Mind the gaps: Building communication bridges during medical codes

Leon Chen , Joanna Yohannes-Tomicich , Elizabeth McAvoy , Stephen Wisely , Tara Buchholz , Kathleen Atlas , Sanjay Chawla , Gabriela Bambrick-Santoyo
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Abstract

We describe the development and implementation of a program to identify and address gaps in code response at Memorial Sloan Kettering Cancer Center (MSKCC), a tertiary cancer center in New York City. The program aimed to assess the challenges faced by Rapid Response Team (RRT) and Medical Code Team (MCT) members, classify these challenges into medical knowledge/skills or team functioning/communication categories, develop a plan to address the identified challenges, and evaluate its effectiveness within the RRT/MCT teams. Based on survey responses and ongoing quality assurance (QA) reviews the two main challenges identified were chaos or crowd control and role identification. A tailored simulation-based training session was designed and implemented, leading to improved crowd management and the establishment of an ongoing training program.

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注意差距:在医疗规范期间建立沟通桥梁
我们描述了纽约市三级癌症中心纪念斯隆凯特琳癌症中心(MSKCC)的一个项目的开发和实施,该项目旨在识别和解决代码响应中的差距。该项目旨在评估快速反应小组(RRT)和医疗代码小组(MCT)成员面临的挑战,将这些挑战分类为医疗知识/技能或团队功能/沟通类别,制定解决已确定挑战的计划,并评估其在RRT/MCT小组中的有效性。根据调查结果和正在进行的质量保证(QA)审查,确定的两个主要挑战是混乱或人群控制和角色识别。设计并实施了量身定制的基于模拟的培训课程,从而改善了人群管理,并建立了一个持续的培训计划。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
80
期刊介绍: Journal of Interprofessional Education & Practice, a quarterly online-only journal, provides innovative ideas for interprofessional educators and practitioners through peer-reviewed articles and reports. Each issue examines current issues and trends in interprofessional healthcare topics, offering progressive solutions to the challenges facing the profession. The Journal of Interprofessional Education & Practice (JIEP) is affiliated with University of Nebraska Medical Center and the official journal of National Academies of Practice (NAP) and supports its mission to serve the public and the health profession by advancing education, policy, practice & research.
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