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Impact of Structured Rounding Tools on Time Allocation During Multidisciplinary Rounds: An Observational Study
Joanna Abraham1, Thomas G Kannampallil2, Vimla L Patel3
1Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, IL, United States.
JMIR Human Factors
|December 13, 2016
Summary
Structured rounding tools, like HAND-IT, reduce disproportionate patient discussion time and communication errors during multidisciplinary rounds (MDRs). This improves efficiency and patient care.
Area of Science:
- Healthcare delivery research
- Clinical communication
- Patient safety
Background:
- Multidisciplinary rounds (MDRs) often show disproportionate time allocation for patient communication.
- Patients discussed later in MDRs tend to receive less communication time.
Purpose of the Study:
- To investigate if structured rounding tools mitigate disproportionate time allocation during MDRs.
- To compare the impact of problem-based (SOAP) and system-based (HAND-IT) tools on time allocation and communication.
Main Methods:
- Audio recordings of 82 patient encounters during MDRs were analyzed.
- Time allocation and communication breakdowns were compared between SOAP and HAND-IT tools.
Main Results:
- Neither structured tool showed a significant linear dependence of patient order on time spent or communication breakdowns.
- The problem-based SOAP tool showed a significant relationship between discussion time and communication breakdowns (P<.05).
- The system-based HAND-IT tool nearly eliminated disproportionate time allocation effects.
Conclusions:
- Structured rounding tools can mitigate disproportionate time allocation and communication breakdowns in MDRs.
- The HAND-IT tool demonstrated significant effectiveness in reducing these issues.
- Findings have implications for planning, prioritization, and training in MDR time management.
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