Mixed methods quality evaluation of structured interprofessional medical ward rounds

Area of Science:

• Healthcare Management
• Clinical Practice Improvement
• Patient Safety Research

Background:

• Standardized medical ward rounds enhance patient safety and interdisciplinary teamwork.
• Implementing structured approaches is key to optimizing clinical collaboration.

Purpose of the Study:

• To evaluate the effectiveness of a Structured Interdisciplinary Bedside Rounding (SIBR) intervention.
• Assess the impact of SIBR on clinician behavior and patient care coordination.

Main Methods:

• Multi-method study with a non-equivalent control group design.
• Involved non-participant observations, focus groups, and surveys on intervention and control wards.
• Data collected at baseline and 6 months from clinicians in general medicine wards.

Main Results:

• SIBR rounds showed increased interdisciplinary participation and desired clinician behaviors compared to traditional rounds.
• Reduced variability in patient time duration during SIBR rounds.
• Qualitative data revealed positive views but highlighted challenges in integrating SIBR with existing ward routines.

Conclusions:

• Staff recommended the continuation of the SIBR intervention.
• The study provides insights into the adoption and diffusion of SIBR behaviors.
• Addressing implementation barriers is crucial for sustained improvement in interdisciplinary ward rounds.