Lichstein Peter R, Atkinson Hal H
Department of Internal Medicine, Section on General Internal Medicine and Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157, USA.
Department of Internal Medicine, Section on General Internal Medicine and Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157, USA.
Med Clin North Am. 2018 May;102(3):509-519. doi: 10.1016/j.mcna.2017.12.012.
Bedside hospital rounds promote patient-centered care in teaching and nonteaching settings. Patients and families prefer bedside rounds and provider acceptance is increasing. Efficient bedside rounds with an interprofessional team or with learners requires preparation of the patient and the rounding team. Bedside "choreography" provides structure and sets expectations for time spent in the room. By using relationship-centered communication, rounds can be both patient proximate and patient centered. The clinical examination can be integrated into the flow of the presentation and case discussion. Patient and provider experience can be enhanced through investing time at the bedside.
床边查房在教学和非教学环境中都能促进以患者为中心的护理。患者和家属更喜欢床边查房，且医护人员的接受度也在不断提高。跨专业团队或带教学生进行高效的床边查房需要患者和查房团队做好准备。床边“编排”能为查房设定结构和时间预期。通过采用以关系为中心的沟通方式，查房既能贴近患者又能以患者为中心。临床检查可融入病例汇报和讨论流程。在床边投入时间能够提升患者和医护人员的体验。
