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Record W147726279 · doi:10.35680/2372-0247.1008

Transforming the patient experience: Bringing to life a patient- and family-centred interprofessional collaborative practice model of care at Kingston General Hospital

2014· article· en· W147726279 on OpenAlexaff
Anndale McTavish, Cynthia Phillips

Bibliographic record

VenuePatient Experience Journal · 2014
Typearticle
Languageen
FieldHealth Professions
TopicInterprofessional Education and Collaboration
Canadian institutionsKingston General Hospital
Fundersnot available
KeywordsTransformational leadershipNursingPatient experienceMedicineHealth careSAFERAmbulatory careQuality managementQuality (philosophy)Medical educationPsychologyOperations managementManagement system

Abstract

fetched live from OpenAlex

The Kingston General Hospital strategic plan includes transforming the patient experience and bringing to life new models of interprofessional care and education. The implementation of the Interprofessional Collaborative Practice Model has been the foundation of this transformational change. Areas identified for improvement included communication, discharge planning, and purposeful engagement of patients and families in the care process. Through a system-wide approach to change, it was expected that the organization would be better prepared to deliver safer, higher quality care and enriched experiences for patients, families and practitioners. From March to October 2009, 54 representatives from various disciplines and services gathered to design a new approach to care delivery. The resulting model was conceptualized as a system of interacting levers: People, Technology, Information, and Process. Between November 2009 and April 2012, the model was implemented on 18 inpatient units and 33 ambulatory care areas. Interprofessional collaboration and patient engagement has been vital in optimizing care through this new care delivery model. We quickly came to realize that in order to create and sustain a patient and family-centred approach to care, we needed patients and families to advise us along the way. A Patient and Family Advisory Council was formed in February 2010 and continues to provide direction. Post-implementation results on four units are encouraging, showing improvements in quality of patient care and quality of work life. Continuous monitoring of the changes and using evaluation results to advance the positive changes are the next steps in this transformation of the healthcare experience.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.015
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0020.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.019
GPT teacher head0.367
Teacher spread0.348 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations17
Published2014
Admission routes1
Has abstractyes

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