Improving teamwork: impact of structured interdisciplinary rounds on a hospitalist unit

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Kevin J O'LearyMark V Williams

Abstract

Effective collaboration and teamwork is essential in providing safe and effective care. Research reveals deficiencies in teamwork on medical units involving hospitalists. The aim of this study was to assess the impact of an intervention, Structured Inter-Disciplinary Rounds (SIDR), on nurses' ratings of collaboration and teamwork. The study was a controlled trial involving an intervention and control hospitalist unit. The intervention, SIDR, combined a structured format for communication with a forum for regular interdisciplinary meetings. We asked nurses to rate the quality of communication and collaboration with hospitalists using a 5-point ordinal scale. We also assessed teamwork and safety climate using a validated instrument. Multivariable regression analyses were used to assess the impact on length of stay (LOS) and cost using both a concurrent and historic control. A total of 49 of 58 (84%) nurses completed surveys. A larger percentage of nurses rated the quality of communication and collaboration with hospitalists as high or very high on the intervention unit compared to the control unit (80% vs. 54%; P = 0.05). Nurses also rated the teamwork and safety climate significantly higher on the intervention unit (P = 0.008 an...Continue Reading

References

Nov 6, 1995·The Medical Journal of Australia·R M WilsonJ D Hamilton
Feb 1, 1995·Critical Care Medicine·Y DonchinS Cotev
Mar 4, 1996·The Medical Journal of Australia·J R Caplehorn
Oct 24, 2002·The American Journal of Nursing·Alan H Rosenstein
Mar 11, 2003·Critical Care Medicine·Eric J ThomasRobert L Helmreich
Jun 12, 2003·Journal of Critical Care·Peter PronovostCarol Haraden
Jan 28, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Kathleen M SutcliffeMarilynn M Rosenthal
Mar 17, 2004·Journal of Public Health Management and Practice : JPHMP·Dorothea WildDavid L Katz
Aug 4, 2005·Quality & Safety in Health Care·M E KhoD J Cook
Mar 11, 2006·The Journal of Nursing Administration·Marie J CowanSusan L Ettner
Apr 6, 2006·BMC Health Services Research·John B SextonEric J Thomas
May 2, 2006·Journal of the American College of Surgeons·Martin A MakaryPeter J Pronovost
Sep 23, 2006·Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses·Susan Mendez-Eastman
Feb 16, 2008·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·David C MohrGary J Young
Mar 31, 2010·Quality & Safety in Health Care·K J O'LearyM V Williams

❮ Previous
Next ❯

Citations

Sep 17, 2011·Journal of General Internal Medicine·Michael B RothbergPeter K Lindenauer
Feb 20, 2014·Journal of General Internal Medicine·Siddhartha Singh, Kathlyn E Fletcher
Dec 12, 2013·Journal of General Internal Medicine·Rachel D A HavyerDarcy A Reed
Dec 3, 2014·European Journal of Internal Medicine·Samuel PannickNick Sevdalis
Jan 15, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Anuj K Dalal, Jeffrey L Schnipper
Sep 11, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Kevin J O'LearyMark V Williams
Mar 2, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jose F FigueroaAnuj K Dalal
Nov 2, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Kevin J O'LearyUNKNOWN High Performance Teams and the Hospital of the Future Project Team
Dec 17, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Dinah FoerAndrew Dunn
Mar 19, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·V Surekha BhamidipatiEdmondo J Robinson
Jul 25, 2013·Scandinavian Journal of Caring Sciences·Anne-Kari Johannessen, Sissel Steihaug
Nov 18, 2014·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jason SteinDaniel D Dressler
Sep 4, 2015·Obstetrics and Gynecology Clinics of North America·Jordan Messler, Winthrop F Whitcomb
Feb 27, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Stephanie K MuellerRobert Boxer
Oct 30, 2014·Journal of Oncology Practice·A Charlotta WeaverKevin J O'Leary
Apr 4, 2017·Journal of Clinical Nursing·Tit-Chai TanMichelle Kelly
Oct 28, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Christopher S KimDarrell A Campbell
Jun 13, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Kevin J O'LearyMark V Williams
Jan 23, 2015·Health Informatics Journal·Gregory M Garrison, Jennifer L Pecina
Jan 15, 2015·British Journal of Hospital Medicine·Andrew W ArtensteinWinthrop F Whitcomb
Mar 26, 2014·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Nina Rydland OlsenJan Magnus Bjordal
Jan 1, 2020·Journal of Clinical Nursing·Genevieve BeairdKenneth R White
Aug 3, 2017·Journal of Nursing Care Quality·Ann MalecElizabeth Carlson
Oct 26, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Aleem M BharwaniFrederick S Southwick
Oct 5, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Michael J ManiaciM Caroline Burton
Aug 26, 2020·International Journal of Health Care Quality Assurance·Victoria WaltonDavid Greenfield
Jan 1, 2019·Journal of Interprofessional Care·Erin Abu-Rish BlakeneyBrenda K Zierler
Jan 10, 2020·Human Resources for Health·Martina Buljac-SamardzicJeroen D H van Wijngaarden
Dec 3, 2020·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Leah B ChapmanSonia J Meiers
Jul 3, 2021·Journal of Community Hospital Internal Medicine Perspectives·Laura LoertscherShelley Schoepflin Sanders
Jul 2, 2021·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Adam C SchafferJonathan S Einbinder

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Quality & Safety in Health Care
Kevin J O'LearyMark V Williams
Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Kevin J O'LearyMark V Williams
© 2021 Meta ULC. All rights reserved