Background: At our institution, bedside co-rounding with physicians and nurses has been promoted as a mechanism to facilitate care team communication. However, coordinating bedside co-rounding can be logistically challenging and time consuming, especially when patients and care team members are not geographically co-localized. Little is known on how bedside co-rounding impacts patient experience. We aimed [...]

Background: “Geographic rounding” describes physicians focusing on patient care in a single hospital unit. Studies have suggested that geographic rounding may improve efficiency and communication. Prior to our pilot, physicians at EUHM were seeing patients distributed across 13 units making rounding inefficient and care coordination challenging. Methods: We designed a geographic-based rounding system on unit [...]

Background: Hospitals across the nation are gripped with capacity constraints, and some hospitals have indicated they are operating at “Capacity Disaster” status. It is critical to identify solutions that are beneficial to both hospitals and patients. Destino (2019) indicated that early discharges help decrease emergency department and post-anesthesia care unit hospital bed times. The Reverse [...]

Background: As a strategy to improve throughput and efficiency, Vanderbilt University Hospital implemented geographic localization across several Hospital Medicine (HM) teams and units. This large-scale structural change presents an opportunity to not only improve efficiency and quality metrics, but to improve other patient-centered outcomes including patient experience. Purpose: To assess the impact of a hospital [...]

Background: Physician/Bedside Nurse (RN) communication is at the center of care delivery and patient experience for patients admitted to any Hospital Medicine service. While efficient communication within the healthcare team is the hallmark of high quality care, it is highly variable in terms of timing and quality. Inadequate communication between physicians and nurses, as perceived [...]