Physician-Nurse Dyad Rounding: A Collaborative Approach to Improve Unit-Level Metrics

Methodist Health System300 enrolled

Overview

The project will be implemented on one unit at a time until the co-rounding process has been implemented on each Medical-Surgical unit. This study will involve the geo-localized hospitalist on the designated unit and the nursing staff involved in clinical patient care

Patient experience top box scores as well as doctor and nurse domains will be evaluated retrospectively prior to project implementation and this evaluation will continue to be evaluated six months after IRB approval and project initiation. Baseline patient experience scores are routinely captured as a part of routine data collection practices via Press Ganey survey administration. LOS and discharge times are also routinely collected as a part of routine data collection practices. LOS and average discharge times will be reviewed on an ongoing basis after project implementation to monitor for improvements.

Study Type

OBSERVATIONAL

Enrollment

300

Conditions

Wellness, Psychological

Interventions

Physician-Nurse Dyad RoundingBEHAVIORAL

Collaborative Approach to Improve Unit-Level Metrics

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patient Experience, LOS, and Discharge Times: Private hospitalist patients at MDMC * LOS: Patients with a LOS ≤20 days Exclusion Criteria: * Patient Experience: Patients other than private hospitalist patients excluded from this measure. * LOS: Patients with LOS \>20 days are considered an outlier and will be excluded from the study

Locations (2)

Clinical Research Institute at Methodist Health System

Dallas, Texas, United States

Methodist Dallas Medical Center

Dallas, Texas, United States

Outcomes

Primary Outcomes

Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation

Time frame: "up to 100 weeks"

Secondary Outcomes

Difference in Top Box Patient Satisfaction Scores and Doctor Domain

Difference in top box patient satisfaction scores and doctor domain for private hospitalist patients after project implementation compared to before implementation

Time frame: "up to 100 weeks"

Difference in LOS of private hospitalist patients after project implementation compared to before implementation

Time frame: "up to 100 weeks"

Difference in collaboration and build positive relationships scores after project implementation compared to before implementation

Time frame: "up to 100 weeks"

Data from ClinicalTrials.gov

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