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The First Modified Delphi Consensus-Building Exercise on Surgical Ward Rounds in the United Kingdom National Health
Bassem Amr1, Islam Omar2, Mohamed Abdelrahman3
1University Hospitals Plymouth NHS Trust, Derriford Rd, Plymouth, PL6 8DH, UK. dr_bassem277@yahoo.com.
World Journal of Surgery
|February 22, 2023
Summary
Consensus was reached on key aspects of general surgical ward rounds in the UK. These guidelines aim to enhance patient care through structured preparation, multidisciplinary involvement, and clear communication during ward rounds.
Area of Science:
- Healthcare Management
- Surgical Practice
- Clinical Communication
Background:
- Ward rounds are a critical component of daily surgical practice, demanding robust clinical management and communication skills.
- This study focuses on establishing consensus regarding common elements of general surgical ward rounds.
Purpose of the Study:
- To achieve consensus on essential components of general surgical ward rounds within the UK National Health Service (NHS).
- To identify best practices for improving the efficiency and effectiveness of surgical ward rounds.
Main Methods:
- A consensus-building exercise involving stakeholders from 16 UK NHS trusts.
- Discussion and voting on statements related to surgical ward rounds, with ≥70% agreement defining consensus.
Main Results:
- Consensus was achieved on 59 out of 60 statements after the first round of voting.
- Key areas of agreement include preparation, consultant leadership, nursing staff involvement, multidisciplinary approach, dedicated patient time, checklists, virtual rounds, and weekend planning.
Conclusions:
- The consensus provides a framework for improving surgical ward rounds in the UK.
- Agreement on these aspects is expected to enhance the quality of care for surgical patients.
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