Implementation of patient-centered bedside rounds in the pediatric intensive care unit

Area of Science:

• Pediatrics
• Quality Improvement
• Healthcare Management

Background:

• Family-centered rounds (FCR) are challenging to implement effectively in intensive care units (ICUs).
• Improving communication and collaboration between healthcare providers and families is crucial for optimal patient outcomes.
• Enhancing provider satisfaction is essential for sustained quality care.

Purpose of the Study:

• To describe the application of Plan-Do-Study-Act (PDSA) cycles to improve the process of ICU rounds.
• To increase family participation during rounds.
• To enhance provider satisfaction with the rounds process.

Main Methods:

• A quality improvement project utilizing PDSA cycles was implemented over 7 months.
• Pre- and post-intervention surveys assessed family participation and provider satisfaction.
• Five process measures were collected from 1296 daily patient rounds.

Main Results:

• Family-centered rounds were successfully conducted for 90% of patients.
• Family participation in rounds reached 40%.
• Pediatric intensive care unit providers reported a 64.6% satisfactory rating.

Conclusions:

• PDSA cycles are an effective methodology for improving FCR implementation in ICUs.
• The project demonstrated significant improvements in family participation and provider satisfaction.
• Optimizing FCR processes can lead to better communication and potentially improved patient care in critical care settings.