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Improving attending rounds: Qualitative reflections from multidisciplinary providers.

Nader Najafi1, Bradley Monash, Michelle Mourad

  • 1Division of Hospital Medicine, University of California San Francisco , San Francisco, CA , USA.

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|May 5, 2015
PubMed
Summary
This summary is machine-generated.

Standardizing attending rounds requires input from all providers. Key recommendations include pre-rounds huddles, patient involvement, and real-time order writing for improved patient care and education.

Keywords:
Attending roundshospital medicinemorning roundspractice guidelinesstandardizationteaching rounds

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Area of Science:

  • Medical Education
  • Quality Improvement
  • Healthcare Management

Background:

  • Attending rounds are daily patient discussions at teaching hospitals.
  • Current attending rounds often lack standardization.

Purpose of the Study:

  • To gather recommendations for standardizing attending rounds.
  • To solicit input from a multi-disciplinary group of healthcare providers.

Main Methods:

  • Qualitative study involving attending physicians, housestaff, medical students, nurses, and pharmacists.
  • Data collected via interviews and e-mail surveys with open-ended questions.
  • Content analysis used to summarize recommendations.

Main Results:

  • Sixty stakeholders participated.
  • Key recommendations: pre-rounds huddle, optimized visit scheduling, real-time order writing, patient involvement, nurse inclusion, and minimizing presentation interruptions.

Conclusions:

  • Implementing practice improvements requires systems changes and training.
  • Recommendations warrant evaluation for impact on clinical and educational goals.