Joint Commission on Accreditation of Healthcare Organizations sentinel event reporting demonstrates that 70% of preventable medical errors are due to communication errors. The national patient safety goals for 2006 include improving “the effectiveness of communication among care providers” to reduce those errors. Within internal medicine, a growing body of literature suggests teamwork and collaboration have real effects on patient care. In the intensive care unit, multiple studies demonstrated improved patient outcomes associated with enhanced interprofessional collaboration. Similarly, in the general medicine inpatient setting, wards with structured care teams including allied health professionals and a clinical nurse consultant had decreased in‐hospital mortality, and the patients exhibited decreased functional decline. Nonetheless, interprofessional teamwork remains limited, and multiple barriers exist including lack of perceived time for adequate discussion, lack of knowledge regarding other professional roles, and differing communication styles.
To improve patient care through enhanced interprofessional teamwork and communication by instituting a multidisciplinary rounding system on a large hospitalist non‐teaching service at an academic center.
In an effort to improve patient satisfaction and communication among health care providers, a physician–nurse rounding initiative was established. Our hospitalist group worked in collaboration with the nurse manager and charge nurse to develop a bedside rounding system. A communication plan was developed enabling the hospitalist to contact the nurse manager or charge nurse who had initiated the rounding scheme. Through more strategic nursing assignments based on the hospitalist attending, an effective and efficient rounding system was developed. A short debriefing was performed prior to each patient encounter to summarize the overnight events, answer questions/concerns, and address family/social issues. Formal rounding was done bedside with the plan of care reviewed with both the nurse and patient. Future additions to this program include providing a written summary of the care plan to each patient upon rounding completion.
Multidisciplinary rounding is feasible and was well received on a busy hospitalist service in an academic center. Physicians and nurses alike were quick to adopt the system and had positive responses. Hospitalist subjective reports suggest decreased interruption during the day from nursing pages, which will likely result in improved work efficiency. Data from the first month of implementation demonstrate an increase in overall patient satisfaction and physician communication scores and patient knowledge of plan of care on Press Ganey surveys. Further study will be done to assess effects on additional measures such as length of stay and readmission rates. Widespread implementation of this policy should be strongly considered.
E. R. Schumacher ‐ none; B. Liston ‐ none
To cite this abstract:Schumacher E, Liston B. Multidisciplinary Team Rounding Leads to Increased Patient Satisfaction. Abstract published at Hospital Medicine 2011, May 10-13, Dallas, Texas. Abstract 203. Journal of Hospital Medicine. 2011; 6 (suppl 2). https://www.shmabstracts.com/abstract/multidisciplinary-team-rounding-leads-to-increased-patient-satisfaction/. Accessed March 31, 2020.