Implementing bedside rounds to improve patient-centred outcomes: a systematic review

BMJ Quality & Safety
John T RatelleColin P West

Abstract

Bedside rounds (BR) have been proposed as an ideal method to promote patient-centred hospital care, but there is substantial variation in their implementation and effects. Our objectives were to describe the implementation of BR in hospital settings and determine their effect on patient-centred outcomes. Data sources included Ovid MEDLINE, Ovid Embase, Scopus and Ovid Cochrane Central Registry of Clinical Trials from database inception through 28 July 2017. We included experimental studies comparing BR to another form of rounds in a hospital-based setting (ie, medical/surgical unit, intensive care unit (ICU)) and reporting a quantitative patient-reported or objectively measured clinical outcome. We used random effects models to calculate pooled Cohen's d effect size estimates for the patient knowledge and patient experience outcome domains. Twenty-nine studies met inclusion criteria, including 20 from adult care (17 non-ICU, 3 ICU), and nine from paediatrics (5 non-ICU, 4 ICU), the majority of which (n=23) were conducted in the USA. Thirteen studies implemented BR with cointerventions as part of a 'bundle'. Studies most commonly reported outcomes in the domains of patient experience (n=24) and patient knowledge (n=10). We found...Continue Reading

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Citations

Oct 8, 2019·Journal of Advanced Nursing·Myonghwa Park, Thi-Thanh-Tinh Giap
Jan 1, 2019·Journal of Interprofessional Care·Erin Abu-Rish BlakeneyBrenda K Zierler
Feb 11, 2021·BMJ Quality & Safety·Candice BonaconsaUNKNOWN Groote Schuur Hospital Antimicrobial Stewardship and Surgical Study Group
Nov 3, 2020·Critical Care Explorations·Paul A BerglRahul S Nanchal
Jul 11, 2020·Health Care Management Review·Erin Abu-Rish BlakeneyBrenda K Zierler
Sep 10, 2021·BMJ Quality & Safety·Christopher GrondinAshwin Gupta
Jul 1, 2020·International Journal of Nursing Studies·Chris RossiterJacqueline Pich

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