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Use of Peer- and Self-Evaluation to Improve Conversations with Interfacility Referring Clinicians.
Nelson, Anika; Melamed, Svetlana; Bauer, Sarah Corey; Preloger, Erin; Porada, Kelsey; Hadjiev, Jennifer.
Affiliation
  • Nelson A; Department of Pediatrics, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, aninelson@mcw.edu.
  • Melamed S; Children's Wisconsin, Milwaukee Campus, Section of Hospital Medicine. Milwaukee, Wisconsin.
  • Bauer SC; Department of Pediatrics, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
  • Preloger E; Children's Wisconsin, Milwaukee Campus, Section of Hospital Medicine. Milwaukee, Wisconsin.
  • Porada K; Department of Pediatrics, Section of Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
  • Hadjiev J; Children's Wisconsin, Milwaukee Campus, Section of Hospital Medicine. Milwaukee, Wisconsin.
WMJ ; 121(4): 301-305, 2022 Dec.
Article in En | MEDLINE | ID: mdl-36637842
INTRODUCTION: Pediatric hospital medicine physicians receive little formal training in communicating with interfacility referring clinicians. We sought to improve pediatric hospital medicine physician confidence and communication scores by 10% during patient triage calls from interfacility referring providers via a continuing professional development initiative. METHODS: We conducted a single-center 10-month quality improvement project. Confidence was assessed via survey before and after the initiative. A novel self- and peer-evaluation tool was used to assess accepting pediatric hospital medicine physician communication on recorded calls. Call assessment scores were measured at baseline, cycle 1, and cycle 2. Interventions included group discussion and development of a scripting flowsheet. RESULTS: Twenty pediatric hospital medicine physicians participated and completed a total of 203 call assessments. From baseline to post-initiative, general confidence communicating with referring clinicians increased by 13% (mean ranks 11.8, 16.8, respectively), and specific confidence communicating when there is a difference of opinion increased significantly by 37% (mean ranks 9.8, 19.2, P < 0.001). Interfacility transfer conversation evaluation scores increased by 11%. DISCUSSION: Our initiative improved accepting physician's confidence and communication evaluation scores using self- and peer-evaluation, group reflection, and a scripting flowsheet. Self- and peer-evaluation of recorded calls can be an effective intervention for building physician confidence in communicating with referring clinicians.
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Collection: 01-internacional Database: MEDLINE Main subject: Physicians / Diagnostic Self Evaluation Type of study: Diagnostic_studies Limits: Child / Humans Language: En Journal: WMJ Journal subject: MEDICINA Year: 2022 Document type: Article Country of publication: Estados Unidos
Search on Google
Collection: 01-internacional Database: MEDLINE Main subject: Physicians / Diagnostic Self Evaluation Type of study: Diagnostic_studies Limits: Child / Humans Language: En Journal: WMJ Journal subject: MEDICINA Year: 2022 Document type: Article Country of publication: Estados Unidos