Cherala Rasan K, Schleinitz Mark
Department of General Internal Medicine Brown University/Rhode Island Hospital.
Brown J Hosp Med. 2022 Aug 19;1(3):37635. doi: 10.56305/001c.37635. eCollection 2022.
Bedside rounding is vital for physicians to connect with hospitalized patients. In this study, we developed and implemented a bedside rounding quality improvement initiative focused on bedside communication and physician listening.
Our study included developing and implementing a standardized bedside rounding intervention with resident and faculty education in a major academic teaching hospital. A total of 63 patients were surveyed before and after intervention implementation.
Implementation of bedside rounding resulted in increased patient awareness of the daily medical plan, their diagnosis and concerns addressed but was not associated with improvement in explanation of plan (p = 0.08) in a comparison between teams that implemented bedside rounding versus those that did not.
Bedside rounding demonstrated a trend toward improved patient-provider communication in the hospital, but more investigation is required prior to broader implementation.
床边查房对医生与住院患者建立联系至关重要。在本研究中，我们制定并实施了一项以床边沟通和医生倾听为重点的床边查房质量改进计划。
我们的研究包括在一家大型学术教学医院制定并实施一项标准化的床边查房干预措施，并对住院医师和教员进行教育。在干预措施实施前后，共对63名患者进行了调查。
实施床边查房后，患者对每日医疗计划的知晓度有所提高，他们的诊断和担忧得到了解决，但在实施床边查房的团队与未实施床边查房的团队之间的比较中，计划解释方面并未得到改善（p = 0.08）。
床边查房在医院中显示出患者与医护人员沟通改善的趋势，但在更广泛实施之前还需要更多研究。
