Background: Interdisciplinary clinical rounds at the bedside can promote the core principles of patient- and family-centered care, including promoting respect and dignity, information sharing, and participation by the patient in the care and decision making.  However, despite rounding at the bedside, the patient can still be a bystander as the team presents a care plan [...]

Background: Bedside rounds (BR) have been proposed as an ideal method to promote patient-centered hospital care. However, their effect on patient-centered outcomes is unclear. Our objective was to determine whether BR, when compared to other forms of hospital ward rounds, improve patient-centered outcomes. To accomplish this aim, we conducted a systematic review and meta-analysis of [...]

Background: Point of Care Ultrasound (POCUS) is a goal-directed, bedside ultrasound examination performed by a healthcare provider to answer a specific diagnostic question or guide performance of an invasive procedure at the bedside. More hospitalists have begun to use POCUS, but little is known about current POCUS usage by hospitalists. We conducted a national survey [...]

Background: The discharge process is complex and high-risk. Clear and accurate communication between the physician or Advanced Practice Provider (providers), nurse, and patient are essential to ensure a safe and effective transition of care. Upon literature review, there have not been studies looking at interprofessional communication during the discharge process. Also, our institution (a large [...]

Background: Multidisciplinary team-based care is a novel concept in hospital medicine where, healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies have shown that team-based care is associated with improved length of stay (LOS) and increased staff satisfaction but the data on patient safety and patient satisfaction is conflicting. [...]

Background: Teaching during bedside rounds is necessary to educate students and housestaff, but attendings rarely receive structured feedback on their teaching and rounding practices. We aimed to evaluate a Peer Observation Program and a structured bedside rounds observation tool. We hypothesized that participants would value observing their colleagues, report more effective preparation of the team [...]

Background: Internal medicine bedside rounds should be efficient and educational. We previously piloted literature-based faculty development workshops emphasizing attending leadership in team preparation for rounds and the importance of not interrupting learners. Participants raised three key questions: (1) Do interruptions actually adversely affect the efficiency or educational value of rounds? (2) Do learners believe that [...]

Background: Patient-centered communication has been associated with positive patient outcomes such as improved patient understanding and adherence to therapy. Teaching patient-centered care (PCC) and communication throughout a hospital stay, with an emphasis on understanding each patient’s perspective and circumstances, is a focus on one of four general inpatient medicine services at our hospital. We did [...]

Background: Bedside rounds (BR) are an ideal method for teaching in the hospital, with many proposed benefits. However, the effect of BR on educational outcomes is incompletely understood. Our objective was to determine whether BR, compared to other forms of hospital ward rounds, improves learning outcomes in medical education. To accomplish this aim, we conducted [...]

Background: Transforming hospital operations to optimize patient experience begins with a collaborative care team. The geographic re-location of physicians into one unit with an entire care team, in addition to the implementation of Structured Interdisciplinary Bedside Rounds (SIBR), have been linked to multiple outcomes related to effective care team communication and collaboration, including patient safety [...]