Cargando…

Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review

BACKGROUND: Ward rounds are an essential component of surgical and perioperative care. However, the relative effectiveness of different interventions to improve the quality of surgical ward rounds remains uncertain. The aim of this systematic review was to evaluate the efficacy of various ward round...

Descripción completa

Detalles Bibliográficos
Autores principales: He, Reuben, Bhat, Sameer, Varghese, Chris, Rossaak, Jeremy, Keane, Celia, Baraza, Wal, Wells, Cameron I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694108/
https://www.ncbi.nlm.nih.gov/pubmed/37857927
http://dx.doi.org/10.1007/s00268-023-07221-z
_version_ 1785153300423770112
author He, Reuben
Bhat, Sameer
Varghese, Chris
Rossaak, Jeremy
Keane, Celia
Baraza, Wal
Wells, Cameron I.
author_facet He, Reuben
Bhat, Sameer
Varghese, Chris
Rossaak, Jeremy
Keane, Celia
Baraza, Wal
Wells, Cameron I.
author_sort He, Reuben
collection PubMed
description BACKGROUND: Ward rounds are an essential component of surgical and perioperative care. However, the relative effectiveness of different interventions to improve the quality of surgical ward rounds remains uncertain. The aim of this systematic review was to evaluate the efficacy of various ward round interventions among surgical patients. METHODS: A systematic literature search of the MEDLINE (OVID), EMBASE (OVID), Scopus, Cumulative Index of Nursing and Allied Health (CINAHL), and PsycInfo databases was performed on 7 October 2022 in accordance with PRISMA guidelines. All studies investigating surgical ward round quality improvement strategies with measurable outcomes were included. Data were analysed via narrative synthesis based on commonly reported themes. RESULTS: A total of 28 studies were included. Most were cohort studies (n = 25), followed by randomised controlled trials (n = 3). Checklists/proformas were utilised most commonly (n = 22), followed by technological (n = 3), personnel (n = 2), and well-being (n = 1) quality improvement strategies. The majority of checklist interventions (n = 21, 95%) showed significant improvements in documentation compliance, staff understanding, or patient satisfaction. Other less frequently reported ward round interventions demonstrated improvements in communication, patient safety, and reductions in patient stress levels. CONCLUSIONS: Use of checklists, technology, personnel, and well-being improvement strategies have been associated with improvements in ward round documentation, communication, as well as staff and patient satisfaction. Future studies should investigate the ease of implementation and long-term durability of these interventions, in addition to their impact on clinically relevant outcomes such as patient morbidity and mortality. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00268-023-07221-z.
format Online
Article
Text
id pubmed-10694108
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Springer International Publishing
record_format MEDLINE/PubMed
spelling pubmed-106941082023-12-05 Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review He, Reuben Bhat, Sameer Varghese, Chris Rossaak, Jeremy Keane, Celia Baraza, Wal Wells, Cameron I. World J Surg Scientific Review BACKGROUND: Ward rounds are an essential component of surgical and perioperative care. However, the relative effectiveness of different interventions to improve the quality of surgical ward rounds remains uncertain. The aim of this systematic review was to evaluate the efficacy of various ward round interventions among surgical patients. METHODS: A systematic literature search of the MEDLINE (OVID), EMBASE (OVID), Scopus, Cumulative Index of Nursing and Allied Health (CINAHL), and PsycInfo databases was performed on 7 October 2022 in accordance with PRISMA guidelines. All studies investigating surgical ward round quality improvement strategies with measurable outcomes were included. Data were analysed via narrative synthesis based on commonly reported themes. RESULTS: A total of 28 studies were included. Most were cohort studies (n = 25), followed by randomised controlled trials (n = 3). Checklists/proformas were utilised most commonly (n = 22), followed by technological (n = 3), personnel (n = 2), and well-being (n = 1) quality improvement strategies. The majority of checklist interventions (n = 21, 95%) showed significant improvements in documentation compliance, staff understanding, or patient satisfaction. Other less frequently reported ward round interventions demonstrated improvements in communication, patient safety, and reductions in patient stress levels. CONCLUSIONS: Use of checklists, technology, personnel, and well-being improvement strategies have been associated with improvements in ward round documentation, communication, as well as staff and patient satisfaction. Future studies should investigate the ease of implementation and long-term durability of these interventions, in addition to their impact on clinically relevant outcomes such as patient morbidity and mortality. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00268-023-07221-z. Springer International Publishing 2023-10-19 2023 /pmc/articles/PMC10694108/ /pubmed/37857927 http://dx.doi.org/10.1007/s00268-023-07221-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Scientific Review
He, Reuben
Bhat, Sameer
Varghese, Chris
Rossaak, Jeremy
Keane, Celia
Baraza, Wal
Wells, Cameron I.
Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review
title Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review
title_full Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review
title_fullStr Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review
title_full_unstemmed Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review
title_short Interventions to Improve Patient Care on Surgical Ward Rounds: A Systematic Review
title_sort interventions to improve patient care on surgical ward rounds: a systematic review
topic Scientific Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694108/
https://www.ncbi.nlm.nih.gov/pubmed/37857927
http://dx.doi.org/10.1007/s00268-023-07221-z
work_keys_str_mv AT hereuben interventionstoimprovepatientcareonsurgicalwardroundsasystematicreview
AT bhatsameer interventionstoimprovepatientcareonsurgicalwardroundsasystematicreview
AT varghesechris interventionstoimprovepatientcareonsurgicalwardroundsasystematicreview
AT rossaakjeremy interventionstoimprovepatientcareonsurgicalwardroundsasystematicreview
AT keanecelia interventionstoimprovepatientcareonsurgicalwardroundsasystematicreview
AT barazawal interventionstoimprovepatientcareonsurgicalwardroundsasystematicreview
AT wellscameroni interventionstoimprovepatientcareonsurgicalwardroundsasystematicreview