864: Standardized Interdisciplinary Bedside Rounding Improves Patient and Family Satisfaction

Rice, Amy Diane; Chin, Maureen; Parker, Amy; Robert, Stephen; Nawathe, Pooja

doi:10.1097/01.ccm.0000809780.18662.b5

Cited by 1 publication

(2 citation statements)

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“…This is especially important for current healthcare work environments, in which standardised, effective and safe communication among teams is complicated by staff members with various experience levels and often new team members. The BTR tool helped standardise the rounding process for the care team 29. This tool also allowed for prerounds data collection in a more concise manner.…”

Section: Discussionmentioning

confidence: 99%

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Quality improvement initiative to improve communication domains of patient satisfaction in a regional community hospital with Six Sigma methodology

Carsten,

Bhandari,

Fortney

et al. 2023

BMJ Open Qual

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BackgroundCommunication gaps, whether incomplete or fragmented communication, have been the cause of many disasters in human civilisation. Coordination of healthcare is directly related to proper communication and handoffs among multidisciplinary teams throughout multiple shifts during a patient’s hospitalisation.Local problemPatient surveys and direct patient feedback at Mayo Clinic Health System in Mankato, Minnesota, indicated that patient communication with physicians and nurses had declined in 2017 and 2018. Viewing this as an opportunity for improvement, our leadership initiated several changes to increase physician and nurse communication with patients, which resulted in no notable improvements.MethodsA systematic quality improvement approach was implemented by using Six Sigma methodology. Stakeholders from multidisciplinary teams were assembled as the project team. The five steps of Six Sigma methodology (Define, Measure, Analyse, Improve and Control) were followed to create a quality improvement intervention.InterventionWe developed a standardised and easy-to-use bedside team rounding tool to improve patient communication with physicians and nurses.ResultsPostintervention patient satisfaction top-box scores exceeded target improvements for both physician (from 78.5% to 82.0%, p<0.01) and nurse (from 80.5% to 83.1%, p=0.04) communication domains. Physicians had a 33-point increase in percentile rank (from 41st to 74th percentile rank), and nurses had a 25-point increase in percentile rank (from 59th to 84th percentile rank). This increase in communication ranked our institution at the top of national benchmark organisations.ConclusionsOverwhelmingly positive patient feedback was achieved, and postintervention employee satisfaction was primarily positive when compared with preintervention satisfaction.

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Section: Discussionmentioning

confidence: 99%

“…The BTR tool helped standardise the rounding process for the care team. 29 This tool also allowed for prerounds data collection in a more concise manner. Many nurses brought lists prepared in advance that specifically addressed all of the items in the tool.…”

Section: Discussionmentioning

confidence: 99%