagnoses the APC treats. Between 2008-09, approximately 6% of these visits were with a physician assistant (PA) or nurse practitioner (NP), and NPs were more likely to see patients independently (47%) than PAs (23%). Most were established patient visits for disorders of external or middle ear. Norris B, Harris T, Stringer S. Effective use of physician extenders in an outpatient otolaryngology setting. Laryngoscope . 2011; 121(11):2317-2321. EBM level 5.......................................................................................................................139-143 Summary : This article clearly defines five practice models (or different levels of practice) for the incorporation of advanced practice providers in an outpatient ENT setting to improve efficiency, patient education, and patient care. C. Team-based medicine (multi-disciplinary teams, handoffs) Lee SH, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res . 2016; 16:254. EBM level 3b............................................................................................................144-151 Summary : This study was performed with data from a 2010 survey. The study examined the relationships between perceptions of handoffs, patient safety culture, and patient safety. The study showed staff views on the behavioral dimensions of handoffs influenced their perceptions of the hospital’s level of patient safety.