Suite 100
Atherton, CA 94027
Fax: (650) 362-2584
University of California at San Francisco School of Medicine, San Francisco, CA, 05/31/2011
UCSF Pediatric Department, San Francisco, CA, 6/30/2015
Pediatrics, American Board of Pediatrics
View details for DOI 10.1001/jamanetworkopen.2022.49267
View details for PubMedID 36622680
Background: Family-centered rounds (FCRs) provide many benefits over traditional rounds, including higher patient satisfaction, and shared mental models among staff. These benefits can only be achieved when key members of the care team are present and engaged. We aimed to improve patient engagement and satisfaction with our existing bedside rounds by designing a new FCR process.Methods: We conducted a needs assessment and formed a multidisciplinary FCR committee that identified appointment-based family-centered rounds (aFCRs) as a primary intervention. We designed, implemented, and iteratively refined an aFCR process. We tracked process metrics (rounds attendance by key participants), a balancing metric (time per patient), and outcome metrics (patient satisfaction domains) during the intervention and follow-up periods.Results: After implementing aFCR, 65% of patients reported positive experience with rounds and communication. Rounds duration per patient was similar (9 versus 9.4min). Nurse, subspecialist, and interpreter attendance on rounds was 72%, 60%, and 90%, respectively. We employed a Rounding Coordinator to complete the scheduling and communication required for successful aFCR.Discussion: We successfully improved our rounding processes through the introduction of aFCR with the addition of a rounding coordinator. Our experience demonstrates one method to increase multidisciplinary team member attendance on rounds and patient satisfaction with physician communication in the inpatient setting.
View details for DOI 10.1097/pq9.0000000000000182
View details for PubMedID 31572884
View details for DOI 10.1016/j.acap.2017.04.006
View details for PubMedID 28428096
View details for DOI 10.1016/j.jacr.2016.10.006
View details for PubMedID 28017272
View details for DOI 10.1016/j.mhpa.2016.06.002
View details for Web of Science ID 000390514500002
View details for DOI 10.1586/14737167.7.5.423
View details for PubMedID 20528386