interdepartmental patient report

by Christine Waters 9 min read

Best Strategies: Interdepartmental Communication [Case …

28 hours ago Interdepartmental communication in a hospital setting is fundamental to the provision of quality patient care. Effective communication modes are important because they result in the improvement of patient care (Tappen, 1995:181). Preliminary investigations into the main problems that underscore patients' dissatisfaction have identified, among ... >> Go To The Portal


Why would a pathologist request An intradepartmental consultation?

Pathologists performing intradepartmental consultations are doing so because the pathologist responsible for direct diagnosis is seeking seeks guidance in diagnosing the patient's disease or condition, and the pathologist is requesting the consultation with the intent of following the consulting pathologist's opinion.

What features do hospitals need for interdepartmental communications?

Sending real-time notifications is one of the most important features a hospital needs for its interdepartmental communications, as it facilities the travel of information between various department with swiftness and effectiveness.

What is interdepartmental communication in healthcare?

Precisely, related to the manner in which hospital professionals communicate with each other, and with the patients. Interdepartmental communication is one of the most important sectors of all hospital communications, as it links the medical team with the surgical department, the anesthesia team, and others.

What are the existing guidelines for intra-and inter-hospital transport of patient?

The existing guidelines from Indian Society of Critical Care Medicine for intra- and inter-hospital transport of patient is an evidence-based guideline developed for Indian scenario to help standardise the equipment, the personnel and monitoring during these transfers.

What is intra-hospital transfer?

What is the need to transfer a patient?

How old are patients with severe trauma?

Why is it important to transfer patients?

When is air transport indicated?

When should a patient have a Glasgow coma scale?

Should chest drain be inserted before air transport?

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What should be included in a patient report?

A structured format incorporating elements of background information, medical history, physical examination, specimens obtained, treatment provided and opinion is suggested.

What is interdepartmental communication in healthcare?

Precisely, related to the manner in which hospital professionals communicate with each other, and with the patients. Interdepartmental communication is one of the most important sectors of all hospital communications, as it links the medical team with the surgical department, the anesthesia team, and others.

Why is interdepartmental communication important in healthcare?

Abstract. Interdepartmental communication in a hospital setting is fundamental to the provision of quality patient care. Effective communication modes are important because they result in the improvement of patient care (Tappen, 1995:181).

What are the 3 types of patients?

3 Types of Patients and How to Attact ThemIn general, there are three types of patients.Patient #1: “I Have a Problem”Patient #2: Check-Ups and Routine Visits.Patient #3: Patients Looking to Switch Practices.Marketing That Targets All Three Target Markets.

What is an interdepartmental meeting?

: existing, exchanged, or carried on between two or more departments (as of an organization) or their members an interdepartmental committee especially : characterized by participation or cooperation of two or more departments of an educational institution an interdepartmental course of study.

What are 5 effective health information communication methods?

Here are five ways to ensure effective communication between healthcare professionals.Assess Your Current Method of Communication. ... Streamline Communication Channels. ... Encourage Mobile Collaboration for Effective Communication Between Healthcare Professionals. ... Give Healthcare Employees a Voice.More items...•

How can you improve communication between patients and healthcare professionals?

4 Best Practices for Improving Patient-Provider CommunicationBe clear about using the patient portal.Open lines of communication using health IT.Include the patient in care coordination.Be empathetic toward the patient.

What 5 key communication skills are critical in the healthcare field?

Good communication in healthcare is crucial, especially when dealing with patients or their family members.#1: Listen. Listening is the most important part of communication. ... #2: Take Responsibility. ... #3: Be Honest. ... #4: When in Doubt, Say it: ... #5: Be Objective.

How do you effectively communicate with patients?

7 Ways to Improve Communication with PatientsAssess your body language. ... Make your interactions easier for them. ... Show them the proper respect. ... Have patience. ... Monitor your mechanics. ... Provide simple written instructions when necessary; use graphics where possible. ... Give your patients ample time to respond or ask questions.

