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: 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: 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 [...]

Background: For most of the past century, clinical medicine was taught almost exclusively at the bedside. Currently, learners participate in a variety of activities that may or may not include bedside teaching. Balancing quality patient care and teaching a diverse group of learners is often a challenge. Electronic health records (EHR) with an ever-growing amount [...]

Background: Multidisciplinary rounds occurs in various formats. On our medical wards, centralized multidisciplinary team huddles are conducted daily to ensure the entire care team is engaged and contributing to care plan development. Often times this precludes bedside team rounds. Given the dynamic fluidity of an inpatient care plan and our desire to enhance patient and [...]

Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital errors and patient harm, and making errors more visible is a key strategy to reduce negative outcomes. Electronic health record [...]