Publications by authors named "W Kulp"

Background: Health system science (HSS) encompasses both core and cross-cutting domains that emphasize the complex interplay of care delivery, finances, teamwork, and clinical practice that impact care quality and safety in health care. Although HSS skills are required during residency training for physicians, current HSS didactics have less emphasis on hands-on practice and experiential learning. Medical simulation can allow for experiential participation and reflection in a controlled environment.

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Background: Inpatient psychiatry discharge planning through careful transition documentation may reduce adverse patient outcomes and decrease hospital readmissions. In 2017 a national psychiatry reporting program instituted a quality metric called the Transition Record with Specified Elements Received by Discharged Patients (TR-1). At Yale New Haven Psychiatric Hospital, the TR-1 metric had 0% provider compliance when the quality metric was instituted.

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The COVID-19 pandemic has impacted utilization volumes and patterns for inpatient psychiatry, though reports have noted inconsistencies on small populations. We obtained demographic and diagnostic data from a retrospective cohort of admitted psychiatric patients at a single-site from March-July 2020 and the corresponding months in 2019. Despite controlling for the modest decrease in inpatient admissions, no statistically significant changes in demographics or utilization was found, except for an increase in patients with substance use disorder (p<0.

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Inpatient psychiatric facilities can face significant challenges in containing infectious outbreaks during the COVID-19 pandemic. The main objective of this study was to characterize the epidemiology, testing data, and containment protocols of COVID-19 in a large academic medical center during the height of the COVID-19 outbreak. A retrospective cohort analysis was conducted on hospitalized individuals on five inpatient psychiatric units from March 1 to July 8, 2020.

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