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Ward round checklist improves patient perception of care
Joshua Read1, William Perry2, Jeremy I Rossaak3,4
1Department of Surgery, The University of Otago, Dunedin, New Zealand.
Background:
Checklists have been shown to reduce morbidity and mortality in medicine by improving documentation and reducing errors. In the modern era of care, where patients are the centre of decision-making, this study examines patient perception of care and error prevention with the use of ward round checklist.
Methods:
We conducted a prospective stepped-wedge cluster randomized controlled checklist intervention study using a standardized questionnaire to investigate patients' perception of ward rounds before and after implementation of a ward round checklist.
Results:
A total of 124 patients completed the questionnaire. The overall percentage of items endorsed increased significantly by 5.1% from 64.8% to 70.0% (P = 0.014). Statistically significant improvements were seen in patients knowing their diagnosis (P = 0.027), the day's plan (P = 0.038), observing a medication chart (P < 0.001) and observation chart review (P = 0.008).
Conclusion:
Our study indicates that the use of a ward round checklist leads to patient-perceived improvements in aspects of quality of care.
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