Prospective comparison of curbside versus formal consultations.
J Hosp Med
; 8(1): 31-5, 2013 Jan.
Article
in En
| MEDLINE
| ID: mdl-23065716
ABSTRACT
BACKGROUND:
Curbside consultations are commonly requested during the care of hospitalized patients, but physicians perceive that the recommendations provided may be based on inaccurate or incomplete information.OBJECTIVE:
To compare the accuracy and completeness of the information received from providers requesting a curbside consultation of hospitalists with that obtained in a formal consultation on the same patients, and to examine whether the recommendations offered in the 2 consultations differed.DESIGN:
Prospective cohort.SETTING:
University-affiliated, urban safety net hospital. MAIN OUTCOMEMEASURES:
Proportion of curbside consultations with inaccurate or incomplete information; frequency with which recommendations in the formal consultation differed from those in the curbside consultation.RESULTS:
Curbside consultations were requested for 50 patients, 47 of which were also evaluated in a formal consultation performed on the same day by a hospitalist other than the one performing the curbside consultation. Based on information collected in the formal consultation, information was either inaccurate or incomplete in 24/47 (51%) of the curbside consultations. Management advice after formal consultation differed from that given in the curbside consultation for 28/47 patients (60%). When inaccurate or incomplete information was received, the advice provided in the formal versus the curbside consultation differed in 22/24 patients (92%, P < 0.0001).CONCLUSIONS:
Information presented during inpatient curbside consultations of hospitalists is often inaccurate or incomplete, and this often results in inaccurate management advice.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Referral and Consultation
/
Attitude of Health Personnel
Type of study:
Observational_studies
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Hosp Med
Year:
2013
Document type:
Article
Affiliation country:
United States