Megan R Gerber, Martina Jelley, Jennifer Potter
Navigating the Roadmap for Trauma-Informed Medical Education: Application of Undergraduate Medical Education Competencies
The Permanente journal
hospital length stay los usa increasing since start covid19 pandemic numerous negative outcomes including decreased quality care worsened patient satisfaction negative financial impacts hospitals many proposed factors contributing prolonged los challenging modify poor coordination care communication among clinical teams improvedgeographical cohorting provider teams patients clinical staff proposed solution prolonged los readmissions however many studies geographical cohorting alone shown significant impact los readmissions potential benefits geographical cohorting include improved quality care learning experience communication teamwork efficiencythis paper presents retrospective study duke university hospital duh general medicine service deploying bundled intervention geographical cohorting patients care teams twice daily multidisciplinary rounds incremental case management support quality improvement study found patients intervention arm 1617 shorter los control arms reduction 30day hospital readmissions compared concurrent control arm moreover evidence improved accuracy estimated discharge dates intervention armbased findings health system duh recognised value geographical cohorting implemented additional geographically based medicine units multidisciplinary rounds future studies confirm sustained impact care transformations hospital throughput patient outcomes aiming reduce los enhance quality care provided patients