1 / 15

Improving Communication in the Emergency Department: The 5 Cs Model of Consultation

Improving Communication in the Emergency Department: The 5 Cs Model of Consultation. Educational Soundbites CORD Academic Assembly 2011 San Diego , CA Chad Kessler, MD, MHPE Chad.Kessler@VA.gov. 15 Minute Plan of Attack. Identification of a problem

thane
Télécharger la présentation

Improving Communication in the Emergency Department: The 5 Cs Model of Consultation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving Communication in the Emergency Department: The 5 Cs Model of Consultation Educational Soundbites CORD Academic Assembly 2011 San Diego , CA Chad Kessler, MD, MHPE Chad.Kessler@VA.gov

  2. 15 Minute Plan of Attack • Identification of a problem • Communication and consultation background • What’s the big idea? • The 5 Cs of Consultation • Impact to the field • Questions and comments

  3. Identification of a Problem Lack of formal training in undergraduate or graduate medical education

  4. Background: Clinical Communication for safe patient care Medical errors Delays in treatment and care Hand-offs and consultations Lack of standardized process or model JCAHO. Sentinel Event Alert. Delays in treatment. http://www.jointcommission.org/assets/1/18/SEA_26.pdf. 2002; 26. Accessed Oct 1, 2010. Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med. 2010 Feb; 55(2):171-80. Beach C, Croskerry P, Shapiro M. Profiles in Patient Safety: Emergency Care Transitions. Acad Emerg Med. 2003; 10(4):364-367.

  5. Education: ACGME Core Competencies ACGME: Outcome Project, General Competencies. http://www.acgme.org/outcome/comp/compmin.asp. Accessed Sep 15, 2010. Patient Care Medical Knowledge Practice-Based Learning and Improvement Interpersonal and Communication Skills Professionalism Systems-Based Practice

  6. What’s the Big Idea? • Qualitative analysis of consultation • Monster literature search Kessler C, Kutka B, Badillo C. Consultation in the Emergency Department: A Qualitative Analysis and Review of the Consultative Process. In Press. The Journal of Emergency Medicine.

  7. Data from Study: Skills for successful Consultation

  8. 5 Cs Checklist Assessment

  9. Reliability Inter-item reliability of GRS (Chronbach’s alpha) Rater 1 0.9 Rater 2 0.89 Rater 3 0.87 Inter-rater reliability for GRS 0.71 Inter-rater reliability for checklist 0.94 Correlation (pearson) between GRS and checklist (n=43, p<0.0001) Surgery cases r=0.59 Psychiatry cases r=0.71

  10. Main Results Intervention group had significantly higher GRS scores (4.1 vs. 3.5, F(1,39)=33.5, p<0.0001) and Checklist Scores (10.7 vs. 7.0, F(1,39)=196, p<0.0001). No natural progression in consulting skills with increasing PGY level

  11. Impact to the Field • An effective, standardized model of consultation; the 5 Cs • Assessment of difficult to measure/quantify ACGME core competencies • Wide-spread education for under-graduate and graduate medical learners

  12. Stepping it Up • From simulated setting to clinical setting • Demonstrate improvement in process measures and patient outcomes • Improve communication and relationships • Improve patient safety • Decrease resource utilization • Electronic Medical Records • Beyond Emergency Medicine

  13. Sug/quest/ments

More Related