Research Update: Pt Engagement, Handoffs, Satisfaction

As usual, we update research related to RROHC  concepts and  patient safety news on our RROHC calls.  On 4/22 we will  discuss some tweeted information and other pertinent research (follow us at @Rhansten):

Patient engagement and knowledge:  A study in February 2013 of Health Affairs found that patients that were more engaged, more knowledgeable, “skilled and confident” about management of their daily lives with their diagnoses, had healthcare costs 8% lower the first year and 21% lower in the next year: this was true EVEN after correcting the research groups for severity of illness.  When looking at specific populations, for example, asthma and hypertension, the differences were 21% higher costs (asthma) and 14% (hypertension).  (Healthleaders Media, April 17, 2013)

Computerization in Patient Hand0ffs: April AJN (In the News, p. 16) discussed a synopsis of an article from Staggers N, Blaz JW,   Journal of Adv Nursing 2013; 69(2): 247-62.  They attempted to review how the complex nursing handoffs at change of shift  on med-surg units could be supported by computerization.  They note that verbal, face to face handoffs are important, and believe that the opportunity for teaching and mentoring new nurses and other side benefits allow for better patient safety.  They recommend that nurses should do what they can to standardize the types or categories of information they need to share on each unit, and prioritize that.  If they can customize the current computer information to tailor the information, it will support better handovers.  

What Patients Really Want:  From NurseZone February 21, 2103. (Debra Wood, contributor).  There are no surprises here. Patients want to be heard, be a valued member of their healthcare team with attentive listening by providers. More than 80% of people surveyed expressed the desire for their provider to listen to them, but only 60% indicate that happens. Less than half of 1068 respondents stated that goals and concerns were asked about by their healthcare providers.  When RNs and MDs asked about their goals and listened to them, they were 3 to 5X more satisfied. 80% wanted to hear the full truth about diagnosis, 70% wanted to understand treatment risks.  (IOM Roundtable on Value and Science-Driven Healthcare)

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