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Patient- and Family-centered Rounding: A Single-site Look into the Room.
Rubin, Alexandra; Osborn, Rachel R; Nowicki, Madeline J; Surber, Kira; Rashty, Jamie L; Shefler, Alanna; Parent, Kelly S; Monroe, Kimberly K; Mychaliska, Kerry P.
Afiliação
  • Rubin A; Department of Pediatrics, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Osborn RR; Department of Social Work, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Nowicki MJ; Department of Pediatrics, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Surber K; Department of Pediatrics, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Rashty JL; Department of Pediatrics, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Shefler A; Department of Pediatrics, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Parent KS; Department of Social Work, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Monroe KK; Department of Pediatrics, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
  • Mychaliska KP; Department of Pediatrics, The University of Michigan Medical School, C.S. Mott Children's Hospital, Ann Arbor, Mich.
Pediatr Qual Saf ; 6(4): e421, 2021.
Article em En | MEDLINE | ID: mdl-34235350
ABSTRACT

INTRODUCTION:

The American Academy of Pediatrics recommends Patient- and Family-centered Rounds (PFCRs) to improve communication between the healthcare team and families while allowing the latter to participate in medical decision-making. PFCRs have a secondary goal of increasing rounds' efficiency and providing a positive learning environment for residents and students. There are many published best practices for PFCR. Our study provides an observational evaluation of PFCR in an academic tertiary medical center using a checklist created from such published best practices.

METHODS:

We created a standardized observation checklist based on published guidelines. Study members observed 200 individual rounding encounters using this instrument. All inpatient, nonsurgical rounding teams in the fall of 2014 were included and analyzed using descriptive statistics.

RESULTS:

The average rounding encounter included 9 team members, lasted 9 minutes and 24 seconds, with the medical team entering the patient room for 80.0% of encounters. Families were invited to participate in 60% of the encounters. Lay language was utilized in 62% of the encounters, although 99.5% of the encounters staff used medical terminology. Nursing was present in 64.5% of encounters but presented in only 13.5% of those encounters. The teaching-attending modeled patient interaction behaviors such as eye contact, nodding, and leaning forward in 31%-51% of encounters.

CONCLUSIONS:

Despite published best practices, medical teams at a large tertiary care center did not adhere to many components of published PCFR guidelines. Future studies should focus on family and physician experience to identify improvement strategies for rounds.

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Guideline / Prognostic_studies Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Guideline / Prognostic_studies Idioma: En Ano de publicação: 2021 Tipo de documento: Article