Geographic Cohorting: What Have We Learned?
Geographic cohorting involves assigning patients and their clinical teams to specific hospital units to improve communication, workflow, and collaborative care.
The authors review Geographic Cohorting of Adult Inpatient Teams: A Scoping Review, recently published in the Journal of Hospital Medicine. Geographic cohorting (GCh) refers to the assignment of patients and their clinician team to a specific hospital unit.
This approach has been adopted broadly, with 64% of hospitalists reporting participation in geographic localization in a pre-pandemic survey.1 GCh adoption has been driven by a desire to improve communication and workflow efficiency through proximity and by enabling collaborative care teams.2
However, data on patient outcomes and workflow efficiency are mixed and limited by study methodology, while the heterogeneity of interventions further complicates the assessment of results.3
As noted by Kashiwagi et al. in their comprehensive review, the effectiveness of geographic cohorting is still being studied.
Geographic cohorting has been adopted to improve communication and workflow efficiency.
The authors' review provides insight into the current state of geographic cohorting in hospitals.
Author's summary: Geographic cohorting improves hospital workflow.
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