Enhancing senior physician-led multidisciplinary team rounds to improve patient care at Wallaga University...

The healthcare system is facing challenges due to insufficient multidisciplinary collaboration, leading to gaps in treatment, compromised patient safety and increased medical errors. Poor communication can cause misunderstandings, delays in critical decisions and cost escalation. Implementing multidisciplinary team (MDT) rounds, led by a senior physician, can improve communication, streamline decision-making and improve patient care.

A multidimensional interventional study was conducted to address the identified problem. A fishbone diagram was used to identify the root causes of the problem. A driver diagram was developed to outline the key drivers and change concepts necessary for achieving the desired outcomes. Plan-Do-Study-Act cycles were implemented to test and refine interventions systematically.

A daily dashboard-based performance audit was implemented, which includes the status of MDT rounds recorded by unit heads and analysed by the Hospital SBFR Taskforce team. Both morning and evening round statuses from various service units are collected for review of the data and communication with department heads prior to morning sessions. The report is shared in a common Telegram group for accessibility among hospital leaders. Each service unit engages in discussions with their MDT every Friday, while a weekly SBFR forum takes place every Tuesday, attended by directors and representatives from service units to review weekly performance. On-site MDT supportive supervision is conducted as needed.

Senior physician engagement has significantly improved overall, as evidenced by the average score rising from 49% to 81%. Furthermore, 94% of participants agreed that senior-led MDT rounds were good for teamwork, professional development and discussion quality. Additionally, improvements in patient outcomes and decision-making were acknowledged by 80% of respondents and 97% of participants, respectively.

The study indicates that senior-led MDT rounds enhance discussion quality, team collaboration, decision-making, patient outcomes and professional growth. To maintain MDT rounds, daily performance audits, clinical audits and continuous monitoring using common communication platforms are recommended.