What are the 5 different types of patient?

5 Types of Patients (and How They've Changed in the Last 15 Years...The Independent Skeptic. One of the toughest to deal with, this type of patient is naturally skeptical about expert advice. ... The Researcher. ... The Passive Dependent. ... “I'm flexible” ... The Open-minded “Explorer”

What are the 4 types of care?

In general, there are four common care environments: Home Health Care, Assisted Living Facilities, Nursing Homes, and Adult Daycare Centers.

What is patient classification?

The term Patient Classification Systems refers to measurement systems in nursing that reflect actual patient care needs for staffing purposes. The term also is referred to as Acuity Systems, although the concept of “Acuity” denotes unidimensional illness severity in the medical sense.

A checklist for intrahospital transport of critically ill patients ...

Methods. We performed a prospective, pre–post interventional study, including a total of 76 transfers of critically ill patients between August 2016 and April 2017.

CMS Manual System

40.2.4 – IPPS Transfers Between Hospitals (Rev. 87, 02-06-04) A3-3610.5, HO-415.8 A transfer between acute inpatient hospitals occurs when a patient is admitted to a hospital and is subsequently transferred to another for additional treatment once the

Guide For Interfacility Patient Transfer - EMS

Guide for Interfacility Patient Transfer National Highway Traffic Safety Administration ties An assessment tool can be developed once all stakeholders agree upon the ultimate mission/goal,

Guidelines for the inter- and intrahospital transport of cri ...

perts in the field of patient transport provided personal experience and expert opinion. Study Selection and Data Extraction Several prospective and clinical outcome studies were found. However, much of the published data comes from retrospective reviews and anecdotal reports. Experience and consensus opinion form the basis of much of these guidelines. Results of Data Synthesis Each hospital ...

Inter-Hospital Patient Transfers Procedure

Washtenaw/Livingston MCA General Policy and Procedure Inter-Hospital Patient Transfers The purpose of this protocol is to establish a uniform procedure for inter-hospital transfers.

What is interdepartmental work process?

An interdepartmental work process in a hospital is a structured set of coordinated activities among various departments in a hospital that transform inputs into outputs. Processes are the strategic resources of a hospital which if managed to deliver outputs provide a competitive advantage. Processes seldom operate in isolation and need to be considered in relation to other work processes that influence them. In some situations, processes require observance to a specific sequence of steps. Well defined processes assist an organization in defining accountabilities, internal controls and work standards for compliance and consistent performance.

What is interdependent process?

All work processes are interdependent, that means the last step of one process, starts another. For example receiving results of an investigation test makes the last step of the investigation process but it leads to the first step in the admission or discharge process. Every smaller process usually feeds into another process which is often a part of larger processes. The patient flows through a series of processes during his journey in the hospital.

Why is it important to improve the administrative processes associated with patient flow?

Need for improving different administrative processes associated with patient flow arises for efficient and effective management of hospital beds and other resources. The effective management of hospital beds is essential if the growing demand of inpatient beds is to be met.

What are the processes that contribute to the care of a patient?

Medical processes include all processes such as medical consultation, nursing, medication, investigations, surgeries etc. these are the processes which contribute to the medical care to a patient. Apart from the medical processes a number of non-medical processes also operate in a hospital. These processes can be as simple as providing a suitable diet to the patient to as complex as moving a patient from ward to operation theatre. All these non-medical processes operate in conjunction with medical processes and involves all sort of professionals.

What are non medical processes?

These processes include billing, admission, patient transfers, discharge etc. All these processes also operate in conjunction with medical processes and thus a delay in either of these can result in serious inefficiencies.

Why is smooth patient flow important?

A smooth and uninterrupted patient flow is desirable for an efficient and effective utilization of resources and revenue generation in the hospitals. Renowned obstructions to “patient flow” in hospitals include:

Can specific details about a process be obtained without involvement and cooperation of the stakeholder?

