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I'm excited to share my LAST #dissertation paper "Ready to go home? Assessment of Shared Mental Models of the patient & discharging team regarding readiness for hospital discharge" via @SocietyHospMed. 
cc: #PGroves @BBurkeMD @marilyn_schap @AS_Wallace
https://www.journalofhospitalmedicine.com/jhospmed/article/233252/hospital-medicine/ready-go-home-assessment-shared-mental-models-patient-and
cc: #PGroves @BBurkeMD @marilyn_schap @AS_Wallace
https://www.journalofhospitalmedicine.com/jhospmed/article/233252/hospital-medicine/ready-go-home-assessment-shared-mental-models-patient-and
2/ My dissertation used organizational behavior approaches to measure cognition of interprofessional teams. Specifically, I examined shared mental models to see if #teams who are more on the same page during hospital discharge have better patient outcomes. https://qualitysafety.bmj.com/content/29/6/499.info
3/ We surveyed the patient & their team (RN, MD, MSW) using the Readiness for Hospital Discharge scales by @MWeissDNSc. A strength of this scale is its multidimensions of DC Readiness including: 1) physical status, 2) knowledge, 3)coping ability, and 4) expected support.
4/Assessment of shared mental model (SMM) convergence can determine how much team members agree about patient discharge readiness & how their mental models align with the patientâs assessment.
This provides insight into quality of: 1) team understanding, 2) patient-centered care
This provides insight into quality of: 1) team understanding, 2) patient-centered care
5/ We found that discharge teams frequently had poor quality SMMs of hospital discharge readiness.
In our sample,
in
patients reported low readiness & the team overestimated the patientâs assessment of readiness for discharge in 48.4% of events.
https://www.journalofhospitalmedicine.com/jhospmed/article/233252/hospital-medicine/ready-go-home-assessment-shared-mental-models-patient-and
In our sample,
inpatients reported low readiness & the team overestimated the patientâs assessment of readiness for discharge in 48.4% of events.https://www.journalofhospitalmedicine.com/jhospmed/article/233252/hospital-medicine/ready-go-home-assessment-shared-mental-models-patient-and
6/ To improve discharge planning, hospitals are increasingly assessing readiness for discharge as a low intensity & cost intervention.
Yet, recent evidence suggests that readiness assessments alone have minimal impact on reducing hospital readmissions. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2722575
Yet, recent evidence suggests that readiness assessments alone have minimal impact on reducing hospital readmissions. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2722575
7/ To improve communication around discharge, hospital staff can ask 3 practical questions together:
1) Do we think the patient is ready for discharge?
2) To what extent do we all agree the patient is ready?
3) Does our assessments match the patients?
#DischargeRounds #MedEd
1) Do we think the patient is ready for discharge?
2) To what extent do we all agree the patient is ready?
3) Does our assessments match the patients?
#DischargeRounds #MedEd
8/ Asking these
's might allow the team to move from thinking fast to thinking slowly so they can more effectively identify heuristics they may be using inaccurately, prevent blind spots, and make hospital discharge more #TeamBased & #PatientCentered.
https://www.journalofhospitalmedicine.com/jhospmed/article/233252/hospital-medicine/ready-go-home-assessment-shared-mental-models-patient-and
's might allow the team to move from thinking fast to thinking slowly so they can more effectively identify heuristics they may be using inaccurately, prevent blind spots, and make hospital discharge more #TeamBased & #PatientCentered.https://www.journalofhospitalmedicine.com/jhospmed/article/233252/hospital-medicine/ready-go-home-assessment-shared-mental-models-patient-and
9/Although COVID-19 delayed publication, I'm so excited to share my last #dissertation pub! Thanks to my wonderful mentors @IowaNursing (Drs. Groves & Wallace) & post-doc @NCSP_Penn @vaequity (Drs. Burke & Schapira).
See mixed-method pub @BMJ_Qual_Saf
https://qualitysafety.bmj.com/content/29/6/499.info
See mixed-method pub @BMJ_Qual_Saf
https://qualitysafety.bmj.com/content/29/6/499.info
PS There is ABSOLUTELY no way I would have gotten this far in my career without my interdisciplinary team! Doctors from the colleges of nursing, medicine, business, public health, & economics all shaped this work. And it's better because of them.
#TheTEAM https://twitter.com/agnostic_data/status/1356350227209449473?s=20
#TheTEAM https://twitter.com/agnostic_data/status/1356350227209449473?s=20
