Related Experiment Video
Updated: Sep 26, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.3K
Improving Efficiency on a Pediatric Hospital Medicine Service With Schedule-Based Family-Centered Rounds
Marie E Wang1, R Marissa Hutauruk2, Shanna Perales3
1aDivision of Pediatric Hospital Medicine, Stanford University School of Medicine and Lucile Packard Children's Hospital Stanford, Palo Alto, California.
Hospital Pediatrics
|April 18, 2022
Summary
Implementing scheduled rounds improved patient care efficiency by ensuring timely starts, increasing nursing presence, and completing rounds earlier. This quality improvement initiative optimized hospital workflow and communication.
Area of Science:
- Healthcare Operations
- Quality Improvement Science
- Pediatric Hospital Medicine
Background:
- Inconsistent timing and processes in family-centered rounds lead to care inefficiencies.
- Variable nursing participation and end times negatively impact patient care.
- Optimizing rounding is crucial for efficient hospital operations.
Purpose of the Study:
- To implement and evaluate a schedule-based rounds process.
- To improve the timeliness and efficiency of patient rounds.
- To enhance nursing engagement and streamline workflow.
Main Methods:
- Utilized quality improvement methods on a pediatric hospital medicine service.
- Implemented an electronic health record-linked scheduling tool and improved communication.
- Tracked key metrics including rounding time, nursing presence, and completion rates.
Main Results:
- Achieved 96% of rounds within 30 minutes of scheduled time.
- Increased nursing presence from 79% to 94%.
- Raised percentage of rounds completed by 11:20 am from 0% to 86%.
Conclusions:
- Scheduled rounds significantly improved rounding workflow efficiency.
- Enhanced bedside nursing presence was achieved through this process.
- An EHR-linked scheduling tool is effective in facilitating optimized rounding.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
644
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
644
01:13Patient-centered Care
2.4K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.4K
01:26Methods of Documentation II: POMR
1.1K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.1K
01:21Methods of Documentation III: PIE
1.5K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.5K
01:26Methods of Documentation IV: Focus Charting
1.2K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.2K
01:29SBAR I: Understanding the Concept
4.9K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.9K