As previously discussed specific details about a process cannot be obtained without involvement and cooperation of the stake holders. To gather specific details about a process we need to focus not only on the process but rather on the individual items that are processed.

What does "working together towards the wellbeing of the patient" mean?

Working together towards the wellbeing of the patient also means being able to share vital information at all times, thought efficient and full-featured channels. Miscommunicating during patient handoffs can lead to sever consequences, which is why today we are discussing ways to improve interdepartmental hospital communications. Modern technologies and communication strategies are providing a wide range of solutions for all industries, including healthcare, therefore it should not be difficult to find the one that works for your hospital.

Why is it important to send real time notifications to hospitals?

Sending real-time notifications is one of the most important features a hospital needs for its interdepartmental communications, as it facilities the travel of information between various department with swiftness and effectiveness.

Why is communication important in hospitals?

Precisely, related to the manner in which hospital professionals communicate with each other, and with the patients. Interdepartmental communication is one of the most important sectors of all hospital communications, as it links the medical team with the surgical department, the anesthesia team, and others.

How much will hospitals make in 2022?

It is projected that the revenue of United States hospitals will amount to around $1.29 billion by 2022. Yet hospitals need to use their revenues for investing in medical technologies and qualified professionals, which is why all hospital managers know the importance of cost-effective administrative solutions. When it comes to internal communications, the main aspect to you need to consider is choosing a solution custom-tailored to the needs of your institution and those of your employees.

Do hospital administrators need to update their communication?

Once they have drafted strategies and implemented them with the help of a modern communication solution, most hospital administrators think it is not needed to update or improved them. Even though your strategies are functional in the beginning, it does not mean they will provide you with the same results all the time, as a hospital’s activity is diverse and challenging. Therefore, you need to have an interdepartmental communications team in place. The team will be in charge of amending procedures, strategies, and templates based on feedback and in-hospital experiences.

What is intra-hospital transfer?

The intra- and inter-hospital patient transfer is an important aspect of patient care which is often undertaken to improve upon the existing management of the patient. It may involve transfer of patient within the same facility for any diagnostic procedure or transfer to another facility with more advanced care. The main aim in all such transfers is maintaining the continuity of medical care. As the transfer of sick patient may induce various physiological alterations which may adversely affect the prognosis of the patient, it should be initiated systematically and according to the evidence-based guidelines. The key elements of safe transfer involve decision to transfer and communication, pre-transfer stabilisation and preparation, choosing the appropriate mode of transfer, i.e., land transport or air transport, personnel accompanying the patient, equipment and monitoring required during the transfer, and finally, the documentation and handover of the patient at the receiving facility. These key elements should be followed in each transfer to prevent any adverse events which may severely affect the patient prognosis. The existing international guidelines are evidence based from various professional bodies in developed countries. However, in developing countries like India, with limited infrastructure, these guidelines can be modified accordingly. The most important aspect is implementation of these guidelines in Indian scenario with periodical quality assessments to improve the standard of care.

What is the need to transfer a patient?

The need to transfer a patient should take into account the benefit of providing extra care on the management or outcome. The risk of transferring a critically ill patient is manifold.[1] The various contributors of need to transfer the patient include the presence of few centres which provide super-speciality care, non-availability of speciality beds and funding of medical treatment.[2,3,4] Any intra- or inter-hospital patient transfer should aim at maintaining optimal health of the patient which is carried out by transferring the patient to the nearest facility providing highest specialised care.[5] Both the transferring and the receiving facility should aim at continuity of medical care of the patient. A poorly organised and hastily done patient transfer can significantly contribute to morbidity and mortality.[6] This article reviews the various guidelines for an effective intra- or inter-hospital transfer and current scenario of patient transfer in developing countries like India.

How old are patients with severe trauma?

Severe trauma patients with penetrating chest injuries, multisystem injuries, crush injuries, age less than 12 years or more than 55 years or patients with unstable vital signs

Why is it important to transfer patients?

