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Improving the Effectiveness of Intentional Rounding: A Quality Improvement Project
Yingxin Peng1, Shanqin Qiu1, Dan Zhao1
1Department of Nursing, The Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital), No. 9 Chongwen Road, Suzhou 215000, Jiangsu, China.
Nursing Research and Practice
|August 12, 2026
Summary
A quality improvement program significantly boosted nurses' adherence to intentional rounding (IR) protocols, enhancing patient safety. Continuous monitoring is crucial for sustaining these improvements in nursing care.
Area of Science:
- Nursing Quality Improvement
- Patient Safety Initiatives
- Healthcare Management
Background:
- Ineffective intentional rounding (IR) is linked to missed care opportunities and increased adverse events.
- Quality improvement (QI) strategies can enhance nurse compliance with rounding protocols and patient safety.
Purpose of the Study:
- To assess the impact of a comprehensive QI program on effective IR rates.
- To evaluate the effect of the QI program on the incidence of nursing-related adverse events.
Main Methods:
- A pre-post study design was implemented at a tertiary hospital.
- Interventions included revising rounding scope, mandatory QR code/wristband scanning for documentation, and standardized training.
- Ward-level strategies involved disease-specific training, high-risk reminders, standardized forms, and regular audits.
Main Results:
- The timely rounding rate increased significantly from 77.46% to 91.89% (p < 0.001).
- Attributed unplanned extubations decreased from 20.69% to 0%, and IV safety incidents from 61.54% to 30.77%, though not statistically significant (p=0.106, p=0.119).
- Process audits revealed that improvements were not consistently sustained across all quarters.
Conclusions:
- The QI program enhanced nurse compliance with IR processes and improved select nursing safety indicators.
- Sustaining improvements necessitates ongoing monitoring, targeted feedback, and adaptive reinforcement strategies.
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