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Implementing bedside handoff and nurse-initiated interdisciplinary bedside rounds improved quality in a medical/surgical intensive care unit. These initiatives fostered patient- and family-centered care through standardized communication and workflow redesign.

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Area of Science:

  • Healthcare Quality Improvement
  • Nursing Practice
  • Intensive Care Medicine

Background:

  • Effective communication and care coordination are critical in intensive care units (ICUs).
  • Traditional care models may not fully integrate patients and families into daily rounds.
  • Standardizing processes is essential for enhancing patient safety and outcomes.

Purpose of the Study:

  • To describe the implementation and outcomes of bedside handoff and nurse-initiated interdisciplinary bedside rounds.
  • To evaluate the impact of these quality initiatives on care processes and patient-centeredness.
  • To explore the role of change management strategies in ICU quality improvement.

Main Methods:

  • Utilized Kotter's change model and unit-based champions for process redesign.
  • Implemented bedside handoff procedures for improved communication.
  • Initiated interdisciplinary bedside rounds involving patients and families.

Main Results:

  • Successful planning and implementation of two complementary quality initiatives.
  • Standardized daily communication and workflows were achieved.
  • Enhanced patient and family engagement, promoting a patient- and family-centered care culture.

Conclusions:

  • Bedside handoff and nurse-initiated interdisciplinary rounds are effective quality improvement strategies in ICUs.
  • Systematic change management approaches facilitate successful implementation of new care models.
  • Active patient and family partnership is key to fostering a patient- and family-centered ICU environment.