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Przybylo JA, Wang A, Loftus P, et al. Smarter hospital communication: secure
smartphone text messaging improves provider satisfaction and perception of efficacy,
workflow.
J Hosp Med.
2014; 9(9):573-578. EBM level 3b.................................117-122
Summary
: This article presents a comparison of paging to smartphone texting to improve
provider perception of communication.
IV.
Systems-Based Practice
A.
Electronic medical record
Nuckols TK, Smith-Spangler C, Morton SC, et al. The effectiveness of computerized
order entry at reducing preventable adverse drug events and medication errors in hospital
settings: a systemic review and meta-analysis.
Syst Rev
. 2014; 3:56. EBM
level 3a......................................................................................................................123-134
Summary
: This meta-analysis of 16 studies shows that computerized order entries reduce
preventable adverse drug events and medication errors by 50% compared to written
orders, despite the type of EMR system.
B.
Role of physician extenders (nurse practitioner, physician assistant)
Bhattacharyya N. Involvement of physician extenders in ambulatory otolaryngology
practice.
Laryngoscope
. 2012; 122(5):1010-1013. EBM level 2b........................135-138
Summary
: This article uses a large national database to determine the prevalence of care
provided by an advanced practice clinician (APC) in an outpatient ENT practice, the visit
type, and common diagnoses the APC treats. Between 2008-09, approximately 6% of
these visits were with a physician assistant (PA) or nurse practitioner (NP), and NPs were
more likely to see patients independently (47%) than PAs (23%). Most were established
patient visits for disorders of external or middle ear.
Norris B, Harris T, Stringer S. Effective use of physician extenders in an outpatient
otolaryngology setting.
Laryngoscope
. 2011; 121(11):2317-2321. EBM
level 5.......................................................................................................................139-143
Summary
: This article clearly defines five practice models (or different levels of practice)
for the incorporation of advanced practice providers in an outpatient ENT setting to
improve efficiency, patient education, and patient care.
C.
Team-based medicine (multi-disciplinary teams, handoffs)
Lee SH, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence
from the hospital survey on patient safety culture.
BMC Health Serv Res
. 2016; 16:254.
EBM level 3b............................................................................................................144-151
Summary
: This study was performed with data from a 2010 survey. The study examined
the relationships between perceptions of handoffs, patient safety culture, and patient
safety. The study showed staff views on the behavioral dimensions of handoffs
influenced their perceptions of the hospital’s level of patient safety.