Below are resources and materials from the Society of Hospital Medicine (SHM) to help hospitalists create a better environment in their organizations for communications and teamwork with other specialties.
“SBAR: A shared mental model for improving communication between clinicians”
Published in the Joint Commission Journal of Quality and Patient Safety, this manuscript describes the importance of sharing a common mental model in communication. It characterizes the use of the “Situation, Background, Assessment, and Recommendation” (SBAR) tool at OSF St. Joseph Medical Center, Bloomington, IL. SBAR became the communication methodology from leadership to the microsystem in all forms of reporting.
“Going Lean in Health Care”
Lean thinking begins by identifying value-added and non value-added steps in every process. This white paper published by the Institute for Healthcare Improvement (IHI) describes how healthcare organizations must create a collaborative culture that is receptive to lean thinking.
Relational coordination is defined as “a mutually reinforcing process of interaction between communication and relationships carried out for the purpose of task integration. More simply, relational coordination is coordinating work through relationships of shared goals, shared knowledge and mutual respect supported by frequent, timely, accurate, problem-solving communication.”
Transforming Care at the Bedside
Transforming Care at the Bedside (TCAB) is a national program from the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI).
The program seeks to improve care on medical surgical units through improvements in four areas:
Hospitalists, Nursing Staff, and Other Hospital-Based Departments
Hospitalists and Pharmacists
Hospitalists and Other Hospital-Based Physicians
Hospitalist Teams With Nurse Practitioners/Physician Assistants