All Together Now: Impact of a Regionalization and Bedside Rounding Initiative on the Efficiency and Inclusiveness of Clinical Rounds OR

• DOI: 10.12788/jhm.2696
• Publication Date: 2017-03-04T14:22:05Z
• Authors: Kristin T. L. Huang; Jacquelyn Minahan; Patricia Brita-Rossi; Patricia Aylward; Joel T Katz; Christopher Roy; Jeffrey L Schnipper; Robert Boxer
• Keywords: Rounding; Hospital medicine

Attending rounds at academic medical centers are often disconnected from patients and team members who not physicians. Regionalization of care teams may facilitate bedside rounding more frequent interactions among doctors, nurses, patients.We used time-motion analysis to investigate how regionalization encouragement affect participants on time.We pre-post study the effects redesign teams' daily a general medicine service an center.Four were evaluated before intervention 5 afterward.General regionalized specific units, admitting structure was changed regionalization, encouraged round bedside.Primary outcomes included proportion time each member present time. Secondary duration non-patient during rounds.Proportion nurse increased 24.1% 67.8% (P ⟨ 0.001), total 39.9% 55.8% 0.001). Mean decreased 3.0 hours 2.4 = 0.01), despite higher patient census.Creating encouraging interdisciplinary presence nurses while decreasing Journal Hospital Medicine 2017;12:150-156.