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Structured interdisciplinary bedside rounds (SIBR®) in pediatric intensive care units (PICUs) improved staff and family satisfaction, workflow, and reduced length of stay. This quality improvement initiative enhanced patient care without compromising education or safety.

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Area of Science:

  • Pediatric Intensive Care
  • Quality Improvement Initiatives
  • Healthcare Management

Background:

  • Pediatric intensive care unit (PICU) daily rounds often lack consistent quality, duration, and participation.
  • Variability in rounding processes can impact patient care and team collaboration.

Purpose of the Study:

  • To evaluate the impact of implementing a structured interdisciplinary bedside rounds (SIBR®) model in a PICU.
  • To improve the quality and efficiency of daily rounds in a pediatric intensive care setting.

Main Methods:

  • A quality improvement initiative was conducted in a 25-bed multidisciplinary PICU.
  • Interventions included pre-rounding huddles and the SIBR® model over 18 months.
  • Data on rounding duration, participation, and physician order read-back were collected and analyzed.

Main Results:

  • Nurse, respiratory care practitioner, and family participation in rounds significantly increased (p <0.001).
  • Physician order read-back improved from 41% to 79% (p<0.001).
  • Median length of stay decreased by 9.5%, rounding time per patient decreased by 34%, and family satisfaction improved.

Conclusions:

  • Implementation of SIBR® in a PICU enhances family and staff satisfaction and improves workflow.
  • The SIBR® model led to a significant decrease in length of stay without adverse effects on mortality or readmissions.
  • Structured rounding positively impacts education and efficiency in the PICU setting.