Physician perceptions of a multidisciplinary endocarditis team .

Internal medicine

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  • Sami El-DalatiEmail author
  • Irina Khurana
  • Nathaniel Soper
  • Daniel Cronin
  • Michael Shea
  • Richard L. Weinberg
  • James RiddellIV
  • Laraine Washer
  • Emily Shuman
  • James Burke
  • Sadhana Murali
  • D. Alexander Perry
  • Christopher Fagan
  • Twisha Patel
  • Kirra Ressler
  • George Michael Deeb
Original Article

Abstract

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.

Keywords

Endocarditis Valvular heart disease Surveys Interdisciplinary Multidisciplinary care

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

Institutional review board approval was not obtained as the survey was of providers, contained no identifiable information, and was voluntary.

Informed consent

Explicit informed consent was not obtained for the reasons described above.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Sami El-DalatiEmail author
  • Irina Khurana
  • Nathaniel Soper
  • Daniel Cronin
  • Michael Shea
  • Richard L. Weinberg
  • James RiddellIV
  • Laraine Washer
  • Emily Shuman
  • James Burke
  • Sadhana Murali
  • D. Alexander Perry
  • Christopher Fagan
  • Twisha Patel
  • Kirra Ressler
  • George Michael Deeb
  1. 1.Division of Infectious Diseases, Department of Internal MedicineMichigan Medicine – University of MichiganAnn ArborUSA
  2. 2.Ann ArborUSA
  3. 3.Department of Internal MedicineMichigan Medicine – University of MichiganAnn ArborUSA
  4. 4.Division of Hospital Medicine, Department of Internal MedicineMichigan Medicine – University of MichiganAnn ArborUSA
  5. 5.Division of Cardiology, Department of Internal MedicineMichigan Medicine – University of MichiganAnn ArborUSA
  6. 6.Department of NeurologyMichigan Medicine – University of MichiganAnn ArborUSA
  7. 7.College of PharmacyMichigan Medicine – University of MichiganAnn ArborUSA
  8. 8.Department of Cardiac SurgeryMichigan Medicine – University of MichiganAnn ArborUSA