Approach puts clinicians in a more proactive role
A bedside rounding team of providers meet with a WellSpan York Hospital patient to discuss her vital signs, symptoms, test results and care plan for the day.
Beginning shortly after 10 a.m. with a patient who had surgery just two days earlier, a team of WellSpan hospital clinicians gather together in the patient’s room for the first of that day’s bedside rounds.
During the meeting that includes the participation of the patient and her caregiver, the team shares the patient’s vital signs, symptoms, test results and the care plan for the day ahead. While the meeting takes only three to five minutes, the benefit of the encounter for all involved is long lasting.
Known as bedside team rounding or by the acronym SIBR, this new approach to patient care includes multiple members of the hospital care staff in the daily assessment of patients.
Bedside team rounding has recently been implemented on several medical units at WellSpan York Hospital and WellSpan Gettysburg Hospital.
"It is anchored in the belief that close collaboration with all members of the care team will result in safer, more effective care of our patients,” said William “Tex” Landis, MD, medical director, WellSpan Hospitalists.
“The plan is to implement team rounding on all of our hospital inpatient medical units, and we expect to see improved patient satisfaction and coordination of care as a result.”
The idea of bedside team rounding is to integrate nurses, physicians, and other care providers into the patient evaluations they conduct each day.
“We believe there is improved continuity of care if the entire team is up to speed on all the issues involved with the patient,” said Astrid Davis, vice president, patient care services, WellSpan York Hospital.
“This approach puts clinicians in a more proactive role, resulting in better coordination of care.”
So far, the feedback received on the bedside team rounding has been very positive from patients, families and participating staff.
The project team continues to work on improving scheduling and overcoming other challenges.
“We are encouraged by what our patients and staff are already telling us," said Landis. "The benefit of open communication is apparent. Bedside team rounding is having a profound impact on our ability to provide care that is safe and high quality."