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Geriatrics DGG > Ger 12- Deficits in Communication > Flashcards

Ger 12- Deficits in Communication Flashcards

1
Q

What is the most common method for documenting a patients diagnostic findings, hospital management, and arrangements for post discharge follow-up?

A

Discharge summary

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2
Q

JCAHO requires discharge summaries to be completed within how long after discharge?

A

within 30 days

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3
Q

What are the 3 ways you can improve communication between hospital and outpatient setting?

A

Make them digital
Change the mode of delivery
Change the format of the document

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4
Q

Utilizing health information technology allows quick extraction of information to a set format that cna be reviewed by what 2 people?

A

Physicians

The pt

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5
Q

The use of computer generated summaries (with a template) over handwritten ones showed large improvements under what study?

A

Van Walraven

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6
Q

Lissauer et al and Janik et all foudn that the ommision rate for what thing decreased with computer-generated studies?

A

Essential information

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7
Q

What % of PCPs prefer computer-generated formats?

A

70%

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8
Q

To improve communication, who can be given a copy of the most pertinent date to a newly discharge pt?

A

The patient

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9
Q

Sandler and Mitchell foudn that hand delivery from pt to doctor decreased the median time to receipt from 4 days to what?

A

1 day

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10
Q

What was the only intervention study to evaluate the impact of their intervention of clinical outcomes?

A

Marks et al

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11
Q

Marks et al used pts with asthma and employed what 3 things to get higher rating by the PCP of overall being a part of the discharge process?

A

Telephone call to PCP
A scheduled follow-up appt
Educational booklets

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12
Q

What % of PCP’s report being involved int eh discussions about discharge?

A

3%

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13
Q

What % of PCPs report ALWAYS being notified about discharges?

A

17-20%

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14
Q

What are the 2 main form of communication at discharge?

A

Letters (handwritten narratives)

Summaries (dictations)

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15
Q

Which form of communication (letters or summaries) reaches the PCP faster?

A

Letter

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16
Q

True or False: PCP’s were more likely to receive information if the pts medications were changed during the hospitalization.

A

True

17
Q

What % of the time was the ID of the responsible physician missing from the discharge summary?

A

25%

18
Q

What % of the time was the main Dx missing from the discharge summary?

A

10.5%

19
Q

What % of the time were diagnostic test results missing from the discharge summary?

A

38%

20
Q

What % of the time were discharge medications missing from the discharge summary?

A

21%

21
Q

What % of the time were followup plans missing from the discharge summary?

A

14%

22
Q

What were the 2 contributors that caused the highest rates of missing information from a discharge summary?

A

Tests were pending at discharge (65%)

Counseling provided to the pts or families (91%)

23
Q

What % of pts were being treated by their PCP befor ethe doctor had received their discharge letter?

A

16-53%

24
Q

What % of pts were being treated by their PCP befor ethe doctor had received their discharge summary?

A

66-88%

25
Q

If pts are getting treated before the PCP gets the discharge summary/letter, what is the main source of information about the hospitalization?

A

The patient

And you know they’re dumb lol

26
Q

PCP’s were happiest when they received their discharge info within what time?

A

1 week

27
Q

What % of test results (in a study) were pending on the day of discharge?

A

41%

28
Q

Pending test results when a pt is discharged is bad, because what would happen if an abnormal result was obtained?

A

They’d need immediate attention but they already got kicked outta the hospital

29
Q

What % of hospital physicians and PCPs are unaware of abnormal results after discharge?

A

60%

30
Q

Had the docs known about the abnormal test result after discharge, how many would change the diagnosis or treatment?

A

1-2%

31
Q

The growing # of specialties requires what change to happen along side it?

A

COMMUNICATION

Geriatrics DGG (5 decks)

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