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Emergency department board rounds: are they worthwhile?
J Chitnis1, G L A Cumberbatch, P W Thomas
1Emergency Department, Poole Hospital, Longfleet Road, Poole BH15 2JB, UK. drchitnis@aol.com
Emergency Medicine Journal : EMJ
|June 25, 2008
Summary
Daily emergency department (ED) board rounds can significantly alter patient care and investigations. These rounds also present valuable teaching opportunities for junior medical staff in UK hospitals.
Area of Science:
- Emergency Medicine
- Clinical Operations
- Medical Education
Background:
- Daily board rounds are a common practice in some healthcare settings.
- Their impact on patient management and educational value in the UK emergency department (ED) setting requires further investigation.
Purpose of the Study:
- To evaluate the effect of daily board rounds on patient management within an emergency department.
- To assess the educational opportunities generated by these rounds.
Main Methods:
- A prospective observational study was conducted in a UK-based small to medium-sized ED.
- Data collection focused on changes in patient investigation, treatment, disposition, and diagnosis, as well as teaching events during board rounds.
Main Results:
- 120 board rounds involving 984 patients were analyzed.
- 5.8% of patients experienced a clinical management change, with 12% showing significant shifts in investigation, treatment, or disposition.
- 2% of rounds resulted in a diagnostic change, and 30% included teaching events.
Conclusions:
- Regular board rounds in UK EDs are beneficial for patient care.
- These rounds serve as a valuable additional teaching platform for junior clinicians.
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