In a video analysis of family-centered rounds published in Pediatrics, Jessica Benjamin and Elizabeth Cox et al. found that 65% of medication-related dialogue raised by families was about inpatient medications. Medication scheduling and adverse drug reactions were discussed most frequently, and changes to the child's medications occurred in response to 8% of the family-initiated dialogue. You can learn more about family-centered rounds in the Family-Centered Rounds Toolkit.
Family-initiated dialogue about medications during family-centered rounds
Neighborhood socioeconomic disadvantage and 30-day rehospitalization
In a recent study in the Annals of Internal Medicine, Dr. Amy Kind et al. found that patients residing in the most disadvantaged 15% of U.S. neighborhoods had a risk of being rehospitalized comparable to that of patients with chronic pulmonary disease, and that the more disadvantaged a patient's neighborhood is, the greater their risk of their return to the hospital. A calculator is available at www.HIPxChange.org that clinicians can use to check whether their patients are being discharged to high-risk neighborhoods, as well as a dataset that can be downloaded for research purposes.
Engaging patients at the front lines of primary care redesign
Patient engagement is becoming increasingly important in the current health care policy and funding environment. In a novel approach at UW Health, 47 interdisciplinary primary care teams successfully engaged patients in a variety of quality improvement projects. The strategy used and lessons learned by UW Health in this process are discussed in a new article by Dr. William Caplan et al., and tools that can be used to help orient both team members and patients to the patient engagement process are available on HIPxChange.
Documented lifestyle education among young adults with incident hypertension
In a recent study by Dr. Heather Johnson et al. to determine predictors of documented lifestyle education among young adults with incident hypertension, the authors found that only 55% of patients had documented lifestyle education within 1 year. In particular, young adult males were less likely to receive documented education. Press releases about the article are available from Springer and the UW School of Medicine & Public Health.
Impact of patient-provider communication & language on adequacy of depression treatment
Dr. Abiola Keller et al. recently conducted a study to examine the relationship between patient-provider communication and receipt of adequate treatment for depression among women, and found that more than one-third of women with depression in the US did not receive adequate treatment. Women who were non-English speaking were 50% less likely to receive adequate treatment.