Impact of Altered Medication Administration Time on Interdisciplinary Bedside Rounds on Academic Medical Ward.
Interdisciplinary rounds provide a valuable venue for delivering patient-centered care but are difficult to implement due to time constraints and coordination challenges. In this article, we describe a unique model for fostering a culture of bedside interdisciplinary rounds through adjustment of the morning medication administration time, auditing physician communication with nurses, and displaying physician performance in public areas. Implementation of this model led to measurable improvements in physician-to-nurse communication on rounds, teamwork climate, and provider job satisfaction.
Departments of Medicine (Drs Young, Beck, Anderson, and Stickrath), Organizational Improvement/Quality Management (Ms Paulk), and Nursing (Ms Burck and Mr Jobman), Veterans Affairs Eastern Colorado Healthcare System, Denver; University of Colorado School of Medicine, Denver (Drs Young, Beck, and Anderson); and University of Colorado School of Medicine, Colorado Springs Branch, Colorado Springs (Dr Stickrath).
Eric
E
Young
Jaime
J
Paulk
James
J
Beck
Mel
M
Anderson
McKenna
M
Burck
Luke
L
Jobman
Chad
C
Stickrath
D001291:Attitude of Health Personnel; D003142:Communication; D004503:Education, Medical, Graduate; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008505:Medical Staff, Hospital / Q000193:education*; D055118:Medication Adherence / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000193:education; D010348:Patient Care Team; D018802:Patient-Centered Care / Q000379:methods; D056164:Teaching Rounds / Q000379:methods*