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Area of Science:

  • Pediatric hospital medicine
  • Quality improvement initiatives
  • Healthcare communication

Background:

  • Family-centered rounds (FCR) are standard pediatric communication.
  • Implementation challenges exist, particularly for families with languages other than English (LOE).
  • Previous FCR rates were 33%.

Purpose of the Study:

  • To increase FCR from 33% to 80% within one year.
  • To ensure equitable FCR for families with LOE compared to English preference (EP).

Main Methods:

  • Implemented an electronic healthcare record (EHR)-FCR checklist, staff education, visual prompts, and interpreters.
  • Measured weekly % FCR and nursing documentation.
  • Compared FCR rates for LOE vs. EP families using Fisher's exact test and control charts.

Main Results:

  • FCR increased to 81% during intervention, decreasing to 73% during sustain.
  • Nursing documentation reached 93% with the EHR-FCR checklist.
  • No statistical difference in FCR for LOE vs. EP families during intervention (84% vs 81%); higher LOE participation during sustain (87% vs 72%).

Conclusions:

  • Documented FCR increased on a community pediatric hospital medicine service.
  • Implementation included a nursing-completed EHR-FCR checklist, education, prompts, and interpreters.
  • Equitable FCR was achieved for families with LOE.