Bedside rounds versus board rounds in an emergency department

The Clinical Teacher
Christopher McNeilBruce Adams

Abstract

Our objective was to gain insight into whether bedside rounding at shift turnover in the emergency department improved education quality, as compared with board rounds. Board rounds are commonly used in the emergency department, where the teams review the patient and transfer care near a computer screen or written board, rather than at the patient's bedside. The impact on teaching or patient care has not been extensively compared between the two approaches. We conducted a prospective study in an academic emergency department to compare bedside rounds versus board rounds. A convenience sample of 408-hour clinical shifts were randomised to either bedside or board rounds. Data collected included frequency of discussion of differential diagnosis, questions asked per patient, total time for which alternative therapies were discussed, total time for which alternative tests were discussed, total time for which exam findings were discussed and demonstrated, and resident impression of education quality. The randomisation of 20 shifts in each cohort provided a total of 274 patient cases. Our primary outcome was an increased frequency of discussion of the differential diagnosis, which occurred more often in the bedside group (72 versus 53...Continue Reading

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Citations

Mar 20, 2015·The Clinical Teacher·Michael Ross
Jul 30, 2020·The Western Journal of Emergency Medicine·Sreeja NatesanMichael Gottlieb
Jul 28, 2018·AEM Education and Training·Corey R HeitzLalena M Yarris
Jul 18, 2018·The Western Journal of Emergency Medicine·Lori A WeichenthalJames Comes
Sep 1, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Corey R HeitzLalena M Yarris

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