The decision to transfer the patient is important because of exposure of the patient and the staff to additional risk and additional expense for the relatives and the hospital .

When is air transport indicated?

According to the guidelines of Air Medical Dispatch by American College of Emergency Physician, the air transport is indicated when the ground transport is not feasible due to the factors such as time of transfer, distance to be travelled and the level of care needed during the transfer.[19] .

When should a patient have a Glasgow coma scale?

Patients with head injury should have their Glasgow coma scale (GCS) adequately monitored and documented before and during transfer and before administration of any sedative or paralytic agent.

Should chest drain be inserted before air transport?

The ventilation should be adequately controlled with optimisation of the arterial blood gas values. In the suspected pneumothorax, chest drain should be inserted before transfer, especially before air transport.

What is an intradepartmental consultation?

Far from a curbside consultation, the intradepartmental consultation amounts to much more than merely “an answer to an inquiry from a colleague.” Intradepartmental consultations can reasonably be considered to meet the criteria of a formal consultation, for which medical malpractice liability might attach .

Why do pathologists perform intradepartmental consultations?

Pathologists performing intradepartmental consultations are doing so because the pathologist responsible for direct diagnosis is seeking seeks guidance in diagnosing the patient's disease or condition, and the pathologist is requesting the consultation with the intent of following the consulting pathologist's opinion.

What is the contractual basis of finding a physician-patient relationship?

The contractual basis of finding a physician-patient relationship exists is elemental in pathology, and is based on the contractual acceptance of the pathology work, the conduction of tests, the preparation of a report, and the acceptance of a fee for services rendered.

Is a pathology conference a formal consultation?

A pathology department consensus conference performing an intradepartmental consultation would consequently also meet the criteria for a formal consultation, and liability might attach to its opinions as well. Indeed, there are even more reasons a consultation to a consensus conference would be considered a formal consultation. The contractual issues and physician-patient relationship issues are essentially the same as with an individual consulting pathologist; however, pathology department conferences are a routine and sanctioned part of a department's functioning, so more arguably a clearly professional activity than an intradepartmental consultation performed by an individual pathologist, for which a department does not typically establish a time of day, or a room, for its performance. Were a medical malpractice lawsuit to arise involving the participants of a department consensus conference, it is likely that liability would be joint and several, under the principle that “physicians treating a patient for the same illness may be jointly and severally liable for malpractice damages. Physicians have been held jointly and severally liable for malpractice in the absence of evidence separating the physician's individual acts of negligence in causing the injury. . . .” 4

Is there malpractice liability for pathology consultations?

And there is no reason for angst. Medical malpractice liability for intradepartmental pathology consultations has existed whether pathologists clearly realized it or not, and there has been no onslaught of lawsuits ; nor should one be expected. Indeed, that a potential avenue of medical malpractice liability has been so underused as to appear nonexistent shows just how successful intradepartmental consultations are at improving diagnostic accuracy and, in turn, reducing medical malpractice risk. Intradepartmental consultations should continue to be liberally sought.

What is intra-hospital transfer?

The intra- and inter-hospital patient transfer is an important aspect of patient care which is often undertaken to improve upon the existing management of the patient. It may involve transfer of patient within the same facility for any diagnostic procedure or transfer to another facility with more advanced care. The main aim in all such transfers is maintaining the continuity of medical care. As the transfer of sick patient may induce various physiological alterations which may adversely affect the prognosis of the patient, it should be initiated systematically and according to the evidence-based guidelines. The key elements of safe transfer involve decision to transfer and communication, pre-transfer stabilisation and preparation, choosing the appropriate mode of transfer, i.e., land transport or air transport, personnel accompanying the patient, equipment and monitoring required during the transfer, and finally, the documentation and handover of the patient at the receiving facility. These key elements should be followed in each transfer to prevent any adverse events which may severely affect the patient prognosis. The existing international guidelines are evidence based from various professional bodies in developed countries. However, in developing countries like India, with limited infrastructure, these guidelines can be modified accordingly. The most important aspect is implementation of these guidelines in Indian scenario with periodical quality assessments to improve the standard of care.

