title: Evaluation of a standardized hourly rounding process (SHaRP).
abstract: Current research suggests that hourly rounds on hospitalized patients may be associated with improvements in care delivery and in the patients' perception of care, as well as a reduction in patient safety events. Implementing an hourly rounding protocol involves a major change in nursing staff workflow and a substantial training and education program to ensure the success of the program. This quasi-experimental study aimed to determine if a standardized hourly rounding process (SHaRP), implemented through a formal education program, would result in improved efficiency, quality, safety, and patient satisfaction metrics when compared to a less standardized process introduced through the traditional train-the-trainer method. Data were collected over a 6-month period and results were trended for an additional 6 months later to determine if significant gains were sustained over time. Significant reductions in call light use during the study period (p = .001) and the number of steps taken by the day-shift staff (p = .02) were seen on the intervention unit. Differences in the number of patient falls, 30-day readmission rates, and patients' perception of care were not statistically significant.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Krepper
authors.forename: Beryl
authors.initials: B
authors.lastname: Vallejo
authors.forename: Claudia
authors.initials: C
authors.lastname: Smith
authors.forename: Cheryl
authors.initials: C
authors.lastname: Lindy
authors.forename: Cheryl
authors.initials: C
authors.lastname: Fullmer
authors.forename: Sharon
authors.initials: S
authors.lastname: Messimer
authors.forename: Yun
authors.initials: Y
authors.lastname: Xing
authors.forename: Karen
authors.initials: K
authors.lastname: Myers
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D003695:Delivery of Health Care; D016519:Hospitals, Religious; D006801:Humans; D009732:Nursing Care / Q000458:organization & administration*; D010346:Patient Care Management; D010359:Patient Readmission; D017060:Patient Satisfaction; D015397:Program Evaluation; D011787:Quality of Health Care / Q000458:organization & administration; D013663:Teaching