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Search Results for rounding
Abstract Number: 5
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hospitals around the country are facing patient flow issues. Late discharges on the inpatient floors are thought to contribute to overcrowding in the emergency department and increased evening admissions (Wertheimer, 2014). This can lead to decreased quality of care, patient satisfaction, and increased length of stay. Some hospitals have attempted to promote early discharges […]
Abstract Number: 8
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: One target for improvement of effective patient centered care on the inpatient medical ward is the mechanism for communication among the multidisciplinary care team (MCT). The medical service at Stanford Hospital and Clinics recently implemented morning “team care rounds” (TCRs) that provided space for the MCT members, including the physician (MD), nurse (RN), case […]
Abstract Number: 37
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rising inpatient census, limited physical space and unpredictable admission rates introduce communication inefficiencies among doctors, nurses and patients. Purpose: At UC San Diego Health System, we aimed to streamline communication among physicians, patients and other care team members. Description: Two operational changes were made: 1) establishment of team-based geographic cohorting and 2) segregation of […]
Abstract Number: 37
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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. […]
Abstract Number: 41
Hospital Medicine 2016, March 6-9, San Diego, Calif.
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 […]
Abstract Number: 49
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Research using the inpatient setting for interprofessional education (IPE) is sparse. At Duke Regional Hospital, the interprofessional team caring for general medicine teaching service patients includes residents, interns, medical students, physician assistant (PA) students, pharmacy students and residents, pharmacists, nurses, case managers and attending physicians. Purpose: To determine the educational and operational measures needed […]
Abstract Number: 60
Hospital Medicine 2020, Virtual Competition
Background: Historical studies suggest that bedside (BS) rounding is optimal for learners. More recent studies report variable results with BS rounding viewed unfavorably among learners. Nonetheless, some academic institutions are moving toward widespread adoption of BS rounding as the preferred rounding style. On the Internal Medicine (IM) inpatient teaching services at the University of Kentucky […]
Abstract Number: B4
SHM Converge 2022
Background: For the academic hospitalist, rounds are the cornerstone of teaching, learning, and patient care. At our institution, a study found that internal medicine residents on the inpatient wards spent an average of 3.4 hours rounding daily. However, most residents and attendings described rounds as “inefficient” and “low value.” With the importance of ACGME work […]
Abstract Number: 187
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interdisciplinary team-based care is a promising concept in hospital medicine in which healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies showed that team based care is associated with decreased length of stay (LOS).1,2Patient-Centered Approach to Health (PATH) team was a redesign of the Structured Interdisciplinary Bedside Rounding […]
Abstract Number: 238
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The quality of communication between physicians and nurses plays an important role in patient safety and provider job satisfaction. Efforts to improve the effectiveness of MD-RN communication have traditionally disseminated new programs such as staff training or communication tools, rather than improve established routines such as morning rounds. Having MDs and RNs round together […]