Imperial College London
Alternate

ProfessorNickSevdalis

Faculty of Medicine, Department of Surgery & Cancer

Visiting Professor
 
 
 
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Contact

 

+44 (0)20 7594 3431n.sevdalis Website

 
 
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Location

 

507, Wright Fleming BNorfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pannick:2015:10.1001/jamainternmed.2015.2421,
author = {Pannick, S and Davis, R and ashrafian, H and Byrne, B and Beveridge, I and Athanasiou, T and Wachter, RM and Sevdalis, N and Pannick, S and Davis, R and Ashrafian, H and et, al},
doi = {10.1001/jamainternmed.2015.2421},
journal = {JAMA Internal Medicine},
pages = {1288--1298},
title = {Effects of interdisciplinary team care interventions on general medical wards. A systematic review.},
url = {http://dx.doi.org/10.1001/jamainternmed.2015.2421},
volume = {175},
year = {2015}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Importance  Improving the quality of health care for general medical patients is a priority, but the organization of general medical ward care receives less scrutiny than the management of specific diseases. Optimizing teams’ performance improves patient outcomes in other settings, and interdisciplinary practice is a major target for improvement efforts. However, the effect of interdisciplinary team interventions on general medical ward care has not been systematically reviewed.Objectives  To describe the range of objective patient outcomes used in studies of general medical ward interdisciplinary team care, and to evaluate the performance of interdisciplinary interventions against them.Evidence Review  We searched EMBASE, MEDLINE, and PsycINFO from January 1, 1998, through December 31, 2013, for interdisciplinary team care interventions in adult general medical wards using an objective patient outcome measure. Reference lists of included articles were also searched. The last search was conducted on January 29, 2014, and the narrative and statistical analysis was conducted through December 1, 2014. Study quality was assessed using the Cochrane Effective Practice and Organization of Care group’s tool.Findings  Thirty of 6934 articles met the selection criteria. The studies included 66548 patients, with a mean age of 63 years. Nineteen of 30 (63%) studies reported length of stay, readmission, or mortality rate as their primary outcome, or did not specify the primacy of their outcomes. The most commonly reported objective patient outcomes were length of stay (23 of 30 [77%]), complications of care (10 of 30 [33%]), in-hospital mortality rate (8 of 30 [27%]), and 30-day readmission rate (8 of 30 [27%]). Of 23 interventions, 16 (70%) had no effect on length of stay, 12 of 15 (80%) did not reduce readmissions, and 14 of 15 (93%) did not affect mortality. Five of 10 (50%) interventions reduced complications of care. In an exploratory quantitative analysis, the
AU  - Pannick,S
AU  - Davis,R
AU  - ashrafian,H
AU  - Byrne,B
AU  - Beveridge,I
AU  - Athanasiou,T
AU  - Wachter,RM
AU  - Sevdalis,N
AU  - Pannick,S
AU  - Davis,R
AU  - Ashrafian,H
AU  - et,al
DO  - 10.1001/jamainternmed.2015.2421
EP  - 1298
PY  - 2015///
SN  - 2168-6114
SP  - 1288
TI  - Effects of interdisciplinary team care interventions on general medical wards. A systematic review.
T2  - JAMA Internal Medicine
UR  - http://dx.doi.org/10.1001/jamainternmed.2015.2421
UR  - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2301377
VL  - 175
ER  -
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