Implementation of a Structured Rounding Tool for Interprofessional Care Team Rounds to Improve Communication and Collaboration in Patient Care
Heidi A. Adams and Rose Marie Feudale
Objectives: Communication errors result in poor patient outcomes. This study sought to improve team communication and collaboration, and improve team member satisfaction.
Methods: The study took place at an inpatient acute care pediatric unit in a community hospital in the Northeastern United States. Twenty-four members ((6 males ans 18 females) of the interprofessional care team of diverse races between the ages of 18 and 99 years were recruited. Participants were asked to complete a demographics sheet, a documentation process assessment, and the Collaboration and Satisfaction about Care Decisions (CSACD) tool as a pre- and post-intervention survey. Of those participating, 16 (3 males/13 females)) completed the preintervention survey, and 16 (3 males/13 females completed the post-intervention survey.
Results: Statistical analysis using pooled variance t tests and post hoc power analysis using G*Power 3.1 demonstrated an improvement in team member satisfaction with the rounding process and team collaboration (p<0.001).
Conclusion: The team rounding process provided a forum for open discussion on issues that affect patient care. The structured rounding tool organized the rounding process to ensure accurate and adequate communication and collaboration within the healthcare team.
Implications: Improving communication with the implementation of a structured rounding tool has the potential to improve the quality and safety of patient care. Limitations of the study include convenience sampling, small sample size, small inpatient pediatric unit, and inconsistency in the completion of pre- and post-surveys by pediatric medical residents.