Original Article

Evaluating the Impact of a Second-Level Observation Unit on Patient Outcomes at a Large Academic Health Center with a Coexisting Type I Observation Unit

Background: Observation units (OUs) are a common healthcare delivery model for health systems across the United States. OUs vary from a type I to type IV based on several factors. Another category of OUs—second-level OUs—does not fit this traditional classification due to a different patient population composition and staffing model….

Posted in: length of stay 14 observation 4

Original Article

Medical Student H&Ps: Do You Have to Observe Them All At Once?

Objectives: Direct observation of medical students’ history and physical examination (H&P) skills by attendings is essential in ensuring trainees’ competence. This study compared whether partial observations by multiple pediatric attendings across various clinical encounters versus a full observation by one attending affected students’ performance on the pediatric Objective Structured Clinical…

Posted in: feedback 6 medical student 5 observation 4 pediatrics 33

Original Article

Observing and Giving Feedback to Novice PGY-1s

Objectives: In this new era of educational milestones and entrustable professional activities, residency programs have recognized the need to directly observe resident performance. In fact, there is little information about how often residents are observed, what procedures they perform early in training, and whether they receive feedback. Previous publications have…

Posted in: faculty 3 feedback 6 observation 4 residents 9

Original Article

CME Article: Emergency Department Orthopedics Observation Unit as an Alternative to Admission

Objectives: Inclusion of select orthopedic problems in the orthopedics observation unit (OOU) may reduce hospital admissions. Our system allows OOU status for 24 hours, but the effect on admissions is unknown. Our primary hypothesis was that we could predict which OOU patients required admission based on the presence of uncontrolled…

Posted in: emergency department 21 observation 4 orthopedics 2
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