What is the need to transfer a patient?

The need to transfer a patient should take into account the benefit of providing extra care on the management or outcome. The risk of transferring a critically ill patient is manifold.[1] The various contributors of need to transfer the patient include the presence of few centres which provide super-speciality care, non-availability of speciality beds and funding of medical treatment.[2,3,4] Any intra- or inter-hospital patient transfer should aim at maintaining optimal health of the patient which is carried out by transferring the patient to the nearest facility providing highest specialised care.[5] Both the transferring and the receiving facility should aim at continuity of medical care of the patient. A poorly organised and hastily done patient transfer can significantly contribute to morbidity and mortality.[6] This article reviews the various guidelines for an effective intra- or inter-hospital transfer and current scenario of patient transfer in developing countries like India.

How old are patients with severe trauma?

Severe trauma patients with penetrating chest injuries, multisystem injuries, crush injuries, age less than 12 years or more than 55 years or patients with unstable vital signs

Why is it important to transfer patients?

The decision to transfer the patient is important because of exposure of the patient and the staff to additional risk and additional expense for the relatives and the hospital .

When is air transport indicated?

According to the guidelines of Air Medical Dispatch by American College of Emergency Physician, the air transport is indicated when the ground transport is not feasible due to the factors such as time of transfer, distance to be travelled and the level of care needed during the transfer.[19] .

When should a patient have a Glasgow coma scale?

Patients with head injury should have their Glasgow coma scale (GCS) adequately monitored and documented before and during transfer and before administration of any sedative or paralytic agent.

Should chest drain be inserted before air transport?

The ventilation should be adequately controlled with optimisation of the arterial blood gas values. In the suspected pneumothorax, chest drain should be inserted before transfer, especially before air transport.

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Different Work Processes in A Hospital?

  • In an organisation as complex as hospitals a number of work processes are operating at any point of time. These work processes operate at different levels as intradepartmental and interdepartmental. A work process which seems to be as simple as providing a medication by a nursing staff to the patient also involves a defined work process which if no...
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Need For Improving Work Processes

  • A smooth and uninterrupted patient flow is desirable for an efficient and effective utilization of resources and revenue generation in the hospitals. Renowned obstructions to “patient flow” in hospitals include: Difficulties in gaining admission to inpatient beds (i.e. inefficient bed management or insufficient bed capacity) The congestion in the emergency department. Incorre…
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What Is Work Process Mapping?

  • Improvement efforts in health care have generated a variety of quality improvement and risk assessment methodologies such as, Healthcare Failure Modes and Effects Analysis, PDSA cycles, Lean and Six Sigma to name a few. A common pre requisite of these approaches is to understand the existing system before implementing improvement strategies. Any organization cannot eval…
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Essentials of A Good Process Mapping

  • First and foremost requirement to achieve a good process mapping is that Stake holders of a process should supply the information regarding the process which needs to be mapped should understand and support the reasons for the mapping exercise. The process map thus developed should be organized in a way that it enables all stake holders to clearly understand the process. …
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Illustration of Process Maps

  • We can illustrate the process maps using the following: System Map – Informal and Formal Top Down Chart Block Diagram – Logic Flow Left to Right Block Diagram – Responsibility Matrix Block Diagram – Cycle vs. Process Flow Process Chart Work Flow Diagram Swim Lane, or Deployment, Chart State Change Chart The System Maps are very useful when evaluating the systemic interpl…
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Process Mapping in Hospitals

  • Process mapping is a simple exercise. It is one of the most potent ways for multi-disciplinary teams to recognize the difficulties from the patient’s view, and to identify prospects for improvement. The patient is the only person who experiences the entire journey of hospital visit and stay. Process mapping helps the managers to appreciate this experience and an improveme…
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