Physician perceptions of a multidisciplinary endocarditis team

被引:10
作者
El-Dalati, Sami [1 ]
Khurana, Irina [2 ]
Soper, Nathaniel [2 ]
Cronin, Daniel [3 ]
Shea, Michael [4 ]
Weinberg, Richard L. [4 ]
Riddell, James [1 ,5 ]
Washer, Laraine [1 ,5 ]
Shuman, Emily [1 ]
Burke, James [5 ]
Murali, Sadhana [5 ]
Perry, D. Alexander [1 ]
Fagan, Christopher [2 ]
Patel, Twisha [6 ]
Ressler, Kirra [7 ]
Deeb, George Michael [7 ]
机构
[1] Univ Michigan, Div Infect Dis, Dept Internal Med, Michigan Med, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Dept Internal Med, Michigan Med, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Div Hosp Med, Dept Internal Med, Michigan Med, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Div Cardiol, Dept Internal Med, Michigan Med, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
[5] Univ Michigan, Dept Neurol, Michigan Med, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
[6] Univ Michigan, Coll Pharm, Michigan Med, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
[7] Univ Michigan, Dept Cardiac Surg, Michigan Med, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
关键词
Endocarditis; Valvular heart disease; Surveys; Interdisciplinary; Multidisciplinary care; INFECTIVE ENDOCARDITIS; HEALTH-CARE; MANAGEMENT; MORTALITY;
D O I
10.1007/s10096-019-03776-9
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Infectious endocarditis is a highly morbid infection that requires coordination of care across medical and surgical specialties, often through the use of a multidisciplinary team model. Multiple studies have demonstrated that such conferences can improve clinical outcomes. However, little is known about physicians' impressions of these groups. We surveyed 126 (response rate of 30%) internal medicine, infectious diseases, cardiology, and cardiac surgery providers 1 year after the implementation of an endocarditis team at the University of Michigan. Ninety-eight percent of physicians felt that the endocarditis team improved communication between specialties. Additionally, over 85% of respondents agreed that the group influenced diagnostic evaluation, reduced management errors, increased access to surgery, and decreased in-hospital mortality for endocarditis patients. These results suggest that multidisciplinary endocarditis teams are valued by physicians as a tool to improve patient care and serve an important role in increasing communication between providers.
引用
收藏
页码:735 / 739
页数:5
相关论文
共 8 条
[1]   Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications A Scientific Statement for Healthcare Professionals From the American Heart Association [J].
Baddour, Larry M. ;
Wilson, Walter R. ;
Bayer, Arnold S. ;
Fowler, Vance G., Jr. ;
Tleyjeh, Imad M. ;
Rybak, Michael J. ;
Barsic, Bruno ;
Lockhart, Peter B. ;
Gewitz, Michael H. ;
Levison, Matthew E. ;
Bolger, Ann F. ;
Steckelberg, James M. ;
Baltimore, Robert S. ;
Fink, Anne M. ;
O'Gara, Patrick ;
Taubert, Kathryn A. .
CIRCULATION, 2015, 132 (15) :1435-1486
[2]   Overconfidence as a cause of diagnostic error in medicine [J].
Berner, Eta S. ;
Graber, Mark L. .
AMERICAN JOURNAL OF MEDICINE, 2008, 121 (05) :2-23
[3]   Infective Endocarditis in the US, 1998-2009: A Nationwide Study [J].
Bor, David H. ;
Woolhandler, Steffie ;
Nardin, Rachel ;
Brusch, John ;
Himmelstein, David U. .
PLOS ONE, 2013, 8 (03)
[4]   Dramatic Reduction in Infective Endocarditis-Related Mortality With a Management-Based Approach [J].
Botelho-Nevers, Elisabeth ;
Thuny, Franck ;
Casalta, Jean Paul ;
Richet, Herve ;
Gouriet, Frederique ;
Collart, Frederic ;
Riberi, Alberto ;
Habib, Gilbert ;
Raoult, Didier .
ARCHIVES OF INTERNAL MEDICINE, 2009, 169 (14) :1290-+
[5]  
Carrasco-Chinchilla F, 2014, REV ESP CARDIOL, V67, P380, DOI [10.1016/j.rec.2013.09.010, 10.1016/j.recesp.2013.09.012]
[6]  
Habib G, 2015, EUR HEART J, V36, P3075, DOI [10.1093/eurheartj/ehv319, 10.5603/KP.2015.0227]
[7]   Suboptimal Addiction Interventions for Patients Hospitalized with Injection Drug Use-Associated Infective Endocarditis [J].
Rosenthal, Elana S. ;
Karchmer, Adolf W. ;
Theisen-Toupal, Jesse ;
Castillo, Roger Araujo ;
Rowley, Chris F. .
AMERICAN JOURNAL OF MEDICINE, 2016, 129 (05) :481-485
[8]   Communication in healthcare: a narrative review of the literature and practical recommendations [J].
Vermeir, P. ;
Vandijck, D. ;
Degroote, S. ;
Peleman, R. ;
Verhaeghe, R. ;
Mortier, E. ;
Hallaert, G. ;
Van Daele, S. ;
Buylaert, W. ;
Vogelaers, D. .
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2015, 69 (11) :1257-1267