Impacting Satisfaction, Learning, and Efficiency Through Structured Interdisciplinary Rounding in a Pediatric...

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.