Annals for Hospitalists Inpatient Notes - Internal Medicine Bedside Procedure Services: Is the Juice Worth the Squeeze?
Authors: Majid Shafiq, Anirudh Nandan
Journal: Annals of Internal Medicine (2021)

Web ExclusivesDecember 2021Annals for Hospitalists Inpatient Notes - Internal Medicine Bedside Procedure Services: Is the Juice Worth the Squeeze?Majid Shafiq, MD, MPH and Anirudh Nandan, MDMajid Shafiq, MD, MPHDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (M.S.)Search for more papers by this author and Anirudh Nandan, MDDepartment of Hospital-Based Specialists, Kaiser Permanente San Francisco, San Francisco, California (A.N.).Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M21-4191 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Faced with many competing demands and a finite amount of time, hospitalists have traditionally looked toward interventional radiology (IR) for common medical procedures. However, that approach has several inherent shortcomings. In some situations, patient transport to a dedicated IR suite may be undesirable (for example, because of tenuous clinical status or the need for isolation). Removal of a patient from their room may result in postponement of other important interventions (for example, subspecialty consultation or physical therapy). Waiting for IR sometimes leads to procedural delays resulting from scheduling or staffing constraints, especially during weekends and holidays. In addition, the increasingly ...References1. Mourad M, Ranji S, Sliwka D. A randomized controlled trial of the impact of a teaching procedure service on the training of internal medicine residents. J Grad Med Educ. 2012;4:170-5. [PMID: 23730437] doi:10.4300/JGME-D-11-00136.1 CrossrefMedlineGoogle Scholar2. Tukey MH, Wiener RS. The impact of a medical procedure service on patient safety, procedure quality and resident training opportunities. J Gen Intern Med. 2014;29:485-90. [PMID: 24272831] doi:10.1007/s11606-013-2709-5 CrossrefMedlineGoogle Scholar3. Ritter E, Malik M, Qayyum R. Impact of a hospitalist-run procedure service on time to paracentesis and length of stay. J Hosp Med. 2021;16:476-479. [PMID: 34347583] doi:10.12788/jhm.3582 CrossrefMedlineGoogle Scholar4. Mourad M, Auerbach AD, Maselli J, et al. Patient satisfaction with a hospitalist procedure service: is bedside procedure teaching reassuring to patients. J Hosp Med. 2011;6:219-24. [PMID: 21480494] doi:10.1002/jhm.856 CrossrefMedlineGoogle Scholar5. Barsuk JH, Cohen ER, Feinglass J, et al. Cost savings of performing paracentesis procedures at the bedside after simulation-based education. Simul Healthc. 2014;9:312-8. [PMID: 25275720] doi:10.1097/SIH.0000000000000040 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (M.S.)Department of Hospital-Based Specialists, Kaiser Permanente San Francisco, San Francisco, California (A.N.).Disclosures: Authors have reported no disclosures of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M21-4191.Corresponding Author: Majid Shafiq, MD, MPH, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115; e-mail, [email protected]harvard.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - December 2021 Megan Mack , Matthew Luzum , and David H. Wesorick Metrics Cited byCharacteristics and impact of bedside procedure services in the United States: A systematic review December 2021Volume 174, Issue 12Page: HO2-HO3KeywordsHospital medicineHospitalists ePublished: 21 December 2021 Issue Published: December 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...